1 00:00:07,021 --> 00:00:10,324 GOOD MORNINH AND WELCOME TO MEETING 4 2024 DIETARY GUIDELINES 2 00:00:10,324 --> 00:00:13,627 ADVISORY COMMITTEE. I'M JANET 3 00:00:13,627 --> 00:00:17,798 DE JESUS AT HHS. 4 00:00:17,798 --> 00:00:19,200 NEXT SLIDE, PLEASE. 5 00:00:19,200 --> 00:00:22,069 THIS IS OUR WONDERFUL COMMITTEE 6 00:00:22,069 --> 00:00:23,637 AND WANTED TO JUST NOTE THAT 7 00:00:23,637 --> 00:00:26,407 EVERYONE IS IN ATTENDANCE TODAY 8 00:00:26,407 --> 00:00:28,509 VIRTUALLY. WE MOVED TO A 9 00:00:28,509 --> 00:00:29,543 VIRTUAL MEETING WITH THE SNOW 10 00:00:29,543 --> 00:00:34,048 THAT IS HAPPENING IN DC. WE 11 00:00:34,048 --> 00:00:35,382 WILL HAVE ALL 20 ADVISORY 12 00:00:35,382 --> 00:00:37,785 COMMITTEE MEMBERS IN ATTENDANCE 13 00:00:37,785 --> 00:00:38,419 TODAY. 14 00:00:38,419 --> 00:00:39,220 NEXT. 15 00:00:39,220 --> 00:00:42,623 OKAY. HERE IS OUR OVERALL 16 00:00:42,623 --> 00:00:44,391 TIMELINE FOR THE DEVELOPMENT OF 17 00:00:44,391 --> 00:00:47,728 THE NEXT ADDITION OF THE DIETARY 18 00:00:47,728 --> 00:00:49,763 GUIDELINES IN 2023. 19 00:00:49,763 --> 00:00:53,400 WE HAD THREE MEETINGS OF THE 20 00:00:53,400 --> 00:00:55,536 ADVISORY COMMITTEE IN FEBRUARY, 21 00:00:55,536 --> 00:00:57,304 MAY AND SEPTEMBER AND NOW ARE 22 00:00:57,304 --> 00:01:00,241 HERE JOINED FOR MEETING 4. 23 00:01:00,241 --> 00:01:08,082 THE GOAL IS FOR THE COMMITTEE TO 24 00:01:08,082 --> 00:01:10,985 SUBMIT THEIR CALENDAR FALL OF 25 00:01:10,985 --> 00:01:13,487 2024 AND 2025 WILL WORK ON 26 00:01:13,487 --> 00:01:14,555 DEVELOPMENTS AND RELEASE THE 27 00:01:14,555 --> 00:01:18,058 NEXT ADDITION OF THE DIETARY 28 00:01:18,058 --> 00:01:18,359 GUIDELINES. 29 00:01:18,359 --> 00:01:20,661 I'M REALLY HONORED TODAY TO HAVE 30 00:01:20,661 --> 00:01:24,732 OUR LEADERSHIP FROM HHS AND USDA 31 00:01:24,732 --> 00:01:28,535 PROVIDING OPENING REMARKS. 32 00:01:28,535 --> 00:01:32,273 FIRST, WE WILL START WITH 33 00:01:32,273 --> 00:01:35,442 ADMIRAL RACHEL LEVINE THE 34 00:01:35,442 --> 00:01:39,013 ASSISTANT SECRETARY OF HEALTH 35 00:01:39,013 --> 00:01:44,985 AND -- AND FOLLOWING THAT WE 36 00:01:44,985 --> 00:01:47,855 WILL HAVE STACY DEAN THE DEPUTY 37 00:01:47,855 --> 00:01:50,024 UNDER SECRETARY AT FOOD, 38 00:01:50,024 --> 00:01:52,927 NUTRITION AND CONSUMER SERVICES 39 00:01:52,927 --> 00:01:55,195 AT THE US DEPARTMENT OF 40 00:01:55,195 --> 00:01:56,163 AGRICULTURE AND WITHOUT FURTHER 41 00:01:56,163 --> 00:01:59,433 ADO, I WOULD LIKE TO HAVE 42 00:01:59,433 --> 00:02:01,402 ADMIRAL LEVINE PROVIDE REMARKS. 43 00:02:01,402 --> 00:02:03,237 >> THANK YOU TO THOSE WOULD ARE 44 00:02:03,237 --> 00:02:05,072 IN PERSON AND TO THOSE WHO ARE 45 00:02:05,072 --> 00:02:08,442 JOINING VIRTUALLY FOR THE 4TH 46 00:02:08,442 --> 00:02:11,145 MEETING OF THE 2025 DIETARY 47 00:02:11,145 --> 00:02:11,879 GUIDELINES ADVISORY COMMITTEE 48 00:02:11,879 --> 00:02:14,648 AND I WOULD LIKE TO BEGIN BY 49 00:02:14,648 --> 00:02:17,184 CONGRATULATING THE COMMITTEE ON 50 00:02:17,184 --> 00:02:18,052 THE ANNIVERSARY OF ITS 51 00:02:18,052 --> 00:02:20,220 APPOINTMENT THAT HAPPENED ONE 52 00:02:20,220 --> 00:02:23,624 YEAR AGO TODAY ON JANUARY 19TH, 53 00:02:23,624 --> 00:02:25,459 2023. THANK YOU FOR YOUR 54 00:02:25,459 --> 00:02:28,162 DEDICATION TO YOUR SCIENTIFIC 55 00:02:28,162 --> 00:02:30,130 EVIDENCE REVIEW AND THE HARD 56 00:02:30,130 --> 00:02:32,266 WORK YOU HAVE PUT INTO 57 00:02:32,266 --> 00:02:34,201 ACCOMPLISH THE DUTIES SET FORTH 58 00:02:34,201 --> 00:02:36,403 BY HHS AND USDA. 59 00:02:36,403 --> 00:02:39,239 I KNOW THAT THIS HAS BEEN NO 60 00:02:39,239 --> 00:02:42,109 SMALL TASK. THE COMMITTEE HAS 61 00:02:42,109 --> 00:02:45,879 HELD THREE PUBLIC MEETINGS AND 62 00:02:45,879 --> 00:02:47,081 COLLABORATED DURING 63 00:02:47,081 --> 00:02:48,215 SUB-COMMITTEE MEETINGS 64 00:02:48,215 --> 00:02:49,950 PARTICIPATING IN THE DEVELOPMENT 65 00:02:49,950 --> 00:02:52,186 OF EVIDENCE REVIEW PROTOCOLS YOU 66 00:02:52,186 --> 00:02:55,556 HAVE ALL REVIEWED AND 67 00:02:55,556 --> 00:02:59,193 SYNTHESIZED BEGUN PRESENTING 68 00:02:59,193 --> 00:03:00,694 SCIENTIFIC FINDINGS AND HAD 69 00:03:00,694 --> 00:03:03,030 NEARLY 1,000 PUBLIC COMMENTS. 70 00:03:03,030 --> 00:03:05,599 THAT IS NOT ALL. OVER THE LAST 71 00:03:05,599 --> 00:03:08,268 YEAR THE COMMITTEE EXAMINED THE 72 00:03:08,268 --> 00:03:09,937 RELATIONSHIP BETWEEN DIET AND 73 00:03:09,937 --> 00:03:13,073 HEALTH IN ALL LIFE STAGES USING 74 00:03:13,073 --> 00:03:15,709 THREE RIGOROUS APPROACHES 75 00:03:15,709 --> 00:03:17,244 SYSTEMATIC REVIEWS FOOD PATTERN 76 00:03:17,244 --> 00:03:19,546 MODELING AND DATA ANALYSIS AND 77 00:03:19,546 --> 00:03:21,015 MOREOVER THIS COMMITTEE HAS 78 00:03:21,015 --> 00:03:24,051 APPLIED A HEALTH EQUITY LENS 79 00:03:24,051 --> 00:03:26,453 ENSURE FACTORS SOCIOECONOMIC 80 00:03:26,453 --> 00:03:28,155 STATUS RACE ETHNICITY AND 81 00:03:28,155 --> 00:03:31,258 CULTURE DESCRIBED AND CONSIDERED 82 00:03:31,258 --> 00:03:33,293 ITS WORK TO GREATEST EXTENT 83 00:03:33,293 --> 00:03:34,962 POSSIBLE AND COMMITTEE TOOK 84 00:03:34,962 --> 00:03:37,564 STEPS TO ENSURE WORK REFLECTS 85 00:03:37,564 --> 00:03:39,066 GROWING DIVERSITY OF THOSE 86 00:03:39,066 --> 00:03:40,467 LIVING IN THE UNITED STATES. 87 00:03:40,467 --> 00:03:44,772 ADDRESSING INEQUITIES IS KEY TO 88 00:03:44,772 --> 00:03:46,040 AMELIORATING HEALTH DISPARITIES 89 00:03:46,040 --> 00:03:48,842 AT HHS OUR MISSION IS TO ENHANCE 90 00:03:48,842 --> 00:03:50,444 THE HEALTH AND WELLBEING OF ALL 91 00:03:50,444 --> 00:03:52,346 AND WORK YOU ARE DOING IS 92 00:03:52,346 --> 00:03:54,848 ESSENTIAL ENSURING DIETARY 93 00:03:54,848 --> 00:03:56,083 RECOMMENDATIONS CAN BE APPLIED 94 00:03:56,083 --> 00:03:57,851 TO ALL OF THE DIVERSE 95 00:03:57,851 --> 00:03:59,319 POPULATIONS IN OUR GREAT 96 00:03:59,319 --> 00:03:59,820 COUNTRY. 97 00:03:59,820 --> 00:04:03,323 THAT IS WHY I'M ESPECIALLY 98 00:04:03,323 --> 00:04:04,625 IMPRESSED AND PROUD OF THE BROAD 99 00:04:04,625 --> 00:04:06,060 EXPERTISE THAT EVERYONE ON THIS 100 00:04:06,060 --> 00:04:08,429 COMMITTEE BRINGS TO ADVISING HHS 101 00:04:08,429 --> 00:04:10,197 AND USDA. 102 00:04:10,197 --> 00:04:12,066 AS NATIONALLY RECOGNIZED 103 00:04:12,066 --> 00:04:14,501 SCIENTISTS AND RESEARCHERS, YOU 104 00:04:14,501 --> 00:04:17,137 HAVE EXPERTISE NOT ONLY ON THE 105 00:04:17,137 --> 00:04:18,072 RELATIONSHIP BETWEEN NUTRITION 106 00:04:18,072 --> 00:04:20,474 AND HEALTH OUTCOMES ACROSS ALL 107 00:04:20,474 --> 00:04:22,376 LIFE STAGES AND YOU ALSO HAVE 108 00:04:22,376 --> 00:04:26,080 BROAD KNOWLEDGE OF THE DIVERSE 109 00:04:26,080 --> 00:04:28,615 POPULATIONS ACROSS THE UNITED 110 00:04:28,615 --> 00:04:30,150 STATES AND THE IMPORTANCE OF 111 00:04:30,150 --> 00:04:33,087 HEALTH EQUITY IN YOUR RESEARCH 112 00:04:33,087 --> 00:04:34,421 AND RECOMMENDATIONS AND YOUR 113 00:04:34,421 --> 00:04:36,056 WORK AND REPORT YOU WILL DELIVER 114 00:04:36,056 --> 00:04:37,224 WITH YOUR FINAL RECOMMENDATIONS 115 00:04:37,224 --> 00:04:39,026 ARE CRITICAL TO THE DEVELOPMENT 116 00:04:39,026 --> 00:04:41,295 OF THE NEXT ADDITION TO THE 117 00:04:41,295 --> 00:04:44,498 DIETARY GUIDELINES FOR AMERICANS 118 00:04:44,498 --> 00:04:46,934 AND ULTIMATELY TO THE MANY 119 00:04:46,934 --> 00:04:48,902 FEDERAL PROGRAMS RELYING ON 120 00:04:48,902 --> 00:04:51,105 DIETARY GUIDELINES TO HELP 121 00:04:51,105 --> 00:04:52,406 ENSURE FAMILIES AND THOSE THAT 122 00:04:52,406 --> 00:04:54,174 NEED EXTRA SUPPORT CAN MEET 123 00:04:54,174 --> 00:04:55,509 THEIR NUTRITION NEEDS. 124 00:04:55,509 --> 00:04:58,145 SOME PROGRAMS ARE THE 125 00:04:58,145 --> 00:04:59,847 SUPPLEMENTAL NUTRITION 126 00:04:59,847 --> 00:05:01,482 ASSISTANCE PROGRAM COMMONLY 127 00:05:01,482 --> 00:05:03,951 KNOWN AS SNAP, THE SPECIAL 128 00:05:03,951 --> 00:05:05,319 SUPPLEMENTAL NUTRITION PROGRAM 129 00:05:05,319 --> 00:05:07,955 FOR WOMEN, INFANTS AND CHILDREN 130 00:05:07,955 --> 00:05:10,424 OR WICK. CHILD NUTRITION 131 00:05:10,424 --> 00:05:13,560 PROGRAMS THAT SET NUTRITION 132 00:05:13,560 --> 00:05:17,064 STANDARDS FOR MEALS LIKE 133 00:05:17,064 --> 00:05:18,065 BREAKFAST AND LUNCH THAT 134 00:05:18,065 --> 00:05:20,134 CHILDREN EAT IN SCHOOLS AND 135 00:05:20,134 --> 00:05:22,102 PROGRAMS THAT HELP OLDER ADULTS 136 00:05:22,102 --> 00:05:23,370 STAY HEALTHY AND CONNECTED TO 137 00:05:23,370 --> 00:05:23,971 ONE ANOTHER. 138 00:05:23,971 --> 00:05:26,573 THESE ARE A FEW OF THE FEDERAL 139 00:05:26,573 --> 00:05:28,742 PROGRAMS THAT RELY ON DIETARY 140 00:05:28,742 --> 00:05:31,545 GUIDELINES AND HELP ENABLE ALL 141 00:05:31,545 --> 00:05:33,580 AMERICANS TO LIVE HEALTHIER 142 00:05:33,580 --> 00:05:35,716 LIVES INCREASING ACCESS AND 143 00:05:35,716 --> 00:05:38,285 ADOPTION OF HEALTHY DIETARY 144 00:05:38,285 --> 00:05:38,819 CHOICES. 145 00:05:38,819 --> 00:05:41,121 THESE FEDERAL PROGRAMS ARE ALSO 146 00:05:41,121 --> 00:05:42,956 HIGHLIGHTED IN THE NATIONAL 147 00:05:42,956 --> 00:05:44,992 STRATEGY ON HUNGER, NUTRITION, 148 00:05:44,992 --> 00:05:46,793 AND HEALTH THAT WAS DEVELOPED AS 149 00:05:46,793 --> 00:05:51,632 PART OF THE 2022 WHITE HOUSE 150 00:05:51,632 --> 00:05:53,834 CONFERENCE ON HUNGER NUTRITION 151 00:05:53,834 --> 00:05:56,036 AND HEALTH AND NATIONAL STRATEGY 152 00:05:56,036 --> 00:05:58,939 REMAINS A PRIORITY AT HHS AND 153 00:05:58,939 --> 00:06:00,541 FOR THIS ADMINISTRATION AND 154 00:06:00,541 --> 00:06:01,675 THANK ALL OF YOU AND THE 155 00:06:01,675 --> 00:06:03,777 COMMITTEE ON YOUR WORK IN 156 00:06:03,777 --> 00:06:05,179 ADVANCING THESE EFFORTS AND 157 00:06:05,179 --> 00:06:07,548 WOULD LIKE TO THANK THE PUBLIC 158 00:06:07,548 --> 00:06:09,116 FOR ROBUST PARTICIPATION IN THE 159 00:06:09,116 --> 00:06:11,351 DIETARY GUIDELINES DEVELOPMENT 160 00:06:11,351 --> 00:06:12,920 PROCESS AND WANT TO MAKE SURE 161 00:06:12,920 --> 00:06:16,256 YOU HEAR ME LOUD AND CLEAR, EACH 162 00:06:16,256 --> 00:06:18,058 PUBLIC COMMENT IS TAKEN INTO 163 00:06:18,058 --> 00:06:19,993 CONSIDERATION THROUGHOUT THE 164 00:06:19,993 --> 00:06:21,395 COMMITTEE'S EVIDENCE REVIEW 165 00:06:21,395 --> 00:06:21,662 PROCESS. 166 00:06:21,662 --> 00:06:23,830 THERE IS STILL TIME FOR THE 167 00:06:23,830 --> 00:06:25,499 PUBLIC TO WEIGH IN. 168 00:06:25,499 --> 00:06:27,034 RECORDINGS OF PREVIOUS COMMITTEE 169 00:06:27,034 --> 00:06:29,102 MEETINGS AND MATERIALS ARE 170 00:06:29,102 --> 00:06:31,939 AVAILABLE ON DIETARY 171 00:06:31,939 --> 00:06:33,774 GUIDELINES.GOV. WE CONTINUE TO 172 00:06:33,774 --> 00:06:34,675 ACCEPT PUBLIC COMMENTS. 173 00:06:34,675 --> 00:06:37,077 I'M LOOKING FORWARD TO FOLLOWING 174 00:06:37,077 --> 00:06:39,146 THE REMAINDER OF THE COMMITTEE'S 175 00:06:39,146 --> 00:06:41,148 EVIDENCE REVIEW WHICH WILL 176 00:06:41,148 --> 00:06:43,884 CONCLUDE WITH DELIVERY OF 177 00:06:43,884 --> 00:06:45,085 SCIENTIFIC REPORT LATER THIS 178 00:06:45,085 --> 00:06:45,953 YEAR. 179 00:06:45,953 --> 00:06:48,055 LASTLY, I WOULD BE REMISED IF I 180 00:06:48,055 --> 00:06:49,756 DIDN'T ACKNOWLEDGE THE FEDERAL 181 00:06:49,756 --> 00:06:51,792 STAFF SUPPORTING WORK OF 182 00:06:51,792 --> 00:06:54,261 ADVISORY COMMITTEE IN DIETARY 183 00:06:54,261 --> 00:06:55,562 GUIDELINES EFFORTS. THANK YOU 184 00:06:55,562 --> 00:06:57,698 FOR RISING TO THE OCCASION AND 185 00:06:57,698 --> 00:06:59,499 DEDICATING YOUR WORK TO THE 186 00:06:59,499 --> 00:07:01,435 NATION'S HEALTH. 187 00:07:01,435 --> 00:07:02,703 CONGRATULATIONS, AGAIN, TO THE 188 00:07:02,703 --> 00:07:05,505 COMMITTEE ON THE ONE-YEAR 189 00:07:05,505 --> 00:07:07,708 ANNIVERSARY FOR YOUR APPOINTMENT 190 00:07:07,708 --> 00:07:09,676 AND CONTINUED WORK TO SUPPORT 191 00:07:09,676 --> 00:07:10,811 HEALTH OF ALL AMERICANS AND WITH 192 00:07:10,811 --> 00:07:12,679 THAT I'M EXCITED FOR THE MEETING 193 00:07:12,679 --> 00:07:14,081 TO BEGIN AND TO HEAR MORE ABOUT 194 00:07:14,081 --> 00:07:17,951 YOUR REVIEW OF THE EVIDENCE. 195 00:07:17,951 --> 00:07:20,787 THANK YOU. 196 00:07:20,787 --> 00:07:22,623 >> GOOD MORNING, EVERYONE. ON 197 00:07:22,623 --> 00:07:26,593 BEHALF OF USDA, GREETINGS TO THE 198 00:07:26,593 --> 00:07:28,161 2025 DIETARY GUIDELINES ADVISORY 199 00:07:28,161 --> 00:07:29,963 COMMITTEE AND ALL OF YOU JOINING 200 00:07:29,963 --> 00:07:31,965 THE COMMITTEE'S 4TH MEETING 201 00:07:31,965 --> 00:07:34,434 TODAY ONLINE AND HOPE YOUR 2024 202 00:07:34,434 --> 00:07:36,637 IS OFF TO A BRIGHT START AND 203 00:07:36,637 --> 00:07:39,973 JOIN ADMIRAL LEVINE SAYING 204 00:07:39,973 --> 00:07:41,275 CONGRATULATIONS AND THANK YOU TO 205 00:07:41,275 --> 00:07:43,343 THE ESTEEMED COMMITTEE ON ONE 206 00:07:43,343 --> 00:07:44,911 YEAR ANNIVERSARY OF YOUR 207 00:07:44,911 --> 00:07:46,246 APPOINTMENT AND WHAT WE HAVE 208 00:07:46,246 --> 00:07:48,181 ASKED OF YOU IS NO SMALL TASK. 209 00:07:48,181 --> 00:07:49,850 YOU HAVE ACCOMPLISHED SO MUCH 210 00:07:49,850 --> 00:07:51,718 ALREADY IN THE PAST YEAR. TODAY 211 00:07:51,718 --> 00:07:53,353 IS AN IMPORTANT TOUCHPOINT FOR 212 00:07:53,353 --> 00:07:55,555 US TO HEAR MORE ABOUT YOUR WORK 213 00:07:55,555 --> 00:07:56,890 REVIEWING THE EVIDENCE OF HOW 214 00:07:56,890 --> 00:07:59,293 EATING PATTERNS IMPACT THE 215 00:07:59,293 --> 00:08:02,195 HEALTH ACROSS THE LIFESPAN. 216 00:08:02,195 --> 00:08:05,265 THIS COMMITTEE'S CONSIDERABLE 217 00:08:05,265 --> 00:08:08,735 WORK TO EXAMINE THROUGH HEALTH 218 00:08:08,735 --> 00:08:10,037 EQUITY LENS IS CONSIDERABLE AND 219 00:08:10,037 --> 00:08:12,472 NUTRITION AND PUBLIC HEALTH 220 00:08:12,472 --> 00:08:14,608 WORLDS AND YOUR WORK SHINES A 221 00:08:14,608 --> 00:08:15,642 SPOTLIGHT ON GAPS IN EVIDENCE 222 00:08:15,642 --> 00:08:17,844 THAT NEED TO BE FILLED AND IS 223 00:08:17,844 --> 00:08:19,546 NOT AN UNDERSTATEMENT TO SAY 224 00:08:19,546 --> 00:08:21,648 THAT DIETARY GUIDELINES ARE 225 00:08:21,648 --> 00:08:24,985 ESSENTIAL PART OF USDA'S WORK TO 226 00:08:24,985 --> 00:08:26,053 ADVANCE NUTRITION SECURITY AND 227 00:08:26,053 --> 00:08:28,221 ULTIMATELY HEALTH EQUITY 228 00:08:28,221 --> 00:08:30,390 NUTRITION SECURITY MEANING 229 00:08:30,390 --> 00:08:34,061 CONSISTENT AND EQUITABLE HEALTH 230 00:08:34,061 --> 00:08:38,198 OPTIMAL HEALTH AND WELLBEING IS 231 00:08:38,198 --> 00:08:40,267 CENTRAL TO WHITE HOUSE NATIONAL 232 00:08:40,267 --> 00:08:41,601 STRATEGY ON HUNGER AND NUTRITION 233 00:08:41,601 --> 00:08:43,470 AND HEALTH AIMING HUNGER IN 234 00:08:43,470 --> 00:08:46,073 AMERICA AND INCREASED EATING IN 235 00:08:46,073 --> 00:08:48,442 PHYSICAL ACTIVITY BY 2030 SO 236 00:08:48,442 --> 00:08:51,278 FEWER AMERICANS EXPERIENCE DIET 237 00:08:51,278 --> 00:08:53,814 RELATED DISEASES INFORMING HHS 238 00:08:53,814 --> 00:08:56,216 AND USA'S DEVELOPMENT NEXT 239 00:08:56,216 --> 00:08:57,784 ADDITION OF GUIDELINES FOR 240 00:08:57,784 --> 00:08:59,219 AMERICANS THIS COMMITTEE'S WORK 241 00:08:59,219 --> 00:09:01,288 IS HELPING TO ADVANCE NATIONAL 242 00:09:01,288 --> 00:09:04,257 STRATEGY AND WITHIN USDA 243 00:09:04,257 --> 00:09:05,659 MISSIONARY OF FOOD NUTRITION AND 244 00:09:05,659 --> 00:09:07,594 CONSUMER SERVICES NUTRITION 245 00:09:07,594 --> 00:09:09,663 SECURITY INEQUITY AND WORK 246 00:09:09,663 --> 00:09:11,298 COMMITTEE DOES TO SUPPORT GOALS 247 00:09:11,298 --> 00:09:12,966 ARE PARTICULARLY MEANINGFUL. WE 248 00:09:12,966 --> 00:09:15,702 REACH PUBLIC WITH INITIATIVES 249 00:09:15,702 --> 00:09:18,538 LIKE MY PLATE RIGHT UP HERE 250 00:09:18,538 --> 00:09:20,340 TRANSLATING DIETARY GUIDELINES 251 00:09:20,340 --> 00:09:21,908 INTO ACTIONABLE TIPS TO HELP 252 00:09:21,908 --> 00:09:24,778 PEOPLE EAT HEALTHY AND WE 253 00:09:24,778 --> 00:09:27,814 ADMINISTER 16 FEDERAL NUTRITION 254 00:09:27,814 --> 00:09:28,815 ASSISTANCE PROGRAMS TOGETHER 255 00:09:28,815 --> 00:09:30,550 SERVING 1 IN 4 PEOPLE IN THE 256 00:09:30,550 --> 00:09:32,285 UNITED STATES. DIETARY 257 00:09:32,285 --> 00:09:33,320 GUIDELINES ARE NUTRITION 258 00:09:33,320 --> 00:09:35,655 BACKBONE FOR USDA'S NUTRITION 259 00:09:35,655 --> 00:09:38,525 ASSISTANCE PROGRAMS. UPDATED 260 00:09:38,525 --> 00:09:41,862 GUIDANCE IS ESSENTIAL ENSURING 261 00:09:41,862 --> 00:09:43,563 PROGRAM'S NUTRITION MATCHES 262 00:09:43,563 --> 00:09:46,066 SCIENCE AND ADMIRAL MENTIONED A 263 00:09:46,066 --> 00:09:48,235 FEW PROGRAMS SNAP, WICK, SCHOOL 264 00:09:48,235 --> 00:09:50,604 MEALS AND THIS SUMMER THRILLED 265 00:09:50,604 --> 00:09:52,639 TO ROLL OUT NUTRITION ASSISTANCE 266 00:09:52,639 --> 00:09:55,475 PROGRAM FOR CHILDREN SUMMER EBT 267 00:09:55,475 --> 00:09:57,077 COMPLEMENTING LONGSTANDING 268 00:09:57,077 --> 00:09:59,946 SUMMARY PROGRAMS SUMMER BT 269 00:09:59,946 --> 00:10:03,517 FAMILY PARTICIPATING STATES 270 00:10:03,517 --> 00:10:06,753 TERRITORIES AND TRIBES ELIGIBLE 271 00:10:06,753 --> 00:10:07,854 SCHOOL-AGED CHILDREN TO BUY 272 00:10:07,854 --> 00:10:09,790 GROCERIES THIS SUMMER AND 273 00:10:09,790 --> 00:10:13,160 ANNOUNCED LAST WEEK 35 STATES US 274 00:10:13,160 --> 00:10:14,961 TERRITORIES AND FOUR TRIBES PLAN 275 00:10:14,961 --> 00:10:17,497 TO BE FIRST TO LAUNCH SUMMER EBT 276 00:10:17,497 --> 00:10:20,867 IN SUMMER 2024 SERVING CLOSE TO 277 00:10:20,867 --> 00:10:22,436 20 MILLION CHILDREN AND MORE 278 00:10:22,436 --> 00:10:23,737 STATES AND TRIBES ARE EXPECTED 279 00:10:23,737 --> 00:10:26,706 TO OFFER THE PROGRAM IN 2025. 280 00:10:26,706 --> 00:10:29,109 RESEARCH SHOWS THIS TYPE OF 281 00:10:29,109 --> 00:10:30,777 SUMMER GROCERY BENEFIT CAN 282 00:10:30,777 --> 00:10:34,080 REDUCE CHILD HUNGER BY 33% AND 283 00:10:34,080 --> 00:10:36,416 SUPPORT HEALTHIER DIETS WITH 284 00:10:36,416 --> 00:10:37,818 FRUITS VEGETABLES AND WHOLE 285 00:10:37,818 --> 00:10:41,054 GRAINS ONE OF THE MANY WAYS 286 00:10:41,054 --> 00:10:43,089 USDA'S FOOD NUTRITION WORK IS 287 00:10:43,089 --> 00:10:45,425 DRIVEN BY SCIENTIFIC ANALYSIS 288 00:10:45,425 --> 00:10:46,760 AND THOROUGH EVALUATION AND 289 00:10:46,760 --> 00:10:48,528 DIETARY GUIDELINES ARE PART OF 290 00:10:48,528 --> 00:10:50,630 THAT COMMITMENT. IN CLOSING, 291 00:10:50,630 --> 00:10:52,499 COMMITTEE MEMBERS, 292 00:10:52,499 --> 00:10:54,067 CONGRATULATIONS, AGAIN, ON YOUR 293 00:10:54,067 --> 00:10:55,602 ONE YEAR ANNIVERSARY AND HUGE 294 00:10:55,602 --> 00:10:57,370 THANK YOU FOR VOLUNTEERING YOUR 295 00:10:57,370 --> 00:10:58,572 TIME AND EXPERTISE. 296 00:10:58,572 --> 00:11:00,006 THANK YOU FOR YOUR DEDICATION TO 297 00:11:00,006 --> 00:11:02,375 THE IMPORTANT WORK AND FOR YOUR 298 00:11:02,375 --> 00:11:03,910 CONTRIBUTIONS TO HELP CLOSE THE 299 00:11:03,910 --> 00:11:06,379 NUTRITION SECURITY AND HEALTH 300 00:11:06,379 --> 00:11:06,880 EQUITY GAP. 301 00:11:06,880 --> 00:11:08,882 I LOOK FORWARD TO THE 302 00:11:08,882 --> 00:11:10,183 CULMINATION OF YOUR WORK 303 00:11:10,183 --> 00:11:11,785 REVIEWING THE EVIDENCE ON THE 304 00:11:11,785 --> 00:11:14,287 NUTRITION AND HEALTH ACROSS THE 305 00:11:14,287 --> 00:11:16,156 LIFESPAN AND HUGE THANKS TO 306 00:11:16,156 --> 00:11:17,791 FEDERAL STAFF FOR ALL YOUR 307 00:11:17,791 --> 00:11:20,260 INVALUABLE SUPPORT TO THE 308 00:11:20,260 --> 00:11:23,897 COMMITTEE OVER THE PAST YEAR AND 309 00:11:23,897 --> 00:11:25,565 EXPERTISE AND TIRELESS WORK IN 310 00:11:25,565 --> 00:11:27,434 SEVERAL MONTHS TO COME FOR THOSE 311 00:11:27,434 --> 00:11:29,903 JOINING THE MEETING VIRTUALLY 312 00:11:29,903 --> 00:11:32,038 THANK YOU AND MANY THANKS TO 313 00:11:32,038 --> 00:11:33,573 THOSE SUBMITTING COMMENTS TO THE 314 00:11:33,573 --> 00:11:35,509 COMMITTEE AND FORMS OF 315 00:11:35,509 --> 00:11:37,177 ENGAGEMENT PARTICULARLY COMMENTS 316 00:11:37,177 --> 00:11:39,212 MATTER. PLEASE STAY ENGAGED 317 00:11:39,212 --> 00:11:42,315 THROUGHOUT OUR PROCESS. 318 00:11:42,315 --> 00:11:45,719 THANK YOU. 319 00:11:45,719 --> 00:11:50,123 >> THANK YOU SO MUCH, ADMIRAL 320 00:11:50,123 --> 00:11:56,930 LEVINE AND DEPUTY UNDER SECT 321 00:11:56,930 --> 00:11:58,698 DEAN. WE APPRECIATE THE OPENING 322 00:11:58,698 --> 00:12:01,001 REMARKS AND I'M HAPPY TO TURN TO 323 00:12:01,001 --> 00:12:03,637 OUR CHAIRS FOR OPENING REMA SHGS 324 00:12:03,637 --> 00:12:07,841 TO SARAH BOOTH AND ANGELA 325 00:12:07,841 --> 00:12:09,409 ODOMS-YOUNG. TAKE IT AWAY. 326 00:12:09,409 --> 00:12:12,879 >> THANK YOU, JANET AND ADMIRAL 327 00:12:12,879 --> 00:12:17,684 LEVINE AND STACY DEAN FOR THEIR 328 00:12:17,684 --> 00:12:18,919 ENCOURAGING REMARKS AND THEIR 329 00:12:18,919 --> 00:12:20,320 TREMENDOUS SUPPORT OF THE 330 00:12:20,320 --> 00:12:20,620 COMMITTEE. 331 00:12:20,620 --> 00:12:23,723 I THINK WE ARE ALL REALLY HAPPY 332 00:12:23,723 --> 00:12:27,394 TO SEE EACH OTHER AGAIN, ALL 333 00:12:27,394 --> 00:12:28,295 TOGETHER. 334 00:12:28,295 --> 00:12:30,063 ALBEIT ON VIRTUALLY BECAUSE OF 335 00:12:30,063 --> 00:12:34,534 THE WEATHER, OUR FEDERAL STAFF 336 00:12:34,534 --> 00:12:36,269 WORKED WITH US TO HOW TO PROVIDE 337 00:12:36,269 --> 00:12:42,709 THIS PUBLIC MEETING WHILE ALSO 338 00:12:42,709 --> 00:12:45,211 RESPECTING CHALLENGES IN TRAVEL 339 00:12:45,211 --> 00:12:47,180 DURING THESE MONTHS. 340 00:12:47,180 --> 00:12:51,051 SO, I WILL BE PRESENTING THE 341 00:12:51,051 --> 00:12:55,388 OPENING REMARKS FOR -- ON BEHALF 342 00:12:55,388 --> 00:12:57,958 OF MY COLLEAGUE ANGELA ODOMS 343 00:12:57,958 --> 00:12:59,726 YOUNG AND MYSELF AND MY 344 00:12:59,726 --> 00:13:01,595 COLLEAGUE WILL BE LEADING THE 345 00:13:01,595 --> 00:13:03,363 DISCUSSION AT THE END OF THE 346 00:13:03,363 --> 00:13:03,730 MEETING. 347 00:13:03,730 --> 00:13:06,967 SO, WE ARE GOING TO HAVE MY 348 00:13:06,967 --> 00:13:09,135 OVERVIEW IS GOING TO TALK ABOUT 349 00:13:09,135 --> 00:13:11,104 TWO THINGS, WHAT WE HAVE DONE 350 00:13:11,104 --> 00:13:12,138 TODAY AND WHAT WE ARE GOING TO 351 00:13:12,138 --> 00:13:14,608 DO IN THE FUTURE. 352 00:13:14,608 --> 00:13:17,444 SO, AS WAS MENTIONED, THIS IS 353 00:13:17,444 --> 00:13:21,381 OUR FIRST YEAR ANNIVERSARY. GO 354 00:13:21,381 --> 00:13:25,151 TEAM. 2025, DGAC. IT HAS BEEN 355 00:13:25,151 --> 00:13:27,721 A WONDERFUL YEAR AND KNOW WE 356 00:13:27,721 --> 00:13:29,522 WILL HAVE ANOTHER WONDERFUL YEAR 357 00:13:29,522 --> 00:13:30,757 OF BEING TOGETHER. 358 00:13:30,757 --> 00:13:33,627 BEFORE I GOT NEXT SLIDE, I WANT 359 00:13:33,627 --> 00:13:35,795 TO RECOUNT AN ANECDOTE. 360 00:13:35,795 --> 00:13:38,698 I WAS HAVING DINNER WITH A 361 00:13:38,698 --> 00:13:40,667 COLLEAGUE WHO SAID, DO YOU KNOW 362 00:13:40,667 --> 00:13:43,737 THE DGAC, THE DIETARY GUIDELINES 363 00:13:43,737 --> 00:13:45,372 AND THE DIETARY COMMITTEE, SO, 364 00:13:45,372 --> 00:13:48,108 WHAT DO YOU DO? DO YOU JUST GET 365 00:13:48,108 --> 00:13:49,576 TOGETHER SIX TIMES A YEAR AND 366 00:13:49,576 --> 00:13:51,411 SORT OF REVIEW THINGS AND COME 367 00:13:51,411 --> 00:13:53,279 UP WITH CONCLUSIONS? 368 00:13:53,279 --> 00:13:56,249 IT MADE ME REALIZE THAT EVEN MY 369 00:13:56,249 --> 00:13:58,385 COLLEAGUES IN THE FIELD DO NOT 370 00:13:58,385 --> 00:14:00,020 APPRECIATE THE INCREDIBLE WORK 371 00:14:00,020 --> 00:14:01,621 THAT THIS COMMITTEE IN 372 00:14:01,621 --> 00:14:03,323 PARTNERSHIP WITH THE FEDERAL 373 00:14:03,323 --> 00:14:05,592 STAFF HAS BEEN DOING FOR THE 374 00:14:05,592 --> 00:14:08,328 LAST 12 MONTHS. 375 00:14:08,328 --> 00:14:12,565 NEXT SLIDE, PLEASE. 376 00:14:12,565 --> 00:14:14,334 WE WORK TOGETHER. I AM GOING TO 377 00:14:14,334 --> 00:14:17,570 SAY THAT OUR FEDERAL STAFF ARE 378 00:14:17,570 --> 00:14:20,774 OUR PARTNERS. 379 00:14:20,774 --> 00:14:24,511 WE HAVE FOUR SUB-COMMITTEES AND 380 00:14:24,511 --> 00:14:26,146 WORK GROUPS AND FOUR 381 00:14:26,146 --> 00:14:28,448 SUB-COMMITTEES DIETARY PATTERN 382 00:14:28,448 --> 00:14:32,018 AND DIET IN PREG NANNY AND BIRTH 383 00:14:32,018 --> 00:14:33,753 THROUGH ADOLESCENCE AROUND FOOD 384 00:14:33,753 --> 00:14:36,089 PATTERN MODELING AND DATA 385 00:14:36,089 --> 00:14:38,291 ANALYSIS AND STRATEGIES FOR 386 00:14:38,291 --> 00:14:40,894 INDIVIDUALS AND FAMILIES RELATED 387 00:14:40,894 --> 00:14:43,296 TO DIET QUALITY AND WEIGHT 388 00:14:43,296 --> 00:14:46,066 MANAGEMENT AND HAVE A 389 00:14:46,066 --> 00:14:48,935 METAANALYSIS WORKING GROUP. MY 390 00:14:48,935 --> 00:14:49,235 APOLOGIES. 391 00:14:49,235 --> 00:14:52,472 WHAT IS UNIQUE ABOUT THIS GROUP 392 00:14:52,472 --> 00:14:54,340 IS ONE OF OUR MANDATES IS TO 393 00:14:54,340 --> 00:14:56,409 LOOK AT ALL THIS AMAZING WORK 394 00:14:56,409 --> 00:14:58,445 THROUGH THE LENS OF HEALTH 395 00:14:58,445 --> 00:14:58,678 EQUITY. 396 00:14:58,678 --> 00:15:00,647 WE HAVE BEEN WORKING IN 397 00:15:00,647 --> 00:15:04,350 SUB-COMMITTEES AND CROSS-CUTTING 398 00:15:04,350 --> 00:15:05,919 WORKING GROUP THAT BEING HEALTH 399 00:15:05,919 --> 00:15:08,455 EQUITY WORKING GROUP IN ORDER TO 400 00:15:08,455 --> 00:15:12,525 MOVE THE PROGRESS FORWARD. 401 00:15:12,525 --> 00:15:16,496 NEXT SLIDE, PLEASE. 402 00:15:16,496 --> 00:15:19,265 SO, LAST YEAR WE MET THREE 403 00:15:19,265 --> 00:15:22,602 TIMES: JANUARY, MAY, AND 404 00:15:22,602 --> 00:15:25,505 SEPTEMBER. 405 00:15:25,505 --> 00:15:25,705 NEXT. 406 00:15:25,705 --> 00:15:27,640 WHEN YOU ARE IN-BETWEEN THAT, 407 00:15:27,640 --> 00:15:30,143 THOSE MEETINGS, THIS IS WHAT WE 408 00:15:30,143 --> 00:15:31,544 ACTUALLY DID. 409 00:15:31,544 --> 00:15:35,348 WE ACTUALLY CONDUCTED 35 410 00:15:35,348 --> 00:15:37,550 SYSTEMATIC REVIEW PROTOCOLS, 411 00:15:37,550 --> 00:15:38,885 INCLUDING FOR THE FIRST TIME TWO 412 00:15:38,885 --> 00:15:44,190 THAT HAD METAANALYSIS. 413 00:15:44,190 --> 00:15:47,594 WE DID TWO EVIDENCE SCAN 414 00:15:47,594 --> 00:15:49,562 PROTOCOLS AND 10 FOOD PATTERN 415 00:15:49,562 --> 00:15:52,932 MODELING PROTOCOLS, INCLUDING A 416 00:15:52,932 --> 00:15:54,801 COMPREHENSIVE REVIEW OF EACH 417 00:15:54,801 --> 00:15:56,569 PATTERN COMPONENT, AND FOR THE 418 00:15:56,569 --> 00:16:00,073 FIRST TIME, WE WILL BE DOING 419 00:16:00,073 --> 00:16:01,141 DIET STIMULATIONS. I REALLY 420 00:16:01,141 --> 00:16:03,343 THINK THAT YOU WILL BE HEARING 421 00:16:03,343 --> 00:16:05,478 SOME EXCITING NEWS TODAY IN THIS 422 00:16:05,478 --> 00:16:08,081 PUBLIC MEETING. 423 00:16:08,081 --> 00:16:10,750 TO ENSURE THAT WE HAVE THE 424 00:16:10,750 --> 00:16:12,752 HIGHEST PRIORITY QUESTIONS 425 00:16:12,752 --> 00:16:14,654 COMPLETED BY -- IN THE NEXT 426 00:16:14,654 --> 00:16:19,192 YEAR, WE CONTINUE TO PRIORITIZE 427 00:16:19,192 --> 00:16:21,161 AND REFINE OUR WORK AND 428 00:16:21,161 --> 00:16:22,929 PRESENTATION THAT WE HAVE 429 00:16:22,929 --> 00:16:25,064 OCCURRED AT MEETING 3 AND LATER 430 00:16:25,064 --> 00:16:26,366 TODAY, WE WILL SHARE MORE ABOUT 431 00:16:26,366 --> 00:16:29,102 THE PROTOCOLS THAT WILL BE 432 00:16:29,102 --> 00:16:32,272 REVISED AND WHICH HAVE BEEN 433 00:16:32,272 --> 00:16:32,605 DISCONTINUED. 434 00:16:32,605 --> 00:16:35,475 WE ALSO ARE DOING A 435 00:16:35,475 --> 00:16:37,510 METAANALYSIS, WHICH IS A 436 00:16:37,510 --> 00:16:39,012 QUANTITATIVE SYNTHESIS TECHNIQUE 437 00:16:39,012 --> 00:16:41,247 THAT COULD BE USED IN 438 00:16:41,247 --> 00:16:43,683 CIRCUMSTANCES TO COMBINE DATA 439 00:16:43,683 --> 00:16:45,018 FROM INDIVIDUAL STUDIES. 440 00:16:45,018 --> 00:16:48,188 THE COMMITTEE IS USING THIS 441 00:16:48,188 --> 00:16:52,025 SYNTHESIS TECHNIQUE IN THOSE 442 00:16:52,025 --> 00:16:54,360 REVIEWS WITH THE DATA. 443 00:16:54,360 --> 00:16:57,330 AGAIN, THE UPDATES ON THE DIET 444 00:16:57,330 --> 00:16:59,199 STIMULATION PLANS WILL BE SHARED 445 00:16:59,199 --> 00:17:01,868 IN THE HEALTH EQUITY 446 00:17:01,868 --> 00:17:03,570 PRESENTATION. 447 00:17:03,570 --> 00:17:11,044 NEXT SLIDE, PLEASE. 448 00:17:11,044 --> 00:17:18,017 SO, TO ACHIEVE ALL THAT, WE HAVE 449 00:17:18,017 --> 00:17:18,318 H 450 00:17:18,318 --> 00:17:21,821 HAD 200,000 SCIENTIFIC ARTICLES 451 00:17:21,821 --> 00:17:24,657 SCREENED AND DOING WORK IN 452 00:17:24,657 --> 00:17:26,893 PARTNERSHIP WITH FEDERAL STAFF 453 00:17:26,893 --> 00:17:29,762 AND IN PUBLIC MEETINGS AND WE DO 454 00:17:29,762 --> 00:17:31,564 EXTENSIVE SCREENINGS TO IDENTIFY 455 00:17:31,564 --> 00:17:33,967 ARTICLES MEETING CRITERIA FOR 456 00:17:33,967 --> 00:17:37,570 INCLUSION IN THE COMMITTEE'S 457 00:17:37,570 --> 00:17:38,438 SYSTEMATIC REVIEW. 458 00:17:38,438 --> 00:17:42,075 WE HAVE ALSO REVIEWED 400 459 00:17:42,075 --> 00:17:43,643 ARTICLES TO DEVELOP THE 460 00:17:43,643 --> 00:17:45,578 CONCLUSION STATEMENTS WE FIRST 461 00:17:45,578 --> 00:17:47,213 PRESENTED AT MEETING 3. 462 00:17:47,213 --> 00:17:51,284 WE WILL CONTINUE TO PRESENT THIS 463 00:17:51,284 --> 00:17:55,922 MEETING AND FUTURE MEETINGS. 464 00:17:55,922 --> 00:17:58,291 NEXT, PLEASE. 465 00:17:58,291 --> 00:18:00,960 ADMIRAL LEVINE'S COMMENTS, 466 00:18:00,960 --> 00:18:03,963 PUBLIC ENGAGEMENT HAVE BEEN 467 00:18:03,963 --> 00:18:06,232 ENORMOUS. WE ARE GRATEFUL AND 468 00:18:06,232 --> 00:18:07,567 ENCOURAGE YOU TO CONTINUE TO BE 469 00:18:07,567 --> 00:18:11,237 ENGAGED AND WE HAVE RECEIVED 874 470 00:18:11,237 --> 00:18:13,573 WRITTEN PUBLIC COMMENTS AND WE 471 00:18:13,573 --> 00:18:16,809 HAVE LISTENED TO 82 ORAL PUBLIC 472 00:18:16,809 --> 00:18:17,076 COMMENTS. 473 00:18:17,076 --> 00:18:19,178 THESE MEETINGS HAVE BEEN VIEWED 474 00:18:19,178 --> 00:18:21,881 BY OVER 5,000 PEOPLE FROM OVER 475 00:18:21,881 --> 00:18:23,383 49 COUNTRIES. 476 00:18:23,383 --> 00:18:28,554 WE HAVE HAD OVER 4,000 VIEWS OF 477 00:18:28,554 --> 00:18:32,058 NEW NESSER WEB CONTENT FROM OVER 478 00:18:32,058 --> 00:18:35,495 20 COUNTRIES AND HAD OVER 479 00:18:35,495 --> 00:18:39,432 132,000 VIEWS OF THE CONTENT ON 480 00:18:39,432 --> 00:18:41,868 DIETARY GUIDELINES.GOV RELATED 481 00:18:41,868 --> 00:18:45,939 TO OUR WORK AND HAD 145 482 00:18:45,939 --> 00:18:48,541 CONTINUING EDUCATION 483 00:18:48,541 --> 00:18:50,476 CERTIFICATES GRANTED FOR 484 00:18:50,476 --> 00:18:51,911 DIETICIANS WHO WATCH THE 485 00:18:51,911 --> 00:18:52,211 MEETING. 486 00:18:52,211 --> 00:18:55,248 IN OTHER WORDS, WE HAVE HAD A 487 00:18:55,248 --> 00:18:58,384 LOT ENGAGEMENT WITH THE PUBLIC. 488 00:18:58,384 --> 00:19:00,553 WE ARE VERY, VERY HOPEFUL THAT 489 00:19:00,553 --> 00:19:01,955 THE NUMBERS WILL DOUBLE IN THE 490 00:19:01,955 --> 00:19:05,892 NEXT YEAR AS WE CONTINUE OUR 491 00:19:05,892 --> 00:19:06,626 WORK. 492 00:19:06,626 --> 00:19:08,127 NEXT SLIDE, PLEASE. 493 00:19:08,127 --> 00:19:11,364 SO, SPEAKING ABOUT OUR SECOND 494 00:19:11,364 --> 00:19:13,366 YEAR, WE HAVE THREE MORE 495 00:19:13,366 --> 00:19:14,934 MEETINGS, INCLUDING TODAY'S 496 00:19:14,934 --> 00:19:15,335 MEETING. 497 00:19:15,335 --> 00:19:18,037 OUR NEXT ONE WILL BE MAY 30TH. 498 00:19:18,037 --> 00:19:21,274 OUR FINAL PUBLIC MEETING WILL BE 499 00:19:21,274 --> 00:19:22,575 ON SEPTEMBER 26TH. 500 00:19:22,575 --> 00:19:24,644 WE WILL BE CONTINUING TO REVIEW 501 00:19:24,644 --> 00:19:27,113 THE RESULTS OF THE DATA 502 00:19:27,113 --> 00:19:27,680 ANALYSIS. 503 00:19:27,680 --> 00:19:30,316 WE WILL REVIEW EVIDENCE AND 504 00:19:30,316 --> 00:19:32,085 DRAFT CONCLUSION STATEMENTS AND 505 00:19:32,085 --> 00:19:37,957 WE WILL SYNTHESIZE RESULTS OF 506 00:19:37,957 --> 00:19:39,892 THE FOOD PATTERN MODELING AND 507 00:19:39,892 --> 00:19:41,995 DIET STIMULATION ANALYSIS. THIS 508 00:19:41,995 --> 00:19:43,963 WILL BE BROUGHT TOGETHER TO 509 00:19:43,963 --> 00:19:45,398 PRODUCE THE SCIENTIFIC REPORT OF 510 00:19:45,398 --> 00:19:46,265 THE COMMITTEE. 511 00:19:46,265 --> 00:19:49,202 WE WANT TO JUST -- I WANT TO 512 00:19:49,202 --> 00:19:50,303 EMPHASIZE THAT SCIENTIFIC REPORT 513 00:19:50,303 --> 00:19:54,607 IS GOING TO BE THE INTEGRATION 514 00:19:54,607 --> 00:19:56,509 OF ALL THIS EVIDENCE, EVIDENCE 515 00:19:56,509 --> 00:19:58,411 ACROSS SYSTEMATIC REVIEWS AND 516 00:19:58,411 --> 00:20:00,847 ACROSS THE DATA ANALYSIS AND THE 517 00:20:00,847 --> 00:20:02,749 FOOD PATTERN MODELING. 518 00:20:02,749 --> 00:20:06,052 SO, RIGHT NOW, IT APPEARS IT IS 519 00:20:06,052 --> 00:20:09,022 VERY SEGMENTED AND CHARGE THE 520 00:20:09,022 --> 00:20:10,156 COMMITTEE TO BRING THAT TOGETHER 521 00:20:10,156 --> 00:20:11,758 TO INTEGRATE THE EVIDENCE THAT 522 00:20:11,758 --> 00:20:14,227 WILL BE PRESENTED IN THE 523 00:20:14,227 --> 00:20:16,596 SCIENTIFIC REPORT. 524 00:20:16,596 --> 00:20:22,135 WE ANTICIPATE THAT OUR REPORT 525 00:20:22,135 --> 00:20:25,204 WILL BE COMPLETE BY LATE 2024. 526 00:20:25,204 --> 00:20:26,672 NEXT SLIDE, PLEASE. 527 00:20:26,672 --> 00:20:28,541 TODAY, WE HAVE A PACKED AND 528 00:20:28,541 --> 00:20:30,009 EXCITING AGENDA. 529 00:20:30,009 --> 00:20:31,844 WE ARE GOING -- EXCUSE ME. 530 00:20:31,844 --> 00:20:33,713 WE WILL START WITH THE HEALTH 531 00:20:33,713 --> 00:20:37,550 EQUITY PRESENTATION THAT IS LED 532 00:20:37,550 --> 00:20:41,687 BY OUR SEMERA AND MOVE TO FOOD 533 00:20:41,687 --> 00:20:44,323 PATTERN MODELING AND DATA 534 00:20:44,323 --> 00:20:46,692 ANALYSIS LED BY CLIFF AND 535 00:20:46,692 --> 00:20:46,959 HEATHER. 536 00:20:46,959 --> 00:20:49,462 CHRISTINA WILL PRESENT 537 00:20:49,462 --> 00:20:50,763 STRATEGIES FOR INDIVIDUALS AND 538 00:20:50,763 --> 00:20:54,367 FAMILIES RELATED TO QUALITY AND 539 00:20:54,367 --> 00:20:57,370 WEIGHT MANAGEMENT. 540 00:20:57,370 --> 00:20:58,738 HERE, THE CHAIR OF THE 541 00:20:58,738 --> 00:21:01,441 SUB-COMMITTEE, HOWEVER, THIS IS 542 00:21:01,441 --> 00:21:03,843 A TEAM EFFORT THAT WE WILL BE 543 00:21:03,843 --> 00:21:04,577 HEARING PRESENTATIONS BY THE 544 00:21:04,577 --> 00:21:08,114 MAJORITY OF THE MEMBERS OF OUR 545 00:21:08,114 --> 00:21:09,215 ENTIRE COMMITTEE. 546 00:21:09,215 --> 00:21:11,951 WE WILL TAKE A BREAK AND MOVE ON 547 00:21:11,951 --> 00:21:16,122 TO THE DIETARY PATTERNS AND 548 00:21:16,122 --> 00:21:18,491 DIETARY COMPONENTS ACROSS THE 549 00:21:18,491 --> 00:21:20,593 LIFE STAGES LED BY DEANNA AND 550 00:21:20,593 --> 00:21:24,397 WILL MOVE TO DIET AND PREGNANCY 551 00:21:24,397 --> 00:21:27,333 AND BIRTH ADOLESCENCE LED BY JAN 552 00:21:27,333 --> 00:21:32,238 AND COLLEAGUE ANGELA ODOMS YOUNG 553 00:21:32,238 --> 00:21:35,942 WILL WRAP UP THE DISCUSSION. 554 00:21:35,942 --> 00:21:40,446 NEXT SLIDE, PLEASE. 555 00:21:40,446 --> 00:21:42,048 EACH SUB-COMMITTEE OR WORKING 556 00:21:42,048 --> 00:21:44,917 GROUP IS GOING TO BE PRESENTING 557 00:21:44,917 --> 00:21:47,920 WHAT THEY HAVE DONE SINCE 558 00:21:47,920 --> 00:21:49,555 MEETING 3 FOR COMMITTEE 559 00:21:49,555 --> 00:21:49,856 DISCUSSION. 560 00:21:49,856 --> 00:21:53,226 THIS IS THE FIRST TIME THAT 561 00:21:53,226 --> 00:21:54,494 ENTIRE COMMITTEE HAS COME 562 00:21:54,494 --> 00:21:54,927 TOGETHER. 563 00:21:54,927 --> 00:22:00,867 WE ARE LOOKING FOR LIVELY, 564 00:22:00,867 --> 00:22:02,034 ININFORMED DISCUSSION AS WE 565 00:22:02,034 --> 00:22:05,638 PRESENT PROGRESS FROM EACH OF 566 00:22:05,638 --> 00:22:06,973 THE SUB-COMMITTEES THAT WILL 567 00:22:06,973 --> 00:22:09,142 RANGE FROM NEW PROTOCOLS AND 568 00:22:09,142 --> 00:22:11,477 REVISION TO SOME PROTOCOLS AND 569 00:22:11,477 --> 00:22:13,579 TO ENHANCE CLARITY OR PERHAPS 570 00:22:13,579 --> 00:22:15,515 ENABLE FOCUS ON A STRONGER BODY 571 00:22:15,515 --> 00:22:16,349 OF EVIDENCE. 572 00:22:16,349 --> 00:22:19,585 WE WILL ALSO BE DISCUSSING THE 573 00:22:19,585 --> 00:22:21,387 PROTOCOLS THAT WE SIMPLY DO NOT 574 00:22:21,387 --> 00:22:25,091 HAVE THE RESEARCH AVAILABILITY, 575 00:22:25,091 --> 00:22:27,894 WORKLOAD OR CAPACITY TO COMPLETE 576 00:22:27,894 --> 00:22:29,795 IN THE TIME ALLOCATED. 577 00:22:29,795 --> 00:22:32,031 WE HAVE -- WE ALSO DO THIS TO 578 00:22:32,031 --> 00:22:34,400 ENSURE THAT WHAT WE DO FOCUS ON 579 00:22:34,400 --> 00:22:37,837 HAS THE GREATEST POTENTIAL 580 00:22:37,837 --> 00:22:43,843 IMPACT TO SEVERAL PROGRAMS, AS 581 00:22:43,843 --> 00:22:47,513 THOSE AR ARTICULATED BY DEPUTY 582 00:22:47,513 --> 00:22:49,248 STACY DEAN AND WE HAVE DRAFTED 583 00:22:49,248 --> 00:22:50,616 CONCLUSIONS FOR QUESTIONS THAT 584 00:22:50,616 --> 00:22:54,820 HAVE BEEN REVIEWED TO DATE. 585 00:22:54,820 --> 00:22:58,925 NEXT SLIDE, PLEASE. 586 00:22:58,925 --> 00:23:03,529 SO, AS NEEDED, PROTOCOLS WILL BE 587 00:23:03,529 --> 00:23:05,731 REVISED AFTER TODAY'S MEETING TO 588 00:23:05,731 --> 00:23:07,366 REFLECT THE COMMITTEE'S 589 00:23:07,366 --> 00:23:07,667 DISCUSSION. 590 00:23:07,667 --> 00:23:09,569 I WAS THROWN OFF A LITTLE BY THE 591 00:23:09,569 --> 00:23:13,306 PHOTO AND WHEN WE WERE TOGETHER 592 00:23:13,306 --> 00:23:14,340 PHYSICALLY AND WE HOPE TO BE 593 00:23:14,340 --> 00:23:16,909 TOGETHER, AGAIN, IN THE NEXT 594 00:23:16,909 --> 00:23:18,110 PUBLIC MEETING. 595 00:23:18,110 --> 00:23:19,612 SORRY FOR THE DISTRACTION. 596 00:23:19,612 --> 00:23:21,480 PROTOCOL WILL BE POSTED ONLINE 597 00:23:21,480 --> 00:23:24,817 FOR THE PUBLIC TO VIEW AND 598 00:23:24,817 --> 00:23:25,751 BETTER UNDERSTAND THE APPROACH 599 00:23:25,751 --> 00:23:28,621 THAT WAS USED TO ANSWER A 600 00:23:28,621 --> 00:23:30,189 SPECIFIC SCIENTIFIC QUESTION. 601 00:23:30,189 --> 00:23:34,060 THE DRAFT PROTOCOLS ARE EXPECTED 602 00:23:34,060 --> 00:23:37,563 TO BE POSTED AT DIETARY 603 00:23:37,563 --> 00:23:42,401 GUIDELINES.GOV AND 604 00:23:42,401 --> 00:23:43,903 NESSER.USDA.GOV BY NEXT WEEK AND 605 00:23:43,903 --> 00:23:45,571 CONTINUE TO ENCOURAGE EVERYONE 606 00:23:45,571 --> 00:23:49,075 TO SIGN UP FOR THE LISTSERV ON 607 00:23:49,075 --> 00:23:52,111 DIETARY GUIDELINES.GOV SO YOU 608 00:23:52,111 --> 00:23:54,614 CAN RECEIVE UPDATES. 609 00:23:54,614 --> 00:23:58,484 FINALLY, IF YOU, AS A PUBLIC, 610 00:23:58,484 --> 00:24:00,453 MEMBER OF THE PUBLIC HAVE 611 00:24:00,453 --> 00:24:02,688 COMMENTS SPECIFIC TO PROTOCOLS 612 00:24:02,688 --> 00:24:04,023 DISCUSSED TODAY, PLEASE SUBMIT 613 00:24:04,023 --> 00:24:05,858 THEM TO THE COMMITTEE ONE MONTH 614 00:24:05,858 --> 00:24:07,760 AFTER THEY ARE POSTED. 615 00:24:07,760 --> 00:24:10,830 PUBLIC COMMENTS ARE TAKEN VERY 616 00:24:10,830 --> 00:24:13,399 SERIOUSLY BY THIS COMMITTEE. 617 00:24:13,399 --> 00:24:19,572 NEXT SLIDE, PLEASE. 618 00:24:19,572 --> 00:24:19,872 N 619 00:24:19,872 --> 00:24:21,774 NOW, AS PART OF THE PRESENTATION 620 00:24:21,774 --> 00:24:24,510 TODAY YOU WILL HEAR A NUMBER OF 621 00:24:24,510 --> 00:24:27,413 GRADED STATEMENTS. REMINDER 622 00:24:27,413 --> 00:24:32,551 THAT COMMUNITY IS USING NESR 623 00:24:32,551 --> 00:24:34,287 METHODOLOGY TO DO REVIEWS AND 624 00:24:34,287 --> 00:24:36,355 OVERVIEW OF METHODS USED TO 625 00:24:36,355 --> 00:24:39,058 DEVELOP AND GRADE CONCLUSION 626 00:24:39,058 --> 00:24:40,559 STATEMENTS. 627 00:24:40,559 --> 00:24:43,329 NESR'S METHODOLOGY IS AVAILABLE 628 00:24:43,329 --> 00:24:44,964 ON THE WEBSITE. 629 00:24:44,964 --> 00:24:47,366 BEFORE WE MOVE ON TO WHAT THE 630 00:24:47,366 --> 00:24:48,501 CONCLUSION STATEMENTS ARE, I 631 00:24:48,501 --> 00:24:52,505 WANT TO EMPHASIZE THAT A 632 00:24:52,505 --> 00:24:53,839 CONCLUSION STATEMENT DOES NOT 633 00:24:53,839 --> 00:24:55,708 DRAW IMPLICATION. 634 00:24:55,708 --> 00:24:57,910 A SIMPLE CONCLUSION STATEMENT 635 00:24:57,910 --> 00:25:01,614 FROM THEN TO TODAY SHOULD NOT BE 636 00:25:01,614 --> 00:25:03,716 INTERPRETED AS DIETARY GUIDANCE. 637 00:25:03,716 --> 00:25:05,718 AS I MENTION PREVIOUSLY, WE TAKE 638 00:25:05,718 --> 00:25:07,386 ALL OF THE CONCLUSION STATEMENTS 639 00:25:07,386 --> 00:25:09,855 AND ALL OF THE DATA THERE 640 00:25:09,855 --> 00:25:14,627 INTEGRATED TO COME UP WITH FINAL 641 00:25:14,627 --> 00:25:15,027 RECOMMENDATIONS. 642 00:25:15,027 --> 00:25:19,231 SO, THE CONCLUSION STATEMENT 643 00:25:19,231 --> 00:25:22,702 INSTEAD IS A SUMMARY STATEMENT 644 00:25:22,702 --> 00:25:23,769 CAREFULLY CONSTRUCTED BASED ON 645 00:25:23,769 --> 00:25:26,138 EVIDENCE REVIEWED TO DO 646 00:25:26,138 --> 00:25:27,506 SYSTEMATIC REVIEW QUESTION AND 647 00:25:27,506 --> 00:25:29,442 GRADES ASSIGNED TO EACH 648 00:25:29,442 --> 00:25:31,544 CONCLUSION STATEMENT BASED ON 649 00:25:31,544 --> 00:25:34,046 ASSESSMENT OF THE UNDERLYING 650 00:25:34,046 --> 00:25:39,685 EVIDENCE FOR FIVE ELEMENTS: 651 00:25:39,685 --> 00:25:41,587 CONSISTENCY, PRECISION, RISK OF 652 00:25:41,587 --> 00:25:46,258 BIAS, DIRECTNESS, AND 653 00:25:46,258 --> 00:25:48,094 GENERALIZABILITY. 654 00:25:48,094 --> 00:25:50,262 ANY GRADE COMMUNICATES THE 655 00:25:50,262 --> 00:25:52,565 COMMITTEE'S LEVEL OF UNCERTAINTY 656 00:25:52,565 --> 00:25:53,632 IN THE EVIDENCE. 657 00:25:53,632 --> 00:25:56,802 AND THE DEFINITION OR THE 658 00:25:56,802 --> 00:25:59,972 INTERPRETATION OF THE GRADE IS 659 00:25:59,972 --> 00:26:01,507 FOUND ON THIS SLIDE. 660 00:26:01,507 --> 00:26:04,410 IN OTHER WORDS, A CONCLUSION 661 00:26:04,410 --> 00:26:07,413 STATEMENT IS GRADED AS STRONG 662 00:26:07,413 --> 00:26:09,582 INDICATES THE LEVEL OF CERTAINTY 663 00:26:09,582 --> 00:26:11,984 AND CONCLUSION IS STRONG SUCH 664 00:26:11,984 --> 00:26:15,121 THAT IF NEW EVIDENCE EMERGED, 665 00:26:15,121 --> 00:26:16,822 MODIFICATIONS TO THE CONCLUSION 666 00:26:16,822 --> 00:26:19,558 ARE UNLIKELY TO BE REQUIRED. 667 00:26:19,558 --> 00:26:22,328 NOW, IF IT IS MODERATE OR 668 00:26:22,328 --> 00:26:24,196 LIMITED, THE GRADE INDICATES 669 00:26:24,196 --> 00:26:25,598 THAT THERE IS LESS CERTAINTY 670 00:26:25,598 --> 00:26:27,466 ABOUT THE CONCLUSIONS SUCH THAT 671 00:26:27,466 --> 00:26:30,336 IF THERE IS NEW EVIDENCE THAT 672 00:26:30,336 --> 00:26:33,105 MERGES, MODIFICATION MAY OR 673 00:26:33,105 --> 00:26:35,508 LIKELY BE REQUIRED. 674 00:26:35,508 --> 00:26:38,544 FINALLY, IN SOME CASES, A 675 00:26:38,544 --> 00:26:39,979 CONCLUSION STATEMENT SIMPLY 676 00:26:39,979 --> 00:26:44,817 CANNOT BE DRAWN DUE TO EITHER 677 00:26:44,817 --> 00:26:47,620 THE LACK OF EVIDENCE OR EVIDENCE 678 00:26:47,620 --> 00:26:49,021 HAS SEVERE LIMITATIONS AND IN 679 00:26:49,021 --> 00:26:52,658 THOSE CASES WE ASSIGN A GRADE 680 00:26:52,658 --> 00:26:53,526 NOT ASSIGNABLE. 681 00:26:53,526 --> 00:26:55,628 YOU WILL SEE THROUGHOUT TODAY'S 682 00:26:55,628 --> 00:26:56,896 PRESENTATIONS THAT THERE IS 683 00:26:56,896 --> 00:27:01,567 GOING TO BE QUITE -- THERE THERE 684 00:27:01,567 --> 00:27:04,103 ARE MULTIPLE LEVELS OF GRADING 685 00:27:04,103 --> 00:27:06,672 WILL BE PRESENTED DEPENDING ON 686 00:27:06,672 --> 00:27:09,575 SPECIFIC SYSTEMATIC REVIEW 687 00:27:09,575 --> 00:27:09,942 QUESTIONS. 688 00:27:09,942 --> 00:27:12,211 NEXT SLIDE, PLEASE. 689 00:27:12,211 --> 00:27:17,049 SO, WITH THAT, I AM REALLY HAPPY 690 00:27:17,049 --> 00:27:25,591 TO TRANSITION TO MYRA'S UPDATED 691 00:27:25,591 --> 00:27:28,828 FROM HEALTH EQUITY WORKING GROUP 692 00:27:28,828 --> 00:27:30,729 AND HOLD ON TO YOUR SEATS THERE 693 00:27:30,729 --> 00:27:32,031 IS LOTS OF INFORMATION IN THE 694 00:27:32,031 --> 00:27:34,066 PRESENTATION AND THANK YOU VERY 695 00:27:34,066 --> 00:27:36,902 MUCH AND FOR ALL YOUR SUPPORT. 696 00:27:36,902 --> 00:27:43,442 >> NOW I'M HAPPY TO TURN IT TO 697 00:27:43,442 --> 00:27:54,286 SAM EARA EERA AND THE REST OF T 698 00:28:00,659 --> 00:28:00,960 WORKING GROUP. 699 00:28:00,960 --> 00:28:02,528 >> THANK YOU. I WILL PRESENT 700 00:28:02,528 --> 00:28:04,964 THE UPDATE ON BEHALF OF THE 701 00:28:04,964 --> 00:28:06,599 WORKING GROUP MEMBERS. 702 00:28:06,599 --> 00:28:07,967 NEXT SLIDE, PLEASE. 703 00:28:07,967 --> 00:28:10,603 THIS SLIDE IS A LIST OF WORKING 704 00:28:10,603 --> 00:28:12,471 GROUP MEMBERS AND NOTING HERE 705 00:28:12,471 --> 00:28:15,074 THAT THE WORKING GROUP IS TRULY 706 00:28:15,074 --> 00:28:16,375 CROSS-CUTTING AND OUR MEMBERS 707 00:28:16,375 --> 00:28:20,212 THAT ARE ON SEVERAL OF THE 708 00:28:20,212 --> 00:28:20,579 SUB-COMMITTEES. 709 00:28:20,579 --> 00:28:22,915 OUR WORK WOULD NOT HAVE BEEN 710 00:28:22,915 --> 00:28:24,250 POSSIBLE BUT FOR THE EXCELLENT 711 00:28:24,250 --> 00:28:25,684 SUPPORT THAT HAS BEEN PROVIDED 712 00:28:25,684 --> 00:28:27,920 BY THE FEDERAL STAFF. WE WOULD 713 00:28:27,920 --> 00:28:30,422 LIKE TO ACKNOWLEDGE AND THANK 714 00:28:30,422 --> 00:28:31,524 THEM FOR THIS. 715 00:28:31,524 --> 00:28:32,892 NEXT SLIDE, PLEASE. 716 00:28:32,892 --> 00:28:35,728 NOW, THE HEALTH EQUITY FOCUS AND 717 00:28:35,728 --> 00:28:37,897 DIETARY GUIDELINES FOR AMERICANS 718 00:28:37,897 --> 00:28:39,899 PROCESS IS NOT NEW. 719 00:28:39,899 --> 00:28:41,000 HISTORICALLY HAS BEEN A 720 00:28:41,000 --> 00:28:42,401 CONSIDERATION OF HEALTH EQUITY 721 00:28:42,401 --> 00:28:44,270 AS PART OF THE GUIDELINES. 722 00:28:44,270 --> 00:28:47,106 HOWEVER, THERE IS NOW A RENEWED 723 00:28:47,106 --> 00:28:49,542 SENSE OF URGENCY AND IMPORTANCE 724 00:28:49,542 --> 00:28:50,376 FOR THIS WORK. 725 00:28:50,376 --> 00:28:53,779 THEM FASIS IS IN ALIGNMENT WITH 726 00:28:53,779 --> 00:28:55,681 FEDERAL EFFORTS INCLUDING PEOPLE 727 00:28:55,681 --> 00:28:58,984 IN 2030 AND EFFORTS BY USDA AND 728 00:28:58,984 --> 00:29:03,222 HEALTH AND HUMAN SERVICES TO 729 00:29:03,222 --> 00:29:04,690 ENSURE EQUITY IS -- THIS SLIDE 730 00:29:04,690 --> 00:29:06,525 INCLUDES LANGUAGE POSTED ON 731 00:29:06,525 --> 00:29:09,562 DIETARY GUIDELINES.GOV WEBSITE 732 00:29:09,562 --> 00:29:11,730 ALONG WITH SCIENTIFIC QUESTIONS 733 00:29:11,730 --> 00:29:14,199 AND DIETARY GUIDELINES ADVISORY 734 00:29:14,199 --> 00:29:16,235 COMMITTEE HAS BEEN CHARGED WITH 735 00:29:16,235 --> 00:29:17,536 ENSURING ALL SCIENTIFIC 736 00:29:17,536 --> 00:29:19,605 QUESTIONS ARE VIEWED WITH HEALTH 737 00:29:19,605 --> 00:29:22,408 EQUITY LENS TO ENSURE 2025 738 00:29:22,408 --> 00:29:24,243 UPDATE OF DIETARY GUIDELINES IS 739 00:29:24,243 --> 00:29:26,478 RELEVANT TO PEOPLE WITH DIVERSE 740 00:29:26,478 --> 00:29:28,647 RACIAL/ETHNIC SOCIOECONOMIC AND 741 00:29:28,647 --> 00:29:30,115 CULTURAL BACKGROUNDS. 742 00:29:30,115 --> 00:29:31,450 NEXT SLIDE, PLEASE. 743 00:29:31,450 --> 00:29:35,154 OUR WORKING GROUP MEMBERS HAVE 744 00:29:35,154 --> 00:29:37,590 STRIVED TO ENSURE TENANTS OF 745 00:29:37,590 --> 00:29:39,625 HEALTH EQUITY ARE INCORPORATED 746 00:29:39,625 --> 00:29:41,026 ABOUT APPROACH TAKEN BY 747 00:29:41,026 --> 00:29:42,661 COMMITTEE IN WORK AND 748 00:29:42,661 --> 00:29:44,296 DELIBERATIONS AND BETWEEN PUBLIC 749 00:29:44,296 --> 00:29:46,498 MEETINGS 3 AND 4 OUR WORKING 750 00:29:46,498 --> 00:29:48,901 GROUP HAS PROVIDED PROTOCOLS AND 751 00:29:48,901 --> 00:29:50,970 PLANS FOR SCIENTIFIC QUESTIONS 752 00:29:50,970 --> 00:29:52,605 RELATED TO HEALTH EQUITY AND 753 00:29:52,605 --> 00:29:55,441 WORK RELATED TO DIET SIMULATIONS 754 00:29:55,441 --> 00:29:57,509 DISCUSSING IN MORE DETAIL IN 755 00:29:57,509 --> 00:29:59,345 SUBSEQUENT SLIDES AND HEALTH 756 00:29:59,345 --> 00:30:00,980 EQUITY CONSIDERATIONS INTO 757 00:30:00,980 --> 00:30:02,081 COMMITTEE'S REVIEW INCLUDING 758 00:30:02,081 --> 00:30:03,782 CONSIDERATION OF PUBLIC COMMENTS 759 00:30:03,782 --> 00:30:06,051 DEVELOPING OUTLINES FOR 760 00:30:06,051 --> 00:30:07,720 INCORPORATING HEALTH EQUITY 761 00:30:07,720 --> 00:30:09,488 CONTENT INTO SCIENTIFIC REPORT. 762 00:30:09,488 --> 00:30:11,991 NEXT SLIDE, PLEASE. 763 00:30:11,991 --> 00:30:13,826 THE OVERARCHING GOAL OF THE 764 00:30:13,826 --> 00:30:16,495 HEALTH EQUITY WORKING GROUP IS 765 00:30:16,495 --> 00:30:21,433 DEFINE SCOPE EQUITY 2025 DIETARY 766 00:30:21,433 --> 00:30:23,636 COMMITTEE ENSURING QUESTIONS IN 767 00:30:23,636 --> 00:30:25,537 REVIEW OF CONTEXT INCLUSIVE OF 768 00:30:25,537 --> 00:30:27,239 PEOPLE WITH ALL BACKGROUNDS AND 769 00:30:27,239 --> 00:30:28,540 LIVED EXPERIENCES. 770 00:30:28,540 --> 00:30:31,143 TO THIS END FOR THE SYSTEMATIC 771 00:30:31,143 --> 00:30:32,911 REVIEWS WORKING GROUP CONTINUED 772 00:30:32,911 --> 00:30:34,346 TO SUPPORT HEALTH EQUITY 773 00:30:34,346 --> 00:30:35,314 CONSIDERATIONS AND EXAMPLE OF 774 00:30:35,314 --> 00:30:39,585 THIS IS PROVIDING INPUT HOW TO 775 00:30:39,585 --> 00:30:41,920 CONSISTENTLY EVALUATE 776 00:30:41,920 --> 00:30:43,489 SOCIOECONOMIC POSITION REVIEWING 777 00:30:43,489 --> 00:30:44,590 EVIDENCE FOR SYSTEMATIC REVIEW 778 00:30:44,590 --> 00:30:48,927 AND DATA ANALYSIS INVOLVES 779 00:30:48,927 --> 00:30:50,596 EXAMINING DATA ON DIETARY INTAKE 780 00:30:50,596 --> 00:30:53,232 AND HEALTH CONDITIONS FOR 781 00:30:53,232 --> 00:30:56,268 DEMOGRAPHIC SUBPOPULATIONS AND 782 00:30:56,268 --> 00:30:59,138 HOUSEHOLD SNAP BENEFITS AMONG 783 00:30:59,138 --> 00:31:02,041 OTHERS AND FOOD PATTERN MODELING 784 00:31:02,041 --> 00:31:02,875 INCLUDING DISCUSSION OF 785 00:31:02,875 --> 00:31:05,110 REPRESENTATION DEVELOPING 786 00:31:05,110 --> 00:31:06,412 NUTRIENT PROFILES ADDRESSING 787 00:31:06,412 --> 00:31:08,847 ABILITY IN DIETARY INTAKE ACROSS 788 00:31:08,847 --> 00:31:11,216 PROTOCOLS AND EMPHASIZING NEW 789 00:31:11,216 --> 00:31:13,252 FOODS IN DIET SIMULATIONS PRO S 790 00:31:13,252 --> 00:31:15,921 ES AND LASTLY WORKED ON OUTLINE 791 00:31:15,921 --> 00:31:17,623 FOR HEALTH EQUITY CHAPTER AND 792 00:31:17,623 --> 00:31:19,958 CROSS-CUTTING TOPICS IN THE 793 00:31:19,958 --> 00:31:21,427 SCIENTIFIC REPORT AND ENSURED 794 00:31:21,427 --> 00:31:23,128 CONSIDERATION OF PUBLIC COMMENTS 795 00:31:23,128 --> 00:31:24,897 IN RELATION TO TOTALITY OF THE 796 00:31:24,897 --> 00:31:28,400 EVIDENCE EXAMINED AND SCIENTIFIC 797 00:31:28,400 --> 00:31:28,634 REVIEW. 798 00:31:28,634 --> 00:31:30,736 NOW, THIS CONCLUDES MY PART IN 799 00:31:30,736 --> 00:31:31,503 THE PRESENTATION. 800 00:31:31,503 --> 00:31:33,605 WITH THAT, I WOULD LIKE TO 801 00:31:33,605 --> 00:31:36,442 REQUEST MY COLLEAGUES DR. CHRIS 802 00:31:36,442 --> 00:31:38,644 TAYLOR AND [INDISCERNIBLE] TO 803 00:31:38,644 --> 00:31:40,546 INTRODUCE DIET SIMULATIONS 804 00:31:40,546 --> 00:31:43,315 PROTOCOL AND PRIORITIZED 805 00:31:43,315 --> 00:31:44,416 POPULATION SIMULATION ANALYSIS 806 00:31:44,416 --> 00:31:45,751 THAT IS REPRESENTATIVE OF HOW 807 00:31:45,751 --> 00:31:47,853 THE COMMITTEE AND FEDERAL STAFF 808 00:31:47,853 --> 00:31:50,656 HAVE ENSURED HEALTH EQUITY FOCUS 809 00:31:50,656 --> 00:31:52,891 BE CENTRAL TO DELIBERATIONS AND 810 00:31:52,891 --> 00:31:54,159 THEREFORE ARE HIGHLIGHTED HERE 811 00:31:54,159 --> 00:31:59,031 IN THE HEALTH EQUITY UPDATE. 812 00:31:59,031 --> 00:31:59,998 THANK YOU. 813 00:31:59,998 --> 00:32:05,904 >> THANK YOU SO MUCH SAMEERA FOR 814 00:32:05,904 --> 00:32:07,139 THE INTRODUCTION. IT IS 815 00:32:07,139 --> 00:32:08,774 EXCITING TO PRESENT THIS DATA. 816 00:32:08,774 --> 00:32:10,642 I'M NOT PERSONALLY A MEMBER OF 817 00:32:10,642 --> 00:32:12,478 THE HEALTH EQUITY WORKING GROUP. 818 00:32:12,478 --> 00:32:14,847 AS WE HAVE WORKED TOGETHER AS 819 00:32:14,847 --> 00:32:16,715 CHAIR OF THE FOOD PATTERN 820 00:32:16,715 --> 00:32:18,283 MODELING SUB-COMMITTEE, WE 821 00:32:18,283 --> 00:32:20,719 WORKED REALLY CLOSELY WITH THE 822 00:32:20,719 --> 00:32:22,821 HEALTH EQUITY GROUP TO INFORM A 823 00:32:22,821 --> 00:32:24,757 LOT OF THE DECISIONS. 824 00:32:24,757 --> 00:32:28,093 SO, ONE OF THE REALLY IMPORTANT 825 00:32:28,093 --> 00:32:29,728 AND INNOVATIVE ASPECTS THAT WE 826 00:32:29,728 --> 00:32:32,231 ARE ADDING THIS YEAR IS THE 827 00:32:32,231 --> 00:32:33,966 ABILITY TO DO DIET SIMULATIONS 828 00:32:33,966 --> 00:32:36,802 AND WE HAVE TALKED ABOUT IT 829 00:32:36,802 --> 00:32:38,871 PREVIOUSLY AND SOMEWHAT 830 00:32:38,871 --> 00:32:39,438 NEBULOUSLY. 831 00:32:39,438 --> 00:32:42,574 BUT, WHAT WE CAN ACTUALLY DO 832 00:32:42,574 --> 00:32:45,878 WITH THIS DATA AND BE ABLE TO 833 00:32:45,878 --> 00:32:47,913 EXPLORE VARIOUS EATING PATTERNS 834 00:32:47,913 --> 00:32:49,615 IS REALLY EXCITING. 835 00:32:49,615 --> 00:32:52,384 SO, WHAT I WILL DO IS KIND OF 836 00:32:52,384 --> 00:32:55,120 SET THE STAGE WITH WHAT THE DIET 837 00:32:55,120 --> 00:32:56,188 SIMULATIONS ACTUALLY ARE. 838 00:32:56,188 --> 00:32:58,590 AND THE PROCESS THAT WE WILL 839 00:32:58,590 --> 00:33:01,326 USE, I WILL PASS IT ALONG TO MY 840 00:33:01,326 --> 00:33:03,128 COLLEAGUE TO SHARE HOW WE WILL 841 00:33:03,128 --> 00:33:05,898 USE THIS IN A MUCH MORE ENGAGING 842 00:33:05,898 --> 00:33:10,502 HEALTH EQUITY WAY THAT IS REALLY 843 00:33:10,502 --> 00:33:10,803 EXCITING. 844 00:33:10,803 --> 00:33:12,871 NEXT SLIDE, PLEASE. 845 00:33:12,871 --> 00:33:15,841 SO, WITH THE NEW PROTOCOL THAT 846 00:33:15,841 --> 00:33:17,176 WE ARE PRESENTING HERE IS THE 847 00:33:17,176 --> 00:33:20,512 DIET SIMULATIONS AND PURPOSE OF 848 00:33:20,512 --> 00:33:22,848 DOING THE DIET SIMULATIONS 849 00:33:22,848 --> 00:33:24,950 REALLY GIVES US A WAY TO TEST 850 00:33:24,950 --> 00:33:26,852 THESE DIETARY PATTERNS THAT WE 851 00:33:26,852 --> 00:33:27,820 ARE PROPOSING. 852 00:33:27,820 --> 00:33:31,623 SO, WE HAVE TALKED ABOUT 853 00:33:31,623 --> 00:33:33,358 PROTOCOLS FOR THE DIETARY -- 854 00:33:33,358 --> 00:33:37,062 LOOKING AT DIETARY PATTERNS FROM 855 00:33:37,062 --> 00:33:39,464 THE DIFFERENT FOOD PATTERN 856 00:33:39,464 --> 00:33:40,499 PROTOCOLS AND WHAT DIFFERENT 857 00:33:40,499 --> 00:33:42,801 FOOD GROUPS AND CONSUMPTION AND 858 00:33:42,801 --> 00:33:44,102 CONTRIBUTION AND HOW ALL THOSE 859 00:33:44,102 --> 00:33:45,270 COME TOGETHER. 860 00:33:45,270 --> 00:33:53,478 THESE ARE ALL THEN BASED ON 861 00:33:53,478 --> 00:33:55,614 NUTRIENT-DENSE FOODS WITHIN DIET 862 00:33:55,614 --> 00:33:57,015 AND REPRESENTATIVE FOOD 863 00:33:57,015 --> 00:33:57,716 CONTRIBUTIONS FROM THOSE AND 864 00:33:57,716 --> 00:33:59,651 WHAT WE ARE ABLE TO DO WITH THE 865 00:33:59,651 --> 00:34:01,954 DIET SIM YOU'LLATION THAT IS A 866 00:34:01,954 --> 00:34:02,821 MATHEMATICAL MODEL THAT 867 00:34:02,821 --> 00:34:05,357 DESCRIBES AND RECREATES 868 00:34:05,357 --> 00:34:07,359 COMPUTATION ALLEY AND A SYSTEMS 869 00:34:07,359 --> 00:34:11,830 PROCESS THAT IS USED FOR US TO 870 00:34:11,830 --> 00:34:13,832 RECREATE DAILY DIETS FROM WHAT 871 00:34:13,832 --> 00:34:15,701 PEOPLE COULD CONSUME WITHIN THE 872 00:34:15,701 --> 00:34:17,402 FOOD GROUPS INSTEAD OF RELYING 873 00:34:17,402 --> 00:34:21,240 ON THE REPRESENTATIVE FOODS 874 00:34:21,240 --> 00:34:23,609 SOLELY IN THEIR -- THEIR KIND OF 875 00:34:23,609 --> 00:34:25,277 DISTRIBUTION WITHIN WHAT PEOPLE 876 00:34:25,277 --> 00:34:26,144 NORMALLY CONSUME. 877 00:34:26,144 --> 00:34:29,381 NOW IT ALLOWS US TO KIND OF TAKE 878 00:34:29,381 --> 00:34:31,083 THIS TO A REAL-WORLD SITUATION 879 00:34:31,083 --> 00:34:33,619 AND SAY, ALL RIGHT. FOR FRUITS, 880 00:34:33,619 --> 00:34:34,920 WHAT ARE POSSIBLE FRUITS THAT 881 00:34:34,920 --> 00:34:37,723 COULD BE CONSUMED AND CREATING 882 00:34:37,723 --> 00:34:40,626 DIFFERENT KINDS OF MIX AND MATCH 883 00:34:40,626 --> 00:34:43,462 SCENARIOS ALLOWING US TO LOOK AT 884 00:34:43,462 --> 00:34:46,064 A BROAD RANGE OF INTAKES ACROSS 885 00:34:46,064 --> 00:34:49,601 A RANDOMLY SELECTED SET OF FOODS 886 00:34:49,601 --> 00:34:51,303 AND BEVERAGES THAT COULD BE 887 00:34:51,303 --> 00:34:51,603 CONSIDERED. 888 00:34:51,603 --> 00:34:54,039 AND THEN IN ADDITION TO THIS 889 00:34:54,039 --> 00:34:55,607 SYSTEM SCIENCE APPROACH, IT 890 00:34:55,607 --> 00:34:58,210 REALLY GIVES US A CHANCE TO 891 00:34:58,210 --> 00:35:00,245 REFINE PATTERNS TO IDENTIFY IF 892 00:35:00,245 --> 00:35:02,981 THERE ARE PARTICULAR AREAS THAT 893 00:35:02,981 --> 00:35:06,118 WHEN YOU RELY ON NUTRIENT-DENSE 894 00:35:06,118 --> 00:35:07,419 FOOD OR REPRESENTATIVE FOODS 895 00:35:07,419 --> 00:35:08,887 THAT THERE MAY BE IN THE WAYS 896 00:35:08,887 --> 00:35:11,123 THAT IT HAPPENS MORE IN A 897 00:35:11,123 --> 00:35:12,958 REAL-WORLD SITUATION AND WHAT 898 00:35:12,958 --> 00:35:14,993 ARE SOME POTENTIAL CHALLENGES 899 00:35:14,993 --> 00:35:17,462 THAT MIGHT POP UP TO ALLOW US TO 900 00:35:17,462 --> 00:35:20,832 REFINE BASED ON THAT. 901 00:35:20,832 --> 00:35:22,601 NEXT SLIDE, PLEASE. 902 00:35:22,601 --> 00:35:24,836 SO, WHAT YOU SEE HERE IS A 903 00:35:24,836 --> 00:35:29,541 EXAMPLE OF THE HEALTHY US DIAL 904 00:35:29,541 --> 00:35:34,046 DIETARY PATTERN WITH CONSUMPTION 905 00:35:34,046 --> 00:35:35,280 AMOUNTS FOR DIFFERENT FOOD 906 00:35:35,280 --> 00:35:35,714 SUBGROUPS. 907 00:35:35,714 --> 00:35:38,884 WHAT WE WILL DO IS DO SIMULATED 908 00:35:38,884 --> 00:35:41,553 DIETS THAT MEET UPDATED DIETARY 909 00:35:41,553 --> 00:35:43,021 PATTERNS THAT REFLECT THE 910 00:35:43,021 --> 00:35:45,123 VARIATION AND DIETARY INTAKES 911 00:35:45,123 --> 00:35:48,226 AND REALLY MEET NUTRIENT 912 00:35:48,226 --> 00:35:48,560 INADEQUACY. 913 00:35:48,560 --> 00:35:50,662 WE ARE ABLE TO TEST ADDING AND 914 00:35:50,662 --> 00:35:53,198 USING DIFFERENT FOODS FROM EACH 915 00:35:53,198 --> 00:35:56,068 FOOD GROUP AND SUBGROUP AND 916 00:35:56,068 --> 00:35:58,603 REALLY ASSESS HOW THOSE MEET THE 917 00:35:58,603 --> 00:36:00,806 NUTRIENT RECOMMENDATIONS. 918 00:36:00,806 --> 00:36:02,674 AND LOOK AT HOW THAT FLEXIBILITY 919 00:36:02,674 --> 00:36:05,043 MIGHT REALLY PLAY IN, IN TERMS 920 00:36:05,043 --> 00:36:07,612 OF FOOD CHOICE BEHAVIORS RATHER 921 00:36:07,612 --> 00:36:09,481 THAN FOCUSING ON KIND OF THE 922 00:36:09,481 --> 00:36:11,316 USUAL INTAKE APPROACH WITHIN THE 923 00:36:11,316 --> 00:36:13,218 FOOD PATTERN MODELING AND THAT 924 00:36:13,218 --> 00:36:15,454 DISTRIBUTION AND ALLOWING AND 925 00:36:15,454 --> 00:36:17,389 REALLY TESTING THOSE 926 00:36:17,389 --> 00:36:19,624 FLEXIBILITIES AROUND PEOPLE'S 927 00:36:19,624 --> 00:36:22,127 INDIVIDUAL DIETARY REQUIREMENTS, 928 00:36:22,127 --> 00:36:23,362 PREFERENCES, TRADITIONS, 929 00:36:23,362 --> 00:36:23,862 EVIDENCE. 930 00:36:23,862 --> 00:36:26,565 THIS IS A PERSON WITH DIET 931 00:36:26,565 --> 00:36:27,733 SIMULATIONS WILL BE USED WITHIN 932 00:36:27,733 --> 00:36:28,834 THIS PROCESS. 933 00:36:28,834 --> 00:36:31,203 IT IS REALLY EXCITING THAT HAS 934 00:36:31,203 --> 00:36:33,872 LED TO LOTS OF IN-DEPTH 935 00:36:33,872 --> 00:36:35,507 DISCUSSIONS AND REALLY THINKING 936 00:36:35,507 --> 00:36:37,776 ABOUT WHAT RAMIFICATIONS OF 937 00:36:37,776 --> 00:36:39,277 VARIOUS DECISIONS ARE. 938 00:36:39,277 --> 00:36:41,380 IT HAS BEEN A REALLY EXCITING 939 00:36:41,380 --> 00:36:43,281 OPPORTUNITY AND IS A REALLY 940 00:36:43,281 --> 00:36:45,117 GREAT OPPORTUNITY FOR US TO 941 00:36:45,117 --> 00:36:46,918 EXPAND OUR -- OUR FOCUS ON HOW 942 00:36:46,918 --> 00:36:51,323 THIS REALLY HITS WITH A HEALTH 943 00:36:51,323 --> 00:36:54,593 EQUITY LENS AROUND EVALUATING 944 00:36:54,593 --> 00:36:59,264 WHAT DIFFERENT DIETARY INTAKE 945 00:36:59,264 --> 00:37:02,501 PATTERNS MAY REPRESENT. 946 00:37:02,501 --> 00:37:05,437 NEXT SLIDE, PLEASE. 947 00:37:05,437 --> 00:37:07,606 SO, WHAT WE ARE SEEING HERE IS 948 00:37:07,606 --> 00:37:10,075 IT IS KIND OF A DIFFERENT -- 949 00:37:10,075 --> 00:37:11,743 SHOWING THE DIFFERENCE BETWEEN 950 00:37:11,743 --> 00:37:13,712 HOW WE CONSTRUCT THE NUTRIENT 951 00:37:13,712 --> 00:37:15,147 PROFILES THAT WE HAVE BEEN 952 00:37:15,147 --> 00:37:17,549 TALKING ABOUT IN FOOD PATTERN 953 00:37:17,549 --> 00:37:19,451 MODELING AND HOW DIET 954 00:37:19,451 --> 00:37:22,054 SIMULATIONS MAY -- MAY TAKE INTO 955 00:37:22,054 --> 00:37:22,988 ACCOUNT FOODS WITHIN A 956 00:37:22,988 --> 00:37:23,722 PARTICULAR FOOD GROUP. 957 00:37:23,722 --> 00:37:26,291 ON THE LEFT, YOU WILL SEE A 958 00:37:26,291 --> 00:37:27,993 SIMILAR KIND OF GRAPH THAT WE 959 00:37:27,993 --> 00:37:29,161 HAVE PRESENTED BEFORE THAT TAKES 960 00:37:29,161 --> 00:37:31,997 ALL OF THE FOODS THAT SHOW UP IN 961 00:37:31,997 --> 00:37:34,800 THE -- WHAT WE EAT AMERICA 962 00:37:34,800 --> 00:37:37,002 DIETARY DATA AND ALL OF THE RED 963 00:37:37,002 --> 00:37:39,304 AND ORANGE VEGETABLES. 964 00:37:39,304 --> 00:37:42,040 AND THE LARGEST PROPORTION OF 965 00:37:42,040 --> 00:37:44,242 RED AND ORANGE VEGETABLES ARE 966 00:37:44,242 --> 00:37:46,511 REPRESENTED BY TOMATOES COOKED 967 00:37:46,511 --> 00:37:50,649 THAT YOU SEE IN THAT UPPER 968 00:37:50,649 --> 00:37:52,617 RIGHT-HAND QUADRANT AND PROFILE 969 00:37:52,617 --> 00:37:56,021 WE USE FOR FOOD MODELING IS 970 00:37:56,021 --> 00:37:58,356 PREVALENCED BY COOKED TOMATOES 971 00:37:58,356 --> 00:38:01,426 AND RAW TOMATOES AND INCLUDES 972 00:38:01,426 --> 00:38:03,829 CARROTS AND CARROT JUICE AND 973 00:38:03,829 --> 00:38:05,430 SMALLER PROPORTION FROM WINTER 974 00:38:05,430 --> 00:38:07,632 SQUASH OR PUMPKIN AND SLIDES OF 975 00:38:07,632 --> 00:38:09,901 SLIVERS IN PIE CHART ON THE LEFT 976 00:38:09,901 --> 00:38:11,703 REALLY SHOW HOW MUCH EACH 977 00:38:11,703 --> 00:38:14,039 INDIVIDUAL FOOD IS FREELY 978 00:38:14,039 --> 00:38:18,477 CONTRIBUTING TO NUTRIENT 979 00:38:18,477 --> 00:38:20,779 PROFILES FOR RED AND ORANGE ALL 980 00:38:20,779 --> 00:38:22,681 TOGETHER AND RIGHT-HAND SIDE IS 981 00:38:22,681 --> 00:38:24,950 ULTIMATELY SHOWING TO CONSUME 982 00:38:24,950 --> 00:38:27,119 RED AND ORANGE VEGETABLES THESE 983 00:38:27,119 --> 00:38:28,587 ARE ALL DIFFERENT INDIVIDUAL 984 00:38:28,587 --> 00:38:29,788 CHOICES THAT SOMEBODY MIGHT MAKE 985 00:38:29,788 --> 00:38:32,157 AND INSTEAD OF SAYING IF I EAT 986 00:38:32,157 --> 00:38:35,393 RED AND ORANGE IT WILL BE 987 00:38:35,393 --> 00:38:38,396 ROUGHLY 65% AS TOMATO, YOU WILL 988 00:38:38,396 --> 00:38:40,665 EAT ONE OF THE RED OR ORANGE 989 00:38:40,665 --> 00:38:41,266 VEGETABLES. 990 00:38:41,266 --> 00:38:43,301 WHAT WE ARE REALLY ABLE TO DO IS 991 00:38:43,301 --> 00:38:45,036 TAKE A LOOK AT ALL OF THE FOODS 992 00:38:45,036 --> 00:38:47,706 THAT EXIST IN THE DATA BASE AND 993 00:38:47,706 --> 00:38:49,374 BE ABLE TO USE THOSE AND PLUG 994 00:38:49,374 --> 00:38:51,776 THEM IN AS A SIMULATED DIETARY 995 00:38:51,776 --> 00:38:54,012 INTAKE FOR THE DAY BASED ON THE 996 00:38:54,012 --> 00:38:56,314 PROFILE WE LOOKED AT ON THE 997 00:38:56,314 --> 00:38:57,449 PREVIOUS SCREEN AND REALLY TEST 998 00:38:57,449 --> 00:38:59,851 THEN IF IT IS CONSUMED IN THE 999 00:38:59,851 --> 00:39:01,820 FORM AND IN THIS AMOUNT TO MEET 1000 00:39:01,820 --> 00:39:03,488 THE RECOMMENDED INTAKES. 1001 00:39:03,488 --> 00:39:05,724 WHAT DID THE NEWT TREEIENTS FOR 1002 00:39:05,724 --> 00:39:07,626 THE DAY ACTUALLY LOOK LIKE? 1003 00:39:07,626 --> 00:39:09,628 HOW DOES THAT LOOK LIKE ACROSS 1004 00:39:09,628 --> 00:39:10,795 THE TOTAL POPULATION? 1005 00:39:10,795 --> 00:39:12,430 IT IS A REALLY EXCITING 1006 00:39:12,430 --> 00:39:15,267 OPPORTUNITY TO BE ABLE TO TEST 1007 00:39:15,267 --> 00:39:16,735 THIS. 1008 00:39:16,735 --> 00:39:18,236 SO, NEXT SLIDE, PLEASE. 1009 00:39:18,236 --> 00:39:21,773 I WILL HIT ON A FEW OF THE QUICK 1010 00:39:21,773 --> 00:39:23,208 DEFINITIONS THAT WILL BE BECAUSE 1011 00:39:23,208 --> 00:39:25,610 OF THE DIETARY GUIDELINES THAT 1012 00:39:25,610 --> 00:39:30,815 ARE SET UP TO FOCUS ON 1013 00:39:30,815 --> 00:39:32,184 NUTRIENT-DENSE FOODS AND 1014 00:39:32,184 --> 00:39:34,052 BEVERAGES IN THE DIETARY 1015 00:39:34,052 --> 00:39:36,521 SIMULATIONS THAT WE WILL BE 1016 00:39:36,521 --> 00:39:38,757 EMPHASIZING NUTRIENT-DENSE FOOD 1017 00:39:38,757 --> 00:39:41,092 AND BEVERAGES AND EVALUATING 1018 00:39:41,092 --> 00:39:44,829 THEIR CONTRIBUTION TO THE 1019 00:39:44,829 --> 00:39:48,266 DIETARY ESTIMATES THAT WE GET 1020 00:39:48,266 --> 00:39:49,601 POPULATION. 1021 00:39:49,601 --> 00:39:51,469 SIMULATION IS A SYSTEM SCIENCE 1022 00:39:51,469 --> 00:39:55,240 METHOD USED TO THAT MATHEMATICAL 1023 00:39:55,240 --> 00:39:57,542 MODEL TO RECREATE COMPUTATION 1024 00:39:57,542 --> 00:39:58,743 ALLEY ACROSS THE SYSTEM. 1025 00:39:58,743 --> 00:40:01,580 IT REALLY ALLOWS US TO REALLY 1026 00:40:01,580 --> 00:40:04,182 TEST IN A MUCH MORE LIKE 1027 00:40:04,182 --> 00:40:05,684 REAL-WORLD TYPE OF SITUATION HOW 1028 00:40:05,684 --> 00:40:09,754 THIS -- HOW THIS WILL WORK. 1029 00:40:09,754 --> 00:40:12,924 NEXT SLIDE, PLEASE. 1030 00:40:12,924 --> 00:40:14,693 SO, HOW DOES THIS FIT WITHIN THE 1031 00:40:14,693 --> 00:40:17,329 -- HOW DO DIET SIMULATIONS 1032 00:40:17,329 --> 00:40:19,598 REALLY WORK WITHIN THE BATTERY 1033 00:40:19,598 --> 00:40:21,299 OF WORK THAT WE HAVE BEEN 1034 00:40:21,299 --> 00:40:23,201 TALKING ABOUT THE FOOD PATTERN 1035 00:40:23,201 --> 00:40:25,270 MODELING GROUP AND WE LOOK AT 1036 00:40:25,270 --> 00:40:27,105 PROTOCOLS ON THE LEFT AND ONE 1037 00:40:27,105 --> 00:40:28,506 AND TWO THAT WE HAVE DISCUSSED 1038 00:40:28,506 --> 00:40:30,175 IN THE PRIOR MEETINGS. 1039 00:40:30,175 --> 00:40:31,776 WE WILL DISCUSS A FEW TODAY AND 1040 00:40:31,776 --> 00:40:34,079 LOOK AT DIFFERENT RANGES AND 1041 00:40:34,079 --> 00:40:36,014 NUTRIENT DENSITY AFTER WE FINISH 1042 00:40:36,014 --> 00:40:37,649 GOING THROUGH ALL OF OUR 1043 00:40:37,649 --> 00:40:39,184 PROTOCOLS IN ONE AND 2. 1044 00:40:39,184 --> 00:40:42,520 ONCE WE GET TO A STATE WHERE WE 1045 00:40:42,520 --> 00:40:45,490 HAVE PROPOSED DIETARY PATTERNS, 1046 00:40:45,490 --> 00:40:48,059 WE CAN THEN TEST THOSE DIETARY 1047 00:40:48,059 --> 00:40:50,762 PATTERNS USING DIET SIMULATIONS 1048 00:40:50,762 --> 00:40:53,465 AND BECOMES OUR LAST STEP, A 1049 00:40:53,465 --> 00:40:55,267 KIND OF CONFIRMATORY AND TEST 1050 00:40:55,267 --> 00:40:57,068 STEP AT THE VERY END AFTER WE 1051 00:40:57,068 --> 00:40:58,903 HAVE DONE ALL OUR BASE WORK TO 1052 00:40:58,903 --> 00:41:03,308 BUILD THOSE PROPOSED DIETARY 1053 00:41:03,308 --> 00:41:03,675 PATTERNS. 1054 00:41:03,675 --> 00:41:06,211 NEXT SLIDE, PLEASE. 1055 00:41:06,211 --> 00:41:11,049 OKAY. SO, THIS IS THE FIRST 1056 00:41:11,049 --> 00:41:12,584 KIND OF OVERVIEW OF WHAT IT IS 1057 00:41:12,584 --> 00:41:14,052 THAT WE WILL DO THAT WE WILL 1058 00:41:14,052 --> 00:41:16,221 WALK THROUGH IN A FEW OF THE 1059 00:41:16,221 --> 00:41:17,155 STEPS HERE. 1060 00:41:17,155 --> 00:41:20,392 BUT, OUR PROPOSED ANALYTIC 1061 00:41:20,392 --> 00:41:23,995 FRAMEWORK REALLY KIND OF STARTS 1062 00:41:23,995 --> 00:41:27,632 FROM THE HIGHER LEVEL OF 1063 00:41:27,632 --> 00:41:30,035 SIMULATING DIETARY INTAKES THAT 1064 00:41:30,035 --> 00:41:34,706 WE WILL CONSTRUCT 500, SEVEN-DAY 1065 00:41:34,706 --> 00:41:37,609 DIETS FOR EACH AGE AND SEX GROUP 1066 00:41:37,609 --> 00:41:40,211 STARTING ABOUT I ONE YEAR BY 1067 00:41:40,211 --> 00:41:42,047 RANDOMLY SLEKING A DIFFERENT 1068 00:41:42,047 --> 00:41:43,615 COMBINATION OF FOOD AND 1069 00:41:43,615 --> 00:41:44,683 BEVERAGES FROM THE DIFFERENT 1070 00:41:44,683 --> 00:41:46,051 FOOD AND SUBGROUPS AND AMOUNTS 1071 00:41:46,051 --> 00:41:48,019 THAT ARE RECOMMENDED IN THE 1072 00:41:48,019 --> 00:41:48,320 PATTERN. 1073 00:41:48,320 --> 00:41:50,889 OUR SECOND STEP, ONCE WE CREATE 1074 00:41:50,889 --> 00:41:54,159 THE 500, SEVEN-DAY DIETS, WE 1075 00:41:54,159 --> 00:41:57,729 WILL USE THE ENERGY AND NUTRIENT 1076 00:41:57,729 --> 00:42:04,736 COMPOSITION OF EACH FOOD AND SIM 1077 00:42:04,736 --> 00:42:05,270 YOU'L 1078 00:42:05,270 --> 00:42:07,572 -- SIMULATION ACROSS ALL 500 1079 00:42:07,572 --> 00:42:09,407 DAYS WHAT IS DISTRIBUTION OF 1080 00:42:09,407 --> 00:42:12,777 INTAKES AND ENERGY COMING FROM 1081 00:42:12,777 --> 00:42:14,512 AGGREGATED OR ALL PUT TOGETHER 1082 00:42:14,512 --> 00:42:17,182 CLUSTER OF SIMULATED DIETS. 1083 00:42:17,182 --> 00:42:22,520 THEN FROM THERE, WE ARE GOING TO 1084 00:42:22,520 --> 00:42:25,056 EVALUATE THAT DISTRIBUTION 1085 00:42:25,056 --> 00:42:27,959 COMPARED TO OUR PREDEFINED 1086 00:42:27,959 --> 00:42:29,894 NUTRITIONAL GOALS FOR EACH AGE 1087 00:42:29,894 --> 00:42:32,597 AND SEX GROUP HEAVILY RELYING AS 1088 00:42:32,597 --> 00:42:34,933 YOU WILL SEE ON THE LIST IN THE 1089 00:42:34,933 --> 00:42:37,168 DRI AND DRI COMPONENTS THAT WE 1090 00:42:37,168 --> 00:42:39,104 WILL SPEAK TO THAT A LITTLE BIT 1091 00:42:39,104 --> 00:42:40,705 MORE IN A MOMENT. 1092 00:42:40,705 --> 00:42:42,607 SO, IT REALLY THEN MEANS ON ONE 1093 00:42:42,607 --> 00:42:45,009 DAY THAT IT MIGHT NOT MEET FOR 1094 00:42:45,009 --> 00:42:47,512 EVERY SINGLE NUTRIENT. AS YOU 1095 00:42:47,512 --> 00:42:49,814 START TO PUT THEM TOGETHER IS A 1096 00:42:49,814 --> 00:42:52,384 LARGER PATTERN AT A 1097 00:42:52,384 --> 00:42:55,186 POPULATION-BASED SET AND HOW THE 1098 00:42:55,186 --> 00:42:58,056 OVERALL DISTRIBUTION DOES AT 1099 00:42:58,056 --> 00:42:59,858 MEETING NUTRIENT 1100 00:42:59,858 --> 00:43:00,258 RECOMMENDATIONS. 1101 00:43:00,258 --> 00:43:03,528 NEXT SLIDE, PLEASE. 1102 00:43:03,528 --> 00:43:08,500 SO, OUR FIRST STEP IS ACTUALLY 1103 00:43:08,500 --> 00:43:12,804 CONDUCTING SIMULATIONS AND 1104 00:43:12,804 --> 00:43:14,806 ASSEMBLING WHAT 500-DAY DIETS 1105 00:43:14,806 --> 00:43:16,908 WILL LOOK LIKE AND BEFORE 1106 00:43:16,908 --> 00:43:18,543 CONDUCTING THE ANALYSIS WE WILL 1107 00:43:18,543 --> 00:43:21,279 NEED TO IDENTIFY FOODS AND 1108 00:43:21,279 --> 00:43:22,347 BEVERAGES THAT ARE WITHIN WHAT 1109 00:43:22,347 --> 00:43:24,816 WE EAT IN AMERICA DATA AND THAT 1110 00:43:24,816 --> 00:43:29,154 IS PART OF UN-HANES DIETARY 1111 00:43:29,154 --> 00:43:29,354 DATA. 1112 00:43:29,354 --> 00:43:34,092 GUIDELINES ARE FOCUSING ON 1113 00:43:34,092 --> 00:43:35,794 NUTRIENT-DENSE FOODS TO MEET 1114 00:43:35,794 --> 00:43:38,630 DIETARY PATTERNS AND WE WANT TO 1115 00:43:38,630 --> 00:43:40,498 PRIORITIZE FOODS THAT ARE 1116 00:43:40,498 --> 00:43:42,200 NUTRIENT DENSE FOODS AND 1117 00:43:42,200 --> 00:43:44,903 BEVERAGES NUTRIENT DENSE IN THE 1118 00:43:44,903 --> 00:43:46,604 DIET SIMULATION. WHAT WE HAD TO 1119 00:43:46,604 --> 00:43:49,374 DO WAS KIND OF FIGURE OUT HOW WE 1120 00:43:49,374 --> 00:43:50,208 OPERATIONALIZED THAT WITHIN THE 1121 00:43:50,208 --> 00:43:54,479 -- WITHIN THE SCOPE OF ALL OF 1122 00:43:54,479 --> 00:43:56,281 THE DIFFERENT FOODS THAT MAY BE 1123 00:43:56,281 --> 00:43:58,683 POSSIBILITIES FOR ENTRY INTO THE 1124 00:43:58,683 --> 00:44:00,518 DIET SIMULATIONS AND MEMBERS OF 1125 00:44:00,518 --> 00:44:02,987 THE FOOD PATTERN MODELING 1126 00:44:02,987 --> 00:44:05,056 SUB-COMMITTEE AND HEALTH EQUITY 1127 00:44:05,056 --> 00:44:06,958 WORK GROUP TOGETHER REVIEWED AND 1128 00:44:06,958 --> 00:44:08,993 COMMENTED ON CRITERIA USED TO 1129 00:44:08,993 --> 00:44:12,897 IDENTIFY FOODS AND BEVERAGES FOR 1130 00:44:12,897 --> 00:44:16,868 SATURATED FAD AND SODIUM ADDED 1131 00:44:16,868 --> 00:44:18,937 SUGARS AND OPTION FOR SELECTED 1132 00:44:18,937 --> 00:44:20,672 PROBABILITY SELECTION AND 1133 00:44:20,672 --> 00:44:22,173 STARTED WITH THIS SERIES AND 1134 00:44:22,173 --> 00:44:23,975 DISCUSSION AND THE CONSENSUS WAS 1135 00:44:23,975 --> 00:44:26,110 THAT WE WOULD USE IN THE 1136 00:44:26,110 --> 00:44:27,979 SIMULATION ANALYSIS NUTRIENT 1137 00:44:27,979 --> 00:44:30,381 DENSE FOODS WILL HAVE AN EQUAL 1138 00:44:30,381 --> 00:44:32,550 PROBABILITY IN DAILY DIETS THAT 1139 00:44:32,550 --> 00:44:34,619 MEANS EVERY FOOD HAS AN EQUAL 1140 00:44:34,619 --> 00:44:36,054 CHANCE OF BEING SELECTED INSTEAD 1141 00:44:36,054 --> 00:44:38,323 OF WHAT WE LOOKED AT WITH FOOD 1142 00:44:38,323 --> 00:44:40,358 PATTERN MODELING WHICH WAS BASED 1143 00:44:40,358 --> 00:44:42,627 ON WHAT IS MOST COMMONLY 1144 00:44:42,627 --> 00:44:43,995 CONSUMED. WE WOULD LOOK AT ALL 1145 00:44:43,995 --> 00:44:48,800 OF THE FOODS AND HAVING EQUAL 1146 00:44:48,800 --> 00:44:53,438 PROBABILITY OF BEING INCLUDED OF 1147 00:44:53,438 --> 00:44:55,907 NUTRIENT-DENSE FOODS AND FOODS 1148 00:44:55,907 --> 00:45:00,111 HIGHER IN SATURATED FATS WOULD 1149 00:45:00,111 --> 00:45:01,613 HAVE HIGHER PROBABILITY OF BEING 1150 00:45:01,613 --> 00:45:04,282 SELECTED SO THAT WAY WE GET 1151 00:45:04,282 --> 00:45:05,450 EQUAL PROBABILITY TO HELP 1152 00:45:05,450 --> 00:45:07,085 SELECTION THAT IS NUTRIENT DENSE 1153 00:45:07,085 --> 00:45:10,221 AND GETS TO A BROADER SWATH OF 1154 00:45:10,221 --> 00:45:12,457 AVAILABLE FOODS THAT IS ALSO NOT 1155 00:45:12,457 --> 00:45:15,260 TO UNDERREPRESENT FOODS THAT ARE 1156 00:45:15,260 --> 00:45:19,030 LESS FREQUENTLY CONSUMED OR 1157 00:45:19,030 --> 00:45:20,965 OVERREPRESENT FOODS THAT ARE 1158 00:45:20,965 --> 00:45:22,400 COMMONLY CONSUMED IN THE 1159 00:45:22,400 --> 00:45:25,570 SIMULATED DIETS. 1160 00:45:25,570 --> 00:45:28,039 NEXT SLIDE, PLEASE. 1161 00:45:28,039 --> 00:45:31,075 SO, OUR CRITERIA THAT WE WERE 1162 00:45:31,075 --> 00:45:33,044 SETTING OUT WAS REALLY TO FIGURE 1163 00:45:33,044 --> 00:45:35,113 OUT WHAT ARE THRESHOLDS WE WOULD 1164 00:45:35,113 --> 00:45:37,148 LIKE TO USE IN ACTUALLY 1165 00:45:37,148 --> 00:45:39,651 IDENTIFYING THE FOODS THAT MEET 1166 00:45:39,651 --> 00:45:43,588 THE NUTRIENT-DENSE AND -- AND 1167 00:45:43,588 --> 00:45:45,823 FOR FOODS THAT ARE HIGHER IN 1168 00:45:45,823 --> 00:45:48,726 SATURATED OR IN IDENTIFYING 1169 00:45:48,726 --> 00:45:52,096 FOODS HIGHER IN SATURATED FAT 1170 00:45:52,096 --> 00:45:53,665 AND HIGHER IN SUGAR. 1171 00:45:53,665 --> 00:45:56,868 SO, WE TOOK A BIT OF A MODIFIED 1172 00:45:56,868 --> 00:46:00,738 APPROACH FROM THE FDA'S PROPOSED 1173 00:46:00,738 --> 00:46:02,340 CRITERIA FOR DETERMINING 1174 00:46:02,340 --> 00:46:03,942 ELIGIBILITY FOR FOODS AND 1175 00:46:03,942 --> 00:46:05,643 BEVERAGES TO BEAR A DIETARY 1176 00:46:05,643 --> 00:46:07,612 STATEMENT AND WERE LESS 1177 00:46:07,612 --> 00:46:10,982 RESTRICTIVE IN SATURATED FAT 1178 00:46:10,982 --> 00:46:15,053 CRITERIA FOR MEATS, CHEESES SOY 1179 00:46:15,053 --> 00:46:18,022 AND SOY ALTERNATIVES BASED ON 1180 00:46:18,022 --> 00:46:19,791 FOOD GUIDELINES CLASSIFICATION 1181 00:46:19,791 --> 00:46:22,594 SYSTEM AND WERE LESS RESTRICTIVE 1182 00:46:22,594 --> 00:46:25,463 ON SATURATED FAT AND ADDED 1183 00:46:25,463 --> 00:46:27,932 SUGARS FOR LARGER STANDARD 1184 00:46:27,932 --> 00:46:31,169 PORTION SIDES APPLIED TO FOOD 1185 00:46:31,169 --> 00:46:32,971 CLASSIFICATION SYSTEM AND 1186 00:46:32,971 --> 00:46:36,074 PROTOCOL CRITERIA APPLIED FOR 1187 00:46:36,074 --> 00:46:37,375 STANDARD PROPORTION AMOUNT BASED 1188 00:46:37,375 --> 00:46:39,477 ON HOW MUCH IS TYPICALLY 1189 00:46:39,477 --> 00:46:39,978 CONSUMED. 1190 00:46:39,978 --> 00:46:43,681 WE HAD TO SET SOME STANDARDS 1191 00:46:43,681 --> 00:46:45,516 THAT WOULD ALLOW FOR A 1192 00:46:45,516 --> 00:46:47,952 REPRESENTATION OF THE FOODS TO 1193 00:46:47,952 --> 00:46:51,189 BE INCLUDED BUT NOT INCLUDE SOME 1194 00:46:51,189 --> 00:46:56,594 FOODS THAT MIGHT KIND OF FALL 1195 00:46:56,594 --> 00:47:00,365 WITHIN A CUSP OF VARIOUS 1196 00:47:00,365 --> 00:47:02,533 THRESHOLDS AND BE ABLE TO BETTER 1197 00:47:02,533 --> 00:47:04,836 REPRESENT THE FOOD CATEGORIES AS 1198 00:47:04,836 --> 00:47:07,605 WELL. FOODS TYPICALLY CONSUMED 1199 00:47:07,605 --> 00:47:11,376 IN LESS THAN, SAY, A 30-GRAM 1200 00:47:11,376 --> 00:47:14,712 PORTION APPROXIMATELY THERE. 1201 00:47:14,712 --> 00:47:17,849 MEATS, CHEESE AND SOY AND SOY 1202 00:47:17,849 --> 00:47:22,887 CHEESE ITEMS CONTAIN 30% OF 1203 00:47:22,887 --> 00:47:25,223 TOTAL FAT WILL BE SATURATED FAT 1204 00:47:25,223 --> 00:47:27,392 AND AMONG ALL FOOD ITEMS GREATER 1205 00:47:27,392 --> 00:47:30,261 THAN 10% OF DAILY VALUE OF 1206 00:47:30,261 --> 00:47:31,729 SATURATED FAT WILL BE CONSIDERED 1207 00:47:31,729 --> 00:47:34,732 HIGH AND FOOD ITEMS CONTAINING 1208 00:47:34,732 --> 00:47:38,236 GREATER THAN 10% OF DAILY VALUE 1209 00:47:38,236 --> 00:47:40,438 OF FOOD PROPORTION █WILL BE HIG 1210 00:47:40,438 --> 00:47:43,374 IN SUGARS AND FOODS CONSUMED IN 1211 00:47:43,374 --> 00:47:45,576 PORTIONS THAT ARE GREATER THAN 1212 00:47:45,576 --> 00:47:47,011 30 GRAMS THAT USUAL PROPORTION 1213 00:47:47,011 --> 00:47:49,313 AND THRESHOLDS OF GREATER THAN 1214 00:47:49,313 --> 00:47:52,717 10% AND GREATER THAN 15% OF 1215 00:47:52,717 --> 00:47:58,289 DAILY VALUE FOR SATURATED FAT 1216 00:47:58,289 --> 00:48:00,658 AND ADDED SUGAR WILL BE USED. 1217 00:48:00,658 --> 00:48:01,793 NEXT SLIDE, PLEASE. 1218 00:48:01,793 --> 00:48:05,863 THIS GIVES A EXAMPLE OF WHAT 1219 00:48:05,863 --> 00:48:10,835 DIET SIMULATIONS WILL LOOK LIKE. 1220 00:48:10,835 --> 00:48:12,470 2000-CALORIE DIETARY PATTERN YOU 1221 00:48:12,470 --> 00:48:15,173 SEE AMOUNT OF VEGETABLES, FRUITS 1222 00:48:15,173 --> 00:48:18,009 GRAINS AND DAIRY AND OUR 1223 00:48:18,009 --> 00:48:20,645 SIMULATED DAY 1 WE RANDOMLY 1224 00:48:20,645 --> 00:48:23,047 SELECTED A SERIES OF VEGETABLES 1225 00:48:23,047 --> 00:48:25,116 SERIES OF FRUITS AND GRAINS AND 1226 00:48:25,116 --> 00:48:28,453 FOR DAY 2, ANOTHER SIMULATED 1227 00:48:28,453 --> 00:48:31,289 DIET FOR DAY 3 ANOTHER SIMULATED 1228 00:48:31,289 --> 00:48:35,460 DIET. DAY 3500, AN INCREDIBLE 1229 00:48:35,460 --> 00:48:38,863 JOB BY OUR STAFF TO FIND OUR 1230 00:48:38,863 --> 00:48:40,231 REPRESENTATION OF FOODS HERE. 1231 00:48:40,231 --> 00:48:42,166 IT IS A LITTLE EASIER TO READ 1232 00:48:42,166 --> 00:48:44,802 WITHOUT HAVING ALL 3500 ON THIS 1233 00:48:44,802 --> 00:48:45,369 SLIDE. 1234 00:48:45,369 --> 00:48:47,972 WHAT WE SEE HERE AND WHEN YOU 1235 00:48:47,972 --> 00:48:50,074 LOOK AT THE OVERALL PATTERN IS 1236 00:48:50,074 --> 00:48:52,410 IT IS GENERALLY REPRESENTED BY 1237 00:48:52,410 --> 00:48:55,379 FOODS OF HIGHER NEWT TREENT 1238 00:48:55,379 --> 00:48:57,915 DENSITY AND WE ALSO SEE FOODS 1239 00:48:57,915 --> 00:49:00,118 WITH LOWER NUTRIENT DENSITY 1240 00:49:00,118 --> 00:49:01,619 BASED ON PRIOR CRITERIA EMERGING 1241 00:49:01,619 --> 00:49:04,255 IN THE DATA SHOWING AND 1242 00:49:04,255 --> 00:49:05,456 CONTRIBUTING TO OVERALL 1243 00:49:05,456 --> 00:49:07,992 SIMULATED DIETS THAT REALLY 1244 00:49:07,992 --> 00:49:12,330 ALLOWS US TO USE THOSE CRITERIA 1245 00:49:12,330 --> 00:49:15,099 TO INCREASE THE PROPORTION OF 1246 00:49:15,099 --> 00:49:16,367 NUTRIENT-DENSE FOODS AND ALSO 1247 00:49:16,367 --> 00:49:18,736 GIVE A LITTLE BIT OF A BROADER 1248 00:49:18,736 --> 00:49:21,873 LOOK AT HOW TOTAL DIET 1249 00:49:21,873 --> 00:49:25,209 SIMULATIONS MAY PLAY OUT WITH 1250 00:49:25,209 --> 00:49:28,112 INCREASED FLEXIBILITIES. 1251 00:49:28,112 --> 00:49:30,615 NEXT SLIDE, PLEASE. 1252 00:49:30,615 --> 00:49:36,354 OKAY. SO, THE DIET SIMULATIONS 1253 00:49:36,354 --> 00:49:38,356 FOR CALCULATING THE NUTRIENT AND 1254 00:49:38,356 --> 00:49:41,025 ENERGY CONTENT OF THE FOODS. 1255 00:49:41,025 --> 00:49:43,361 WE WILL TAKE THOSE 3500 DAYS 1256 00:49:43,361 --> 00:49:45,963 THAT WE JUST SAW IN THE GRAPHIC. 1257 00:49:45,963 --> 00:49:48,232 LOOK AT THE INDIVIDUAL FOODS 1258 00:49:48,232 --> 00:49:50,034 THAT WERE SELECTED AND TAKE 1259 00:49:50,034 --> 00:49:52,537 THOSE PORTION SIZES THAT THEN 1260 00:49:52,537 --> 00:49:54,939 ALLOWS US FOR EACH DAY TO 1261 00:49:54,939 --> 00:49:56,307 COMPUTE THE HYPOTHETICAL 1262 00:49:56,307 --> 00:49:59,644 NUTRITION INTAKES FROM THAT 1263 00:49:59,644 --> 00:50:01,612 HYPOTHETICAL SIMULATED DIET FOR 1264 00:50:01,612 --> 00:50:02,713 THE DAY. 1265 00:50:02,713 --> 00:50:06,450 SO, THEN WE WILL HAVE 3500 1266 00:50:06,450 --> 00:50:09,053 DIFFERENT DAYS OF NUTRIENT 1267 00:50:09,053 --> 00:50:11,989 INTAKE FROM SIMULATED DIETS THAT 1268 00:50:11,989 --> 00:50:14,659 GIVES US A POPULATION 1269 00:50:14,659 --> 00:50:15,827 DISTRIBUTION IF YOU EAT ALL 1270 00:50:15,827 --> 00:50:17,895 THESE DIFFERENT WAYS, WHAT DOES 1271 00:50:17,895 --> 00:50:20,431 TOTAL PICTURE OF ENERGY AND 1272 00:50:20,431 --> 00:50:21,933 NUTRIENTS LOOK LIKE? 1273 00:50:21,933 --> 00:50:24,569 WE ARE ABLE TO CALCULATE THE 1274 00:50:24,569 --> 00:50:26,437 CONTENT AND SUMMARIZE AT 1275 00:50:26,437 --> 00:50:28,639 AGGREGATED LEVEL PUTTING ALL 1276 00:50:28,639 --> 00:50:31,909 THOSE TOGETHER FOR EACH AGE AND 1277 00:50:31,909 --> 00:50:34,412 SEX GROUP AND THEN BE ABLE TO 1278 00:50:34,412 --> 00:50:35,446 EVALUATE THOSE. 1279 00:50:35,446 --> 00:50:36,380 NEXT SLIDE, PLEASE. 1280 00:50:36,380 --> 00:50:38,049 WE WILL SEE WHAT THE 1281 00:50:38,049 --> 00:50:39,450 DISTRIBUTIONS MIGHT LOOK LIKE. 1282 00:50:39,450 --> 00:50:41,953 THESE ARE HYPOTHETICAL GRAPHS TO 1283 00:50:41,953 --> 00:50:43,955 KIND OF GIVE YOU AN IDEA WHAT 1284 00:50:43,955 --> 00:50:45,890 KINDS OF THINGS WE MIGHT SEE. 1285 00:50:45,890 --> 00:50:49,827 WHEN YOU LOOK AT ALL OF THE 3500 1286 00:50:49,827 --> 00:50:52,697 DIFFERENT DIETARY INTAKES, WE 1287 00:50:52,697 --> 00:50:56,834 MIGHT SEE A LITTLE BIT HIGHER 1288 00:50:56,834 --> 00:51:00,838 PEAK IN VITAMIN C AND WIDER 1289 00:51:00,838 --> 00:51:03,341 CURVE PERHAPS IN POTASSIUM 1290 00:51:03,341 --> 00:51:05,476 DEPENDING ON TYPES OF FOODS 1291 00:51:05,476 --> 00:51:07,678 CONSUMED AND SELECTED AND 1292 00:51:07,678 --> 00:51:09,547 VARIABILITY OF EACH NUTRIENT IT 1293 00:51:09,547 --> 00:51:11,015 WILL THEN SHOW US A SLIGHTLY 1294 00:51:11,015 --> 00:51:12,416 DIFFERENT GRAPHIC AND YOU CAN 1295 00:51:12,416 --> 00:51:14,118 SEE WHERE THE MIDPOINT IS FOR 1296 00:51:14,118 --> 00:51:16,120 EACH OF THESE AND HOW THE 1297 00:51:16,120 --> 00:51:18,022 INTAKES WILL VARY DEPENDING ON 1298 00:51:18,022 --> 00:51:22,260 THE FOODS THAT ARE SELECTED. 1299 00:51:22,260 --> 00:51:25,630 NEXT SLIDE, PLEASE. 1300 00:51:25,630 --> 00:51:28,799 OKAY. THEN OUR FINAL STEP ONCE 1301 00:51:28,799 --> 00:51:30,801 WE HAVE THAT ACTUAL VARIABILITY 1302 00:51:30,801 --> 00:51:34,872 OF THE DATA, SO, WE HAVE OUR 1303 00:51:34,872 --> 00:51:37,541 GRASS AND HAVE BEEN ABLE TO LOOK 1304 00:51:37,541 --> 00:51:39,777 AT WHAT THE DISTRIBUTION LOOKS 1305 00:51:39,777 --> 00:51:43,414 LIKE. WE GET AN IDEA WHAT 1306 00:51:43,414 --> 00:51:44,582 NUTRIENT INTAKES LOOK LIKE IF 1307 00:51:44,582 --> 00:51:46,450 YOU CHOOSE FROM A RANDOM SET OF 1308 00:51:46,450 --> 00:51:48,719 FOODS THROUGHOUT THE DATA TO 1309 00:51:48,719 --> 00:51:50,988 CONTRIBUTE TO THOSE AND WE WILL 1310 00:51:50,988 --> 00:51:52,490 LOOK AT THOSE PERCENTILE 1311 00:51:52,490 --> 00:51:54,792 DISTRIBUTIONS FOR ENERGY AND 26 1312 00:51:54,792 --> 00:51:57,428 NEWT TREENTS COMPARING THEM TO 1313 00:51:57,428 --> 00:51:58,996 NUTRITIONAL GOALS FOR THE AGE 1314 00:51:58,996 --> 00:52:01,632 AND SEX GROUP AND WE WILL 1315 00:52:01,632 --> 00:52:06,003 COMPARE THEM TO THE EER AND 1316 00:52:06,003 --> 00:52:09,073 ACCEPTABLE MACRONUTRIENT 1317 00:52:09,073 --> 00:52:10,541 DISTRIBUTION RANGE AND EAR WHEN 1318 00:52:10,541 --> 00:52:12,343 WE HAVE THEM AVAILABLE AND IF WE 1319 00:52:12,343 --> 00:52:15,179 DON'T HAVE EARS WE USE ADEQUATE 1320 00:52:15,179 --> 00:52:16,681 INTAKES AND COMPARE TO TOLERABLE 1321 00:52:16,681 --> 00:52:20,952 UP INTAKE LEVELS AND COLONIC 1322 00:52:20,952 --> 00:52:23,087 DISEASE RISK REDUCTION INTAKE 1323 00:52:23,087 --> 00:52:24,221 AND DIETARY RECOMMENDATIONS. 1324 00:52:24,221 --> 00:52:26,757 SO, WE WILL LOOK AT THESE FOR 1325 00:52:26,757 --> 00:52:29,327 ALL OF THESE NUTRIENTS AND 1326 00:52:29,327 --> 00:52:31,195 REALLY THEN EVALUATE HOW WELL 1327 00:52:31,195 --> 00:52:34,598 DOES THIS SIMULATED DIET AS A 1328 00:52:34,598 --> 00:52:36,634 FRAMEWORK FOR EVALUATING 1329 00:52:36,634 --> 00:52:38,803 VARIABILITY AND ENERGY NUTRIENT 1330 00:52:38,803 --> 00:52:40,805 INTAKES IN A POPULATION. 1331 00:52:40,805 --> 00:52:42,974 ARE WE ABLE TO MEET A LOW 1332 00:52:42,974 --> 00:52:44,742 PERCENTAGE, FOR EXAMPLE, LESS 1333 00:52:44,742 --> 00:52:47,745 THAN 10% OF THE SIMULATED DIETS 1334 00:52:47,745 --> 00:52:51,248 FALLING BELOW THE EAR FOR NEWT 1335 00:52:51,248 --> 00:52:53,517 TREENTS HAVING AN EAR? 1336 00:52:53,517 --> 00:52:55,219 THIS WILL BE DIFFERENT THAN 1337 00:52:55,219 --> 00:52:56,921 USING RDA AND DEVELOPING A 1338 00:52:56,921 --> 00:52:58,823 DIETARY PATTERN THAT IS REALLY 1339 00:52:58,823 --> 00:53:00,024 SET FOR INDIVIDUALS AND LOOKING 1340 00:53:00,024 --> 00:53:02,593 AT THIS FROM A TOTAL 1341 00:53:02,593 --> 00:53:03,694 POPULATION-BASED PERSPECTIVE AND 1342 00:53:03,694 --> 00:53:08,833 WHEN EAR IS NOT ESTABLISHED, EI 1343 00:53:08,833 --> 00:53:12,636 WILL BE COMPARED TO NUTRIENT 1344 00:53:12,636 --> 00:53:16,407 VALUES FOR SIMULATED DIETS USING 1345 00:53:16,407 --> 00:53:18,442 MEDIAN COMPOSITION AND MIDPOINT 1346 00:53:18,442 --> 00:53:21,112 WE HAVE IN DISTRIBUTION ON 1347 00:53:21,112 --> 00:53:23,447 INTAKES FROM PREVIOUS SLIDE AND 1348 00:53:23,447 --> 00:53:25,049 COMPARING MEDIAN INTAKE TO THE 1349 00:53:25,049 --> 00:53:28,786 AI FOR OUR ASSESSMENT FOR 1350 00:53:28,786 --> 00:53:31,622 NUTRIENTS THAT HAVE AN AI. 1351 00:53:31,622 --> 00:53:33,591 NUTRIENT GOALS INCLUDE ALSO A 1352 00:53:33,591 --> 00:53:37,128 LOW PERCENT OF SIMULATED DIETS 1353 00:53:37,128 --> 00:53:41,132 EXCEEDING THE UL OR CDRR FOR 1354 00:53:41,132 --> 00:53:41,399 SODIUM. 1355 00:53:41,399 --> 00:53:43,534 ONE REASON WHY WE DID NOT 1356 00:53:43,534 --> 00:53:48,639 INCLUDE SODIUM AS PART OF THE 1357 00:53:48,639 --> 00:53:49,607 NUTRIENT-DENSE FOOD SELECTION 1358 00:53:49,607 --> 00:53:53,277 WAS THE UBIQUITOUS NATURE OF 1359 00:53:53,277 --> 00:53:57,782 SODIUM WITHIN DIE INTAKES AND 1360 00:53:57,782 --> 00:54:00,618 WITHIN FOODS AND VAST AMOUNT OF 1361 00:54:00,618 --> 00:54:02,920 VARIABILITY AND SODIUM INTAKES 1362 00:54:02,920 --> 00:54:05,756 MAY GET OVERLY RESTRICTIVE ON 1363 00:54:05,756 --> 00:54:07,591 FOODS THAT WOULD ACTUALLY GET 1364 00:54:07,591 --> 00:54:10,694 CONTRIBUTED AND USED WITHIN OUR 1365 00:54:10,694 --> 00:54:12,696 NUTRIENT-DENSE SOURCE AND SOME 1366 00:54:12,696 --> 00:54:15,299 FOODS ARE SOMEWHAT HIGHER IN 1367 00:54:15,299 --> 00:54:17,034 SODIUM THAT WOULD BE OTHERWISE 1368 00:54:17,034 --> 00:54:18,069 CONSIDERED NUTRIENT DENSE. 1369 00:54:18,069 --> 00:54:21,505 WE WERE GOING TO EVALUATE THE 1370 00:54:21,505 --> 00:54:24,842 SODIUM AS A FACTOR AT THE 1371 00:54:24,842 --> 00:54:26,477 ENDPOINT AND BE ABLE TO 1372 00:54:26,477 --> 00:54:28,045 INTERPRET THAT DATA A LITTLE 1373 00:54:28,045 --> 00:54:31,015 MORE IN TERMS WHAT IMPLICATIONS 1374 00:54:31,015 --> 00:54:33,084 AND ROLE OF SODIUM MAY BE FROM 1375 00:54:33,084 --> 00:54:37,021 THE SIMULATED DIETS. 1376 00:54:37,021 --> 00:54:42,159 WE ARE ALSO LOOKING FOR -- AT 1377 00:54:42,159 --> 00:54:46,297 DIETS OUTSIDE OF THE ADEQUATE 1378 00:54:46,297 --> 00:54:48,165 MACRONUTRIENT DENSITY 1379 00:54:48,165 --> 00:54:50,034 DISTRIBUTION RANGE FOR CARBO 1380 00:54:50,034 --> 00:54:52,536 HYDRATE LIPID CONTENT EVALUATING 1381 00:54:52,536 --> 00:54:54,004 WHICH ONES FALL WITHIN OR 1382 00:54:54,004 --> 00:54:56,507 OUTSIDE OF THE AMDR AND LOOKING 1383 00:54:56,507 --> 00:55:01,612 FOR LESS THAN 10% OF ENERGY 1384 00:55:01,612 --> 00:55:05,950 OUTSIDE OF THE EAR THAT IS A WAY 1385 00:55:05,950 --> 00:55:08,052 FOR US TO EVALUATE WHAT 1386 00:55:08,052 --> 00:55:10,020 PROPORTION OF THE SIMULATED 1387 00:55:10,020 --> 00:55:13,090 DIETS ARE FALLING BELOW THIS 10% 1388 00:55:13,090 --> 00:55:16,293 OF THEM NOT MEETING THESE 1389 00:55:16,293 --> 00:55:19,597 NUTRIENT RECOMMENDATIONS THAT IS 1390 00:55:19,597 --> 00:55:21,699 KIND OF OUR THRESHOLD. 1391 00:55:21,699 --> 00:55:22,967 NEXT SLIDE, PLEASE. 1392 00:55:22,967 --> 00:55:27,605 SO, THIS IS JUST A VISUAL 1393 00:55:27,605 --> 00:55:36,247 DEPICTION OF WORK FROM KATAMAY 1394 00:55:36,247 --> 00:55:39,083 ET AL FROM THOSE THAT USED THIS 1395 00:55:39,083 --> 00:55:40,885 SIMILAR APPROACH. RIGHT-HAND 1396 00:55:40,885 --> 00:55:43,187 SIDE IS THE PRESENTATION OF 1397 00:55:43,187 --> 00:55:46,056 DISTRIBUTION OF FOLATE INTAKES 1398 00:55:46,056 --> 00:55:48,792 FROM SIMULATED DIETS FOR MALES 1399 00:55:48,792 --> 00:55:52,596 OVER 70 YEARS OF AGE AND SEE 1400 00:55:52,596 --> 00:55:54,798 MEDIAN FOLATE INTAKE FROM 1401 00:55:54,798 --> 00:55:58,135 SIMULATED DIET APPROACH IS 461 1402 00:55:58,135 --> 00:55:59,670 MICROGRAMS AND ON THE LEFT-HAND 1403 00:55:59,670 --> 00:56:01,605 SIDE YOU WILL SEE THE INTAKE 1404 00:56:01,605 --> 00:56:04,308 DISTRIBUTION FOR HOW THE EAR IS 1405 00:56:04,308 --> 00:56:07,645 SET OR AVERAGE ESTIMATED 1406 00:56:07,645 --> 00:56:07,978 REQUIREMENT. 1407 00:56:07,978 --> 00:56:10,181 IN THIS CASE, WE CAN SEE THAT 1408 00:56:10,181 --> 00:56:13,017 THE MEDIAN IS HIGHER THAN THE 1409 00:56:13,017 --> 00:56:13,384 EAR. 1410 00:56:13,384 --> 00:56:15,719 AND WHEN YOU LOOK AT THE 1411 00:56:15,719 --> 00:56:19,256 POPULATION DISTRIBUTION OF 1412 00:56:19,256 --> 00:56:23,093 THOSE, ONLY 3.6% OF THE 1413 00:56:23,093 --> 00:56:25,763 SIMULATED DIETS FELL BELOW THE 1414 00:56:25,763 --> 00:56:29,500 EAR AND USING A 10% QUOTE ON 1415 00:56:29,500 --> 00:56:31,235 QUOTE SUCCESS RATE OF ONLY LESS 1416 00:56:31,235 --> 00:56:34,371 THAN 10% OF THE SIMULATED DIETS 1417 00:56:34,371 --> 00:56:36,774 WOULD FALL BELOW THE EAR. WE 1418 00:56:36,774 --> 00:56:39,009 ARE THEN SEEING THE SIMULATED 1419 00:56:39,009 --> 00:56:42,012 DIETS WOULD BE DOING A FAIRLY 1420 00:56:42,012 --> 00:56:45,082 GOOD JOB AT HAVING A NUTRIENT 1421 00:56:45,082 --> 00:56:47,718 DENSITY THAT WOULD MEET 1422 00:56:47,718 --> 00:56:50,821 NUTRITIONAL GOALS. 1423 00:56:50,821 --> 00:56:55,359 NEXT SLIDE, PLEASE. 1424 00:56:55,359 --> 00:56:58,596 SO, AGAIN, JUST TO KIND OF 1425 00:56:58,596 --> 00:57:01,031 SUMMARIZE OUR SIMULATED DIET 1426 00:57:01,031 --> 00:57:03,167 FRAMEWORK THAT IS REALLY LOOKING 1427 00:57:03,167 --> 00:57:06,804 AT THIS IDEA OF CONSTRUCTING 1428 00:57:06,804 --> 00:57:10,674 THESE 507 DAY DIETS ACROSS EACH 1429 00:57:10,674 --> 00:57:12,343 AGE AND SEX GROUP AND REALLY 1430 00:57:12,343 --> 00:57:13,711 LOOKING AT HOW THE DISTRIBUTION 1431 00:57:13,711 --> 00:57:16,347 AND WHAT THE NUTRIENT INTAKES 1432 00:57:16,347 --> 00:57:18,048 ARE ESTIMATED IN NUTRIENT 1433 00:57:18,048 --> 00:57:19,383 INTAKES LOOKING AT THE 1434 00:57:19,383 --> 00:57:22,052 DISTRIBUTION AND EVALUATING 1435 00:57:22,052 --> 00:57:23,520 NUTRITIONAL DISTRIBUTION TO -- 1436 00:57:23,520 --> 00:57:26,223 TO OUR NUTRIENT GOALS. 1437 00:57:26,223 --> 00:57:30,027 WITH THAT, I WOULD LIKE TO TURN 1438 00:57:30,027 --> 00:57:40,537 IT OVER TO MY COLLEAGUE, DR. 1439 00:57:44,074 --> 00:57:46,744 VALARIE BLUE BIRD JERNIGAN. 1440 00:57:46,744 --> 00:57:49,747 >> THANK YOU, CHRIS. SIMULATION 1441 00:57:49,747 --> 00:57:53,017 OF DATA WILL BE CONDUCTED BY 14 1442 00:57:53,017 --> 00:57:55,486 AGE SEX GROUPS AS DESCRIBED IN 1443 00:57:55,486 --> 00:57:56,820 THE PREVIOUS SLIDES. 1444 00:57:56,820 --> 00:57:58,489 HOWEVER, WE KNOW NOT ALL 1445 00:57:58,489 --> 00:58:02,226 POPULATION GROUPS ARE ADEQUATELY 1446 00:58:02,226 --> 00:58:05,829 REPRESENTED IN NHANES DUE TO 1447 00:58:05,829 --> 00:58:07,931 DATA SAMPLING AND WE WILL 1448 00:58:07,931 --> 00:58:10,634 CONDUCT DIET SIMULATION OF FOODS 1449 00:58:10,634 --> 00:58:13,604 AND BEVERAGES CONSUMED BY 1450 00:58:13,604 --> 00:58:15,606 SPECIFIC POPULATION GROUPS 1451 00:58:15,606 --> 00:58:18,008 FEELING IT WILL ENHANCE 1452 00:58:18,008 --> 00:58:20,144 EVALUATION OF DRAFT DIETARY 1453 00:58:20,144 --> 00:58:20,411 PATTERNS. 1454 00:58:20,411 --> 00:58:22,846 THE COMMITTEE WILL LEVERAGE WORK 1455 00:58:22,846 --> 00:58:25,883 UNDERWAY BY USDA'S CENTER FOR 1456 00:58:25,883 --> 00:58:28,552 NUTRITION POLICY AND PROMOTIONS 1457 00:58:28,552 --> 00:58:31,655 NUTRITION EDUCATION AND 1458 00:58:31,655 --> 00:58:33,524 INNOVATION DIVISION TO IDENTIFY 1459 00:58:33,524 --> 00:58:37,027 FOODS AND BEVERAGES THAT ARE 1460 00:58:37,027 --> 00:58:40,564 INTEGRAL TO AND INCLUDED IN THE 1461 00:58:40,564 --> 00:58:43,801 CUISINES OR FOODWAYS OF ABOUT 20 1462 00:58:43,801 --> 00:58:45,536 DIFFERENT POPULATION GROUPS. 1463 00:58:45,536 --> 00:58:48,238 APPLICATION OF THIS WORK TO DIET 1464 00:58:48,238 --> 00:58:50,240 SIMULATIONS TO EVALUATE THE 1465 00:58:50,240 --> 00:58:54,111 PROPOSED DIETARY PATTERNS IS 1466 00:58:54,111 --> 00:58:55,079 UNDER DEVELOPMENT. 1467 00:58:55,079 --> 00:58:57,314 IT WILL BE PILOTED BY THE 1468 00:58:57,314 --> 00:58:59,583 COMMITTEE TO ADVANCE INCLUSION 1469 00:58:59,583 --> 00:59:01,952 OF DIVERSE FOODWAYS IN THE 1470 00:59:01,952 --> 00:59:03,687 DIETARY GUIDELINES PROCESS. 1471 00:59:03,687 --> 00:59:05,756 THE PURPOSE OF THE PILOT TO 1472 00:59:05,756 --> 00:59:07,624 EMPHASIZE IS TO TEST A PROCESS 1473 00:59:07,624 --> 00:59:10,427 TO EVALUATE THE PROPOSED DIETARY 1474 00:59:10,427 --> 00:59:11,929 PATTERNS THAT ARE CONSIDERING 1475 00:59:11,929 --> 00:59:14,231 THE DIETARY PRACTICES AND 1476 00:59:14,231 --> 00:59:15,265 FOODWAYS OF DIFFERENT 1477 00:59:15,265 --> 00:59:19,536 POPULATIONS IN THE US. 1478 00:59:19,536 --> 00:59:29,780 NEXT SLIDE. 1479 00:59:30,614 --> 00:59:36,820 CONDUCTING THIS PILOT, SORRY. 1480 00:59:36,820 --> 00:59:40,157 MY SLIDES ARE -- COMMITTEE 1481 00:59:40,157 --> 00:59:41,992 SELECTED AMERICAN INDIAN AND 1482 00:59:41,992 --> 00:59:44,661 ALASKA NATIVE POPULATIONS FOR 1483 00:59:44,661 --> 00:59:46,330 THE PILOT. 1484 00:59:46,330 --> 00:59:48,665 CONDUCTING THE PILOT IS 1485 00:59:48,665 --> 00:59:50,934 CONSISTENT WITH DIETARY 1486 00:59:50,934 --> 00:59:52,636 GUIDELINES ADVISORY COMMITTEE'S 1487 00:59:52,636 --> 00:59:53,470 COMMITMENT TO INCLUDE 1488 00:59:53,470 --> 00:59:55,439 REPRESENTATION OF FOODS THAT ARE 1489 00:59:55,439 --> 00:59:58,041 CONSUMED BY DIVERSE POPULATIONS 1490 00:59:58,041 --> 01:00:00,144 AND SIMULATION ANALYSIS. 1491 01:00:00,144 --> 01:00:01,712 CONDUCTED TO EVALUATE OUR 1492 01:00:01,712 --> 01:00:03,781 DIETARY PATTERNS. 1493 01:00:03,781 --> 01:00:06,717 THIS SELECTION IS SUPPORTED BY 1494 01:00:06,717 --> 01:00:09,186 PUBLIC INPUT CALLING FOR DIETARY 1495 01:00:09,186 --> 01:00:11,355 GUIDELINES TO BE INCLUSIVE OF 1496 01:00:11,355 --> 01:00:14,224 AMERICAN INDIAN AND ALASKA 1497 01:00:14,224 --> 01:00:16,994 NATIVE POPULATIONS EMPHASIZING 1498 01:00:16,994 --> 01:00:19,797 TRADITIONAL FOODS IN THE DIETARY 1499 01:00:19,797 --> 01:00:21,865 GUIDELINES AND FEDERAL PROGRAMS 1500 01:00:21,865 --> 01:00:24,668 AND THE SELECTION ALSO SUPPORTS 1501 01:00:24,668 --> 01:00:27,171 THE WHITE HOUSE NATIONAL 1502 01:00:27,171 --> 01:00:29,440 STRATEGY ON HUNGER NUTRITION AND 1503 01:00:29,440 --> 01:00:30,874 HEALTH TO SUPPORT FOOD 1504 01:00:30,874 --> 01:00:32,509 SOVEREIGNTY AND IMPROVE ACCESS 1505 01:00:32,509 --> 01:00:35,846 TO TRADITIONAL FOODS ENSURE 1506 01:00:35,846 --> 01:00:38,649 TRIBAL COMMUNITIES ARE EQUITABLY 1507 01:00:38,649 --> 01:00:41,351 SERVED IN FEDERAL PROGRAMS AND 1508 01:00:41,351 --> 01:00:43,654 THE WHITE HOUSE STRATEGY FURTHER 1509 01:00:43,654 --> 01:00:45,489 ACKNOWLEDGES THAT AMERICAN 1510 01:00:45,489 --> 01:00:47,858 INDIANS AND ALASKA NATIVES FACE 1511 01:00:47,858 --> 01:00:50,661 SOME OF THE HIGHEST RATES OF 1512 01:00:50,661 --> 01:00:52,796 DIET-RELATED DISEASE IN THE US. 1513 01:00:52,796 --> 01:00:54,364 YET, POPULATIONS CONTINUE TO 1514 01:00:54,364 --> 01:00:58,035 FACE BARRIERS TO ACCESSING AND 1515 01:00:58,035 --> 01:01:01,238 IMPLEMENTING MANY OF THE FEDERAL 1516 01:01:01,238 --> 01:01:04,675 NUTRITION PROGRAMS. 1517 01:01:04,675 --> 01:01:08,245 NEXT SLIDE. THE WORK UNDERWAY 1518 01:01:08,245 --> 01:01:10,380 FOR THIS PILOT INVOLVES TWO 1519 01:01:10,380 --> 01:01:13,383 EXPERTS WITH PROFESSIONAL LIVED 1520 01:01:13,383 --> 01:01:15,819 EXPERIENCE IN AMERICAN INDIAN 1521 01:01:15,819 --> 01:01:17,321 FOODWAYS AND ONE EXPERT WITH 1522 01:01:17,321 --> 01:01:19,656 EXPERTISE IN ALASKA NATIVE 1523 01:01:19,656 --> 01:01:19,923 FOODWAYS. 1524 01:01:19,923 --> 01:01:23,727 I DO HAVE ADDITIONAL INFORMATION 1525 01:01:23,727 --> 01:01:25,562 ON THE EXPERTISE. 1526 01:01:25,562 --> 01:01:29,466 WITH REGARDS TO THE EXPERT WITH 1527 01:01:29,466 --> 01:01:30,701 PROFESSIONAL AND LIVED 1528 01:01:30,701 --> 01:01:33,303 EXPERIENCE AND AMERICAN-INDIAN 1529 01:01:33,303 --> 01:01:35,506 FOODWAYS FIRST EXPERT IS 1530 01:01:35,506 --> 01:01:37,241 REGISTERED DIETARY NUTRITIONIST 1531 01:01:37,241 --> 01:01:39,042 WITH BS IN NUTRITION AND MASTERS 1532 01:01:39,042 --> 01:01:41,745 IN PUBLIC HEALTH DEGREE AND 1533 01:01:41,745 --> 01:01:46,016 MEMBER OF DENAE AND NAVAJO 1534 01:01:46,016 --> 01:01:48,485 TRADITION AND RUNNING INTO WATER 1535 01:01:48,485 --> 01:01:51,054 CLAN AND BORN FOR THE COYOTE 1536 01:01:51,054 --> 01:01:52,489 PASS PEOPLE AND FOUNDER AND 1537 01:01:52,489 --> 01:01:54,758 OWNER OF NUTRITION EDUCATION 1538 01:01:54,758 --> 01:01:57,094 CONSULTANT COMPANY THAT PROVIDES 1539 01:01:57,094 --> 01:01:59,763 INCLUSIVE AND EVIDENCE-BASED 1540 01:01:59,763 --> 01:02:01,331 NUTRITION AND EDUCATION FOR 1541 01:02:01,331 --> 01:02:04,501 ORGANIZATIONS HONORING 1542 01:02:04,501 --> 01:02:05,502 AMERICAN-INDIAN HERITAGE AND 1543 01:02:05,502 --> 01:02:07,437 SECOND EXPERT WITH PROFESSIONAL 1544 01:02:07,437 --> 01:02:09,172 LIVED EXPERIENCE AND AMERICAN 1545 01:02:09,172 --> 01:02:12,576 INDIAN FOODWAYS HAS A BACHELOR'S 1546 01:02:12,576 --> 01:02:15,312 DEGREE ENVIRONMENTAL ENGINEERING 1547 01:02:15,312 --> 01:02:17,981 AND MASTER'S DEGREE AND WORKS 1548 01:02:17,981 --> 01:02:19,349 WITH MANY NATIVE COMMUNITIES 1549 01:02:19,349 --> 01:02:25,055 THAT IS A MEMBER OF THE BLACK 1550 01:02:25,055 --> 01:02:27,791 FETE AND CHEROKEE TRIBES GROWING 1551 01:02:27,791 --> 01:02:30,861 UP IN NORTHWEST MONTANA. THIS 1552 01:02:30,861 --> 01:02:32,529 INDIVIDUAL IS FOUNDER AND OWNER 1553 01:02:32,529 --> 01:02:36,166 OF AN ONLINE COOKING SHOW 1554 01:02:36,166 --> 01:02:38,335 DEDICATED TO REINDIJ NIEZING 1555 01:02:38,335 --> 01:02:42,072 NATIVE DIETS USING INDIGENOUS 1556 01:02:42,072 --> 01:02:43,840 STORIES AND DIGITAL MEDIA. 1557 01:02:43,840 --> 01:02:45,943 THE EXPERT WITH PROFESSIONAL AND 1558 01:02:45,943 --> 01:02:48,378 LIVED EXPERIENCE AND ALASKA 1559 01:02:48,378 --> 01:02:52,349 NATIVE FOODWAYS HAS AN 1560 01:02:52,349 --> 01:02:54,051 ASSOCIATE'S DEGREE IN 1561 01:02:54,051 --> 01:02:55,485 OCCUPATIONAL STUDIES AND 1562 01:02:55,485 --> 01:02:58,589 CULINARY ARTS, APPLIED SCIENCE, 1563 01:02:58,589 --> 01:03:00,290 RURAL NUTRITION AND 1564 01:03:00,290 --> 01:03:03,260 INTERDISCIPLINARY STUDIES AND IS 1565 01:03:03,260 --> 01:03:10,033 A MEMBER OF THE ADABASKIN 1566 01:03:10,033 --> 01:03:11,735 CULTURAL COMMUNITY BORN IN 1567 01:03:11,735 --> 01:03:17,174 ALASKA AND LIVING IN WISILA 1568 01:03:17,174 --> 01:03:21,712 ALASKA IN LAND OF ADABASKIN 1569 01:03:21,712 --> 01:03:22,779 PEOPLE AND 2350DS THAT THIS 1570 01:03:22,779 --> 01:03:25,549 INDIVIDUAL FOCUSES ON IN ALASKA 1571 01:03:25,549 --> 01:03:27,050 IS QUITE DIVERSE AND THIS 1572 01:03:27,050 --> 01:03:30,053 INDIVIDUAL HAS WORKED IN CAMPS 1573 01:03:30,053 --> 01:03:35,459 IN ALASKA AND ANT-ARCTIC KA AND 1574 01:03:35,459 --> 01:03:38,095 TEACHES SKILLS AND LOCAL FOODS 1575 01:03:38,095 --> 01:03:39,763 TO PREVENT DIABETES. 1576 01:03:39,763 --> 01:03:42,699 EACH EXPERT WILL REVIEW AND 1577 01:03:42,699 --> 01:03:44,901 IDENTIFY FOODS AND BEVERAGES AND 1578 01:03:44,901 --> 01:03:49,706 NATIONAL SURVEY DATA AS INTRICAL 1579 01:03:49,706 --> 01:03:53,844 TO THE CULTURAL CUISINE EATEN 1580 01:03:53,844 --> 01:03:57,981 AND NOT -- AND ARE NEVER 1581 01:03:57,981 --> 01:04:00,584 CONSUMED AS PART OF THE CUISINE 1582 01:04:00,584 --> 01:04:04,488 FOODS IDENTIFIED AS EATEN AND 1583 01:04:04,488 --> 01:04:06,790 NONINTRICAL WILL BE SIMULATED IN 1584 01:04:06,790 --> 01:04:10,360 SAME STEPS OUTLINED IN DR. 1585 01:04:10,360 --> 01:04:13,664 TAYLOR'S PRESENTATION AND 1586 01:04:13,664 --> 01:04:18,068 SIMILAR -- AND FOR ALASKA NATIVE 1587 01:04:18,068 --> 01:04:18,435 POPULATION. 1588 01:04:18,435 --> 01:04:20,637 ENERGY AND NUTRIENT CONTENT OF 1589 01:04:20,637 --> 01:04:23,373 AGGREGATED SIMULATED DIETS FOR 1590 01:04:23,373 --> 01:04:27,110 EACH GROUP WILL BE EVALUATED 1591 01:04:27,110 --> 01:04:28,211 AGAINST NUTRITIONAL GOALS AS 1592 01:04:28,211 --> 01:04:29,913 PRESENTED THAT IS IMPORTANT TO 1593 01:04:29,913 --> 01:04:31,615 ACKNOWLEDGE THAT CONDUCTING THIS 1594 01:04:31,615 --> 01:04:34,251 PILOT DOES NOT INCREASE OR 1595 01:04:34,251 --> 01:04:35,585 ADDRESS REPRESENTATIVENESS OF 1596 01:04:35,585 --> 01:04:37,988 THE DIETARY PATTERNS FOR ALL 1597 01:04:37,988 --> 01:04:39,222 TRIBAL ORGANIZATIONS. 1598 01:04:39,222 --> 01:04:41,091 OR FOR THE MANY DIFFERENT 1599 01:04:41,091 --> 01:04:43,326 POPULATION GROUPS IN THE US. 1600 01:04:43,326 --> 01:04:46,430 IT TESTS A PROCESS TO EXPAND THE 1601 01:04:46,430 --> 01:04:47,564 REPRESENTATIVENESS OF THE 1602 01:04:47,564 --> 01:04:49,900 PROPOSED PATTERNS TO BE MORE 1603 01:04:49,900 --> 01:04:52,002 INCLUSIVE AND REALLY IS A 1604 01:04:52,002 --> 01:04:57,007 STARTING POINT FOR FUTURE WORK. 1605 01:04:57,007 --> 01:04:58,041 AND NEXT SLIDE, PLEASE. 1606 01:04:58,041 --> 01:05:02,813 I WILL TURN IT BACK OVER TO MY 1607 01:05:02,813 --> 01:05:06,516 COLLEAGUE SAMEERA TO FACILITATE 1608 01:05:06,516 --> 01:05:08,919 OUR DISCUSSION. 1609 01:05:08,919 --> 01:05:13,190 THANK YOU. 1610 01:05:13,190 --> 01:05:16,526 >> THANK YOU. ANY QUESTIONS 1611 01:05:16,526 --> 01:05:18,028 REGARDING WHAT WAS PRESENTED 1612 01:05:18,028 --> 01:05:22,099 REGARDING THE HEALTH EQUITY 1613 01:05:22,099 --> 01:05:32,509 WORKING GROUP UPDATE? 1614 01:05:37,714 --> 01:05:40,383 >> CONGRATULATIONS. THIS IS 1615 01:05:40,383 --> 01:05:42,919 JUST SUCH AN AMAZING DEVELOPMENT 1616 01:05:42,919 --> 01:05:46,757 THAT I CAN'T IMAGINE 3500 DAYS. 1617 01:05:46,757 --> 01:05:52,329 I CAN'T IMAGINE 500 SIMULATIONS 1618 01:05:52,329 --> 01:05:55,665 FOR SEVEN DAYS. 1619 01:05:55,665 --> 01:05:57,934 VALARIE, IT WAS WONDERFUL TO 1620 01:05:57,934 --> 01:05:59,336 HEAR YOUR NEWS AND YOUR 1621 01:05:59,336 --> 01:06:00,303 PRESENTATION AND REALLY LOOK 1622 01:06:00,303 --> 01:06:03,473 FORWARD TO SEEING HOW THIS 1623 01:06:03,473 --> 01:06:03,740 EVOLVES. 1624 01:06:03,740 --> 01:06:05,008 THANK YOU AND THANK YOU TO 1625 01:06:05,008 --> 01:06:06,409 EVERYBODY INVOLVED IN THIS. I 1626 01:06:06,409 --> 01:06:08,645 THINK INTEGRATION OF THE HEALTH 1627 01:06:08,645 --> 01:06:12,048 EQUITY WORKING GROUP AND THE 1628 01:06:12,048 --> 01:06:12,616 SUB-COMMITTEE THROUGH THE 1629 01:06:12,616 --> 01:06:15,652 PATTERN MODELING AND ALL OF THE 1630 01:06:15,652 --> 01:06:17,554 FEDERAL STAFF PARTNERSHIP REALLY 1631 01:06:17,554 --> 01:06:19,656 HAS COME TOGETHER IN THIS REALLY 1632 01:06:19,656 --> 01:06:22,726 EXCITING PRESENTATION. 1633 01:06:22,726 --> 01:06:32,936 THANK YOU. 1634 01:06:37,207 --> 01:06:40,577 >> ANY OTHER QUESTIONS OR 1635 01:06:40,577 --> 01:06:43,013 COMMENTS FROM THE COMMITTEE? I 1636 01:06:43,013 --> 01:06:45,448 KNOW WE ARE ALL BLOWN AWAY BY 1637 01:06:45,448 --> 01:06:47,484 THAT PRESENTATION THAT WAS 1638 01:06:47,484 --> 01:06:49,753 FABULOUS. UH-HUH. YEAH. GO 1639 01:06:49,753 --> 01:06:50,854 AHEAD, TERESA. 1640 01:06:50,854 --> 01:06:52,489 >> WHEN DO YOU EXPECT TO HAVE 1641 01:06:52,489 --> 01:06:56,426 THE RESULTS FOR THE SIMULATIONS 1642 01:06:56,426 --> 01:06:58,595 AND ALSO THE NATIVE AMERICAN 1643 01:06:58,595 --> 01:07:00,130 EXPERT? WOULD IT BE READY BY 1644 01:07:00,130 --> 01:07:03,333 THE NEXT PUBLIC MEETING THAT WE 1645 01:07:03,333 --> 01:07:06,102 CAN HEAR ABOUT IT? 1646 01:07:06,102 --> 01:07:08,171 >> I WILL FIELD THAT. WITH THIS 1647 01:07:08,171 --> 01:07:12,042 BEING THE LAST STEP IN OUR 1648 01:07:12,042 --> 01:07:14,811 PROCESS, GETTING THAT FAR INTO 1649 01:07:14,811 --> 01:07:16,680 THE GRAPHIC WE WILL HAVE TO 1650 01:07:16,680 --> 01:07:18,114 CONDUCT WORK FROM INITIAL 1651 01:07:18,114 --> 01:07:20,884 PROTOCOLS FROM THE LAST MEETING 1652 01:07:20,884 --> 01:07:23,920 NUTRIENT DENSITY THAT WILL 1653 01:07:23,920 --> 01:07:28,525 PRESENT AND THE POPULATION 1654 01:07:28,525 --> 01:07:28,959 ANALYSIS. 1655 01:07:28,959 --> 01:07:30,827 THEN FROM THERE, WE WILL DO ALL 1656 01:07:30,827 --> 01:07:34,397 OF THE FOOD GROUPS AND THEN LOOK 1657 01:07:34,397 --> 01:07:36,700 AT THE CALORIES FOR ADDITIONAL 1658 01:07:36,700 --> 01:07:38,768 USES AND THEN THE DIET 1659 01:07:38,768 --> 01:07:40,837 SIMULATIONS WILL FOLLOW AT THE 1660 01:07:40,837 --> 01:07:42,572 END AND WILL BE OUR LAST STEP 1661 01:07:42,572 --> 01:07:44,407 AFTER WE CONDUCTED ALL OF THE 1662 01:07:44,407 --> 01:07:45,642 OTHER WORK TO THAT POINT. 1663 01:07:45,642 --> 01:07:47,444 WHEN WE GET TO THE FINAL STATE 1664 01:07:47,444 --> 01:07:50,714 OF THIS IS WHAT OUR PROPOSED 1665 01:07:50,714 --> 01:07:51,748 DIETARY PATTERNS WILL BE, FROM 1666 01:07:51,748 --> 01:07:54,818 THAT, WE WILL ACTUALLY DO THE 1667 01:07:54,818 --> 01:07:56,086 SIMULATION ANALYSIS THAT IS THAT 1668 01:07:56,086 --> 01:07:59,322 THIS IS KIND OF THE -- THIS IS 1669 01:07:59,322 --> 01:08:02,626 THE CART. THEN WE WILL PRESENT 1670 01:08:02,626 --> 01:08:03,560 THE HORSE. 1671 01:08:03,560 --> 01:08:08,965 >> THANK YOU. GO AHEAD, DR. 1672 01:08:08,965 --> 01:08:09,232 GARDNER. 1673 01:08:09,232 --> 01:08:11,835 >> THAT WAS AMAZING. I LOVE 1674 01:08:11,835 --> 01:08:13,603 LISTENING TO THIS AND TRYING TO 1675 01:08:13,603 --> 01:08:15,071 PICTURE THIS ALGORITHM I DON'T 1676 01:08:15,071 --> 01:08:16,806 KNOW IF YOU CAN DESCRIBE THIS. 1677 01:08:16,806 --> 01:08:18,742 YOU SAID THERE WAS A LOWER 1678 01:08:18,742 --> 01:08:20,810 PROBABILITY INCLUDING FOODS 1679 01:08:20,810 --> 01:08:24,047 HIGHER IN SATURATED FAT OR ADDED 1680 01:08:24,047 --> 01:08:25,882 SUGARS CAN YOU DIAL IT DOWN 1681 01:08:25,882 --> 01:08:27,684 LOWER IS CONTINUOUS AND HOW DO 1682 01:08:27,684 --> 01:08:29,152 YOU DRAW THE LINE BETWEEN LOWER 1683 01:08:29,152 --> 01:08:32,289 AND LOWEST AND REALLY LOWER AND 1684 01:08:32,289 --> 01:08:34,057 MAYBE JUST A LITTLE BIT LOWER? 1685 01:08:34,057 --> 01:08:36,459 >> YEAH. THAT IS A QUESTION 1686 01:08:36,459 --> 01:08:37,761 THAT WE HAVE BEEN GRAPPLING 1687 01:08:37,761 --> 01:08:41,197 WITH. WE WANTED TO HAVE THE 1688 01:08:41,197 --> 01:08:43,600 DEFINITION OF THE NUTRIENT DENSE 1689 01:08:43,600 --> 01:08:45,468 A LITTLE BIT MORE STANDARDIZED 1690 01:08:45,468 --> 01:08:47,103 AND GET TO THIS AND TO BE ABLE 1691 01:08:47,103 --> 01:08:48,905 TO LOOK AT THE DATA AND SEE WHAT 1692 01:08:48,905 --> 01:08:52,342 WE HAVE. WE DON'T HAVE A 1693 01:08:52,342 --> 01:08:54,477 DEFINITIVE LEVEL OF WHAT THAT 1694 01:08:54,477 --> 01:08:56,146 PROPORTIONALITY LOOKED LIKE JUST 1695 01:08:56,146 --> 01:08:56,346 YET. 1696 01:08:56,346 --> 01:08:58,048 BECAUSE ESPECIALLY STEPPING INTO 1697 01:08:58,048 --> 01:08:59,883 THIS NEW REALM, YOU KIND OF 1698 01:08:59,883 --> 01:09:01,484 DON'T KNOW WHAT YOU WILL GET. 1699 01:09:01,484 --> 01:09:04,587 AND THAT IS WHY IT IS -- IT IS 1700 01:09:04,587 --> 01:09:06,122 EXCITING AND TERRIFYING ALL IN 1701 01:09:06,122 --> 01:09:08,058 THE SAME TIME AND IT IS SO NEW 1702 01:09:08,058 --> 01:09:10,193 AND SO INNOVATIVE WITH WHAT WE 1703 01:09:10,193 --> 01:09:13,229 CAN DO AS A NEXT STEP TO REALLY 1704 01:09:13,229 --> 01:09:15,265 TEST IT. 1705 01:09:15,265 --> 01:09:18,068 ESPECIALLY ACROSS A VARIETY OF 1706 01:09:18,068 --> 01:09:21,438 FOOD SELECTIONS AND AS DR. 1707 01:09:21,438 --> 01:09:24,107 HOOVER INDICATED THAT IT REALLY 1708 01:09:24,107 --> 01:09:26,409 GIVES US SUCH A GREATER EXPANSE 1709 01:09:26,409 --> 01:09:28,211 TO LOOK AT PARTICULAR FOODWAYS 1710 01:09:28,211 --> 01:09:30,113 THAT YOU CAN SET PARAMETERS AND 1711 01:09:30,113 --> 01:09:34,584 IS A REALLY EXCITING NEXT STEP. 1712 01:09:34,584 --> 01:09:36,553 THAT IS WHY IT IS NESTED IN THE 1713 01:09:36,553 --> 01:09:38,254 HEALTH EQUITY PRESENTATION THAT 1714 01:09:38,254 --> 01:09:40,123 WE ARE ABLE IT LOOK AT THIS FROM 1715 01:09:40,123 --> 01:09:41,958 A POPULATION PERSPECTIVE AND 1716 01:09:41,958 --> 01:09:45,628 NEXT STEP REALLY ALLOWS US TO 1717 01:09:45,628 --> 01:09:47,964 TWEAK KNOBS ON PARAMETERS HOW 1718 01:09:47,964 --> 01:09:49,933 MUCH AND WHAT ARE IMPLICATIONS 1719 01:09:49,933 --> 01:09:52,068 OF THOSE AND HOW DOES THAT WORK 1720 01:09:52,068 --> 01:09:53,403 WITHIN DIFFERENT POPULATIONS? 1721 01:09:53,403 --> 01:09:57,674 IT IS REALLY EXCITING. 1722 01:09:57,674 --> 01:10:01,811 >> GREAT DISCUSSION. GO AHEAD, 1723 01:10:01,811 --> 01:10:02,045 DEANNA. 1724 01:10:02,045 --> 01:10:05,782 >> HI. EXCELLENT WORK. SO, 1725 01:10:05,782 --> 01:10:07,417 JUST A REAL QUICK QUESTION THAT 1726 01:10:07,417 --> 01:10:09,652 I KNOW THAT WE SAID IT BEFORE AT 1727 01:10:09,652 --> 01:10:11,054 A PREVIOUS MEETING. 1728 01:10:11,054 --> 01:10:13,189 I KNOW THAT THIS IS GOING TO BE 1729 01:10:13,189 --> 01:10:16,292 DONE BY LIFE STAGES AS WELL; 1730 01:10:16,292 --> 01:10:17,160 RIGHT? 1731 01:10:17,160 --> 01:10:21,031 COULD YOU JUST GIVE A FEW -- A 1732 01:10:21,031 --> 01:10:22,365 PREVIEW WHAT THOSE LIFE STAGES 1733 01:10:22,365 --> 01:10:23,233 WILL BE LIKE? 1734 01:10:23,233 --> 01:10:28,004 I THINK THAT IS AN EXCITING PART 1735 01:10:28,004 --> 01:10:28,204 TOO. 1736 01:10:28,204 --> 01:10:30,874 >> YEAH. LIFE STAGES WILL MIMIC 1737 01:10:30,874 --> 01:10:33,076 ALL OF THE WORK OR GROUPINGS 1738 01:10:33,076 --> 01:10:35,045 THAT WE HAVE USED WITHIN ALL OF 1739 01:10:35,045 --> 01:10:38,448 THE OTHER FOOD PATTERN MODELING 1740 01:10:38,448 --> 01:10:38,982 STEPS. 1741 01:10:38,982 --> 01:10:40,917 SO, IT WILL FOLLOW MUCH THAT 1742 01:10:40,917 --> 01:10:43,486 SAME -- IT WILL FOLLOW THAT SAME 1743 01:10:43,486 --> 01:10:45,088 PATTERN AND WHY WE WILL BE ABLE 1744 01:10:45,088 --> 01:10:47,791 TO DO IT FOR ALL AGE 6 GROUPS WE 1745 01:10:47,791 --> 01:10:51,494 USE IN FOOD PATTERN MODELING, WE 1746 01:10:51,494 --> 01:10:54,064 WILL BE ABLE TO TEST THEM AT 1747 01:10:54,064 --> 01:10:56,132 CALORIE LEVELS ALL THE WAY 1748 01:10:56,132 --> 01:10:56,499 FORWARD. 1749 01:10:56,499 --> 01:10:59,002 IT WILL GIVE US NOT ONLY THAT 1750 01:10:59,002 --> 01:11:00,470 POPULATION LOOK BUT POPULATION 1751 01:11:00,470 --> 01:11:03,173 LOOK BASED ON EACH OF THE AGE 1752 01:11:03,173 --> 01:11:12,315 SEX GROUPS AS WE CARRY FORWARD. 1753 01:11:12,315 --> 01:11:16,219 >> ANY OTHER QUESTIONS OR 1754 01:11:16,219 --> 01:11:22,759 COMMENTS FROM THE COMMITTEE? 1755 01:11:22,759 --> 01:11:26,463 THANK YOU SO MUCH FOR THAT 1756 01:11:26,463 --> 01:11:28,498 REALLY RICH PRESENTATION AND 1757 01:11:28,498 --> 01:11:30,834 DISCUSSION. NOW WE WILL 1758 01:11:30,834 --> 01:11:33,837 TRANSITION TO THE NEXT GROUP 1759 01:11:33,837 --> 01:11:35,872 THAT WE WILL PRESENT ON FOOD 1760 01:11:35,872 --> 01:11:40,310 PATTERN MODELING AND DATA 1761 01:11:40,310 --> 01:11:44,447 ANALYSIS. THIS WORK IS LED BY 1762 01:11:44,447 --> 01:11:47,784 CHRIS TAYLOR AND HEATHER 1763 01:11:47,784 --> 01:11:50,720 EICHER-MILLER. YOU MAY PROCEED, 1764 01:11:50,720 --> 01:11:51,488 DR. MILLER. 1765 01:11:51,488 --> 01:11:54,290 >> THANK YOU SO MUCH, JANET. 1766 01:11:54,290 --> 01:11:55,492 LET'S GET GOING. 1767 01:11:55,492 --> 01:11:57,360 I'M PLEASED TO BE ABLE TO 1768 01:11:57,360 --> 01:12:01,131 PRESENT ABOUT DATA ANALYSIS 1769 01:12:01,131 --> 01:12:01,464 TODAY. 1770 01:12:01,464 --> 01:12:03,133 NEXT SLIDE, PLEASE. 1771 01:12:03,133 --> 01:12:05,835 SO, WITHIN THIS TALK, I WILL 1772 01:12:05,835 --> 01:12:07,437 FIRST KIND OF UPDATE WHERE -- 1773 01:12:07,437 --> 01:12:08,972 WHAT WE HAVE DONE AND WHERE WE 1774 01:12:08,972 --> 01:12:11,608 ARE IN THE PROCESS OF DATA 1775 01:12:11,608 --> 01:12:12,008 ANALYSIS. 1776 01:12:12,008 --> 01:12:15,445 THEN I WILL FOCUS A LITTLE BIT 1777 01:12:15,445 --> 01:12:17,080 MORE ON SOME SPECIAL WORK THAT 1778 01:12:17,080 --> 01:12:19,149 WE HAVE DONE TO COMPLETE AN 1779 01:12:19,149 --> 01:12:21,885 EVIDENCE SCAN ON DIETARY INTAKES 1780 01:12:21,885 --> 01:12:25,021 IN THE UNITED STATES FROM MARCH 1781 01:12:25,021 --> 01:12:27,223 OF 2020 THROUGH DECEMBER OF 2022 1782 01:12:27,223 --> 01:12:31,261 THAT WILL COVER THE COVID-19 1783 01:12:31,261 --> 01:12:31,861 PANDEMIC. 1784 01:12:31,861 --> 01:12:33,296 THEN I WILL CLOSE WITH 1785 01:12:33,296 --> 01:12:38,168 DESCRIBING THE NEXT STEPS AND A 1786 01:12:38,168 --> 01:12:38,501 DISCUSSION. 1787 01:12:38,501 --> 01:12:40,770 NEXT SLIDE, PLEASE. 1788 01:12:40,770 --> 01:12:44,140 FIRST, I JUST LIKE TO GIVE KUDOS 1789 01:12:44,140 --> 01:12:45,975 AND THANKS TO OUR WONDERFUL TEAM 1790 01:12:45,975 --> 01:12:48,044 THAT HAS BEEN SUPPORTING US WITH 1791 01:12:48,044 --> 01:12:53,383 DATA ANALYSIS THAT IS LED BY 1792 01:12:53,383 --> 01:12:56,553 DEANNA DE-SILVA AND COLLEEN 1793 01:12:56,553 --> 01:12:58,288 CRUZ. THANKS SO MUCH AND 1794 01:12:58,288 --> 01:13:00,523 WONDERFUL STAFF FROM OFFICE OF 1795 01:13:00,523 --> 01:13:01,824 DISEASE PREVENTION AND HEALTH 1796 01:13:01,824 --> 01:13:04,060 PROMOTION AND CENTER FOR 1797 01:13:04,060 --> 01:13:05,595 NUTRITION POLICY AND PROMOTION. 1798 01:13:05,595 --> 01:13:08,398 FINALLY, I WANT TO THANK SO MUCH 1799 01:13:08,398 --> 01:13:11,701 OUR COLLABORATORS IN MANY 1800 01:13:11,701 --> 01:13:13,069 DIFFERENT FEDERAL AGENCIES THAT 1801 01:13:13,069 --> 01:13:16,539 ARE SUPPORTING THE WORK ON 1802 01:13:16,539 --> 01:13:18,841 COMPLETING THE DATA ANALYSIS FOR 1803 01:13:18,841 --> 01:13:20,910 US. THEY ARE ALL LISTED THERE 1804 01:13:20,910 --> 01:13:22,712 AND THANKS TO THEM FOR THE TIME 1805 01:13:22,712 --> 01:13:24,948 AND EFFORT IN PREPARING THE 1806 01:13:24,948 --> 01:13:25,848 ANALYSIS FOR US. 1807 01:13:25,848 --> 01:13:27,116 NEXT SLIDE. 1808 01:13:27,116 --> 01:13:29,786 SO, FIRST, I JUST WANT TO KIND 1809 01:13:29,786 --> 01:13:31,187 OF GROUND EVERYONE AND REMIND 1810 01:13:31,187 --> 01:13:34,123 YOU THAT IN DATA ANALYSIS, THIS 1811 01:13:34,123 --> 01:13:38,061 IS ONE OF THE THREE APPROACHES 1812 01:13:38,061 --> 01:13:41,097 THAT IS SUPPORTING AND INFORMING 1813 01:13:41,097 --> 01:13:43,600 UPDATES TO THE GUIDELINES. 1814 01:13:43,600 --> 01:13:47,570 WITH DATA ANALYSIS, THE GOAL IS 1815 01:13:47,570 --> 01:13:50,773 TO HELP US MAKE THE GUIDELINES 1816 01:13:50,773 --> 01:13:52,842 PRACTICAL BY INFORMING US ON 1817 01:13:52,842 --> 01:13:57,013 CURRENT DIETARY INTAKES IN THE U 1818 01:13:57,013 --> 01:14:00,450 SCH 1819 01:14:00,450 --> 01:14:00,617 US. 1820 01:14:00,617 --> 01:14:03,553 WE HAVE TO KNOW WHERE WE ARE 1821 01:14:03,553 --> 01:14:05,421 STARTING FROM TO INFORM WHAT 1822 01:14:05,421 --> 01:14:08,458 GUIDELINES SHOULD BE SET. THAT 1823 01:14:08,458 --> 01:14:10,560 IS -- PART OF THAT ALSO WE WANT 1824 01:14:10,560 --> 01:14:12,962 TO UNDERSTAND WHAT DIET RELATED 1825 01:14:12,962 --> 01:14:17,133 COLONIC DISEASES ARE IN THE US 1826 01:14:17,133 --> 01:14:19,636 THESE ARE TWO MAIN GOALS IN THE 1827 01:14:19,636 --> 01:14:23,406 PROCESS AND AS WE START THAT ONE 1828 01:14:23,406 --> 01:14:29,279 THING WE NEED TO DO IS SPECIFY 1829 01:14:29,279 --> 01:14:32,548 AND PLAN OUT WHAT LOOKING AT 1830 01:14:32,548 --> 01:14:34,083 OVERALL POPULATION IS OF COURSE 1831 01:14:34,083 --> 01:14:36,419 AND SPECIFYING WHAT OTHER 1832 01:14:36,419 --> 01:14:37,854 DEMOGRAPHIC GROUPS WE WANT TO 1833 01:14:37,854 --> 01:14:39,889 LOOK AT WITHIN THE OVERALL 1834 01:14:39,889 --> 01:14:43,660 POPULATION AND WE HAVE MADE 1835 01:14:43,660 --> 01:14:45,728 PROGRESS THERE AS WELL AS 1836 01:14:45,728 --> 01:14:48,164 DISCUSSING THOSE GROUPS WITH 1837 01:14:48,164 --> 01:14:50,600 HEALTH EQUITY WORKING GROUP TO 1838 01:14:50,600 --> 01:14:53,670 MAKE SURE THAT WE ARE 1839 01:14:53,670 --> 01:14:57,707 PRIORITIZING HEALTH EQUITY IN 1840 01:14:57,707 --> 01:14:59,609 THIS WORK AND MOVING FORWARD I 1841 01:14:59,609 --> 01:15:02,979 WILL UP DATE YOU ON THAT FIRST 1842 01:15:02,979 --> 01:15:07,183 AND ALSO WILL DISCUSS PROGRESS 1843 01:15:07,183 --> 01:15:10,553 OF THE ANALYSIS. 1844 01:15:10,553 --> 01:15:13,456 THEN THAT IS THE MAIN THINGS WE 1845 01:15:13,456 --> 01:15:17,026 ARE WORKING ON AND IF I DIDN'T 1846 01:15:17,026 --> 01:15:18,328 REMISS THE PANDEMIC IN THE ROOM 1847 01:15:18,328 --> 01:15:20,263 THAT IS UNDERSTANDING, YOU KNOW, 1848 01:15:20,263 --> 01:15:22,799 SINCE THE LAST GUIDELINES WERE 1849 01:15:22,799 --> 01:15:27,203 SET AND WE -- THAT TIME PERIOD 1850 01:15:27,203 --> 01:15:32,709 COVERED THE COVID-19 PANDEMIC A 1851 01:15:32,709 --> 01:15:34,243 BIG DISRUPTION TO DIETARY INTAKE 1852 01:15:34,243 --> 01:15:36,446 AND MONITORING OF THAT IN THE 1853 01:15:36,446 --> 01:15:36,946 US. 1854 01:15:36,946 --> 01:15:40,283 SO, WE WANTED TO TRY TO ADDRESS 1855 01:15:40,283 --> 01:15:41,918 THAT AND TRY TO UNDERSTAND WHAT 1856 01:15:41,918 --> 01:15:44,420 COULD BE GOING ON WITH DIE 1857 01:15:44,420 --> 01:15:47,523 INTAKES WITHIN THE US DURING 1858 01:15:47,523 --> 01:15:49,225 THAT TIME COMPLETING AN EVIDENCE 1859 01:15:49,225 --> 01:15:53,062 SCAN. I WILL FOCUS A LITTLE BIT 1860 01:15:53,062 --> 01:15:55,098 MORE ON THE RESULTS OF THAT IN 1861 01:15:55,098 --> 01:15:56,366 THIS PRESENTATION TODAY. 1862 01:15:56,366 --> 01:15:58,701 I KNOW WE MENTIONED THIS IN SOME 1863 01:15:58,701 --> 01:16:00,303 OF OUR EARLIER MEETINGS. 1864 01:16:00,303 --> 01:16:02,772 NOW WE HAVE A MORE FULL PICTURE 1865 01:16:02,772 --> 01:16:04,173 TO PROVIDE TO YOU. 1866 01:16:04,173 --> 01:16:09,912 SO, MOVING FORWARD, FIRST, IN 1867 01:16:09,912 --> 01:16:12,515 THE NEXT SLIDE, I WANT TO REMIND 1868 01:16:12,515 --> 01:16:15,785 EVERYONE OF THE WORK AND 1869 01:16:15,785 --> 01:16:17,553 PROGRESS THAT WE HAVE DONE 1870 01:16:17,553 --> 01:16:19,689 TOWARDS OUR MAIN GOAL OF 1871 01:16:19,689 --> 01:16:21,858 UNDERSTANDING CURRENT NUTRIENT 1872 01:16:21,858 --> 01:16:23,426 INTAKES. 1873 01:16:23,426 --> 01:16:25,395 THAT IS WITH REGARD TO 1874 01:16:25,395 --> 01:16:27,597 SPECIFYING THESE ADDITIONAL 1875 01:16:27,597 --> 01:16:29,699 DEMOGRAPHICS THAT WILL STRATIFY 1876 01:16:29,699 --> 01:16:35,538 OUR ANALYSIS BY AS WE -- AS WE 1877 01:16:35,538 --> 01:16:38,474 LOOK AT WHAT KIND OF DIETARY 1878 01:16:38,474 --> 01:16:40,309 PATTERNS AND INTAKES THERE ARE 1879 01:16:40,309 --> 01:16:42,044 WITHIN THE US. 1880 01:16:42,044 --> 01:16:44,213 WE WILL CONTINUE TO CARRY 1881 01:16:44,213 --> 01:16:47,550 FORWARD ANALYSIS THAT THE 20205 1882 01:16:47,550 --> 01:16:54,023 COMMITTEE DID BY FOCUSING ON -- 1883 01:16:54,023 --> 01:16:56,926 ON GROUPS IN US POPULATION BY 1884 01:16:56,926 --> 01:17:01,564 SEX, RACE, AND/OR ETHNICITY AND 1885 01:17:01,564 --> 01:17:02,231 BY SOCIOECONOMIC POSITION THAT 1886 01:17:02,231 --> 01:17:05,101 COULD INCLUDE EXAMPLES BY FAMILY 1887 01:17:05,101 --> 01:17:06,836 INCOME AND POVERTY INCOME RATIO 1888 01:17:06,836 --> 01:17:08,404 AND EDUCATION. 1889 01:17:08,404 --> 01:17:11,274 THEN AT AGE GROUPS AND LIFE 1890 01:17:11,274 --> 01:17:13,976 STAGES WITHIN THE POPULATION. 1891 01:17:13,976 --> 01:17:17,180 THEN AFTER WORKING WITH THE 1892 01:17:17,180 --> 01:17:18,981 HEALTH EQUITY WORK GROUP, WE 1893 01:17:18,981 --> 01:17:21,918 HAVE PRIORITIZED SOME ADDITIONAL 1894 01:17:21,918 --> 01:17:25,221 DEMOGRAPHICS TO LOOK AT INTAKES 1895 01:17:25,221 --> 01:17:25,922 BY. 1896 01:17:25,922 --> 01:17:28,090 THOSE INCLUDE FOOD SECURITY 1897 01:17:28,090 --> 01:17:31,160 CATEGORY AT THE HOUSEHOLD LEVEL. 1898 01:17:31,160 --> 01:17:33,129 RECEIPT OF HOUSEHOLD FOOD 1899 01:17:33,129 --> 01:17:34,630 BENEFITS FROM SUPPLEMENTAL NUT 1900 01:17:34,630 --> 01:17:36,332 TRIGS ASSISTANCE PROGRAM AND 1901 01:17:36,332 --> 01:17:38,434 SOMETIMES THAT IS REFERRED TO AS 1902 01:17:38,434 --> 01:17:43,005 THE FOOD STAMP PROGRAM AND ALSO 1903 01:17:43,005 --> 01:17:46,142 BENEFITS FROM THE CHILD FOCUSED 1904 01:17:46,142 --> 01:17:47,877 WICK PROGRAM. 1905 01:17:47,877 --> 01:17:49,879 SO, WE HAVE ALREADY BEEN ABLE TO 1906 01:17:49,879 --> 01:17:52,715 TAKE A LOOK AT SOME OF THE 1907 01:17:52,715 --> 01:17:55,918 PRIORITIZED DEMOGRAPHICS AND 1908 01:17:55,918 --> 01:17:57,954 DETERMINE THAT THERE LIKELY WILL 1909 01:17:57,954 --> 01:18:02,024 BE ENOUGH SAMPLE SIZE TO DO 1910 01:18:02,024 --> 01:18:04,594 ANALYSIS ON THESE GROUPS. 1911 01:18:04,594 --> 01:18:06,729 WE ARE -- YOU KNOW, AS WE 1912 01:18:06,729 --> 01:18:09,198 CONTINUE, WE MAY KIND OF REFINE 1913 01:18:09,198 --> 01:18:12,134 THESE A LITTLE BIT FURTHER. 1914 01:18:12,134 --> 01:18:15,738 NEXT SLIDE. 1915 01:18:15,738 --> 01:18:17,940 SO, AFTER THAT PROCESS, THE NEXT 1916 01:18:17,940 --> 01:18:19,675 THING WE DID WAS TO SUBMIT ALL 1917 01:18:19,675 --> 01:18:23,145 OF THE REQUESTS FOR ANALYSIS OUT 1918 01:18:23,145 --> 01:18:25,915 TO OUR INTERAGENCY COLLABORATORS 1919 01:18:25,915 --> 01:18:27,383 DOING ANALYSIS FOR US. 1920 01:18:27,383 --> 01:18:31,821 I WANTED TO REMIND EVERYONE JUST 1921 01:18:31,821 --> 01:18:34,290 THE BREADTH OF WHAT THAT 1922 01:18:34,290 --> 01:18:36,292 ANALYSIS INCLUDES THAT IS GOING 1923 01:18:36,292 --> 01:18:39,061 TO LOOK AT CURRENT PATTERNS OF 1924 01:18:39,061 --> 01:18:41,497 FOOD AND BEVERAGE CONSUMPTION 1925 01:18:41,497 --> 01:18:44,534 OVERALL IN THE TOTAL DIET. AN 1926 01:18:44,534 --> 01:18:47,370 EXAMPLE OF THAT WOULD BE 1927 01:18:47,370 --> 01:18:49,639 DETERMINING THE HEALTHY EATING 1928 01:18:49,639 --> 01:18:51,307 INDEX SCORES THAT ARE METRICS 1929 01:18:51,307 --> 01:18:54,877 THAT WE CAN APPLY TO BETTER 1930 01:18:54,877 --> 01:18:57,213 UNDERSTAND HOW DIETS ARE 1931 01:18:57,213 --> 01:18:58,848 ALIGNING WITH THE DIETARY 1932 01:18:58,848 --> 01:19:00,750 GUIDELINES FOR AMERICANS. 1933 01:19:00,750 --> 01:19:03,286 WE ALSO WILL HAVE REQUESTED 1934 01:19:03,286 --> 01:19:06,589 CURRENT INTAKES OF FOOD GROUPS 1935 01:19:06,589 --> 01:19:11,093 AND A HUGE PANEL OF NUTRIENTS. 1936 01:19:11,093 --> 01:19:13,162 THEN TO DIG IN DEEPER HERE, WE 1937 01:19:13,162 --> 01:19:16,065 ARE ESPECIALLY INTERESTED IN 1938 01:19:16,065 --> 01:19:18,768 NEWT TREENTS OF PUBLIC HEALTH 1939 01:19:18,768 --> 01:19:19,201 CONCERN. 1940 01:19:19,201 --> 01:19:22,905 SOME ANALYSIS WILL INCLUDE 1941 01:19:22,905 --> 01:19:33,349 LOOKING AT -- TO PUT THIS 1942 01:19:35,751 --> 01:19:37,653 DIETARY INTAKE INFORMATION INTO 1943 01:19:37,653 --> 01:19:44,393 A BIGGER CONTEXT OF THE 1944 01:19:44,393 --> 01:19:46,729 RELATIONSHIPS TOGETHER TO HEALTH 1945 01:19:46,729 --> 01:19:49,632 REQUESTING ANALYSIS PREVALENCE 1946 01:19:49,632 --> 01:19:53,035 NUTRITION RELATED CHRONIC HEALTH 1947 01:19:53,035 --> 01:19:54,136 CONDITIONS THAT WILL INCLUDE 1948 01:19:54,136 --> 01:19:58,140 SOME MAJOR CONDITIONS IN THE US 1949 01:19:58,140 --> 01:20:04,547 AND OBESITY AND DIABETES AND 1950 01:20:04,547 --> 01:20:05,548 CARDIOVASCULAR DISEASE, ET 1951 01:20:05,548 --> 01:20:05,915 CETERA. 1952 01:20:05,915 --> 01:20:08,484 THESE REQUESTS ARE OUT AS I 1953 01:20:08,484 --> 01:20:10,720 MENTIONED. THE WORK IS UNDERWAY 1954 01:20:10,720 --> 01:20:12,755 AND WE HAVE BEEN ABLE ALREADY TO 1955 01:20:12,755 --> 01:20:15,157 COLLECT AND ARE -- YOU KNOW, ARE 1956 01:20:15,157 --> 01:20:17,026 CONTINUING TO DO THAT, THE 1957 01:20:17,026 --> 01:20:18,728 RESULTS OF THE ANALYSIS. 1958 01:20:18,728 --> 01:20:20,196 WE HAVE MANY OF THEM. THERE ARE 1959 01:20:20,196 --> 01:20:24,066 MANY MORE TO STILL COME IN. 1960 01:20:24,066 --> 01:20:28,704 WE WON'T SHARE THOSE SUMMARIES 1961 01:20:28,704 --> 01:20:31,107 OR SYNTHESIS UNTIL WE HAVE THEM 1962 01:20:31,107 --> 01:20:32,308 AS A COMPLETE SET. 1963 01:20:32,308 --> 01:20:35,111 WE CAN REALLY CONTEXTUALIZE ALL 1964 01:20:35,111 --> 01:20:36,946 OF THOSE RESULTS TOGETHER. 1965 01:20:36,946 --> 01:20:39,515 MOVING ON TO THE NEXT SLIDE. 1966 01:20:39,515 --> 01:20:42,551 OKAY. SO, THAT IS OUR PROGRAM 1967 01:20:42,551 --> 01:20:44,720 TOWARDS OUR MAIN GOALS OF 1968 01:20:44,720 --> 01:20:46,722 DETERMINING DIETARY INTAKE. 1969 01:20:46,722 --> 01:20:50,026 AS I MENTIONED, WE ALSO WANTED 1970 01:20:50,026 --> 01:20:53,362 TO UNDERSTAND WHAT HAPPENED WITH 1971 01:20:53,362 --> 01:20:55,665 REGARDS TO DIETARY INTAKE DURING 1972 01:20:55,665 --> 01:20:59,235 THE PANDEMIC AS THAT WAS A, YOU 1973 01:20:59,235 --> 01:21:02,038 KNOW, MAJOR DISRUPTION IN THE US 1974 01:21:02,038 --> 01:21:04,440 SINCE OUR LAST DIETARY 1975 01:21:04,440 --> 01:21:06,876 GUIDELINES UPDATE CAME OUT. 1976 01:21:06,876 --> 01:21:08,711 SO, IN ORDER TO DO THAT WE 1977 01:21:08,711 --> 01:21:11,480 COMPLETED THIS PROJECT OF DOING 1978 01:21:11,480 --> 01:21:14,150 AN EVIDENCE SCAN ON INTAKES FROM 1979 01:21:14,150 --> 01:21:21,524 MARCH 2020 THROUGH DECEMBER OF 1980 01:21:21,524 --> 01:21:22,258 1981 01:21:22,258 --> 01:21:25,161 2022. NEXT SLIDE, PLEASE. 1982 01:21:25,161 --> 01:21:26,462 DESCRIBING MORE WHAT AN EVIDENCE 1983 01:21:26,462 --> 01:21:27,863 SCAN IS BEFORE I SHARE MORE 1984 01:21:27,863 --> 01:21:30,332 ABOUT THE WORK THAT WE DID 1985 01:21:30,332 --> 01:21:31,834 THERE. 1986 01:21:31,834 --> 01:21:35,337 SO, AN EVIDENCE SCAN IS KIND OF 1987 01:21:35,337 --> 01:21:38,274 A MORE EXPLORATORY TECHNIQUE AND 1988 01:21:38,274 --> 01:21:40,643 PROJECT THAT WE USE SYSTEMATIC 1989 01:21:40,643 --> 01:21:43,379 METHODS FOR TO SEARCH FOR AND 1990 01:21:43,379 --> 01:21:45,514 DESCRIBE THE VOLUME AND 1991 01:21:45,514 --> 01:21:47,349 CHARACTERISTICS OF EVIDENCE 1992 01:21:47,349 --> 01:21:48,084 AVAILABLE FOR A SPECIFIC 1993 01:21:48,084 --> 01:21:48,684 QUESTION. 1994 01:21:48,684 --> 01:21:52,254 SO, DOING A SCAN ALLOWS US MORE 1995 01:21:52,254 --> 01:21:54,623 OF KIND OF AN OVERVIEW OF WHAT 1996 01:21:54,623 --> 01:21:55,391 IS THERE. 1997 01:21:55,391 --> 01:22:00,463 IT IS NOT AS MUCH FOCUSED ON 1998 01:22:00,463 --> 01:22:03,699 GLEANING AND SYNTHESIZING 1999 01:22:03,699 --> 01:22:04,066 CONCLUSION. 2000 01:22:04,066 --> 01:22:05,768 IT USUALLY DOES INCLUDE THINGS 2001 01:22:05,768 --> 01:22:08,604 LIKE SPECIFYING AND DEFINING A 2002 01:22:08,604 --> 01:22:10,206 PROTOCOL BECAUSE WE HAVE TO KNOW 2003 01:22:10,206 --> 01:22:12,341 WHAT WE ARE FOCUSED ON AND 2004 01:22:12,341 --> 01:22:14,810 LOOKING FOR IN THE LITERATURE. 2005 01:22:14,810 --> 01:22:18,581 THEN CARRYING OUT THAT 2006 01:22:18,581 --> 01:22:20,850 SYSTEMATIC SEARCH THAT -- AND 2007 01:22:20,850 --> 01:22:22,485 SCREENING STUDIES TO SEE WHAT 2008 01:22:22,485 --> 01:22:24,887 FITS AND WHAT STUDIES ARE 2009 01:22:24,887 --> 01:22:25,988 ADDRESSING OUR QUESTION. 2010 01:22:25,988 --> 01:22:29,125 THEN ONCE WE HAVE THOSE STUDIES, 2011 01:22:29,125 --> 01:22:30,860 WE EXTRACT MINIMAL DATA FROM 2012 01:22:30,860 --> 01:22:31,127 THEM. 2013 01:22:31,127 --> 01:22:33,863 WE DON'T DO THINGS LIKE A RISK 2014 01:22:33,863 --> 01:22:36,031 OF BIAS ASSESSMENT OR A 2015 01:22:36,031 --> 01:22:39,568 SYNTHESIS OF THE RESULTS OR 2016 01:22:39,568 --> 01:22:42,037 CREATING, YOU KNOW, GRADED 2017 01:22:42,037 --> 01:22:43,606 CONCLUSION STATEMENTS AS WE 2018 01:22:43,606 --> 01:22:45,674 WOULD WITH OTHER KINDS OF 2019 01:22:45,674 --> 01:22:48,043 SYSTEMATIC REVIEWS. 2020 01:22:48,043 --> 01:22:50,412 MOVING FORWARD. 2021 01:22:50,412 --> 01:22:52,882 SO, THE RATIONALE BEHIND OUR 2022 01:22:52,882 --> 01:22:54,283 EVIDENCE SCAN THAT I HAVE 2023 01:22:54,283 --> 01:22:55,818 ALREADY KIND OF MENTIONED THIS. 2024 01:22:55,818 --> 01:23:00,022 THE PANDEMIC WAS THIS MAJOR 2025 01:23:00,022 --> 01:23:01,657 DISRUPTION. 2026 01:23:01,657 --> 01:23:05,027 AND UNFORTUNATELY, THAT CAUSED A 2027 01:23:05,027 --> 01:23:07,997 DISRUPTION IN THE COLLECTION OF 2028 01:23:07,997 --> 01:23:11,367 OUR NATIONAL FEDERAL SURVEYS 2029 01:23:11,367 --> 01:23:13,135 PROVIDING NUTRITION-RELATED DATA 2030 01:23:13,135 --> 01:23:15,137 INCLUDING WHAT WE RELY ON MOST 2031 01:23:15,137 --> 01:23:18,307 FOR INTAKES IN THE US THAT IS 2032 01:23:18,307 --> 01:23:21,644 WHAT WE EAT IN AMERICA NATIONAL 2033 01:23:21,644 --> 01:23:24,146 HEALTH AND NUTRITION EXAMINATION 2034 01:23:24,146 --> 01:23:25,347 SURVEY. 2035 01:23:25,347 --> 01:23:27,950 ALSO, THE PANDEMIC BROUGHT A LOT 2036 01:23:27,950 --> 01:23:30,386 OF ATTENTION TO FOOD INSECURITY 2037 01:23:30,386 --> 01:23:34,523 IN THE US AND PREVALENCE OF 2038 01:23:34,523 --> 01:23:36,892 DIET-RELATED DISEASES AND HEALTH 2039 01:23:36,892 --> 01:23:38,327 DISPARITIES AND FOR THAT REASON 2040 01:23:38,327 --> 01:23:40,196 IT IS ALSO IMPORTANT FOR US TO 2041 01:23:40,196 --> 01:23:41,630 TRY TO UNDERSTAND WHAT IS OUT 2042 01:23:41,630 --> 01:23:45,000 THERE AND WHAT MAY HAVE OCCURRED 2043 01:23:45,000 --> 01:23:50,539 IN DIETARY INTAKES DURING THE 2044 01:23:50,539 --> 01:23:51,540 PANDEMIC AND RESEARCH QUESTION 2045 01:23:51,540 --> 01:23:53,776 WE FOCUSED ON FOR THIS EVIDENCE 2046 01:23:53,776 --> 01:23:55,678 SCAN IS WHAT EVIDENCE HAS BEEN 2047 01:23:55,678 --> 01:23:57,980 PUBLISHED ON THE PATTERNS OF 2048 01:23:57,980 --> 01:24:01,517 FOOD AND BEVERAGE INTAKE FROM 2049 01:24:01,517 --> 01:24:02,852 MARCH TWENTD 20 THROUGH DECEMBER 2050 01:24:02,852 --> 01:24:05,487 2022 INCLUDING POTENTIAL CHANGES 2051 01:24:05,487 --> 01:24:09,725 IN DIETARY INTAKE DUE TO THE 2052 01:24:09,725 --> 01:24:12,795 COVID-19 PANDEMIC. 2053 01:24:12,795 --> 01:24:16,365 NEXT SLIDE. 2054 01:24:16,365 --> 01:24:20,336 I WILL OVERVIEW BRIEFLY CRITERIA 2055 01:24:20,336 --> 01:24:22,037 WE HAD FOR STUDIES WE ARE 2056 01:24:22,037 --> 01:24:23,372 LOOKING FOR TO ADDRESS THIS 2057 01:24:23,372 --> 01:24:25,641 QUESTION AND WANTED TO BE 2058 01:24:25,641 --> 01:24:27,576 INCLUSIVE ON STUDY DESIGN AND 2059 01:24:27,576 --> 01:24:30,079 INCLUDED ALL TYPES OF TRIALS AND 2060 01:24:30,079 --> 01:24:32,514 RANDOMIZED CONTROLLED TRIALS 2061 01:24:32,514 --> 01:24:35,284 UNCONTROLLED TRIALS, ET CETERA. 2062 01:24:35,284 --> 01:24:37,653 COHORT STUDIES AND CASE CONTROL 2063 01:24:37,653 --> 01:24:38,787 STUDIES AND CROSS-SECTIONAL 2064 01:24:38,787 --> 01:24:40,522 STUDIES AND NARRATIVE AND 2065 01:24:40,522 --> 01:24:41,557 SYSTEMATIC REVIEWS. 2066 01:24:41,557 --> 01:24:44,894 OF COURSE, ALL OF THE STUDIES 2067 01:24:44,894 --> 01:24:48,831 NEEDED TO BE INCLUDING MEASURING 2068 01:24:48,831 --> 01:24:51,300 DIETARY INTAKE AMONG GENERALLY 2069 01:24:51,300 --> 01:24:52,868 HEALTHY POPULATIONS. 2070 01:24:52,868 --> 01:24:55,237 SO, WE DIDN'T INCLUDE STUDIES 2071 01:24:55,237 --> 01:24:57,640 THAT WERE ONLY FOCUSED ON 2072 01:24:57,640 --> 01:24:59,041 INDIVIDUALS WITH A PARTICULAR 2073 01:24:59,041 --> 01:25:01,043 DISEASE OR HEALTH CONDITION. 2074 01:25:01,043 --> 01:25:02,544 AND THEN THE PUBLICATION DATES 2075 01:25:02,544 --> 01:25:05,881 WERE THE BEGINNING OF THE 2076 01:25:05,881 --> 01:25:08,817 PANDEMIC, MARCH OF 2020 UP TO 2077 01:25:08,817 --> 01:25:10,519 DECEMBER OF 2022. 2078 01:25:10,519 --> 01:25:14,256 THAT WAS A CLOSING OR ENDING 2079 01:25:14,256 --> 01:25:15,291 DATE FOR OUR SEARCH. 2080 01:25:15,291 --> 01:25:17,593 THAT IS WHEN WE ACTUALLY STARTED 2081 01:25:17,593 --> 01:25:18,494 THIS PROJECT. 2082 01:25:18,494 --> 01:25:20,763 SO, WE DID NOT -- WE WERE NOT 2083 01:25:20,763 --> 01:25:21,864 ABLE TO GO BEYOND THAT. 2084 01:25:21,864 --> 01:25:25,467 WE INCLUDED ALL OF THE MOST, YOU 2085 01:25:25,467 --> 01:25:28,070 KNOW, COMPREHENSIVE TYPES OF 2086 01:25:28,070 --> 01:25:30,639 DIETARY ASSESSMENT METHODS THAT 2087 01:25:30,639 --> 01:25:34,043 WOULD BE MULTIPLE PAST 24 HOUR 2088 01:25:34,043 --> 01:25:35,811 FOOD CALLS FOOD FREQUENCY 2089 01:25:35,811 --> 01:25:37,279 QUESTIONNAIRES AND FOOD RECORDS 2090 01:25:37,279 --> 01:25:39,815 AND ARTICLES NEEDED TO BE PEER 2091 01:25:39,815 --> 01:25:40,983 REVIEWED OR IN THE GRAY 2092 01:25:40,983 --> 01:25:43,319 LITERATURE MEANING THAT THEY 2093 01:25:43,319 --> 01:25:44,820 WERE FROM GOVERNMENT OR 2094 01:25:44,820 --> 01:25:45,754 NON-GOVERNMENTALMENTAL 2095 01:25:45,754 --> 01:25:46,121 ORGANIZATIONS. 2096 01:25:46,121 --> 01:25:48,257 THEY NEEDED TO BE ENGLISH AND 2097 01:25:48,257 --> 01:25:54,063 WITHIN THE US WE ARE FUSED FOCU 2098 01:25:54,063 --> 01:25:57,466 ON US INTAKES AND HUMAN 2099 01:25:57,466 --> 01:25:57,833 PARTICIPANTS. 2100 01:25:57,833 --> 01:25:58,267 NEXT SLIDE. 2101 01:25:58,267 --> 01:26:01,070 WHAT WE CAME UP WITH AFTER OUR 2102 01:26:01,070 --> 01:26:02,838 ELECTRONIC DATA BASE SEARCH IS 2103 01:26:02,838 --> 01:26:05,074 OVER 17,000 STUDIES. 2104 01:26:05,074 --> 01:26:07,443 WE HAVE SHOWED THIS SLIDE IN THE 2105 01:26:07,443 --> 01:26:07,810 LAST MEETING. 2106 01:26:07,810 --> 01:26:09,712 I WON'T GO THERE YOU THIS IN TOO 2107 01:26:09,712 --> 01:26:12,247 MUCH DETAIL. 2108 01:26:12,247 --> 01:26:15,617 THIS WAS A VERY, YOU KNOW, TIME 2109 01:26:15,617 --> 01:26:17,286 CONSUMING AND EXTENSIVE PROCESS 2110 01:26:17,286 --> 01:26:19,655 TO SCREEN ALL THESE THROUGH THE 2111 01:26:19,655 --> 01:26:22,057 TITLE STAGE AND ABSTRACT STAGE 2112 01:26:22,057 --> 01:26:25,027 AND FULL TEXT STAGE. 2113 01:26:25,027 --> 01:26:26,362 ULTIMATELY, WE GOT TO TEN 2114 01:26:26,362 --> 01:26:28,897 STUDIES FROM THE ELECTRONIC DATA 2115 01:26:28,897 --> 01:26:31,433 BASE SEARCH AND ONE MORE WAS 2116 01:26:31,433 --> 01:26:32,267 IDENTIFIED FROM THE MANUAL 2117 01:26:32,267 --> 01:26:36,338 SEARCH FOR A TOTAL OF 11 2118 01:26:36,338 --> 01:26:36,605 ARTICLES. 2119 01:26:36,605 --> 01:26:39,308 ONLY THAT ARE COVERING OR 2120 01:26:39,308 --> 01:26:40,876 INCLUDING DIETARY INTAKES, YOU 2121 01:26:40,876 --> 01:26:43,879 KNOW, DURING THE PANDEMIC. 2122 01:26:43,879 --> 01:26:46,048 NEXT SLIDE. 2123 01:26:46,048 --> 01:26:49,184 SO, OF THE 11 STUDIES, FOUR WERE 2124 01:26:49,184 --> 01:26:51,453 PROSPECTIVE COHORT STUDIES AND 2125 01:26:51,453 --> 01:26:53,222 SIX WERE CROSS-SECTIONAL AND ONE 2126 01:26:53,222 --> 01:26:54,890 WAS A NARRATIVE REVIEW. 2127 01:26:54,890 --> 01:26:57,559 THE POPULATIONS COVERED WERE 2128 01:26:57,559 --> 01:27:00,496 MAINLY ADULTS THAT WE ALSO HAD 2129 01:27:00,496 --> 01:27:03,832 ONE STUDY FOCUSING ON KIDS, ONE 2130 01:27:03,832 --> 01:27:06,668 ON ADOLESCENTS AND ONE ON 2131 01:27:06,668 --> 01:27:09,471 INDIVIDUALS THAT ARE PREGNANT. 2132 01:27:09,471 --> 01:27:11,040 DEMOGRAPHICS, THERE WAS OVER -- 2133 01:27:11,040 --> 01:27:14,009 YOU KNOW, OVER 23 UNIQUE 2134 01:27:14,009 --> 01:27:16,011 VARIABLES THAT WERE 2135 01:27:16,011 --> 01:27:18,547 CHARACTERIZED IN LOOKING AT THE 2136 01:27:18,547 --> 01:27:20,916 DEMOGRAPHICS OF POPULATIONS 2137 01:27:20,916 --> 01:27:23,352 INCLUDED AND MORE FOCUSED OR 2138 01:27:23,352 --> 01:27:25,954 INCLUDED CAPTURING GENDER SEX 2139 01:27:25,954 --> 01:27:28,824 RACE ETHNICITY AGE BODY MASS 2140 01:27:28,824 --> 01:27:30,359 INDEX AND EDUCATION. 2141 01:27:30,359 --> 01:27:31,894 NEXT SLIDE, PLEASE. 2142 01:27:31,894 --> 01:27:34,663 FIVE OF THE STUDIES WERE 2143 01:27:34,663 --> 01:27:36,799 COMPARING INTAKE FROM BEFORE TO 2144 01:27:36,799 --> 01:27:39,201 DURING THE PANDEMIC. 2145 01:27:39,201 --> 01:27:41,203 WHEREAS, FIVE OF THEM WERE JUST 2146 01:27:41,203 --> 01:27:43,639 LOOKING AT INTAKE DURING THE 2147 01:27:43,639 --> 01:27:47,176 PANDEMIC WITHOUT A COMPARISON. 2148 01:27:47,176 --> 01:27:48,977 ONE WAS DOING BOTH OF THOSE 2149 01:27:48,977 --> 01:27:49,244 THINGS. 2150 01:27:49,244 --> 01:27:52,114 WE SEE ALL OF THE METHODS OF 2151 01:27:52,114 --> 01:27:53,949 DIETARY ASSESSMENT WE INCLUDED 2152 01:27:53,949 --> 01:27:56,518 THAT ARE REPRESENTED HERE. 2153 01:27:56,518 --> 01:27:59,321 AND FOR THE OUTCOMES THAT WERE 2154 01:27:59,321 --> 01:28:01,990 INCLUDED IN THE STUDIES, THERE 2155 01:28:01,990 --> 01:28:04,393 WERE SIX THAT WERE FOCUSED ON 2156 01:28:04,393 --> 01:28:06,462 OVERALL DIETARY INTAKE. 2157 01:28:06,462 --> 01:28:08,831 SO, THAT -- AN EXAMPLE OF THAT 2158 01:28:08,831 --> 01:28:12,167 WOULD BE THE HEALTHY INDEX 2159 01:28:12,167 --> 01:28:14,336 LOOKING AT OVERALL DIET QUALITY 2160 01:28:14,336 --> 01:28:16,605 AND FIVE OF THE STUDIES WERE 2161 01:28:16,605 --> 01:28:19,174 INCLUDING LOOKING AT DIETARY 2162 01:28:19,174 --> 01:28:19,475 COMPONENTS. 2163 01:28:19,475 --> 01:28:22,077 AND SOME EXAMPLES ARE SHOWN 2164 01:28:22,077 --> 01:28:23,812 THERE LIKE CERTAIN FOOD GROUPS 2165 01:28:23,812 --> 01:28:26,882 OR FOOD COMPONENTS LIKE 2166 01:28:26,882 --> 01:28:28,183 SATURATED FAT OR LOOKING AT 2167 01:28:28,183 --> 01:28:31,753 CERTAIN TYPES OF FOODS LIKE 2168 01:28:31,753 --> 01:28:34,356 SUGAR SWEETENED BEVERAGES. 2169 01:28:34,356 --> 01:28:36,825 NEXT SLIDE, PLEASE. 2170 01:28:36,825 --> 01:28:42,698 SO, OVERALL, AFTER THIS WORK, WE 2171 01:28:42,698 --> 01:28:45,067 HAD -- WE DO HAVE SOME 2172 01:28:45,067 --> 01:28:46,735 CONCLUSIONS TO THIS WORK THAT WE 2173 01:28:46,735 --> 01:28:47,503 CAN DRAW. 2174 01:28:47,503 --> 01:28:49,805 ONE OF THE MAIN ONES IS THAT 2175 01:28:49,805 --> 01:28:52,374 THERE IS JUST VERY FEW STUDIES 2176 01:28:52,374 --> 01:28:55,144 THAT HAVE EXAMINED DIETARY 2177 01:28:55,144 --> 01:28:57,045 INTAKES IN HEALTHY INDIVIDUALS 2178 01:28:57,045 --> 01:28:59,047 DURING THIS TIME PERIOD. 2179 01:28:59,047 --> 01:29:02,417 THIS SUGGESTS THAT NOT ONLY DID 2180 01:29:02,417 --> 01:29:06,054 THE PANDEMIC DISRUPT OUR 2181 01:29:06,054 --> 01:29:07,723 NATIONAL PUBLIC HEALTH 2182 01:29:07,723 --> 01:29:11,226 MONITORING OF NUTRITION AND THAT 2183 01:29:11,226 --> 01:29:12,961 SYSTEMATIC COLLECTION AND ALSO 2184 01:29:12,961 --> 01:29:14,296 DISRUPTED INDIVIDUAL 2185 01:29:14,296 --> 01:29:16,331 INVESTIGATORS AND EVALUATIONS OF 2186 01:29:16,331 --> 01:29:20,569 DIETARY INTAKE IN THEIR OWN 2187 01:29:20,569 --> 01:29:23,305 STUDIES DURING THIS TIME. 2188 01:29:23,305 --> 01:29:27,543 SOME OTHER THINGS WE CAN GLEAN 2189 01:29:27,543 --> 01:29:29,711 FROM THIS ARE FROM THE FEW 2190 01:29:29,711 --> 01:29:30,612 STUDIES IDENTIFIED. THERE WERE 2191 01:29:30,612 --> 01:29:32,948 NONE THAT WERE NATIONALLY 2192 01:29:32,948 --> 01:29:33,315 REPRESENTATIVE. 2193 01:29:33,315 --> 01:29:36,084 I THINK THAT THIS HIGHLIGHTS THE 2194 01:29:36,084 --> 01:29:39,021 VALUE OF OUR SYSTEM THAT WE DO 2195 01:29:39,021 --> 01:29:41,089 HAVE TO COLLECT, YOU KNOW, 2196 01:29:41,089 --> 01:29:44,893 THROUGH THE NHANES TO GET 2197 01:29:44,893 --> 01:29:47,396 POPULATION DIETARY DATA THAT IS 2198 01:29:47,396 --> 01:29:49,831 VERY VALUABLE TO US IN PROCESS 2199 01:29:49,831 --> 01:29:52,467 OF UPDATING THE DIETARY 2200 01:29:52,467 --> 01:29:52,768 GUIDELINES. 2201 01:29:52,768 --> 01:29:54,636 IN ADDITION FOR MOST OF THE 2202 01:29:54,636 --> 01:29:56,939 STUDIES WE SAW HERE, THEY WERE 2203 01:29:56,939 --> 01:29:59,208 USING A CROSS-SECTIONAL STUDY 2204 01:29:59,208 --> 01:29:59,775 DESIGN. 2205 01:29:59,775 --> 01:30:01,510 THEY HAD VERY SMALL SAMPLE 2206 01:30:01,510 --> 01:30:02,044 SIZES. 2207 01:30:02,044 --> 01:30:03,946 ONLY, YOU KNOW, REPRESENTING 2208 01:30:03,946 --> 01:30:07,583 CERTAIN GROUPS OR CERTAIN 2209 01:30:07,583 --> 01:30:10,118 REGIONS OF THE UNITED STATES. 2210 01:30:10,118 --> 01:30:12,120 ANOTHER RESULT WE HAVE IS WITHIN 2211 01:30:12,120 --> 01:30:13,655 THIS EVIDENCE SCAN THAT MOST OF 2212 01:30:13,655 --> 01:30:15,691 THE STUDIES DID NOT SHOW 2213 01:30:15,691 --> 01:30:18,460 DIFFERENCES IN TOTAL INTAKE FROM 2214 01:30:18,460 --> 01:30:19,361 BEFORE. 2215 01:30:19,361 --> 01:30:21,663 COMPARED WITH DURING THE 2216 01:30:21,663 --> 01:30:24,733 PANDEMIC OR THEY FOUND INTAKES 2217 01:30:24,733 --> 01:30:27,269 TO SIMILAR -- SIMILAR THAT WE 2218 01:30:27,269 --> 01:30:30,038 WOULD HAVE EXPECTED BASED ON 2219 01:30:30,038 --> 01:30:32,307 NATIONAL PRE-PANDEMIC DATA SETS. 2220 01:30:32,307 --> 01:30:34,943 THE DIETARY INTAKES THAT WERE 2221 01:30:34,943 --> 01:30:36,979 DOCUMENTED HERE WERE NOT IN 2222 01:30:36,979 --> 01:30:40,249 ALIGNMENT WITH THE DIETARY 2223 01:30:40,249 --> 01:30:44,586 GUIDELINES FOR AMERICANS. 2224 01:30:44,586 --> 01:30:46,622 SOME GREAT THINGS WE CAN SEE IN 2225 01:30:46,622 --> 01:30:49,091 THE STUDIES IS THERE WERE SOME 2226 01:30:49,091 --> 01:30:51,793 OTHER RELATED OUTCOMES CLEKED 2227 01:30:51,793 --> 01:30:54,229 INCLUDING FOOD SECURITY STATUS, 2228 01:30:54,229 --> 01:30:55,664 PARTICIPATION AND FEDERAL 2229 01:30:55,664 --> 01:30:57,833 NUTRITION ASSISTANCE PROGRAMS 2230 01:30:57,833 --> 01:30:59,468 AND FEDERAL POVERTY LEVEL. WE 2231 01:30:59,468 --> 01:31:01,069 CAN USE THAT INFORMATION TO 2232 01:31:01,069 --> 01:31:05,040 PROVIDE MORE CONTEXT ON HOW THE 2233 01:31:05,040 --> 01:31:06,241 PANDEMIC EFFECTED INDIVIDUALS 2234 01:31:06,241 --> 01:31:08,744 AND US FAMILIES. 2235 01:31:08,744 --> 01:31:17,319 SO, IN CONCLUSION, THEN, WE DID 2236 01:31:17,319 --> 01:31:19,755 HAVE INSUFFICIENT RESEARCH TO 2237 01:31:19,755 --> 01:31:21,857 WARRANT INVESTIGATION OF FOOD 2238 01:31:21,857 --> 01:31:24,993 INTAKE DURING COVID-19 PANDEMIC. 2239 01:31:24,993 --> 01:31:26,528 WE CAN'T DRAW BIG CONCLUSIONS 2240 01:31:26,528 --> 01:31:28,897 ABOUT US INTAKE DURING THE 2241 01:31:28,897 --> 01:31:30,465 PANDEMIC AND ALSO WE DON'T 2242 01:31:30,465 --> 01:31:36,071 REALLY HAVE ENOUGH HERE TO DO 2243 01:31:36,071 --> 01:31:38,440 FURTHER SYNTHESIS OF THE RESULTS 2244 01:31:38,440 --> 01:31:42,944 OR ANY KIND OF RAPID REVIEW OR 2245 01:31:42,944 --> 01:31:46,315 SYSTEMATIC REVIEW. 2246 01:31:46,315 --> 01:31:46,882 NEXT SLIDE. 2247 01:31:46,882 --> 01:31:49,651 BEFORE I MOVE ON THEN, I WANT TO 2248 01:31:49,651 --> 01:31:50,786 JUST REALLY THANK THE 2249 01:31:50,786 --> 01:31:53,121 INDIVIDUALS WHO HELPED WITH THAT 2250 01:31:53,121 --> 01:31:56,525 EVIDENCE SCAN THAT WAS A LOT OF 2251 01:31:56,525 --> 01:31:58,260 WORK. 2252 01:31:58,260 --> 01:32:02,597 MULLY HIGGINS WAS THE LIBRARIAN 2253 01:32:02,597 --> 01:32:04,399 THAT WORKED ON IDENTIFYING ALL 2254 01:32:04,399 --> 01:32:06,835 OF THE STUDIES FOR US AND 2255 01:32:06,835 --> 01:32:14,776 SPECIAL THANKS TO RAMKRIPA AND 2256 01:32:14,776 --> 01:32:19,114 JULIAN AND CAROLYN. NEXT SLIDE. 2257 01:32:19,114 --> 01:32:21,016 THIS BRINGS US TO NEXT STEPS AND 2258 01:32:21,016 --> 01:32:22,818 A LITTLE TIME FOR DISCUSSION. 2259 01:32:22,818 --> 01:32:24,486 NEXT SLIDE, PLEASE. 2260 01:32:24,486 --> 01:32:28,156 SO, WHERE -- AS I MENTIONED, WE 2261 01:32:28,156 --> 01:32:30,092 ARE STILL WAITING FOR THE 2262 01:32:30,092 --> 01:32:32,694 RESULTS TO COME IN FROM THE DATA 2263 01:32:32,694 --> 01:32:32,961 ANALYSIS. 2264 01:32:32,961 --> 01:32:37,299 WE WILL BE WORKING ON DRAFTING 2265 01:32:37,299 --> 01:32:39,234 SUMMARIES OF THE RESULTS FOR THE 2266 01:32:39,234 --> 01:32:40,836 COMMITTEE TO REVIEW. 2267 01:32:40,836 --> 01:32:44,306 THE COMMITTEE WILL BE ABLE TO 2268 01:32:44,306 --> 01:32:46,541 LOOK AT THOSE RESULTS AND 2269 01:32:46,541 --> 01:32:48,577 DISCUSS THEM AND DRAFT 2270 01:32:48,577 --> 01:32:48,910 CONCLUSIONS. 2271 01:32:48,910 --> 01:32:51,713 AND TO DETERMINE THE FUTURE 2272 01:32:51,713 --> 01:32:52,080 DIRECTIONS. 2273 01:32:52,080 --> 01:32:53,782 I WANT TO ALSO MENTION THAT WE 2274 01:32:53,782 --> 01:32:56,952 WILL KEEP OUR DATA ANALYSIS PLAN 2275 01:32:56,952 --> 01:33:00,188 UPDATED TO REFLECT NEWER REVISED 2276 01:33:00,188 --> 01:33:00,455 ANALYSIS. 2277 01:33:00,455 --> 01:33:03,725 AND I FORGOT TO MENTION THAT 2278 01:33:03,725 --> 01:33:04,726 WITH REGARD TO THAT EVIDENCE 2279 01:33:04,726 --> 01:33:08,530 SCAN THAT I REVIEWED, THE FULL 2280 01:33:08,530 --> 01:33:10,198 DESCRIPTIONS OF THAT WILL SOON 2281 01:33:10,198 --> 01:33:14,603 BE COMING OUT ON DIETARY 2282 01:33:14,603 --> 01:33:14,970 GUIDELINES.GOV. 2283 01:33:14,970 --> 01:33:17,539 IT WAS NICE TO BE ABLE TO SHARE 2284 01:33:17,539 --> 01:33:18,807 MORE ABOUT THAT AND THOSE 2285 01:33:18,807 --> 01:33:21,443 RESULTS THAT ARE COMING OUT IN 2286 01:33:21,443 --> 01:33:24,246 THIS TALK TODAY. 2287 01:33:24,246 --> 01:33:28,917 SO, AT THIS POINT, I HAVE 2288 01:33:28,917 --> 01:33:30,185 CONCLUDED DATA ANALYSIS PORTION. 2289 01:33:30,185 --> 01:33:32,788 I THINK THERE IS A LITTLE BIT OF 2290 01:33:32,788 --> 01:33:35,690 TIME FOR SOME DISCUSSION OR 2291 01:33:35,690 --> 01:33:36,158 QUESTIONS. 2292 01:33:36,158 --> 01:33:38,994 >> THANK YOU SO MUCH, HEATHER. 2293 01:33:38,994 --> 01:33:41,530 COMMITTEE MEMBERS, FEEL FREE TO 2294 01:33:41,530 --> 01:33:43,565 RAISE YOUR HAND AND ASK 2295 01:33:43,565 --> 01:33:45,901 QUESTIONS AND PROVIDE COMMENTS. 2296 01:33:45,901 --> 01:33:48,537 IT WAS A GREAT PRESENTATION. 2297 01:33:48,537 --> 01:33:51,373 GO AHEAD, ANGELA. 2298 01:33:51,373 --> 01:33:53,041 >> YEAH. I WANT TO JUST SAY 2299 01:33:53,041 --> 01:33:56,711 THIS IS REALLY AMAZING WORK. 2300 01:33:56,711 --> 01:33:58,380 IT IS SO EXTENSIVE. 2301 01:33:58,380 --> 01:34:00,382 IT IS UNFORTUNATE TO SEE THAT WE 2302 01:34:00,382 --> 01:34:03,185 DON'T HAVE ANY STUDIES OF ACTUAL 2303 01:34:03,185 --> 01:34:07,989 DIETARY INTAKE DURING SUCH A 2304 01:34:07,989 --> 01:34:11,560 MAJOR, YOU KNOW, EVENT OR 2305 01:34:11,560 --> 01:34:14,296 OCCURRENCE, YOU KNOW, GLOBALLY 2306 01:34:14,296 --> 01:34:16,431 EVEN BUT SPECIFICALLY THAT IS 2307 01:34:16,431 --> 01:34:17,899 RELATED TO THE US. 2308 01:34:17,899 --> 01:34:21,903 YOU KNOW, IN THIS CONTEXT. 2309 01:34:21,903 --> 01:34:24,873 I NOTICE THAT IN THE DIETARY 2310 01:34:24,873 --> 01:34:26,408 INTAKES, YOU KNOW, THERE WAS 2311 01:34:26,408 --> 01:34:29,578 ABOUT FOUR 24-HOUR RECALLS IN 2312 01:34:29,578 --> 01:34:31,780 FOOD RECORDS OR TWO FOOD RECORDS 2313 01:34:31,780 --> 01:34:33,849 THAT WAS IN ONE OF ANOTHER 2314 01:34:33,849 --> 01:34:34,416 METHOD. 2315 01:34:34,416 --> 01:34:38,553 I WAS CURIOUS WHAT THAT METHOD 2316 01:34:38,553 --> 01:34:38,753 WAS. 2317 01:34:38,753 --> 01:34:41,256 I WAS JUST CURIOUS, WAS IT 2318 01:34:41,256 --> 01:34:42,023 SCREENERS? 2319 01:34:42,023 --> 01:34:43,658 I WOULD -- I WOULD EXPECT THERE 2320 01:34:43,658 --> 01:34:45,894 WAS A LOT OF -- THERE WOULD BE 2321 01:34:45,894 --> 01:34:47,629 MORE STUDIES, HONESTLY, WITH 2322 01:34:47,629 --> 01:34:49,664 MORE SCREENERS, PARTICULARLY 2323 01:34:49,664 --> 01:34:51,766 STUDIES FOCUSED ON FOOD 2324 01:34:51,766 --> 01:34:53,168 INSECURITY AND NOTICED THERE 2325 01:34:53,168 --> 01:34:55,737 WERE NOT MANY WITH SCREENERS. 2326 01:34:55,737 --> 01:34:57,672 >> THANK YOU, ANGELA. 2327 01:34:57,672 --> 01:34:59,541 THAT IS A GREAT QUESTION. 2328 01:34:59,541 --> 01:35:00,942 YEAH. I CAN SPEAK TO PART OF 2329 01:35:00,942 --> 01:35:02,677 THE ANSWER TO YOUR QUESTION. 2330 01:35:02,677 --> 01:35:04,479 I MAY NEED A LITTLE HELP FROM 2331 01:35:04,479 --> 01:35:07,516 STAFF AS WELL. 2332 01:35:07,516 --> 01:35:10,852 SO, WE DID LOOK FOR STUDIES, AS 2333 01:35:10,852 --> 01:35:14,923 I MENTIONED THAT HAVE THREE MAIN 2334 01:35:14,923 --> 01:35:16,892 METHODS AND WE EXCLUDED STUDIES 2335 01:35:16,892 --> 01:35:19,661 THAT WERE JUST USING SOME MORE 2336 01:35:19,661 --> 01:35:21,129 KIND OF BRIEF SCREENERS. 2337 01:35:21,129 --> 01:35:23,331 THERE WERE A LOT OF STUDIES THAT 2338 01:35:23,331 --> 01:35:25,867 WERE USING SCREENERS SO YOU ARE 2339 01:35:25,867 --> 01:35:27,168 RIGHT ABOUT THAT. 2340 01:35:27,168 --> 01:35:29,838 AND I'M NOT QUITE SURE ABOUT 2341 01:35:29,838 --> 01:35:31,673 WHAT THAT OTHER STUDY MAY -- 2342 01:35:31,673 --> 01:35:33,742 WHAT METHOD THAT OTHER STUDY 2343 01:35:33,742 --> 01:35:36,511 MIGHT HAVE INCLUDED AND WHAT I'M 2344 01:35:36,511 --> 01:35:40,081 WONDERING IF ANYONE ON THE STAFF 2345 01:35:40,081 --> 01:35:44,553 MIGHT BE ABLE TO CHIME IN. 2346 01:35:44,553 --> 01:35:47,489 >> DANA AND COLLEEN ARE YOU ABLE 2347 01:35:47,489 --> 01:35:49,624 TO SHARE MORE INFORMATION ON 2348 01:35:49,624 --> 01:35:52,727 THOSE STUDIES? 2349 01:35:52,727 --> 01:35:53,662 THANK YOU. 2350 01:35:53,662 --> 01:35:55,897 >> THANK YOU, HEATHER. 2351 01:35:55,897 --> 01:35:58,266 I WILL GO BACK TO CONFIRM AND 2352 01:35:58,266 --> 01:35:58,767 FOLLOW UP. 2353 01:35:58,767 --> 01:36:00,635 I BELIEVE THAT MIGHT HAVE BEEN 2354 01:36:00,635 --> 01:36:02,170 REFERRING TO THE ONE NARRATIVE 2355 01:36:02,170 --> 01:36:03,672 REVIEW THAT WAS IDENTIFIED THAT 2356 01:36:03,672 --> 01:36:06,174 IS BECAUSE IT CONTAINED MULTIPLE 2357 01:36:06,174 --> 01:36:09,477 STUDIES THAT WAS REALLY HARD TO 2358 01:36:09,477 --> 01:36:10,845 ASSIGN IT TO JUST ONE METHOD 2359 01:36:10,845 --> 01:36:12,013 THAT WAS USED. 2360 01:36:12,013 --> 01:36:13,315 SO, I BELIEVE THAT MIGHT HAVE 2361 01:36:13,315 --> 01:36:15,483 BEEN WHAT IT WAS REFERRING TO. 2362 01:36:15,483 --> 01:36:17,519 WE CAN FOLLOW UP WITH YOU TO 2363 01:36:17,519 --> 01:36:20,622 CONFIRM THAT, ANGELA. 2364 01:36:20,622 --> 01:36:21,222 GREAT QUESTION. 2365 01:36:21,222 --> 01:36:22,824 >> THANK YOU. THAT IS HELPFUL 2366 01:36:22,824 --> 01:36:25,060 ABOUT THE SCREENERS AND DIDN'T 2367 01:36:25,060 --> 01:36:25,860 SEE THAT EXCLUSION. 2368 01:36:25,860 --> 01:36:29,164 THAT IS REALLY INTERESTING. 2369 01:36:29,164 --> 01:36:29,397 THANKS. 2370 01:36:29,397 --> 01:36:33,301 >> OKAY. GO AHEAD, CHERYL. 2371 01:36:33,301 --> 01:36:37,539 >> YEAH. I JUST WANTED TO ALSO 2372 01:36:37,539 --> 01:36:39,107 SAY THANK YOU FOR THAT BRILLIANT 2373 01:36:39,107 --> 01:36:42,344 SUMMARY OF THE ACTIVITIES, 2374 01:36:42,344 --> 01:36:43,511 HEATHER. 2375 01:36:43,511 --> 01:36:45,513 I, TOO, WAS STRUCK BY THE LACK 2376 01:36:45,513 --> 01:36:46,648 OF DATA HERE. 2377 01:36:46,648 --> 01:36:50,018 I AM WONDERING IF WE GLEANED 2378 01:36:50,018 --> 01:36:53,488 ANYTHING FROM THE COPE 2379 01:36:53,488 --> 01:36:56,825 INITIATIVE AND COPE CONSORTIUM 2380 01:36:56,825 --> 01:36:59,027 THAT WAS FORMED OR BEING TALKED 2381 01:36:59,027 --> 01:37:00,729 ABOUT WHILE THE PANDEMIC WAS 2382 01:37:00,729 --> 01:37:03,932 HAPPENING AND CORONAVIRUS 2383 01:37:03,932 --> 01:37:04,633 EPIDEMIOLOGY CONSORTIUM AND 2384 01:37:04,633 --> 01:37:06,401 THINK THAT ONE OF THE EXPRESSED 2385 01:37:06,401 --> 01:37:08,203 GOALS IN THE PUBLICATIONS THAT 2386 01:37:08,203 --> 01:37:10,739 CAME OUT WAS TO TRY TO LOOK AT 2387 01:37:10,739 --> 01:37:12,607 LIFESTYLE CHANGES AND HOW THEY 2388 01:37:12,607 --> 01:37:15,910 MIGHT BE IMPACTING IMPORTANT 2389 01:37:15,910 --> 01:37:18,046 OUTCOMES THAT THESE WELL-FUNDED 2390 01:37:18,046 --> 01:37:20,115 COHORTS WERE THEN GOING TO TRY 2391 01:37:20,115 --> 01:37:21,049 TO COME TOGETHER TO EXAMINE. 2392 01:37:21,049 --> 01:37:23,918 IT IS -- CAN YOU GIVE US A SENSE 2393 01:37:23,918 --> 01:37:25,654 OF WHETHER OR NOT THAT EVER 2394 01:37:25,654 --> 01:37:27,956 MATERIALIZED AND HOW THAT MIGHT 2395 01:37:27,956 --> 01:37:29,557 BE INFORMING THE CONCLUSION THAT 2396 01:37:29,557 --> 01:37:30,492 WE HAVE DRAWN? 2397 01:37:30,492 --> 01:37:32,794 >> SO, I MAY HAVE TO REACH OUT 2398 01:37:32,794 --> 01:37:34,529 TO STAFF AGAIN FOR HELP WITH 2399 01:37:34,529 --> 01:37:35,697 THIS ONE. 2400 01:37:35,697 --> 01:37:38,767 THAT IS ALSO ANOTHER GREAT 2401 01:37:38,767 --> 01:37:39,034 QUESTION. 2402 01:37:39,034 --> 01:37:40,835 I DO THINK, YOU KNOW, BECAUSE OF 2403 01:37:40,835 --> 01:37:43,405 THE -- ONE FACTOR HERE COULD 2404 01:37:43,405 --> 01:37:46,541 HAVE BEEN THAT WE NEEDED TO DO 2405 01:37:46,541 --> 01:37:47,842 THIS EVIDENCE SCAN STARTING IN 2406 01:37:47,842 --> 01:37:51,346 DECEMBER OF 2022. 2407 01:37:51,346 --> 01:37:54,049 SO, THERE COULD POTENTIALLY BE 2408 01:37:54,049 --> 01:37:55,316 ADDITIONAL STUDIES THAT ARE 2409 01:37:55,316 --> 01:37:57,218 STILL COMING OUT AND BEING 2410 01:37:57,218 --> 01:37:57,886 PUBLISHED AFTER THAT. 2411 01:37:57,886 --> 01:37:59,888 BUT BECAUSE OF OUR NEED TO DO 2412 01:37:59,888 --> 01:38:03,291 THIS WORK NOW, WE HAD TO KIND OF 2413 01:38:03,291 --> 01:38:04,759 BEGIN RIGHT AWAY. 2414 01:38:04,759 --> 01:38:10,031 BUT, OTHERWISE, I DON'T KNOW IF 2415 01:38:10,031 --> 01:38:14,969 COLLEEN OR DANA MIGHT NOW KNOW 2416 01:38:14,969 --> 01:38:18,707 MORE ABOUT THAT SPECIFIC GROUP 2417 01:38:18,707 --> 01:38:20,408 OR STUDY THAT CHERYL WAS 2418 01:38:20,408 --> 01:38:20,775 REFERRING TO. 2419 01:38:20,775 --> 01:38:23,678 >> I SEE DEANNA HAS HER HAND 2420 01:38:23,678 --> 01:38:25,547 RAISED. DID YOU HAVE A COMMENT 2421 01:38:25,547 --> 01:38:28,149 ON THAT PARTICULAR STUDY? OKAY. 2422 01:38:28,149 --> 01:38:33,288 I SEE DEANNA WENT ON. THANK YOU 2423 01:38:33,288 --> 01:38:33,888 DANA DESIL VA. 2424 01:38:33,888 --> 01:38:36,991 >> THANK YOU FOR THE QUESTION. 2425 01:38:36,991 --> 01:38:38,226 RELATING TO COPE WAS NOT 2426 01:38:38,226 --> 01:38:39,227 INCLUDED IN THE EVIDENCE FOR THE 2427 01:38:39,227 --> 01:38:42,030 SCAN AND COPY OF THE PAPER WILL 2428 01:38:42,030 --> 01:38:44,099 BE PUBLISHED ON COPE BUT JUST 2429 01:38:44,099 --> 01:38:45,834 WASN'T INCLUDED AS PART OF THIS 2430 01:38:45,834 --> 01:38:47,869 AND CAN TAKE A LOOK TO SEE IF 2431 01:38:47,869 --> 01:38:51,506 THERE WAS ANYTHING WE CAN GLEAN. 2432 01:38:51,506 --> 01:38:51,740 THANKS. 2433 01:38:51,740 --> 01:38:56,511 >> THANK YOU, DANA. 2434 01:38:56,511 --> 01:38:56,911 DEANNA? 2435 01:38:56,911 --> 01:38:58,680 >> YES. VERY INTERESTING 2436 01:38:58,680 --> 01:38:59,347 RESULTS, I THINK. 2437 01:38:59,347 --> 01:39:01,382 ONE OF THE QUESTIONS THAT I HAD 2438 01:39:01,382 --> 01:39:04,652 FOR YOU ALL, HAVE YOU TALKED 2439 01:39:04,652 --> 01:39:05,720 ABOUT RECOMMENDATIONS? 2440 01:39:05,720 --> 01:39:08,723 YOU KNOW, WHAT IF THERE IS 2441 01:39:08,723 --> 01:39:10,391 ANOTHER DISRUPTION? 2442 01:39:10,391 --> 01:39:13,061 YOU KNOW, DO YOU ALL HAVE IDEAS 2443 01:39:13,061 --> 01:39:17,398 HOW TO MAKE THE SURVEILLANCE 2444 01:39:17,398 --> 01:39:20,235 SYSTEM MORE REBUST TO WITHSTAND 2445 01:39:20,235 --> 01:39:21,469 SOMETHING LIKE THIS THAT MIGHT 2446 01:39:21,469 --> 01:39:23,371 HAPPEN IN THE FUTURE? 2447 01:39:23,371 --> 01:39:25,373 I'M JUST -- I'M CURIOUS ABOUT 2448 01:39:25,373 --> 01:39:26,040 THAT. 2449 01:39:26,040 --> 01:39:28,343 I'M REALLY -- I REALLY THINK WE 2450 01:39:28,343 --> 01:39:29,644 NEED TO LEARN FROM WHAT HAS 2451 01:39:29,644 --> 01:39:34,582 HAPPENED DURING THE PAST FEW 2452 01:39:34,582 --> 01:39:34,849 YEARS. 2453 01:39:34,849 --> 01:39:36,918 >> THANK YOU, DEANNA. 2454 01:39:36,918 --> 01:39:39,654 THAT IS A MILLION DOLLAR 2455 01:39:39,654 --> 01:39:40,488 QUESTION AND EVEN MORE. 2456 01:39:40,488 --> 01:39:41,189 >> YEAH. 2457 01:39:41,189 --> 01:39:43,992 >> I DO KNOW THAT THERE -- YOU 2458 01:39:43,992 --> 01:39:46,027 KNOW, BECAUSE OF THE PANDEMIC 2459 01:39:46,027 --> 01:39:50,732 AND OTHER SITUATIONS WITH REGARD 2460 01:39:50,732 --> 01:39:54,903 TO THREATENS TO FUNDING FOR 2461 01:39:54,903 --> 01:39:56,638 NHANES THERE IS A LOT MORE 2462 01:39:56,638 --> 01:39:59,474 ATTENTION HOW WE CAN STRENGTHEN 2463 01:39:59,474 --> 01:40:01,209 NHANES FOR THE FUTURE AND ALSO 2464 01:40:01,209 --> 01:40:05,113 TRY TO LOOK AT MANY DIFFERENT 2465 01:40:05,113 --> 01:40:08,082 ASPECTS OF OUR SURVEY AND DATA 2466 01:40:08,082 --> 01:40:12,320 COLLECTION AND KIND OF BE 2467 01:40:12,320 --> 01:40:14,355 MODERNIZING THAT AND ALSO JUST 2468 01:40:14,355 --> 01:40:16,825 GAINING SUPPORT AND ATTENTION 2469 01:40:16,825 --> 01:40:20,328 FOR HOW MUCH IT REALLY DOES ADD 2470 01:40:20,328 --> 01:40:23,298 TO THINGS LIKE THE DIETARY 2471 01:40:23,298 --> 01:40:23,865 GUIDELINES PROCESS. 2472 01:40:23,865 --> 01:40:27,235 BUT I CERTAINLY OPEN IT UP FOR 2473 01:40:27,235 --> 01:40:27,569 OTHERS. 2474 01:40:27,569 --> 01:40:30,939 THOSE ARE SOME THOUGHTS I HAD. 2475 01:40:30,939 --> 01:40:34,976 >> YEAH. GREAT QUESTION, 2476 01:40:34,976 --> 01:40:35,210 DEANNA. 2477 01:40:35,210 --> 01:40:38,413 I THINK THAT WE -- WE WOULD LOVE 2478 01:40:38,413 --> 01:40:40,982 TO HEAR FROM CDC. YOU KNOW. 2479 01:40:40,982 --> 01:40:43,017 THIS WAS OBVIOUSLY THE FIRST 2480 01:40:43,017 --> 01:40:45,053 COVID PANDEMIC THAT I KNOW THAT 2481 01:40:45,053 --> 01:40:47,488 WE HAD TRUCKS JUST ABOUT TO GO 2482 01:40:47,488 --> 01:40:49,591 OUT IN MARCH OF 2020. THEN IT 2483 01:40:49,591 --> 01:40:51,125 WAS STOPPED AND WOULD BE 2484 01:40:51,125 --> 01:40:53,127 INTERESTING TO HEAR NOW THAT WE 2485 01:40:53,127 --> 01:40:53,928 HAVE BEEN THROUGH THIS COULD 2486 01:40:53,928 --> 01:40:56,030 SOMETHING CONTINUE? 2487 01:40:56,030 --> 01:40:59,000 THAT IS OUT OF MY DEPARTMENT. 2488 01:40:59,000 --> 01:40:59,968 GREAT POINT. 2489 01:40:59,968 --> 01:41:03,872 I'M SURE. I'M SURE THEY HAVE 2490 01:41:03,872 --> 01:41:07,809 TALKED ABOUT IT SO -- 2491 01:41:07,809 --> 01:41:09,711 ARE THERE ANY OTHER QUESTIONS OR 2492 01:41:09,711 --> 01:41:20,321 COMMENTS OR DATA ANALYSIS? 2493 01:41:20,321 --> 01:41:21,589 OKAY. THANK YOU SO MUCH. 2494 01:41:21,589 --> 01:41:24,525 NOW WE ARE GOING TO TRANSITION 2495 01:41:24,525 --> 01:41:28,329 TO THE FOOD PATTERN MODELING 2496 01:41:28,329 --> 01:41:31,266 PRESENTATION THAT IS LED BY 2497 01:41:31,266 --> 01:41:32,533 CHRIS TAYLOR. 2498 01:41:32,533 --> 01:41:35,236 >> GREAT. THANK YOU, AGAIN. 2499 01:41:35,236 --> 01:41:37,372 THIS HAS BEEN REALLY EXCITING 2500 01:41:37,372 --> 01:41:39,340 PROGRESS ON ALL OF THE WORK. 2501 01:41:39,340 --> 01:41:41,509 IT IS KIND OF STRANGE TO FEEL IT 2502 01:41:41,509 --> 01:41:42,877 HAS BEEN A YEAR ALREADY. 2503 01:41:42,877 --> 01:41:44,646 BUT WE HAVE REALLY ACCOMPLISHED 2504 01:41:44,646 --> 01:41:45,914 A LOT. 2505 01:41:45,914 --> 01:41:48,750 SO, WHAT I WILL TALK THROUGH IN 2506 01:41:48,750 --> 01:41:50,852 THIS PORTION IS THE NEW 2507 01:41:50,852 --> 01:41:52,387 PROTOCOLS THAT WE HAVE FOR FOOD 2508 01:41:52,387 --> 01:41:55,423 PATTERN MODELING. 2509 01:41:55,423 --> 01:41:58,693 NEXT SLIDE, PLEASE. 2510 01:41:58,693 --> 01:42:01,229 JUST A REMINDER SUB-COMMITTEES 2511 01:42:01,229 --> 01:42:03,298 MAKING UP OUR FOOD PATTERN 2512 01:42:03,298 --> 01:42:05,934 MODELING AND DATA ANALYSIS 2513 01:42:05,934 --> 01:42:07,635 SUB-COMMITTEE AND GROUP OF 2514 01:42:07,635 --> 01:42:09,070 AMAZING MINDS THAT COME TOGETHER 2515 01:42:09,070 --> 01:42:11,973 THAT GRAPPLE WITH COMPLICATED 2516 01:42:11,973 --> 01:42:13,641 QUESTIONS. 2517 01:42:13,641 --> 01:42:16,611 AND ALSO WORKING TOGETHER WITH 2518 01:42:16,611 --> 01:42:18,746 THE HEALTH EQUITY WORKING GROUP 2519 01:42:18,746 --> 01:42:20,181 THAT HELPED US REALLY KEEP IN 2520 01:42:20,181 --> 01:42:22,317 MIND HOW TO ADDRESS THE 2521 01:42:22,317 --> 01:42:25,653 VARIABILITY AND DIETARY INTAKES 2522 01:42:25,653 --> 01:42:27,755 AND USING THAT WITHIN THE 2523 01:42:27,755 --> 01:42:30,959 PROTOCOLS THAT WE DEVELOP. 2524 01:42:30,959 --> 01:42:33,194 NEXT SLIDE, PLEASE. 2525 01:42:33,194 --> 01:42:35,029 NONE OF THIS WORK WOULD BE 2526 01:42:35,029 --> 01:42:39,233 POSSIBLE WITHOUT OUR AMAZING, 2527 01:42:39,233 --> 01:42:40,902 AMAZING STAFF THAT REALLY HELP 2528 01:42:40,902 --> 01:42:43,838 TO DRIVE THE SHIP FOR US. 2529 01:42:43,838 --> 01:42:46,874 SO, IT IS -- IT HAS BEEN A GREAT 2530 01:42:46,874 --> 01:42:47,909 PARTNERSHIP BETWEEN THE 2531 01:42:47,909 --> 01:42:49,277 COMMITTEE AND STAFF AND REALLY 2532 01:42:49,277 --> 01:42:51,612 BEING ABLE TO MAKE ALL THIS WORK 2533 01:42:51,612 --> 01:42:54,282 A REALITY. 2534 01:42:54,282 --> 01:42:56,584 NEXT SLIDE, PLEASE. 2535 01:42:56,584 --> 01:42:58,720 SO, THIS IS THE GRAPHIC THAT WE 2536 01:42:58,720 --> 01:43:00,221 HAVE USED PREVIOUSLY THAT YOU 2537 01:43:00,221 --> 01:43:02,357 SAW IN THE PREVIOUS MEETING TO 2538 01:43:02,357 --> 01:43:04,359 INDICATE THE TYPES OF WORK WE 2539 01:43:04,359 --> 01:43:07,462 HAVE DONE AND WHAT OUR 2540 01:43:07,462 --> 01:43:09,130 OVERARCHING BLUEPRINT IS FOR 2541 01:43:09,130 --> 01:43:10,498 GETTING TO THE ENDPOINT. 2542 01:43:10,498 --> 01:43:13,001 I JUST TALKED ABOUT DIET 2543 01:43:13,001 --> 01:43:15,169 SIMULATIONS, WHICH, BASED ON THE 2544 01:43:15,169 --> 01:43:18,706 QUESTION WE HAD: WHEN WILL DIET 2545 01:43:18,706 --> 01:43:19,874 SIMULATIONS AND SIMULATIONS THAT 2546 01:43:19,874 --> 01:43:21,175 WILL BE AT THE END. 2547 01:43:21,175 --> 01:43:24,145 IN OUR PRIOR PUBLIC MEETING, WE 2548 01:43:24,145 --> 01:43:26,381 TALKED ABOUT THE POPULATION 2549 01:43:26,381 --> 01:43:29,884 SUBGROUPS AND PROTEIN, DAIRY AND 2550 01:43:29,884 --> 01:43:32,687 STAPLE CARBOHYDRATE PROTOCOLS. 2551 01:43:32,687 --> 01:43:33,921 CLICK AGAIN, PLEASE. 2552 01:43:33,921 --> 01:43:35,590 WHAT I WILL TALK ABOUT NOW WILL 2553 01:43:35,590 --> 01:43:38,426 BE VEGETABLES, FRUIT, VEGAN AND 2554 01:43:38,426 --> 01:43:40,862 THEN DIFFERENT RANGES OF NEWT 2555 01:43:40,862 --> 01:43:42,196 TREENT DENSITY PROTOCOLS. 2556 01:43:42,196 --> 01:43:45,967 I WILL WORK THROUGH THE FOUR 2557 01:43:45,967 --> 01:43:47,735 PROTOCOLS THAT WE HAVE DEVELOPED 2558 01:43:47,735 --> 01:43:48,569 SINCE THEN. 2559 01:43:48,569 --> 01:43:53,074 WE JUST DISCUSSED THE DIET 2560 01:43:53,074 --> 01:43:53,408 SIMULATIONS. 2561 01:43:53,408 --> 01:43:56,744 NEXT SLIDE, PLEASE. 2562 01:43:56,744 --> 01:43:59,147 SO, WHAT WE WILL BE LOOKING AT 2563 01:43:59,147 --> 01:44:00,882 IS VEGETABLES AND WE WILL START 2564 01:44:00,882 --> 01:44:02,984 WITH THE VEGETABLE PROTOCOL AND 2565 01:44:02,984 --> 01:44:05,053 MOVE TO THE FRUIT PROTOCOL. 2566 01:44:05,053 --> 01:44:07,955 THEN THAT WILL CONCLUDE LOOKING 2567 01:44:07,955 --> 01:44:09,824 AT EACH OF THE INDIVIDUAL FOOD 2568 01:44:09,824 --> 01:44:14,028 GROUPS AND SUBGROUPS ANALYSIS 2569 01:44:14,028 --> 01:44:16,664 FOR OUR OVERARCHING PROPOSED 2570 01:44:16,664 --> 01:44:17,799 DIETARY PATTERNS. 2571 01:44:17,799 --> 01:44:22,070 THEN WE WILL ALSO LOOK AT THE 2572 01:44:22,070 --> 01:44:26,541 VEGAN PROTOCOL AS A DIETARY 2573 01:44:26,541 --> 01:44:27,909 APPROACH. FINALLY, AFTER -- 2574 01:44:27,909 --> 01:44:29,811 AFTER WE GET THROUGH ALL OF THE 2575 01:44:29,811 --> 01:44:31,612 INDIVIDUAL GROUPS AND LOOK AT 2576 01:44:31,612 --> 01:44:33,581 THE PROPOSED PLANS, WE WILL HAVE 2577 01:44:33,581 --> 01:44:35,583 OUR DIFFERENT RANGES OF NEWT 2578 01:44:35,583 --> 01:44:38,853 TREENT DENSITY WE EVALUATE. 2579 01:44:38,853 --> 01:44:40,221 FINALLY, WE WILL GO WITH NEXT 2580 01:44:40,221 --> 01:44:43,958 STEPS IN WHERE WE ARE HEADED. 2581 01:44:43,958 --> 01:44:47,395 NEXT SLIDE, PLEASE. 2582 01:44:47,395 --> 01:44:49,163 SO, AGAIN, HERE ARE THE 2583 01:44:49,163 --> 01:44:54,268 PROTOCOLS THAT WE WILL BE 2584 01:44:54,268 --> 01:44:55,336 LOOKING AT. 2585 01:44:55,336 --> 01:44:55,837 OKAY. 2586 01:44:55,837 --> 01:45:00,174 SO, ONCE AGAIN, WE WILL BE 2587 01:45:00,174 --> 01:45:03,244 FOLLOWING OUR SAME PROCESS OF 2588 01:45:03,244 --> 01:45:06,647 THE FOOD PATTERN MODELING AND 2589 01:45:06,647 --> 01:45:09,050 WHAT OUR RATIONALE IS WE ARE 2590 01:45:09,050 --> 01:45:11,152 USING FOR PURPOSE BEHIND EACH 2591 01:45:11,152 --> 01:45:13,020 PROTOCOL AND ASSESSMENTS WE WILL 2592 01:45:13,020 --> 01:45:15,323 DO AND ANY KEY DEFINITIONS 2593 01:45:15,323 --> 01:45:17,625 PERTINENT TO THE ANALYSIS, 2594 01:45:17,625 --> 01:45:19,360 ESPECIALLY SINCE SOME OF THE 2595 01:45:19,360 --> 01:45:20,595 DEFINITIONS ARE VERY SPECIFIC TO 2596 01:45:20,595 --> 01:45:24,732 EACH OF OUR PROTOCOLS THAT WE 2597 01:45:24,732 --> 01:45:25,066 DEVELOP. 2598 01:45:25,066 --> 01:45:29,370 AS WE MOVE FORWARD, EACH OF THE 2599 01:45:29,370 --> 01:45:31,639 PROTOCOLS MAY BE REFINED AND 2600 01:45:31,639 --> 01:45:33,107 GETTING FURTHER INTO THE DATA 2601 01:45:33,107 --> 01:45:35,076 STARTING TO IDENTIFY WHERE SOME 2602 01:45:35,076 --> 01:45:36,844 PATTERNS OR SHIFTS MIGHT HAPPEN 2603 01:45:36,844 --> 01:45:38,379 OR THE FURTHER YOU GET DOWN INTO 2604 01:45:38,379 --> 01:45:41,149 THE DATA, THE MORE YOU REALIZE 2605 01:45:41,149 --> 01:45:42,383 WHAT THE DIFFERENT DECISIONS 2606 01:45:42,383 --> 01:45:44,986 MAKE AS FAR AS BROADER 2607 01:45:44,986 --> 01:45:45,319 IMPLICATIONS. 2608 01:45:45,319 --> 01:45:48,623 WE WILL BE REFINING THESE 2609 01:45:48,623 --> 01:45:50,424 PROCESSES AS WE GO. 2610 01:45:50,424 --> 01:45:53,728 AND OUR RESULTS FROM INTERIM 2611 01:45:53,728 --> 01:45:55,363 ANALYSIS MOVING FORWARD MIGHT 2612 01:45:55,363 --> 01:45:57,965 HELP US REFINE PROTOCOLS AND 2613 01:45:57,965 --> 01:46:00,601 MAKE THEM MORE POIGNANT TOWARDS 2614 01:46:00,601 --> 01:46:03,137 THE ENDPOINT GOAL. 2615 01:46:03,137 --> 01:46:04,472 THESE TECHNICAL DOCUMENTS 2616 01:46:04,472 --> 01:46:06,874 PROVIDE THAT DETAILS INFORMATION 2617 01:46:06,874 --> 01:46:08,576 WHY WE ARE DOING WHAT WE ARE 2618 01:46:08,576 --> 01:46:10,478 DOING AND HOW WE WILL IMPLEMENT 2619 01:46:10,478 --> 01:46:10,912 THEM. 2620 01:46:10,912 --> 01:46:12,847 WE WILL REALLY WALK THROUGH THIS 2621 01:46:12,847 --> 01:46:16,384 RATIONALE AND KEY DEFINITIONS 2622 01:46:16,384 --> 01:46:17,685 ANALYSIS SUMMARY. 2623 01:46:17,685 --> 01:46:20,321 THEN HOW THESE MIGHT DIFFER 2624 01:46:20,321 --> 01:46:24,158 BETWEEN PROTOCOLS THEMSELVES. 2625 01:46:24,158 --> 01:46:26,460 NEXT SLIDE, PLEASE. 2626 01:46:26,460 --> 01:46:29,630 SO, FIRST, I WILL LEAD OFF WITH 2627 01:46:29,630 --> 01:46:32,900 THE VEGETABLE PROTOCOL. 2628 01:46:32,900 --> 01:46:34,135 NEXT SLIDE, PLEASE. 2629 01:46:34,135 --> 01:46:37,338 THE PURPOSE OF LOOKING AT OUR 2630 01:46:37,338 --> 01:46:40,608 VEGETABLE PROTOCOL AND VEGETABLE 2631 01:46:40,608 --> 01:46:43,044 FOOD GROUP THAT IS COMPRISED OF 2632 01:46:43,044 --> 01:46:45,313 A VARIETY OF DIFFERENT PLANT 2633 01:46:45,313 --> 01:46:47,815 SOURCES THAT WE ARE LOOKING AT 2634 01:46:47,815 --> 01:46:50,985 DARK GREEN AND RED AND ORANGE 2635 01:46:50,985 --> 01:46:53,421 VEGETABLES BEANS PEAS AND 2636 01:46:53,421 --> 01:46:55,323 LENTILS AND STARCHY VEGETABLES 2637 01:46:55,323 --> 01:46:58,125 AND OTHER VEGETABLES AND HAVE 2638 01:46:58,125 --> 01:47:00,995 DIFFERENT SUBGROUPS COMBINED TO 2639 01:47:00,995 --> 01:47:03,497 CREATE THE VEGETABLE FOOD GROUP. 2640 01:47:03,497 --> 01:47:05,533 MANY OF THEM ARE CLUSTERED 2641 01:47:05,533 --> 01:47:07,535 TOGETHER BECAUSE OF A VARIETY OF 2642 01:47:07,535 --> 01:47:09,904 DIFFERENT NUTRIENTS WITHIN EACH 2643 01:47:09,904 --> 01:47:11,239 DIFFERENT SUBGROUP TYPE. 2644 01:47:11,239 --> 01:47:13,641 SO, THE VARIETY BECOMES A REALLY 2645 01:47:13,641 --> 01:47:17,111 IMPORTANT ASPECT WE ARE 2646 01:47:17,111 --> 01:47:19,180 EVALUATING WITH A VEGETABLE. 2647 01:47:19,180 --> 01:47:20,881 INTAKES OF DIFFERENT SUBGROUPS 2648 01:47:20,881 --> 01:47:23,584 MIGHT BE MODIFIED BASED ON NEED, 2649 01:47:23,584 --> 01:47:27,088 BUDGET, CULTURAL OR RELIGIOUS 2650 01:47:27,088 --> 01:47:29,323 NORMS AND ARE LOTS OF DIFFERENT 2651 01:47:29,323 --> 01:47:31,425 VEGETABLES CONSUMED BY VARIETY 2652 01:47:31,425 --> 01:47:33,728 OF GROUPS FOR VARIOUS REASONS 2653 01:47:33,728 --> 01:47:35,630 AND OUR PRIOR SYSTEMATIC REVIEWS 2654 01:47:35,630 --> 01:47:37,932 HAVE REALLY SHOWN THAT STRONG 2655 01:47:37,932 --> 01:47:39,767 LINK BETWEEN DIETARY PATTERNS 2656 01:47:39,767 --> 01:47:42,536 INCLUDING VEGETABLES AND OTHER 2657 01:47:42,536 --> 01:47:44,939 PLANT-BASED COMPONENTS WITH 2658 01:47:44,939 --> 01:47:48,409 LOWER CHRONIC DISEASE RISK AND 2659 01:47:48,409 --> 01:47:51,145 AS WE HAVE SEEN HEATHER HAS 2660 01:47:51,145 --> 01:47:53,581 SHOWN IN PREVIOUS DATA AND 2661 01:47:53,581 --> 01:47:56,417 INITIALLY FROM DATA ANALYSIS 2662 01:47:56,417 --> 01:47:58,419 SIZE IS CURRENT DIE INTAKES ARE 2663 01:47:58,419 --> 01:48:01,455 BELOW RECOMMENDED INTAKE LEVELS 2664 01:48:01,455 --> 01:48:04,158 FOR DIETARY GUIDELINES AND 2665 01:48:04,158 --> 01:48:04,925 DIETARY GUIDELINES AND 2666 01:48:04,925 --> 01:48:06,727 SYSTEMATIC REVIEWS SHOWING 2667 01:48:06,727 --> 01:48:09,297 HIGHER INTAKE OF VEGETABLES AND 2668 01:48:09,297 --> 01:48:12,433 OTHER PLANT-BASED PRODUCTS HAVE 2669 01:48:12,433 --> 01:48:15,136 HEALTH BENEFITS AND PROVIDE 2670 01:48:15,136 --> 01:48:17,271 NUTRITIONAL ADEQUACY AND INTAKE 2671 01:48:17,271 --> 01:48:21,509 LEVELS ARE BELOW RECOMMENDED 2672 01:48:21,509 --> 01:48:22,209 LEVELS. 2673 01:48:22,209 --> 01:48:25,846 PREVIOUS WORK THAT EVALUATED 2674 01:48:25,846 --> 01:48:28,949 INTAKES OF AND RECOMMENDED 2675 01:48:28,949 --> 01:48:33,220 AMOUNTS IN THE FOOD PATTERNS ARE 2676 01:48:33,220 --> 01:48:36,691 BASED ON PREVIOUS AI FOR 2677 01:48:36,691 --> 01:48:40,461 POTASSIUM AND THIS IN THE LAT 2678 01:48:40,461 --> 01:48:43,164 ITERATION, POTASSIUM AI HAVE 2679 01:48:43,164 --> 01:48:48,736 BE 2680 01:48:48,736 --> 01:48:51,272 BEEN LOWERED AND THESE HAVE 2681 01:48:51,272 --> 01:48:53,474 BEEN USED PREVIOUSLY AND WILL 2682 01:48:53,474 --> 01:48:55,643 GET FOLDED INTO OUR WORK. 2683 01:48:55,643 --> 01:48:57,511 ULTIMATELY, WHAT WE ARE LOOKING 2684 01:48:57,511 --> 01:48:59,613 AT IS WHAT ARE HYPOTHETICAL 2685 01:48:59,613 --> 01:49:00,748 MODIFICATIONS IN THE TOTAL 2686 01:49:00,748 --> 01:49:02,783 AMOUNT OF VEGETABLES OR 2687 01:49:02,783 --> 01:49:05,219 VEGETABLE SUBGROUP TYPES? 2688 01:49:05,219 --> 01:49:08,956 HOW DOES THAT MEET POPULATION 2689 01:49:08,956 --> 01:49:10,758 NORMS, PREFERENCES AND 2690 01:49:10,758 --> 01:49:13,294 NUTRITIONAL NEEDS? 2691 01:49:13,294 --> 01:49:15,896 NEXT SLIDE, PLEASE. 2692 01:49:15,896 --> 01:49:18,232 SO, OUR OVERARCHING VEGETABLE 2693 01:49:18,232 --> 01:49:21,001 QUESTION IS WHAT IS THE 2694 01:49:21,001 --> 01:49:22,570 IMPLICATIONS OF NEWT TREE 2695 01:49:22,570 --> 01:49:24,872 INTAKES MODIFYING THE VEGETABLE 2696 01:49:24,872 --> 01:49:27,508 FOOD GROUP OR SUBGROUP 2697 01:49:27,508 --> 01:49:33,180 QUANTITIES AND HEALTHY US DIAL 2698 01:49:33,180 --> 01:49:34,281 DIETARY PATTERN? ONCE AGAIN, 2699 01:49:34,281 --> 01:49:37,651 THEY WERE INCLUDED IN THE 2020 2700 01:49:37,651 --> 01:49:40,821 PLAN AND THE COMPOSITION OF 2701 01:49:40,821 --> 01:49:42,490 PROTEIN FOOD OR GREATER -- THAT 2702 01:49:42,490 --> 01:49:45,726 WE ARE REALLY LOOKING AT WHAT 2703 01:49:45,726 --> 01:49:50,030 THE VEGETABLE COMPONENT 2704 01:49:50,030 --> 01:49:50,464 PROVIDES. 2705 01:49:50,464 --> 01:49:54,668 AND THIS REALLY ALLOWS US TO 2706 01:49:54,668 --> 01:49:56,904 TEST WITHIN GROUPS AND SUBGROUPS 2707 01:49:56,904 --> 01:49:59,840 IF FLEXIBILITIES COULD BE 2708 01:49:59,840 --> 01:50:01,409 IMPLEMENTED TO MORE EQUITABLY TO 2709 01:50:01,409 --> 01:50:03,677 BE CONSIDERED POPULATION NORMS, 2710 01:50:03,677 --> 01:50:05,346 PREFERENCES, AND NEEDS ALIGNING 2711 01:50:05,346 --> 01:50:08,916 WITH A SYSTEMATIC REVIEW 2712 01:50:08,916 --> 01:50:10,785 EVIDENCE. 2713 01:50:10,785 --> 01:50:13,754 NEXT SLIDE, PLEASE. 2714 01:50:13,754 --> 01:50:18,192 SO, OUR FIRST OBJECTIVE THAT WE 2715 01:50:18,192 --> 01:50:22,730 WILL TEST IS REALLY TO TAKE THE 2716 01:50:22,730 --> 01:50:25,599 VEGETABLES THAT EXIST WITHIN OUR 2717 01:50:25,599 --> 01:50:27,735 CURRENT PLAN AND IDENTIFY THE 2718 01:50:27,735 --> 01:50:30,838 GROUPS AND SUBGROUPS THAT 2719 01:50:30,838 --> 01:50:33,841 PROPORTIONAL DISTRIBUTION OF THE 2720 01:50:33,841 --> 01:50:36,544 CONSUMPTION AND ESTABLISH THE 2721 01:50:36,544 --> 01:50:38,913 NUTRITIONAL COMPOSITION OF THE 2722 01:50:38,913 --> 01:50:41,782 FOOD GROUP AND SUBGROUPS BASED 2723 01:50:41,782 --> 01:50:46,754 ON DATA THAT WE HAVE FROM WHAT 2724 01:50:46,754 --> 01:50:48,956 WE IN AMERICA AND FOLLOWING SAME 2725 01:50:48,956 --> 01:50:51,325 PATTERN WHAT TYPICAL NUTRIENT 2726 01:50:51,325 --> 01:50:53,360 COMPOSITION LOOKING AT RED AND 2727 01:50:53,360 --> 01:50:55,696 ORANGE VEGETABLES BASED ON 2728 01:50:55,696 --> 01:50:57,898 DISTRIBUTION OF RED AND ORANGE 2729 01:50:57,898 --> 01:51:01,001 VEGETABLES LIKE WE DISCUSSED IN 2730 01:51:01,001 --> 01:51:04,104 THE DIET SIMULATION PROTOCOL. 2731 01:51:04,104 --> 01:51:05,639 WHAT IS NUTRITIONAL COMPOSITION 2732 01:51:05,639 --> 01:51:08,108 OF THE FOOD GROUP ALONE AND HOW 2733 01:51:08,108 --> 01:51:09,710 IT COMPARES TO THE CURRENT 2734 01:51:09,710 --> 01:51:11,812 INTAKES. 2735 01:51:11,812 --> 01:51:16,817 NEXT SLIDE, PLEASE. 2736 01:51:16,817 --> 01:51:19,887 OUR SECOND OBJECTIVE WILL BE TO 2737 01:51:19,887 --> 01:51:22,990 AS WE HAVE DONE WITH ALL OTHER 2738 01:51:22,990 --> 01:51:26,694 PROTOCOLS TO INCREMENTALLY 2739 01:51:26,694 --> 01:51:28,162 REDUCE VEGETABLE INTAKES FROM 2740 01:51:28,162 --> 01:51:30,164 CURRENT RECOMMENDED LEVEL DOWN 2741 01:51:30,164 --> 01:51:34,435 TO 0 USING QUARTER CUP 2742 01:51:34,435 --> 01:51:37,705 EQUIVALENCE FOR LOWER CALORIE 2743 01:51:37,705 --> 01:51:40,174 LEVELS AND 1 CUP EQUIVALENCE FOR 2744 01:51:40,174 --> 01:51:42,042 HIGHER LEVEL DIETARY PATTERNS 2745 01:51:42,042 --> 01:51:44,411 AND ASSESSING WHAT NUTRITIONAL 2746 01:51:44,411 --> 01:51:45,646 IMPLICATIONS ARE FOR 2747 01:51:45,646 --> 01:51:47,381 HYPOTHETICAL REDUCTIONS WITHIN 2748 01:51:47,381 --> 01:51:48,716 VEGETABLE CONSUMPTION ALL THE 2749 01:51:48,716 --> 01:51:50,184 WAY DOWN TO ZERO. 2750 01:51:50,184 --> 01:51:52,486 IF YOU GET DOWN TO ZERO AND TAKE 2751 01:51:52,486 --> 01:51:54,421 VEGETABLES OUT WHAT ARE 2752 01:51:54,421 --> 01:51:56,223 NUTRITIONAL IMPLICATIONS? 2753 01:51:56,223 --> 01:51:58,225 HOW DOES THAT HAPPEN AS YOU 2754 01:51:58,225 --> 01:52:01,328 REDUCE THAT QUANTITY? 2755 01:52:01,328 --> 01:52:02,863 NEXT SLIDE, PLEASE. 2756 01:52:02,863 --> 01:52:04,632 THEN OUR FINAL OBJECTIVE WITHIN 2757 01:52:04,632 --> 01:52:08,269 THIS GROUP WILL THEN BE TO -- TO 2758 01:52:08,269 --> 01:52:09,870 TEST WITHIN THE SUBGROUP 2759 01:52:09,870 --> 01:52:13,541 QUANTIFICATIONS AND SHIFTING THE 2760 01:52:13,541 --> 01:52:15,776 PROPORTIONS OF SUBGROUP -- 2761 01:52:15,776 --> 01:52:18,078 SUBGROUP CONTRIBUTIONS TO TOTAL 2762 01:52:18,078 --> 01:52:19,547 VEGETABLES THAT WE WILL LOOK AT 2763 01:52:19,547 --> 01:52:22,483 THIS IN TWO WAYS. 2764 01:52:22,483 --> 01:52:26,587 ONE WILL BE TO -- TO SHIFT THE 2765 01:52:26,587 --> 01:52:31,625 PROPORTIONS OF SUBGROUPS, 2766 01:52:31,625 --> 01:52:33,561 INCREMENTALLY REDUCE SUBGROUP 2767 01:52:33,561 --> 01:52:35,095 QUANTITY AND INCREASE OTHER 2768 01:52:35,095 --> 01:52:35,663 SUBGROUPS. 2769 01:52:35,663 --> 01:52:38,532 WE WILL ALSO LOOK AT IT FROM A 2770 01:52:38,532 --> 01:52:42,603 STANDPOINT OF WHAT IF ALL OF THE 2771 01:52:42,603 --> 01:52:44,638 VEGETABLES CAME FROM ONE 2772 01:52:44,638 --> 01:52:46,307 INDIVIDUAL SUBGROUP ITSELF? 2773 01:52:46,307 --> 01:52:48,776 SO, IT REALLY HELPS US TO ASSESS 2774 01:52:48,776 --> 01:52:51,478 WHAT THE VARIETY OF VEGETABLES 2775 01:52:51,478 --> 01:52:55,516 LOOKS LIKE AND WHAT HAPPENS WHEN 2776 01:52:55,516 --> 01:52:58,052 WE GET MORE VEGETABLES FROM ONE 2777 01:52:58,052 --> 01:52:59,520 SUBGROUP VERSUS ANOTHER AND THEY 2778 01:52:59,520 --> 01:53:01,622 ARE PUT INTO SUBGROUPS GIVING 2779 01:53:01,622 --> 01:53:03,724 LOTS OF NUTRITIONAL DIVERSITY 2780 01:53:03,724 --> 01:53:05,326 WITHIN THOSE DIFFERENT SUBGROUPS 2781 01:53:05,326 --> 01:53:08,028 AND TESTING THIS INCREMENTAL 2782 01:53:08,028 --> 01:53:09,396 PROPORTIONALITY HELPS US TO 2783 01:53:09,396 --> 01:53:12,967 REALLY SEE WHERE VARIETY PLAYS A 2784 01:53:12,967 --> 01:53:17,671 ROLE IN OUR NUTRITIONAL 2785 01:53:17,671 --> 01:53:18,038 ESTIMATES. 2786 01:53:18,038 --> 01:53:19,673 NEXT SLIDE, PLEASE. 2787 01:53:19,673 --> 01:53:22,142 SO, THAT WILL CONCLUDE OUR NEW 2788 01:53:22,142 --> 01:53:23,310 VEGETABLE PROTOCOL. 2789 01:53:23,310 --> 01:53:27,881 WE WILL TALK ABOUT THE FRUITS 2790 01:53:27,881 --> 01:53:31,218 FOOD GROUP PROTOCOL NEXT. 2791 01:53:31,218 --> 01:53:33,654 NEXT SLIDE, PLEASE. 2792 01:53:33,654 --> 01:53:35,990 MUCH LIKE VEGETABLES, FRUITS 2793 01:53:35,990 --> 01:53:38,425 COME TO US IN A VARIETY OF 2794 01:53:38,425 --> 01:53:41,128 DIFFERENT SOURCES THAT MIGHT BE 2795 01:53:41,128 --> 01:53:44,498 RAW OR COOKED FRUIT OR CANNED OR 2796 01:53:44,498 --> 01:53:46,700 FROZEN OR DRIED AND COME IN THE 2797 01:53:46,700 --> 01:53:48,335 FORM OF FRUIT JUICE AND SOME OF 2798 01:53:48,335 --> 01:53:49,970 THE TERMINOLOGY THAT MIGHT GET A 2799 01:53:49,970 --> 01:53:52,573 LITTLE CONFUSING AT TIMES IS 2800 01:53:52,573 --> 01:53:55,376 WHEN WE TALK ABOUT WHOLE FRUIT 2801 01:53:55,376 --> 01:53:56,276 VERSUS FRUIT JUICE. 2802 01:53:56,276 --> 01:54:00,881 WHOLE FRUIT WOULD THEN BE ANY 2803 01:54:00,881 --> 01:54:02,416 FRUIT CONSUMED THAT WASN'T IN A 2804 01:54:02,416 --> 01:54:05,819 JUICE FORM 100% JUICE FORM AND 2805 01:54:05,819 --> 01:54:10,724 RAW ARE COOKED CANNED OR FROZEN 2806 01:54:10,724 --> 01:54:14,028 OR DRY FRUIT REPRESENT THAT IDEA 2807 01:54:14,028 --> 01:54:15,829 AND MODIFIED BY NEED AND BUDGET 2808 01:54:15,829 --> 01:54:17,865 AND CULTURE AND RELIGIOUS NORMS 2809 01:54:17,865 --> 01:54:19,833 AND DRIVING TYPES OF FRUITS THAT 2810 01:54:19,833 --> 01:54:22,169 ARE CONSUMED AND AGAIN OUR 2811 01:54:22,169 --> 01:54:30,244 SYSTEMATIC REVIEWS AND AMAZING 2812 01:54:30,244 --> 01:54:33,113 NSER STAFF HAVE LICHGED 2813 01:54:33,113 --> 01:54:35,582 COMPONENTS WITH FRUIT AND 2814 01:54:35,582 --> 01:54:37,384 CHRONIC DISEASE RISK AND WITH 2815 01:54:37,384 --> 01:54:39,353 VEGETABLES NATIONAL CONSUMPTION 2816 01:54:39,353 --> 01:54:41,789 LEVELS ARE BELOW INTAKES FROM 2817 01:54:41,789 --> 01:54:44,058 DIETARY GUIDELINES AND WHAT WE 2818 01:54:44,058 --> 01:54:48,328 WILL LOOK AT IN MUCH THE SAME 2819 01:54:48,328 --> 01:54:49,496 FORM WHAT ARE HYPOTHETICAL 2820 01:54:49,496 --> 01:54:51,799 MODIFICATIONS THAT MIGHT HAPPEN 2821 01:54:51,799 --> 01:54:53,133 AND FLEXIBILITIES OF FRUIT, TYPE 2822 01:54:53,133 --> 01:54:56,136 OF FRUIT CONSUMED, AND THE -- 2823 01:54:56,136 --> 01:54:59,373 WHAT HAPPENS AS WE REDUCE THE 2824 01:54:59,373 --> 01:55:04,712 QUANTITY OF FRUIT IN THE DIET? 2825 01:55:04,712 --> 01:55:08,982 NEXT SLIDE, PLEASE. 2826 01:55:08,982 --> 01:55:12,419 SO, TO OUR FRUIT QUESTION THAT 2827 01:55:12,419 --> 01:55:15,522 WE WILL LOOK FOR A 2025 ANALYSIS 2828 01:55:15,522 --> 01:55:20,928 AND WHAT ARE IMPLICATIONS FOR 2829 01:55:20,928 --> 01:55:23,363 NUTRIENTS AND QUANTITIES IN THE 2830 01:55:23,363 --> 01:55:26,400 HEALTHY US DIETARY PATTERN AND 2831 01:55:26,400 --> 01:55:30,037 HERE 2020 HEALTHY US PATTERN FOR 2832 01:55:30,037 --> 01:55:33,407 1,000 CALORIES PER DAY IS 1 CUP 2833 01:55:33,407 --> 01:55:36,944 EQUIVALENT AND 3,000 CALORIES 2834 01:55:36,944 --> 01:55:40,047 2.5 CUP EQUIVALENCE PER DAY TO 2835 01:55:40,047 --> 01:55:43,617 GIVE YOU A REFERENCE OF SCALE. 2836 01:55:43,617 --> 01:55:47,521 NEXT SLIDE, PLEASE. 2837 01:55:47,521 --> 01:55:49,323 SO, MUCH LIKE THE VEGETABLE 2838 01:55:49,323 --> 01:55:51,458 PROTOCOL SEEING A PATTERN HERE. 2839 01:55:51,458 --> 01:55:55,496 WHAT WE WILL LOOK AT, AGAIN, IS 2840 01:55:55,496 --> 01:55:58,265 WITHIN THE FRUIT FOOD GROUP, 2841 01:55:58,265 --> 01:56:01,268 WHAT ARE PROPORTIONAL 2842 01:56:01,268 --> 01:56:03,303 CONSUMPTIONS OF FRUIT WITHIN THE 2843 01:56:03,303 --> 01:56:05,572 WHAT WE EAT AMERICA DATA. 2844 01:56:05,572 --> 01:56:08,442 HOW DOES THAT COMPARE TO 2845 01:56:08,442 --> 01:56:09,076 INTAKES? 2846 01:56:09,076 --> 01:56:11,912 WITH FRUIT, WE DID EXPLORE THE 2847 01:56:11,912 --> 01:56:15,249 IDEA OF SUBGROUPS. 2848 01:56:15,249 --> 01:56:19,920 AS WE CONTINUE TO -- WE DID 2849 01:56:19,920 --> 01:56:21,488 ASSESSMENT TO IDENTIFY SUBGROUPS 2850 01:56:21,488 --> 01:56:23,590 MIGHT BE A VIABLE APPROACH THAT 2851 01:56:23,590 --> 01:56:27,528 WE DIDN'T SEE ENOUGH OF AN 2852 01:56:27,528 --> 01:56:28,462 OVERARCHING PATTERN IN 2853 01:56:28,462 --> 01:56:30,197 DIFFERENCES FROM NUTRIENTS FROM 2854 01:56:30,197 --> 01:56:31,799 DIFFERENT FRUITS TO CARRY 2855 01:56:31,799 --> 01:56:33,767 FORWARD WITH A SUBGROUP ANALYSIS 2856 01:56:33,767 --> 01:56:38,038 AND WILL LOOK AT THIS FROM 2857 01:56:38,038 --> 01:56:41,008 ENTIRETY OF THE TOTAL FOOD GROUP 2858 01:56:41,008 --> 01:56:43,110 FOR THIS ANALYSIS AND WILL DO 2859 01:56:43,110 --> 01:56:45,379 THIS FOR AGES 12 TO 23 MONTHS 2860 01:56:45,379 --> 01:56:49,416 AND 22 YEARS AND OLDER. 2861 01:56:49,416 --> 01:56:53,086 NEXT SLIDE, PLEASE. 2862 01:56:53,086 --> 01:56:55,556 OUR SECOND OBJECTIVE, AGAIN, 2863 01:56:55,556 --> 01:56:58,659 WILL BE TO INCREMENTALLY REDUCE 2864 01:56:58,659 --> 01:57:03,130 QUANTITIES OF FRUIT FROM THE 2865 01:57:03,130 --> 01:57:05,966 CURRENT RECOMMENDATION BY ONE 2866 01:57:05,966 --> 01:57:11,338 1/2 FOR LOWER LEVELS AND HALF 2867 01:57:11,338 --> 01:57:13,674 CUP IMCREMENTS FOR HIGHER LEVELS 2868 01:57:13,674 --> 01:57:15,943 AND SEE WHAT INCREMENTAL 2869 01:57:15,943 --> 01:57:17,244 REDUCTIONS ARE DOWN TO ZERO TO 2870 01:57:17,244 --> 01:57:20,147 WHAT HAPPENS TO THE NUTRIENT 2871 01:57:20,147 --> 01:57:22,316 PROFILE REMOVING FRUIT FROM THE 2872 01:57:22,316 --> 01:57:25,319 DIETARY PATTERN. 2873 01:57:25,319 --> 01:57:30,023 NEXT SLIDE, PLEASE. 2874 01:57:30,023 --> 01:57:34,027 OUR FINAL OBJECTIVE IN THE FOOD 2875 01:57:34,027 --> 01:57:36,096 GROUP IS SIMILAR TO WAY WE 2876 01:57:36,096 --> 01:57:38,031 LOOKED AT VEGETABLES IN 2877 01:57:38,031 --> 01:57:39,833 VEGETABLE SUBGROUPS AND WE WILL 2878 01:57:39,833 --> 01:57:42,836 LOOK AT IMPLICATIONS OF WHOLE 2879 01:57:42,836 --> 01:57:44,371 FRUIT VERSUS FRUIT JUICE. 2880 01:57:44,371 --> 01:57:48,108 IN FRUIT JUICE, WE HAVE LESS 2881 01:57:48,108 --> 01:57:50,611 FIBER AND SOME OTHER NUTRIENTS 2882 01:57:50,611 --> 01:57:52,646 SO THE FORM OF FRUIT VERSUS 2883 01:57:52,646 --> 01:57:54,281 FRUIT JUICE MAY HAVE 2884 01:57:54,281 --> 01:57:56,083 IMPLICATIONS ON SOME OF THE 2885 01:57:56,083 --> 01:57:58,118 NUTRITIONAL GOALS AND CALORIE 2886 01:57:58,118 --> 01:57:58,652 INTAKES. 2887 01:57:58,652 --> 01:58:02,723 SO, WE WILL LOOK AT THE 2888 01:58:02,723 --> 01:58:06,159 PROPORTIONALITY OF WHOLE FRUITS 2889 01:58:06,159 --> 01:58:09,963 VERSUS FRUIT JUICE WITHIN THE 2890 01:58:09,963 --> 01:58:12,199 PATTERN FOR ROUGHLY 2/3 WHOLE 2891 01:58:12,199 --> 01:58:14,534 FRUIT TO HAVE TO AND THEN 2892 01:58:14,534 --> 01:58:16,703 PROPORTIONS AND QUARTER CUP 2893 01:58:16,703 --> 01:58:19,306 INCREMENTS TO IDENTIFY HOW THE 2894 01:58:19,306 --> 01:58:21,642 SHIFTING IN WHOLE FRUIT VERSUS 2895 01:58:21,642 --> 01:58:24,645 FRUIT JUICE HAS IMPLICATIONS ON 2896 01:58:24,645 --> 01:58:27,981 THE DIETARY PATTERN. 2897 01:58:27,981 --> 01:58:30,284 SO, NEXT SLIDE, PLEASE. 2898 01:58:30,284 --> 01:58:31,752 AND THAT WILL CONCLUDE LOOKING 2899 01:58:31,752 --> 01:58:33,921 AT EACH OF THE PROTOCOLS THAT 2900 01:58:33,921 --> 01:58:37,491 LOOK AT EACH OF THE INDIVIDUAL 2901 01:58:37,491 --> 01:58:40,093 FOOD GROUPS MAKING UP DIETARY 2902 01:58:40,093 --> 01:58:40,360 PATTERNS. 2903 01:58:40,360 --> 01:58:42,229 WE TALKED ABOUT GRAINS AND 2904 01:58:42,229 --> 01:58:45,399 PROTEIN FOODS IN THE PREVIOUS 2905 01:58:45,399 --> 01:58:47,734 AND TALKED ABOUT FRUIT AND 2906 01:58:47,734 --> 01:58:49,569 VEGETABLE HERE AND TALKING ABOUT 2907 01:58:49,569 --> 01:58:52,673 DAIRY IN THE PREVIOUS. 2908 01:58:52,673 --> 01:58:55,709 SO, THE NEXT PROTOCOL IS 2909 01:58:55,709 --> 01:59:00,147 SOMEWHAT OF A NEXT STEP FROM THE 2910 01:59:00,147 --> 01:59:02,282 MODIFICATIONS IN PROTEIN FOODS 2911 01:59:02,282 --> 01:59:04,217 INTAKE WHERE PROTEIN FOODS 2912 01:59:04,217 --> 01:59:05,652 ALLOWED US TO SHIFT A LITTLE 2913 01:59:05,652 --> 01:59:07,721 MORE OF THE DISTRIBUTIONS OF 2914 01:59:07,721 --> 01:59:10,223 DIFFERENT TYPES OF PROTEIN 2915 01:59:10,223 --> 01:59:10,457 FOODS. 2916 01:59:10,457 --> 01:59:15,429 AND WITH PUBLIC COMMENTS AND A 2917 01:59:15,429 --> 01:59:19,533 LOT OF THE CURRENT TRENDS, 2918 01:59:19,533 --> 01:59:20,867 SOCIAL MEDIA, ET CETERA, 2919 01:59:20,867 --> 01:59:22,736 FOCUSING ON A VEGAN DIETARY 2920 01:59:22,736 --> 01:59:25,706 PATTERN, WE WANTED TO GO IN AND 2921 01:59:25,706 --> 01:59:28,408 EXPLORE FROM A NUTRITIONAL 2922 01:59:28,408 --> 01:59:30,077 COMPOSITION STANDPOINT WHAT A 2923 01:59:30,077 --> 01:59:32,279 VEGAN DIETARY PATTERN MIGHT LOOK 2924 01:59:32,279 --> 01:59:34,748 LIKE AND WHAT NUTRITIONAL 2925 01:59:34,748 --> 01:59:36,883 IMPLICATIONS ARE FOR THE REMOVAL 2926 01:59:36,883 --> 01:59:40,754 OF ANIMAL PRODUCTS. 2927 01:59:40,754 --> 01:59:44,324 NEXT SLIDE, PLEASE. 2928 01:59:44,324 --> 01:59:46,193 SO, AS WE -- AS WE HAVE HEARD IN 2929 01:59:46,193 --> 01:59:48,462 MANY OF OUR PUBLIC COMMENTS THAT 2930 01:59:48,462 --> 01:59:51,264 HAVE ADDRESSED THESE EMERGING 2931 01:59:51,264 --> 01:59:53,767 WITHIN THE LITERATURE, ET CETERA 2932 01:59:53,767 --> 01:59:58,939 INTAKE OF ANIMAL SOURCE FOODS 2933 01:59:58,939 --> 02:00:01,708 AND BEVERAGES ARE MAYBE MODIFIED 2934 02:00:01,708 --> 02:00:04,277 OR ELIMINATED BASED ON PERSONAL 2935 02:00:04,277 --> 02:00:06,413 PREFERENCE OR NEEDS OR BUDGET OR 2936 02:00:06,413 --> 02:00:08,448 CULTURAL OR RELIGIOUS NORMS. 2937 02:00:08,448 --> 02:00:11,351 THERE ARE LOTS OF DIFFERENT 2938 02:00:11,351 --> 02:00:12,386 FACTORS DRIVING FOOD SELECTIONS 2939 02:00:12,386 --> 02:00:14,621 THAT INDIVIDUALS MAKE. 2940 02:00:14,621 --> 02:00:17,657 SO, VEGAN DIETS MIGHT BE ADOPTED 2941 02:00:17,657 --> 02:00:19,659 FOR A VARIETY OF REASONS THAT 2942 02:00:19,659 --> 02:00:21,361 MIGHT BE ETHICAL CONSIDERATIONS 2943 02:00:21,361 --> 02:00:23,030 OR MIGHT BE HEALTH 2944 02:00:23,030 --> 02:00:24,564 CONSIDERATIONS OR MIGHT BE 2945 02:00:24,564 --> 02:00:26,266 NUTRITIONAL CONCERNS. 2946 02:00:26,266 --> 02:00:28,068 ALL OF THOSE DECISIONS AROUND 2947 02:00:28,068 --> 02:00:30,070 WHAT WE ADD TO OUR DIETS AND 2948 02:00:30,070 --> 02:00:31,805 WHAT WE TAKE OUT HAVE 2949 02:00:31,805 --> 02:00:34,975 NUTRITIONAL IMPLICATIONS. 2950 02:00:34,975 --> 02:00:37,411 AGAIN, OUR DIETARY CHANGE IS 2951 02:00:37,411 --> 02:00:39,446 NEWT OWNIUM AND TAKING SOMETHING 2952 02:00:39,446 --> 02:00:41,515 ELSE IT IS ALSO IMPORTANT WHAT 2953 02:00:41,515 --> 02:00:46,053 YOU PUT BACK IN AND NATIONALLY 2954 02:00:46,053 --> 02:00:47,154 REPRESENTATIVE DATA FOR 2955 02:00:47,154 --> 02:00:51,191 INDIVIDUALS FOLLOWING A VEGAN 2956 02:00:51,191 --> 02:00:54,995 DIET IS NOT AVAILABLE. 2957 02:00:54,995 --> 02:00:57,330 HAVING A SUITABLE AMOUNT OF DATA 2958 02:00:57,330 --> 02:00:58,965 TO FULLY ASSESS WHAT A PATTERN 2959 02:00:58,965 --> 02:01:00,734 WOULD LOOK LIKE AND WHAT TYPES 2960 02:01:00,734 --> 02:01:03,070 OF SUBSTITUTIONS MIGHT BE MADE 2961 02:01:03,070 --> 02:01:05,872 AND WITH THE SECOND BULLET OF 2962 02:01:05,872 --> 02:01:07,908 VARIOUS REASONS WHY PEOPLE MIGHT 2963 02:01:07,908 --> 02:01:09,776 AVOID CERTAIN FOODS AND WHAT 2964 02:01:09,776 --> 02:01:12,512 TYPES OF SUBSTITUTIONS ARE MADE 2965 02:01:12,512 --> 02:01:14,748 VERSUS EXCLUSIONS MEANS WE DON'T 2966 02:01:14,748 --> 02:01:16,650 HAVE NATIONALLY REPRESENTATIVE 2967 02:01:16,650 --> 02:01:18,351 STANDARD OR SET OF DATA TO FALL 2968 02:01:18,351 --> 02:01:22,089 BACK ON TO REALLY ASSESS SOME OF 2969 02:01:22,089 --> 02:01:30,764 THE DECISIONS THAT WOULD BE 2970 02:01:30,764 --> 02:01:30,964 USED. 2971 02:01:30,964 --> 02:01:31,298 WH 2972 02:01:31,298 --> 02:01:35,502 WHAT WE WILL DO TAKING 2010 FOOD 2973 02:01:35,502 --> 02:01:39,339 PATTERN ANALYSIS DETERMINED THAT 2974 02:01:39,339 --> 02:01:42,442 FORTIFIED FOODS ARE NECESSARY TO 2975 02:01:42,442 --> 02:01:43,743 MEET SPECIFIC RECOMMENDATIONS 2976 02:01:43,743 --> 02:01:47,013 AND IS A CHANGE IN FOODS 2977 02:01:47,013 --> 02:01:49,583 AVAILABLE SINCE THAT TIME AS 2978 02:01:49,583 --> 02:01:51,418 WELL AND OUR OVERARCHING 2979 02:01:51,418 --> 02:01:54,054 OBJECTIVE HERE IS ASSESSING 2980 02:01:54,054 --> 02:01:57,357 MEETING NUTRIENT GOALS WITHIN OR 2981 02:01:57,357 --> 02:02:00,093 MOVING AND/OR REPLACING FOOD 2982 02:02:00,093 --> 02:02:01,862 GROUPS SUCH AS A VEGAN DIET THAT 2983 02:02:01,862 --> 02:02:06,066 WILL BE THE FRAMEWORK WE USE 2984 02:02:06,066 --> 02:02:08,535 MOVING FORWARD HERE. 2985 02:02:08,535 --> 02:02:13,006 NEXT SLIDE, PLEASE. 2986 02:02:13,006 --> 02:02:15,876 SO, THIS SLIDE SHOWS THE CURRENT 2987 02:02:15,876 --> 02:02:17,744 QUANTITIES FOR DAIRY AND 2988 02:02:17,744 --> 02:02:19,746 FORTIFIED SOY ALTERNATIVES 2989 02:02:19,746 --> 02:02:22,015 PROTEINS FOODS AND EGGS FROM 2990 02:02:22,015 --> 02:02:25,719 2000 CALORIE OF HEALTHY 2991 02:02:25,719 --> 02:02:27,721 VEGETARIAN DIETARIAN PATTERN 2992 02:02:27,721 --> 02:02:30,657 HEALTHY VEGETARIAN DIETARY 2993 02:02:30,657 --> 02:02:31,892 PATTERN WILL SERVE AS OUR 2994 02:02:31,892 --> 02:02:33,660 FOUNDATION TO START FOR THE 2995 02:02:33,660 --> 02:02:36,296 ANALYSIS THAT WE WILL DO HERE. 2996 02:02:36,296 --> 02:02:39,099 ANIMAL SOURCES OF FOODS AND 2997 02:02:39,099 --> 02:02:42,502 BEVERAGES CONTRIBUTING TO DAIRY 2998 02:02:42,502 --> 02:02:46,072 AND FOOD AND FORTIFIED SOY 2999 02:02:46,072 --> 02:02:48,742 ALTERNATIVES PROTEINS AND 3000 02:02:48,742 --> 02:02:51,144 SUBGROUPS ARE REMOVED WITH 3001 02:02:51,144 --> 02:02:53,113 ANALYSIS WITH PLANT-BASED 3002 02:02:53,113 --> 02:02:55,549 SOURCES FOR OUR TEST FOR 3003 02:02:55,549 --> 02:02:57,951 ANALYSIS THAT WILL BE APPLIED TO 3004 02:02:57,951 --> 02:03:01,087 THE HEALTHY VEGETARIAN PATTERN 3005 02:03:01,087 --> 02:03:04,524 AND CAN THE HEALTHY VEGETARIAN 3006 02:03:04,524 --> 02:03:07,194 PATTERN, CAN WE ADOPT THIS FOR A 3007 02:03:07,194 --> 02:03:11,698 VEGAN DIETARY PATTERN? 3008 02:03:11,698 --> 02:03:18,071 SO, THE HEALTHY VEGAN OR THE 3009 02:03:18,071 --> 02:03:19,673 HEALTHY VEGETARIAN DIETARY 3010 02:03:19,673 --> 02:03:21,741 PATTERN WILL BE BASE AS I 3011 02:03:21,741 --> 02:03:23,710 MENTIONED AND PATTERN WAS USING 3012 02:03:23,710 --> 02:03:25,712 NATIONALLY REPRESENTATIVE DATA 3013 02:03:25,712 --> 02:03:29,816 FROM THE SELF-IDENTIFIED 3014 02:03:29,816 --> 02:03:33,954 VEGETARIAN INDIVIDUALS FROM 3015 02:03:33,954 --> 02:03:35,188 NHANES2007 TO 2010. 3016 02:03:35,188 --> 02:03:36,990 THE FOUNDATION WE WILL USE FROM 3017 02:03:36,990 --> 02:03:39,993 THE HEALTHY VEGETARIAN DIET WAS 3018 02:03:39,993 --> 02:03:43,697 FROM THE US NATIONAL DATA. 3019 02:03:43,697 --> 02:03:45,999 NOW, WE WILL TRY TO TAKE IT TO 3020 02:03:45,999 --> 02:03:48,969 THE NEXT STEP FOR ASSESSING FOR 3021 02:03:48,969 --> 02:03:52,472 REMOVAL OF ANIMAL PRODUCTS. 3022 02:03:52,472 --> 02:03:56,309 NEXT SLIDE, PLEASE. 3023 02:03:56,309 --> 02:03:58,912 SO, A FEW QUICK DEFINITIONS. 3024 02:03:58,912 --> 02:04:01,982 FOR THE PURPOSE OF OUR ANALYSIS, 3025 02:04:01,982 --> 02:04:05,452 A VEGAN DIET WILL INCLUDE 3026 02:04:05,452 --> 02:04:07,654 SOURCES OF THESE AND INGREDIENTS 3027 02:04:07,654 --> 02:04:10,357 THAT CONTRIBUTE TO FOODS AND 3028 02:04:10,357 --> 02:04:12,259 SUBGROUPS AND WILL EXCLUDE 3029 02:04:12,259 --> 02:04:15,262 ANIMAL SOURCE FOODS AND 3030 02:04:15,262 --> 02:04:16,263 INGREDIENTS CONTRIBUTING TO 3031 02:04:16,263 --> 02:04:18,465 FOODS AND SUBGROUPS. 3032 02:04:18,465 --> 02:04:21,368 SO, ANIMAL SOURCE INGREDIENTS 3033 02:04:21,368 --> 02:04:22,669 DON'T CONTRIBUTE TO FOOD GROUPS 3034 02:04:22,669 --> 02:04:28,942 AND SUBGROUPS LIKE GELATIN, LARD 3035 02:04:28,942 --> 02:04:31,411 AND HONEY WON'T BE CAPTURED TO 3036 02:04:31,411 --> 02:04:34,247 PROFILES NOT CONTRIBUTING TO 3037 02:04:34,247 --> 02:04:36,983 FOOD GROUPS FROM FOOD MODELING 3038 02:04:36,983 --> 02:04:38,885 PATTERN DISCUSSIONS TALKING 3039 02:04:38,885 --> 02:04:41,121 ABOUT FOODS USED TO CREATE AND 3040 02:04:41,121 --> 02:04:43,023 CONTRIBUTE TO FOOD GROUPS 3041 02:04:43,023 --> 02:04:43,323 THEMSELVES. 3042 02:04:43,323 --> 02:04:45,425 BUT THE -- SOME OF THE 3043 02:04:45,425 --> 02:04:47,093 UNDERLYING FOODS ARE INGREDIENTS 3044 02:04:47,093 --> 02:04:50,063 LIKE GELATIN, LARD AND HONEY 3045 02:04:50,063 --> 02:04:51,898 DON'T FALL INTO THE PATTERN AS 3046 02:04:51,898 --> 02:04:54,801 IT CURRENTLY EXISTS. BY NATURE, 3047 02:04:54,801 --> 02:04:57,437 THEY WILL ALREADY BE OUTSIDE OF 3048 02:04:57,437 --> 02:04:59,506 THE PURVIEW OF THE WAY THAT 3049 02:04:59,506 --> 02:05:01,941 ANALYSIS IS CONDUCTED AND 3050 02:05:01,941 --> 02:05:02,742 ANOTHER IMPORTANT CONSIDERATION 3051 02:05:02,742 --> 02:05:08,982 AS WE LOOK AT THESE ANALYSIS IS 3052 02:05:08,982 --> 02:05:12,085 THE SHIFT IN THE MARKETPLACE AND 3053 02:05:12,085 --> 02:05:16,956 NEW -- THE NEWER PLANT-BASED 3054 02:05:16,956 --> 02:05:18,992 MEAT ALTERNATIVES THAT EXIST 3055 02:05:18,992 --> 02:05:20,860 FROM WORK THAT WE ARE LOOKING AT 3056 02:05:20,860 --> 02:05:24,331 CURRENTLY THAT WE ARE ALSO 3057 02:05:24,331 --> 02:05:25,732 SEEING THE VAST DIFFERENT 3058 02:05:25,732 --> 02:05:28,868 SOURCES OF ESSENTIALLY MEAT 3059 02:05:28,868 --> 02:05:30,637 ALTERNATIVES MADE FROM PLANTS 3060 02:05:30,637 --> 02:05:33,239 THAT HAVE A VARYING NUTRITIONAL 3061 02:05:33,239 --> 02:05:35,475 COMPOSITION THAT YOU HAVE SOME 3062 02:05:35,475 --> 02:05:38,111 PRODUCTS THAT ARE PLANT-BASED 3063 02:05:38,111 --> 02:05:41,348 MEAT ALTERNATIVES DEVELOPED TO 3064 02:05:41,348 --> 02:05:43,550 BASICALLY MIMIC ANIMAL SOURCE 3065 02:05:43,550 --> 02:05:45,552 PROTEIN FOODS FROM A TASTE, 3066 02:05:45,552 --> 02:05:48,655 FEEL, NUTRITIONAL COMPOSITION. 3067 02:05:48,655 --> 02:05:51,825 OTHERS ARE MADE PRIMARILY TO BE 3068 02:05:51,825 --> 02:05:55,829 A -- A PLANT-SOURCE PROTEIN FOOD 3069 02:05:55,829 --> 02:05:58,565 THAT IS ONLY BASED ON JUST BEING 3070 02:05:58,565 --> 02:06:00,567 MADE FROM PLANTS. 3071 02:06:00,567 --> 02:06:06,072 SO, IS IT KIND OF AN ANIMAL 3072 02:06:06,072 --> 02:06:09,042 PROTEIN MIMICKING MEAT 3073 02:06:09,042 --> 02:06:11,044 ALTERNATIVE VERSUS MEAT 3074 02:06:11,044 --> 02:06:11,678 ALTERNATIVES MADE FROM JUST 3075 02:06:11,678 --> 02:06:13,613 PLANTS THEMSELVES THAT IS AN 3076 02:06:13,613 --> 02:06:15,215 IMPORTANT CONSIDERATION AS WE 3077 02:06:15,215 --> 02:06:17,717 CARRY FORWARD. 3078 02:06:17,717 --> 02:06:21,654 NEXT SLIDE, PLEASE. 3079 02:06:21,654 --> 02:06:23,189 SO, OUR FIRST OBJECTIVE FOR 3080 02:06:23,189 --> 02:06:24,624 OBJECTIVES WORKING THROUGH THE 3081 02:06:24,624 --> 02:06:27,761 VEGAN PROTOCOL IS TO COMPARE THE 3082 02:06:27,761 --> 02:06:29,829 NUTRITIONAL CONTRIBUTION OF 3083 02:06:29,829 --> 02:06:31,731 PLANT SOURCE PROTEIN FOOD 3084 02:06:31,731 --> 02:06:33,533 SUBGROUPS AND THE NUTS AND SEEDS 3085 02:06:33,533 --> 02:06:36,236 AND SOY PRODUCTS, BEANS, PEAS, 3086 02:06:36,236 --> 02:06:38,538 AND LENTILS WILL ALLOW US TO 3087 02:06:38,538 --> 02:06:40,707 UNDERSTAND WHAT SIMILARITIES AND 3088 02:06:40,707 --> 02:06:42,041 DIFFERENCES ARE BETWEEN 3089 02:06:42,041 --> 02:06:43,476 NUTRIENTS PROVIDED BY EACH OF 3090 02:06:43,476 --> 02:06:45,779 THE SUBGROUPS AND BASED ON 3091 02:06:45,779 --> 02:06:49,482 RESULTS, NUTRIENT PROFILES FOR 3092 02:06:49,482 --> 02:06:50,884 PLANT-SOURCE PROTEIN FOOD 3093 02:06:50,884 --> 02:06:53,319 SUBGROUP MIGHT BE MODIFIED FOR 3094 02:06:53,319 --> 02:06:55,455 SUBSEQUENT ANALYSIS WITHIN THE 3095 02:06:55,455 --> 02:06:57,991 PROTOCOL ITSELF AND REALLY THEN 3096 02:06:57,991 --> 02:07:00,226 CREATING A NEWER NUTRITIONAL 3097 02:07:00,226 --> 02:07:01,995 CONTRIBUTION FOR SUBGROUPS AFTER 3098 02:07:01,995 --> 02:07:04,664 REMOVAL OF THE ANIMAL-BASED 3099 02:07:04,664 --> 02:07:07,434 PROTEIN FOOD PRODUCTS. 3100 02:07:07,434 --> 02:07:09,135 NEXT SLIDE, PLEASE. 3101 02:07:09,135 --> 02:07:11,604 OUR SECOND OBJECTIVE WILL THEN 3102 02:07:11,604 --> 02:07:22,148 BE ANALYSIS OF PLANT-BASED MEAT 3103 02:07:23,483 --> 02:07:24,584 ALTERNATIVES AND THERE ARE LOTS 3104 02:07:24,584 --> 02:07:27,020 OF PRODUCTS OUT IN THE 3105 02:07:27,020 --> 02:07:27,387 MARKETPLACE. 3106 02:07:27,387 --> 02:07:31,291 SO, WHAT WE WANT TO BE ABLE TO 3107 02:07:31,291 --> 02:07:33,626 EVALUATE ARE WHAT ARE THE 3108 02:07:33,626 --> 02:07:35,295 PLANT-BASED MEAT ALTERNATIVES 3109 02:07:35,295 --> 02:07:37,564 THAT ARE AVAILABLE? 3110 02:07:37,564 --> 02:07:41,100 WE WILL LOOK AT PRE-PANDEMIC 3111 02:07:41,100 --> 02:07:44,771 NHANES AND WHAT WE EAT AMERICA 3112 02:07:44,771 --> 02:07:47,941 DATABASES THAT PREDATES LOTS OF 3113 02:07:47,941 --> 02:07:50,243 NEWER MEAT ALTERNATIVES WE ARE 3114 02:07:50,243 --> 02:07:52,312 SEEING IN THE MARKET NOW. 3115 02:07:52,312 --> 02:07:54,380 WHAT WE EAT AMERICA DOES AN 3116 02:07:54,380 --> 02:07:56,182 AMAZING JOB BEING ABLE TO 3117 02:07:56,182 --> 02:07:59,118 CAPTURE NUTRIENT INTAKE AND 3118 02:07:59,118 --> 02:08:01,287 REALLY GIVE US NUTRIENT 3119 02:08:01,287 --> 02:08:03,923 ESTIMATES THAT ARE BASED ON THE 3120 02:08:03,923 --> 02:08:08,628 DIETARY DATA OF THE TIME. 3121 02:08:08,628 --> 02:08:10,663 BUT, IT IS UNABLE TO BE ABLE TO 3122 02:08:10,663 --> 02:08:12,432 KIND OF FORESEE WHAT IS COMING 3123 02:08:12,432 --> 02:08:14,801 IN THE FUTURE. 3124 02:08:14,801 --> 02:08:16,436 SO, THE PURPOSE OF THIS 3125 02:08:16,436 --> 02:08:17,904 OBJECTIVE WOULD BE TO REALLY 3126 02:08:17,904 --> 02:08:20,573 EXAMINE SIMILARITIES AND 3127 02:08:20,573 --> 02:08:21,541 DIFFERENCES BETWEEN DIFFERENT 3128 02:08:21,541 --> 02:08:23,309 PLANT SOURCE PROTEIN FOODS THAT 3129 02:08:23,309 --> 02:08:25,712 EXIST AND TO BE ABLE TO INFORM 3130 02:08:25,712 --> 02:08:31,284 OUR NEXT STEPS FOR ANALYSIS. 3131 02:08:31,284 --> 02:08:34,621 NEXT SLIDE, PLEASE. 3132 02:08:34,621 --> 02:08:36,623 OKAY. THEN OUR THIRD OBJECTIVE 3133 02:08:36,623 --> 02:08:39,526 WILL BE TO EVALUATE THE 3134 02:08:39,526 --> 02:08:41,127 IMPLICATIONS ON NUTRITIONAL 3135 02:08:41,127 --> 02:08:45,765 GOALS AND REMOVING EGGS AND EGG 3136 02:08:45,765 --> 02:08:48,134 SUBGROUP AND DAIRY FORTIFIED SOY 3137 02:08:48,134 --> 02:08:50,870 GROUP AT THE CALORIE LEVELS FROM 3138 02:08:50,870 --> 02:08:51,971 HEALTHY VEGETARIAN. 3139 02:08:51,971 --> 02:08:54,407 SO, WHAT HAPPENS WHEN WE REMOVE 3140 02:08:54,407 --> 02:08:57,810 THOSE AND EVALUATE NUTRITIONAL 3141 02:08:57,810 --> 02:08:59,379 IMPLICATIONS FROM JUST REMOVAL 3142 02:08:59,379 --> 02:09:02,515 OF EGGS AND DAIRY FROM THE 3143 02:09:02,515 --> 02:09:06,653 DIETARY PATTERNS AND PURELY AS A 3144 02:09:06,653 --> 02:09:09,789 REMOVAL WITHOUT SUBSTITUTION. 3145 02:09:09,789 --> 02:09:13,026 THE NEXT SLIDE, PLEASE. 3146 02:09:13,026 --> 02:09:18,031 IS TO DO MORE OF A MODIFICATION 3147 02:09:18,031 --> 02:09:20,733 AND REPLACEMENT ASSESSMENT IN 3148 02:09:20,733 --> 02:09:23,202 THE OBJECTIVE TO REPLACE EGGS 3149 02:09:23,202 --> 02:09:27,440 WITH PLANT-SOURCED PROTEIN FOODS 3150 02:09:27,440 --> 02:09:30,577 OR OTHER FOOD GROUPS REPLACING 3151 02:09:30,577 --> 02:09:33,646 DAIRY WITH FORTIFIED NONDAIRY 3152 02:09:33,646 --> 02:09:36,683 ALTERNATIVES INFORMED FROM DAIRY 3153 02:09:36,683 --> 02:09:39,519 PROTOCOL AND EVALUATE NUTRITION 3154 02:09:39,519 --> 02:09:41,721 IMPLICATIONS OF SUBSTITUTION OF 3155 02:09:41,721 --> 02:09:44,290 PLANT-BASED OR ANIMAL-BASED 3156 02:09:44,290 --> 02:09:45,892 PROTEIN SOURCES WITH PLANT-BASED 3157 02:09:45,892 --> 02:09:48,127 PROTEIN SOURCES TO ALLOW US TO 3158 02:09:48,127 --> 02:09:49,495 SEE WHAT HAPPENS WHEN 3159 02:09:49,495 --> 02:09:52,632 SUBSTITUTIONS ARE MADE AND HOW 3160 02:09:52,632 --> 02:09:55,735 DO SUBSTITUTIONS IMPACT 3161 02:09:55,735 --> 02:09:59,672 NUTRITIONAL GOALS? 3162 02:09:59,672 --> 02:10:05,144 NEXT SLIDE, PLEASE. 3163 02:10:05,144 --> 02:10:08,748 SO, OUR LAST PROTOCOL IS TALKING 3164 02:10:08,748 --> 02:10:10,683 ABOUT DIFFERENCE AND DIFFERENT 3165 02:10:10,683 --> 02:10:13,286 RANGES OF NUTRIENT DENSITY AND 3166 02:10:13,286 --> 02:10:17,223 THIS WILL THEN FOLLOW. IF YOU 3167 02:10:17,223 --> 02:10:19,726 REMEMBER, ONCE WE DO ALL OF THE 3168 02:10:19,726 --> 02:10:21,060 DIETARY PATTERNS AND INDIVIDUAL 3169 02:10:21,060 --> 02:10:23,129 ELEMENTS THAT WE WILL HAVE OUR 3170 02:10:23,129 --> 02:10:25,465 PROPOSED DIETARY AND BE ABLE TO 3171 02:10:25,465 --> 02:10:28,134 MAKE OUR STEP TOWARDS PROPOSED 3172 02:10:28,134 --> 02:10:31,337 DIETARY PATTERNS AFTER DOING 3173 02:10:31,337 --> 02:10:34,340 SUBGROUP ANALYSIS AND VEGAN AND 3174 02:10:34,340 --> 02:10:36,442 LOW CARB PROTOCOLS, NEXT STEP 3175 02:10:36,442 --> 02:10:39,679 WILL BE TO EVALUATE RANGES OF 3176 02:10:39,679 --> 02:10:40,747 NUTRIENT DENSITY. 3177 02:10:40,747 --> 02:10:42,548 REALLY TO HELP US TO FULLY 3178 02:10:42,548 --> 02:10:44,584 UNDERSTAND AND KIND OF 3179 02:10:44,584 --> 02:10:45,551 COMMUNICATE ABOUT NUTRIENT 3180 02:10:45,551 --> 02:10:47,820 DENSITY IN THE PATTERNS AND 3181 02:10:47,820 --> 02:10:51,424 DIETARY PATTERNS WILL INCLUDE -- 3182 02:10:51,424 --> 02:10:54,327 NEXT SLIDE, PLEASE. 3183 02:10:54,327 --> 02:10:57,730 DIETARY PATTERNS WILL INCLUDE AN 3184 02:10:57,730 --> 02:10:59,999 AMOUNT OF REMAINING CALORIES 3185 02:10:59,999 --> 02:11:02,669 AFTER YOU MEET THE NUTRIENT 3186 02:11:02,669 --> 02:11:06,239 NEEDS FROM OUR NUTRIENT-DENSE 3187 02:11:06,239 --> 02:11:06,739 FOODS. 3188 02:11:06,739 --> 02:11:11,110 AND SO ONCE WE HAVE MET OUR 3189 02:11:11,110 --> 02:11:12,178 QUANTITATIVE FOOD GROUP 3190 02:11:12,178 --> 02:11:13,312 RECOMMENDATIONS THERE WILL BE A 3191 02:11:13,312 --> 02:11:15,248 NUMBER OF REMAINING CALORIES 3192 02:11:15,248 --> 02:11:17,283 WITHIN THAT PROTOCOL. 3193 02:11:17,283 --> 02:11:19,686 CALORIES ARE LIMITS AND CALORIES 3194 02:11:19,686 --> 02:11:21,020 FOR OTHER USES. 3195 02:11:21,020 --> 02:11:23,423 SO, THESE ARE ONLY AVAILABLE 3196 02:11:23,423 --> 02:11:25,892 WHEN FOODS OR BEVERAGES THAT ARE 3197 02:11:25,892 --> 02:11:27,694 SELECTED FROM MEETING YOUR 3198 02:11:27,694 --> 02:11:31,731 INDIVIDUAL FOOD GROUP GOALS ARE 3199 02:11:31,731 --> 02:11:34,734 IN NEWT TREENT DENSE FORMS AND 3200 02:11:34,734 --> 02:11:36,636 ANALYSIS WILL EXPLORE REMAINING 3201 02:11:36,636 --> 02:11:39,138 CALORIES AND USES COULD BE USED 3202 02:11:39,138 --> 02:11:41,374 IF FOOD GROUP GOALS AND SUBGROUP 3203 02:11:41,374 --> 02:11:42,775 GOALS ARE MET. 3204 02:11:42,775 --> 02:11:45,578 THIS WILL BE, AGAIN, CONDUCTED 3205 02:11:45,578 --> 02:11:47,313 AFTER DRAFT PATTERNS ARE 3206 02:11:47,313 --> 02:11:48,881 PROPOSED BY THE COMMITTEE AND 3207 02:11:48,881 --> 02:11:51,684 HAVE DONE THE PRIOR PROTOCOL 3208 02:11:51,684 --> 02:11:53,886 WORK. 3209 02:11:53,886 --> 02:11:57,190 NEXT SLIDE, PLEASE. 3210 02:11:57,190 --> 02:11:59,692 OKAY. SO, OUR QUESTION HERE, 3211 02:11:59,692 --> 02:12:02,028 THEY ARE WHAT ARE QUANTITIES OF 3212 02:12:02,028 --> 02:12:04,230 FOODS AND BEVERAGES AND LOWER 3213 02:12:04,230 --> 02:12:06,265 DENSITY CAN BE ACCOMPLISHED IN 3214 02:12:06,265 --> 02:12:08,901 DIETARY PATTERNS WHILE MEETING 3215 02:12:08,901 --> 02:12:13,406 NUTRITIONAL GOALS WITHIN THE 3216 02:12:13,406 --> 02:12:14,373 CALORIE LEVELS? 3217 02:12:14,373 --> 02:12:18,778 FROM 2020US HEALTHY STYLE 3218 02:12:18,778 --> 02:12:19,912 DIETARY PATTERN, YOU WILL SEE 3219 02:12:19,912 --> 02:12:22,281 HERE CALORIES FOR OTHER USES 3220 02:12:22,281 --> 02:12:26,986 FROM THE FOOD PATTERN MODELING 3221 02:12:26,986 --> 02:12:27,253 ANALYSIS. 3222 02:12:27,253 --> 02:12:29,455 ONCE THE NUTRIENT-DENSE FOODS 3223 02:12:29,455 --> 02:12:32,291 WERE USED TO MEET EACH OF THE 3224 02:12:32,291 --> 02:12:35,862 RECOMMENDED INTAKE LEVELS, YOU 3225 02:12:35,862 --> 02:12:37,396 CAN SEE THE VARIETY OF RANGE OF 3226 02:12:37,396 --> 02:12:39,632 CALORIES FOR OTHER USES AFTER 3227 02:12:39,632 --> 02:12:42,435 THE FOOD GROUP CONSUMPTION HAS 3228 02:12:42,435 --> 02:12:44,103 BEEN MET AND RANGE THAT WE WILL 3229 02:12:44,103 --> 02:12:44,871 SEE. 3230 02:12:44,871 --> 02:12:46,939 WE WILL CONDUCT THIS WORK, 3231 02:12:46,939 --> 02:12:48,708 AGAIN, AFTER WE HAVE DEVELOPED 3232 02:12:48,708 --> 02:12:50,977 OUR DRAFT DIETARY PATTERNS TO 3233 02:12:50,977 --> 02:12:53,279 IDENTIFY WHAT THOSE ADDITIONAL 3234 02:12:53,279 --> 02:12:54,981 CALORIES FOR OTHER USES WOULD BE 3235 02:12:54,981 --> 02:12:58,050 AND USE THAT TO INFORM OUR NEXT 3236 02:12:58,050 --> 02:12:59,218 STEPS. 3237 02:12:59,218 --> 02:13:06,159 SO, NEXT SLIDE, PLEASE. 3238 02:13:06,159 --> 02:13:07,960 SO, OUR FIRST OBJECTIVE WILL BE 3239 02:13:07,960 --> 02:13:10,429 TO EXAMINE THE VARIATION AND 3240 02:13:10,429 --> 02:13:14,667 RANGE OF THOSE LIMITS ON 3241 02:13:14,667 --> 02:13:16,302 CALORIES FOR OTHER USES. 3242 02:13:16,302 --> 02:13:18,938 WE WILL BE ABLE TO CALCULATE 3243 02:13:18,938 --> 02:13:21,007 THESE AT EACH OF OUR ENERGY 3244 02:13:21,007 --> 02:13:24,377 LEVELS FOR THE TOTAL POPULATION 3245 02:13:24,377 --> 02:13:28,080 OF THE 12 MONTHS AND OLDER 3246 02:13:28,080 --> 02:13:30,082 MEETING EACH OF THE CALORIE 3247 02:13:30,082 --> 02:13:32,718 LEVELS WITH THE PLAN AND 3248 02:13:32,718 --> 02:13:35,621 IDENTIFYING WHAT THE LIMITS OF 3249 02:13:35,621 --> 02:13:37,490 CALORIES FOR USES WOULD BE FOR 3250 02:13:37,490 --> 02:13:40,393 TOTAL POPULATION AND LOOK AT 3251 02:13:40,393 --> 02:13:42,061 OTHER POPULATION GROUPS LOOKING 3252 02:13:42,061 --> 02:13:44,997 AT THEM BY RACE AND ETHNICITY AS 3253 02:13:44,997 --> 02:13:46,499 HEATHER JUST DISCUSSED 3254 02:13:46,499 --> 02:13:48,801 PREVIOUSLY LOOKING AT 3255 02:13:48,801 --> 02:13:51,137 NON-HISPANIC BLACK AND 3256 02:13:51,137 --> 02:13:52,939 NON-HISPANIC ASIAN AND 3257 02:13:52,939 --> 02:13:54,373 NON-HISPANIC WHITE AND HISPANIC 3258 02:13:54,373 --> 02:13:58,811 THAT HAS DATA WITHIN THE NHANES 3259 02:13:58,811 --> 02:13:59,679 ITSELF AND WILL ALSO LOOK AT 3260 02:13:59,679 --> 02:14:02,281 THEM BASED ON PERCENT OF POVERTY 3261 02:14:02,281 --> 02:14:06,285 INCOME RATIO TO ALLOW US TO 3262 02:14:06,285 --> 02:14:10,022 ADDRESS MANY DIFFERENT 3263 02:14:10,022 --> 02:14:13,159 DIFFERENCES THAT WE MAY SEE 3264 02:14:13,159 --> 02:14:15,528 BASED ON DIETARY PATTERNS AS 3265 02:14:15,528 --> 02:14:17,597 THEY EMERGE AND WILL BE ABLE TO 3266 02:14:17,597 --> 02:14:19,866 LOOK AT THE TOP LINE AS WHAT IT 3267 02:14:19,866 --> 02:14:21,701 WOULD BE FROM THE CURRENT TOTAL 3268 02:14:21,701 --> 02:14:24,637 POPULATION AND SEE ALSO WHAT THE 3269 02:14:24,637 --> 02:14:26,239 RANGE IS ACROSS OUR DIFFERENT 3270 02:14:26,239 --> 02:14:27,506 POPULATION GROUPS THAT WE WILL 3271 02:14:27,506 --> 02:14:31,143 BE ABLE TO ASSESS THAT WILL HELP 3272 02:14:31,143 --> 02:14:32,879 US UNDERSTAND THAT RANGE OF 3273 02:14:32,879 --> 02:14:34,513 CALORIES A LITTLE MORE. 3274 02:14:34,513 --> 02:14:37,450 NEXT SLIDE, PLEASE. 3275 02:14:37,450 --> 02:14:39,518 THEN OUR SECOND OBJECTIVE WILL 3276 02:14:39,518 --> 02:14:41,354 BE TO EXAMINE IMPLICATIONS ON 3277 02:14:41,354 --> 02:14:44,557 MEETING GOALS AND STAYING WITHIN 3278 02:14:44,557 --> 02:14:47,059 CALORIES SATURATED FAT AND ADDED 3279 02:14:47,059 --> 02:14:49,195 SUGAR LIMITS WHEN DIFFERENT 3280 02:14:49,195 --> 02:14:51,063 CHOICES ARE MADE AND OBJECTIVE 2 3281 02:14:51,063 --> 02:14:59,105 IS A SIMPLE COMPARISON OF SOY 3282 02:14:59,105 --> 02:15:01,741 AND FORTIFIED SOY ALTERNATIVES 3283 02:15:01,741 --> 02:15:04,243 FOR HIGHER FAT AND YOGURT 3284 02:15:04,243 --> 02:15:07,313 CONSUMPTION AND WHAT IF WE USE 3285 02:15:07,313 --> 02:15:09,916 WHOLE MILK REDUCED FAT MILK 3286 02:15:09,916 --> 02:15:12,752 FLAVORED MILK AND MODIFICATIONS 3287 02:15:12,752 --> 02:15:15,888 FOR YOGURT WHAT IMPLICATIONS FOR 3288 02:15:15,888 --> 02:15:18,024 NUTRIENT PROFILE FOR OTHER 3289 02:15:18,024 --> 02:15:21,827 VERSIONS OF OR PARAMETERS USED 3290 02:15:21,827 --> 02:15:24,130 FOR MILK AND DAIRY CONSUMPTION 3291 02:15:24,130 --> 02:15:25,998 GIVING CONTEXT IN SYNTHESIS FOR 3292 02:15:25,998 --> 02:15:29,168 SUBSEQUENT ANALYSIS. 3293 02:15:29,168 --> 02:15:36,275 NEXT SLIDE, PLEASE. 3294 02:15:36,275 --> 02:15:40,613 FOR OUR OBJECTIVE 3 WE WILL 3295 02:15:40,613 --> 02:15:42,615 EXAMINE IMPLICATIONS FOR 3296 02:15:42,615 --> 02:15:46,018 NUTRIENT INTAKES AND CALORIE 3297 02:15:46,018 --> 02:15:49,322 USES FOR GOALS EXCEPT IN SOY AND 3298 02:15:49,322 --> 02:15:53,092 DAIRY ALTERNATIVE WITHOUT USING 3299 02:15:53,092 --> 02:15:55,161 NUTRIENT-DENSE CHOICES AND WILL 3300 02:15:55,161 --> 02:15:57,697 SEE VARIOUS EXAMPLES OF TYPES OF 3301 02:15:57,697 --> 02:16:00,933 SUBSTITUTIONS WE MIGHT USE 3302 02:16:00,933 --> 02:16:03,836 WITHIN THIS TO IDENTIFY WITHIN 3303 02:16:03,836 --> 02:16:07,239 FOOD GROUPS AND USING FOODS THAT 3304 02:16:07,239 --> 02:16:10,676 ARE RELAXED WITH CRITERIA FOR 3305 02:16:10,676 --> 02:16:13,012 NUTRIENT DENSE AND HOW IT HAS AN 3306 02:16:13,012 --> 02:16:16,015 IMPLICATION FOR SELECTING FOODS 3307 02:16:16,015 --> 02:16:18,117 HIGHER WITH SATURATED FAT AND 3308 02:16:18,117 --> 02:16:21,153 HIGHER SUGARS TO OVERALL 3309 02:16:21,153 --> 02:16:24,156 NUTRIENT PROFILE. NEXT SLIDE, 3310 02:16:24,156 --> 02:16:27,693 PLE 3311 02:16:27,693 --> 02:16:27,927 PLEASE. 3312 02:16:27,927 --> 02:16:30,563 4TH OBJECTIVE EXAMINES 3313 02:16:30,563 --> 02:16:33,532 IMPLICATION ON NUTRIENT INTAKES 3314 02:16:33,532 --> 02:16:37,436 FOR USES WITH FOOD GROUPS ARE 3315 02:16:37,436 --> 02:16:39,338 HELD CONSTANT USING NUTRIENT 3316 02:16:39,338 --> 02:16:42,074 DENSE PROFILE AND ADDITION OF 3317 02:16:42,074 --> 02:16:43,676 FOOD GROUPS WE PREVIOUSLY 3318 02:16:43,676 --> 02:16:47,480 EXCLUDED IN FIRST PROTOCOL. 3319 02:16:47,480 --> 02:16:49,749 ALCOHOL SUGAR SWEET BEVERAGES 3320 02:16:49,749 --> 02:16:54,053 COFFEES TEAS CANNEDEES AND SUGAR 3321 02:16:54,053 --> 02:16:57,857 AND INCLUDING THOSE WITHIN 3322 02:16:57,857 --> 02:17:01,293 DIETARY PATTERN HOLDING NUTRIENT 3323 02:17:01,293 --> 02:17:03,696 DENSE FOODS WITHIN FIVE FOOD 3324 02:17:03,696 --> 02:17:05,664 GROUPS. NEXT SLIDE, PLEASE. 3325 02:17:05,664 --> 02:17:07,566 FINAL OBJECTIVE WITHIN THIS WILL 3326 02:17:07,566 --> 02:17:09,769 BE THE ADDITION OF FOODS AND 3327 02:17:09,769 --> 02:17:11,971 BEVERAGES THAT COULD BE PARTIAL 3328 02:17:11,971 --> 02:17:17,309 CONTRIBUTORS TO FOOD GROUPS AND 3329 02:17:17,309 --> 02:17:20,312 DESSERTS AND SWEET SNACKS 3330 02:17:20,312 --> 02:17:24,150 BREAKFAST CEREALS AND BARS AND 3331 02:17:24,150 --> 02:17:27,787 CONTRIBUTE SO THAT FOODS THAT 3332 02:17:27,787 --> 02:17:32,358 MAY HAVE BEEN REMOVED IN OUR 3333 02:17:32,358 --> 02:17:34,727 EARLIER STEPS FROM LOOKING AT 3334 02:17:34,727 --> 02:17:36,962 NUTRIENT DENSE VERSIONS FROM 3335 02:17:36,962 --> 02:17:38,230 INITIAL BASIS PROTOCOL AND 3336 02:17:38,230 --> 02:17:40,366 SEEING WHAT HAPPENS AS THOSE 3337 02:17:40,366 --> 02:17:42,668 FOODS ARE REINTRODUCED TO THE 3338 02:17:42,668 --> 02:17:44,770 FOOD PATTERN MODELING EXERCISE 3339 02:17:44,770 --> 02:17:48,941 AND WHAT IMPLICATIONS ARE FOR 3340 02:17:48,941 --> 02:17:50,910 NUTRIENT AND MEETING NUTRIENT 3341 02:17:50,910 --> 02:17:55,948 GOALS AND CALORIE LEVELS. 3342 02:17:55,948 --> 02:18:02,755 NEXT STEPS OR SLIDE, PLEASE. 3343 02:18:02,755 --> 02:18:06,058 ONE MORE. WE ARE WORKING 3344 02:18:06,058 --> 02:18:08,094 TOWARDS ANALYSIS ON PREVIOUS 3345 02:18:08,094 --> 02:18:12,765 PROTOCOLS WE HAVE PRESENTED. 3346 02:18:12,765 --> 02:18:15,501 OUR BASIS PROTOCOL AND 3347 02:18:15,501 --> 02:18:18,971 POPULATION SUBGROUPS PROTOCOLS 3348 02:18:18,971 --> 02:18:22,942 AND ANALYSIS IS FINALIZED TO 3349 02:18:22,942 --> 02:18:25,344 INFORM SECOND STAGE THAT WILL 3350 02:18:25,344 --> 02:18:30,049 DEVELOP LOW CARBOHYDRATE 3351 02:18:30,049 --> 02:18:31,750 PROTO 3352 02:18:31,750 --> 02:18:32,418 PROTOCOL. 3353 02:18:32,418 --> 02:18:33,586 MOVING FORWARD TOWARDS DIFFERENT 3354 02:18:33,586 --> 02:18:35,955 RANGES OF NUTRIENT DENSITY AND 3355 02:18:35,955 --> 02:18:39,959 DIET SIMULATIONS AND PLANS FOR 3356 02:18:39,959 --> 02:18:42,862 MEETING 5 ARE REALLY LOOKING AT 3357 02:18:42,862 --> 02:18:44,997 ANALYSIS DETAILED IN LOTS OF 3358 02:18:44,997 --> 02:18:47,032 PROTOCOLS WE PRESENTED IN 3359 02:18:47,032 --> 02:18:50,970 PREVIOUS AND IN THIS CURRENT 3360 02:18:50,970 --> 02:18:52,138 MEETING. 3361 02:18:52,138 --> 02:18:55,908 FROM THAT WE CAN MOVE TO 3362 02:18:55,908 --> 02:18:58,110 DISCUSSION AND QUESTIONS. 3363 02:18:58,110 --> 02:19:04,583 >> WOW. REALLY EXCITING WORK. 3364 02:19:04,583 --> 02:19:06,051 HAPPY TO TAKE QUESTIONS AND 3365 02:19:06,051 --> 02:19:11,056 COMMENTS FROM THE COMMITTEE. 3366 02:19:11,056 --> 02:19:11,390 CHRISTOPHER. 3367 02:19:11,390 --> 02:19:13,192 >> LOTS OF MAYBE -- I WILL TAKE 3368 02:19:13,192 --> 02:19:16,061 TURNS OR KEEP GOING UNTIL 3369 02:19:16,061 --> 02:19:19,965 SOMEBODY'S HAND GOES UP. 3370 02:19:19,965 --> 02:19:22,601 MINDBLOWINGLY FUN, CHRIS. SUPER 3371 02:19:22,601 --> 02:19:25,538 EXCITING AND FIRST QUESTION 3372 02:19:25,538 --> 02:19:27,740 WOULD BE HOW OFTEN I SAW 3373 02:19:27,740 --> 02:19:30,042 D.A.R.E..IAN FORTIFIED SOIL 3374 02:19:30,042 --> 02:19:31,677 ALTERNATIVES GROUPED TOGETHER 3375 02:19:31,677 --> 02:19:34,046 SPECIFICALLY FOR VEGAN 3376 02:19:34,046 --> 02:19:35,748 CATEGORIES AND SEEMED ODD THAT A 3377 02:19:35,748 --> 02:19:39,485 MODEL WOULD LOOK AT REPLACING 3378 02:19:39,485 --> 02:19:43,189 DAIRY AND FORTIFIED SOY WITH 3379 02:19:43,189 --> 02:19:44,990 VEGAN OPTIONS AND FORTIFIED SOY 3380 02:19:44,990 --> 02:19:47,026 IS A VEGAN OPTION. THAT 3381 02:19:47,026 --> 02:19:50,329 CONFUSED ME A LITTLE. CAN YOU 3382 02:19:50,329 --> 02:19:50,963 CLARIFY? 3383 02:19:50,963 --> 02:19:56,101 >> IT IS MORE OF A SHIFT IN 3384 02:19:56,101 --> 02:20:00,272 DISTRIBUTION AND SOURCE. 3385 02:20:00,272 --> 02:20:02,541 AND PARTIALLY FROM A NAMING 3386 02:20:02,541 --> 02:20:05,544 NOMENCLATURE STANDPOINT WHAT 3387 02:20:05,544 --> 02:20:06,645 SUBGROUP IS AND STAFF MIGHT NEED 3388 02:20:06,645 --> 02:20:09,181 TO SUPPORT ME MORE IN THIS AS WE 3389 02:20:09,181 --> 02:20:13,452 MOVE FORWARD AND WOULD BE USING 3390 02:20:13,452 --> 02:20:15,654 FORTIFIED ALTERNATIVES AS 3391 02:20:15,654 --> 02:20:18,891 OPPOSED TO THE ANIMAL-BASED 3392 02:20:18,891 --> 02:20:20,526 DAIRY IN THAT. 3393 02:20:20,526 --> 02:20:23,929 SO, IT WILL BE REMOVAL OF THE 3394 02:20:23,929 --> 02:20:24,597 ANIMAL PRODUCT. 3395 02:20:24,597 --> 02:20:26,131 >> THAT MAKES SENSE AND IS NOT 3396 02:20:26,131 --> 02:20:29,368 THE WAY IT LOOKED LIKE IT WAS 3397 02:20:29,368 --> 02:20:30,135 WRITTEN NOW. 3398 02:20:30,135 --> 02:20:30,436 GOOD. 3399 02:20:30,436 --> 02:20:32,338 I WILL SAY THAT IS THE CURRENT 3400 02:20:32,338 --> 02:20:34,940 NAME OF THE GROUP, DAIRY PLUS 3401 02:20:34,940 --> 02:20:38,911 SOY ALTERNATIVES SINCE SOY HAS 3402 02:20:38,911 --> 02:20:41,413 BEEN APPROVED IN THE DAIRY GROUP 3403 02:20:41,413 --> 02:20:44,216 AND AGREED THAT IT WOULD BE 3404 02:20:44,216 --> 02:20:47,653 VEGETABLE SOURCES REPLACING 3405 02:20:47,653 --> 02:20:48,053 ANIMAL SOURCES. 3406 02:20:48,053 --> 02:20:48,454 >> YEAH. 3407 02:20:48,454 --> 02:20:51,991 >> OKAY. LET'S SEE. MONTH MORE 3408 02:20:51,991 --> 02:20:54,426 HANDS YET. TOWARDS END -- 3409 02:20:54,426 --> 02:20:56,328 ANGELA, GO AHEAD. I WILL TAKE 3410 02:20:56,328 --> 02:20:57,263 MY TURN LATER. 3411 02:20:57,263 --> 02:20:58,664 >> I CAN WAIT. 3412 02:20:58,664 --> 02:21:00,899 >> OKAY. STOP ME WHEN READY. 3413 02:21:00,899 --> 02:21:03,168 COFFEES AND TEAS WAS IN THERE. 3414 02:21:03,168 --> 02:21:06,071 COFFEES AND TEAS RANGE SO MUCH 3415 02:21:06,071 --> 02:21:10,042 IN MATERIALS OF ADDED DAIRY AND 3416 02:21:10,042 --> 02:21:11,877 SUGAR REPLACING WITH BLACK 3417 02:21:11,877 --> 02:21:15,914 COFFEE AND GREEN TEA AND BLACK 3418 02:21:15,914 --> 02:21:16,649 COFFEE WITH LITTLE TEA AND 3419 02:21:16,649 --> 02:21:18,384 LITTLE SUGAR AND BLACK COFFEE 3420 02:21:18,384 --> 02:21:21,086 AND TEA WITH BUCKETS OF DAIRY 3421 02:21:21,086 --> 02:21:23,689 AND SUGAR SO MUCH IT IS COFFEE 3422 02:21:23,689 --> 02:21:25,824 AND TEA FLAVORED DAIRY AND ADDED 3423 02:21:25,824 --> 02:21:29,361 SUGAR WILL YOU BE ABLE TO 3424 02:21:29,361 --> 02:21:32,564 ACCOUNT FOR THAT? 3425 02:21:32,564 --> 02:21:37,269 >> WITH FOODS TAKEN DOWN TO 3426 02:21:37,269 --> 02:21:42,908 COMPONENTS, TAKING BACK TO 3427 02:21:42,908 --> 02:21:44,710 DISAGGREGATING TO REP FOODS WILL 3428 02:21:44,710 --> 02:21:46,412 HELP ADDRESS CONCERNS AND 3429 02:21:46,412 --> 02:21:53,319 GETTING DOWN TO RECIPE LEVEL AND 3430 02:21:53,319 --> 02:21:55,354 I SEE HER THERE READY TO SUPPORT 3431 02:21:55,354 --> 02:21:59,291 ME IN STEPS AND HOW IT WILL 3432 02:21:59,291 --> 02:22:00,693 CARRY FORWARD. 3433 02:22:00,693 --> 02:22:03,128 >> I WAS GOING TO SAY CHRIS WE 3434 02:22:03,128 --> 02:22:07,666 CAN LOOK AT HOW SOME MIGHT BE 3435 02:22:07,666 --> 02:22:13,605 CATEGORIZED IN MORE SIMILAR 3436 02:22:13,605 --> 02:22:14,540 GROUPINGS OF COMPOSITION BASED 3437 02:22:14,540 --> 02:22:17,443 ON WHAT IS INCLUDED IN COFFEE OR 3438 02:22:17,443 --> 02:22:20,446 TEA BEVERAGE. 3439 02:22:20,446 --> 02:22:30,689 >> THANK YOU. 3440 02:22:52,044 --> 02:22:55,748 >> LOWER DENSITY VEGAN DIET AND 3441 02:22:55,748 --> 02:22:57,082 HIGHER DENSITY VEGAN DIET WILL 3442 02:22:57,082 --> 02:22:59,518 THAT BE PART OF IT CAN YOU -- 3443 02:22:59,518 --> 02:23:01,653 >> THAT IS AN IMPORTANT PART OF 3444 02:23:01,653 --> 02:23:03,756 REASON AND RATIONALE BEHIND 3445 02:23:03,756 --> 02:23:08,093 DOING THE ANALYSIS IS REMOVAL 3446 02:23:08,093 --> 02:23:09,862 AND SUBSTITUTION ARE VERY 3447 02:23:09,862 --> 02:23:12,164 DIFFERENT CONCEPTS. 3448 02:23:12,164 --> 02:23:15,501 SO, WE ARE STARTING WITH HEALTHY 3449 02:23:15,501 --> 02:23:16,802 VEGETARIAN PATTERN IDENTIFYING 3450 02:23:16,802 --> 02:23:18,771 WHAT WOULD HAPPEN WITH REMOVAL 3451 02:23:18,771 --> 02:23:22,074 AND WHAT WOULD HAPPEN WITH 3452 02:23:22,074 --> 02:23:24,343 SUBSTITU 3453 02:23:24,343 --> 02:23:24,676 SUBSTITUTION. 3454 02:23:24,676 --> 02:23:27,613 AND HOW DOES THAT PLAY OUT IN 3455 02:23:27,613 --> 02:23:29,481 NUTRIENT ADEQUACY AND MEETING 3456 02:23:29,481 --> 02:23:31,583 THOSE NUTRIENT GOALS? 3457 02:23:31,583 --> 02:23:34,353 AS YOU SAID, THERE ARE VARYING 3458 02:23:34,353 --> 02:23:37,523 REASONS WHY SOMEBODY WILL MAKE 3459 02:23:37,523 --> 02:23:40,225 THE DECISIONS AND SUBSTITUTIONS 3460 02:23:40,225 --> 02:23:43,862 FOR FOOD DECISIONS MAY BE DRIVEN 3461 02:23:43,862 --> 02:23:46,465 BESIDES THINGS BEYOND 3462 02:23:46,465 --> 02:23:50,436 NUTRITIONAL ADEQUACY OR HEALTH 3463 02:23:50,436 --> 02:23:52,337 OUTCOMES AND THIS DATA GIVES A 3464 02:23:52,337 --> 02:23:55,507 CHANCE TO UNDERSTAND WHAT 3465 02:23:55,507 --> 02:23:57,976 HAPPENS WHEN REMOVALS HAPPENS 3466 02:23:57,976 --> 02:24:02,047 BASED ON HEALTHY VEGETARIAN 3467 02:24:02,047 --> 02:24:05,017 PATTERN AND IT -- AT THE SAME 3468 02:24:05,017 --> 02:24:06,452 TIME WE HAVE TO DO THIS AND 3469 02:24:06,452 --> 02:24:08,520 DON'T HAVE A NATIONAL SET OF 3470 02:24:08,520 --> 02:24:10,789 DATA HELPING US SAY VEGETARIANS 3471 02:24:10,789 --> 02:24:12,891 OR WHAT VEGANS WILL NORMALLY DO 3472 02:24:12,891 --> 02:24:14,660 AS A SUBSTITUTION PATTERN AND 3473 02:24:14,660 --> 02:24:18,597 HAVE TO TEST SOME OF THESE 3474 02:24:18,597 --> 02:24:20,632 DIFFERENT SCENARIOS AND NOT SET 3475 02:24:20,632 --> 02:24:24,770 OF NHANES DATA VEGAN AND WHAT 3476 02:24:24,770 --> 02:24:27,339 THEY WILL TYPICALLY EAT FOR 3477 02:24:27,339 --> 02:24:28,740 PROTEIN FOODS TYPE OF PORTION 3478 02:24:28,740 --> 02:24:30,275 AND STARTING WITH HEALTHY 3479 02:24:30,275 --> 02:24:32,444 VEGETARIAN AND BE ABLE TO 3480 02:24:32,444 --> 02:24:34,847 IDENTIFY WHAT ARE MEAT 3481 02:24:34,847 --> 02:24:35,914 ALTERNATIVES AND WHAT 3482 02:24:35,914 --> 02:24:37,749 NUTRITIONAL PROFILES WILL LOOK 3483 02:24:37,749 --> 02:24:40,919 LIKE AND HOW DOES REDISTRIBUTING 3484 02:24:40,919 --> 02:24:42,287 PROTEIN FOODS LOOK DIFFERENTLY 3485 02:24:42,287 --> 02:24:45,157 IF YOU TAKE OUT THE ANIMAL 3486 02:24:45,157 --> 02:24:45,691 SOURCES. 3487 02:24:45,691 --> 02:24:50,062 >> THANK YOU. GREAT. REALLY 3488 02:24:50,062 --> 02:24:50,863 EXCITING. 3489 02:24:50,863 --> 02:24:51,463 >> ANGELA? 3490 02:24:51,463 --> 02:24:56,502 >> YEAH. I HAVE ACTUALLY JUST 3491 02:24:56,502 --> 02:24:57,970 SOME BASIC CLARIFICATION 3492 02:24:57,970 --> 02:24:58,270 QUESTIONS. 3493 02:24:58,270 --> 02:25:02,107 I WAS REALLY EXCITED ABOUT THE 3494 02:25:02,107 --> 02:25:04,176 VEGETABLE PROTOCOL AND FRUIT 3495 02:25:04,176 --> 02:25:05,043 PROTOCOL. 3496 02:25:05,043 --> 02:25:07,679 I MEAN, IT IS PHENOMENAL TO 3497 02:25:07,679 --> 02:25:10,148 THINK ABOUT JUST -- YOU KNOW, 3498 02:25:10,148 --> 02:25:13,018 AROUND FOOD SELECTIVITY, IF YOU 3499 02:25:13,018 --> 02:25:14,853 GET A CERTAIN -- YOU KNOW, WHAT 3500 02:25:14,853 --> 02:25:19,157 MIGHT BE THE IMPLICATIONS OF 3501 02:25:19,157 --> 02:25:21,460 CHOOSING CERTAIN TYPES OF FRUITS 3502 02:25:21,460 --> 02:25:23,529 OR VEGETABLES. 3503 02:25:23,529 --> 02:25:27,099 I JUST -- I'M SO EXCITED ABOUT 3504 02:25:27,099 --> 02:25:28,634 THAT. 3505 02:25:28,634 --> 02:25:31,036 JUST TO SEE WHAT THE RESULTS 3506 02:25:31,036 --> 02:25:31,737 WILL BE. 3507 02:25:31,737 --> 02:25:33,739 ONE THING I WASN'T QUITE SURE I 3508 02:25:33,739 --> 02:25:35,474 UNDERSTOOD IS THAT AS YOU REDUCE 3509 02:25:35,474 --> 02:25:38,844 THE FRUITS OR VEGETABLES LIKE IF 3510 02:25:38,844 --> 02:25:42,848 YOU GET DOWN TO NO FRUIT OR 3511 02:25:42,848 --> 02:25:44,750 VEGETABLE, IS EVERYTHING ELSE 3512 02:25:44,750 --> 02:25:45,484 HELD CONSTANT? 3513 02:25:45,484 --> 02:25:48,453 IF SO, WHAT ARE YOU DOING WITH 3514 02:25:48,453 --> 02:25:48,787 CALORIES? 3515 02:25:48,787 --> 02:25:51,490 I GUESS I GOT CONFUSED ABOUT 3516 02:25:51,490 --> 02:25:51,690 THAT. 3517 02:25:51,690 --> 02:25:53,759 COULD YOU CLARIFY THAT MORE IF 3518 02:25:53,759 --> 02:25:55,727 YOU TAKE OUT THAT FOOD GREW ARE 3519 02:25:55,727 --> 02:25:58,030 YOU REPLACING IT OR IS IT 3520 02:25:58,030 --> 02:25:59,798 DISPLACED WITH OTHER FOODS OR IS 3521 02:25:59,798 --> 02:26:02,434 IT ESSENTIALLY A CALORIE 3522 02:26:02,434 --> 02:26:03,502 REDUCTION AS WELL? 3523 02:26:03,502 --> 02:26:05,370 >> IT WOULD BE A CALORIE 3524 02:26:05,370 --> 02:26:06,104 REDUCTION AS WELL. 3525 02:26:06,104 --> 02:26:08,073 WHAT WE ARE DOING IS LOOKING AT 3526 02:26:08,073 --> 02:26:10,676 EACH OF THESE FOOD GROUPS IN A 3527 02:26:10,676 --> 02:26:10,943 SILO. 3528 02:26:10,943 --> 02:26:14,613 BECAUSE WITHIN THE TOTAL 3529 02:26:14,613 --> 02:26:16,748 PATTERN, EACH TOTAL PATTERN WILL 3530 02:26:16,748 --> 02:26:18,450 BE PUT TOGETHER BASED ON EACH 3531 02:26:18,450 --> 02:26:20,485 ONE OF THE FOOD GROUPS AND IF 3532 02:26:20,485 --> 02:26:22,554 YOU REMOVE THE FOOD GROUPS YOU 3533 02:26:22,554 --> 02:26:24,823 ARE REMOVING NUTRIENTS. 3534 02:26:24,823 --> 02:26:27,559 IT ALLOWSTOUS SEE EVERY TIME YOU 3535 02:26:27,559 --> 02:26:29,995 TURN THE KNOB ON FRUITS DOWN TO 3536 02:26:29,995 --> 02:26:32,998 ZERO WHAT DOES IT DO TO THE 3537 02:26:32,998 --> 02:26:36,301 CALORIE LEVEL OR NUTRIENTS THAT 3538 02:26:36,301 --> 02:26:36,868 GO AWAY? 3539 02:26:36,868 --> 02:26:40,739 WHAT THAT MEANS IS EVERY TIME 3540 02:26:40,739 --> 02:26:43,575 YOU REDUCE, DON'T MEET OR 3541 02:26:43,575 --> 02:26:45,377 EXCLUDE A FOOD GROUP, YOU ARE 3542 02:26:45,377 --> 02:26:47,813 EXCLUDING THE CALORIES AND 3543 02:26:47,813 --> 02:26:49,448 NUTRIENTS FROM THAT, THAT THEN 3544 02:26:49,448 --> 02:26:52,117 MEANS THAT MODIFICATIONS HAVE TO 3545 02:26:52,117 --> 02:26:54,419 HAPPEN DOWNSTREAM. 3546 02:26:54,419 --> 02:26:56,555 AND JUST LIKE DR. GARDNER'S 3547 02:26:56,555 --> 02:26:58,357 QUESTIONS HERE ABOUT THE VEGAN 3548 02:26:58,357 --> 02:26:59,658 DIET IS WHEN YOU TAKE SOMETHING 3549 02:26:59,658 --> 02:27:03,328 AWAY IT IS JUST AS IMPORTANT AS 3550 02:27:03,328 --> 02:27:04,730 WHAT YOU PUT BACK. 3551 02:27:04,730 --> 02:27:07,733 AS WE TURN KNOBS DOWN TO ZERO, 3552 02:27:07,733 --> 02:27:09,835 IT DOESN'T MEAN THAT OUR DIETARY 3553 02:27:09,835 --> 02:27:12,504 PATTERN WILL SAY ACTUALLY YOU 3554 02:27:12,504 --> 02:27:13,905 CAN STILL MEET ALL YOUR FRUIT 3555 02:27:13,905 --> 02:27:15,440 RECOMMENDATIONS IF YOU TURNED 3556 02:27:15,440 --> 02:27:17,876 OFF OTHER VEGETABLES AND WE ARE 3557 02:27:17,876 --> 02:27:19,111 STILL FINE AND YOU DON'T NEED 3558 02:27:19,111 --> 02:27:21,079 THOSE AND THAT IS NOT THE 3559 02:27:21,079 --> 02:27:22,981 IMPLICATION AND HELPS US 3560 02:27:22,981 --> 02:27:24,249 IDENTIFY AS YOU GO DOWN TO THE 3561 02:27:24,249 --> 02:27:27,319 LEVEL OF ZERO, WHAT ARE REAL 3562 02:27:27,319 --> 02:27:28,654 IMPLICATIONS OF THE FOOD GROUP 3563 02:27:28,654 --> 02:27:30,689 TO THE TOTAL PLAN? 3564 02:27:30,689 --> 02:27:33,258 SO, IT REALLY HELPS US TO KIND 3565 02:27:33,258 --> 02:27:35,927 OF ISOLATE THAT WE ARE DOING A 3566 02:27:35,927 --> 02:27:38,296 MASSIVE JIGSAW PUZZLE AND 3567 02:27:38,296 --> 02:27:40,399 MASSIVE JIGSAW PUZZLE IS BASED 3568 02:27:40,399 --> 02:27:42,000 ON ALL OF THE INDIVIDUAL PIECES 3569 02:27:42,000 --> 02:27:43,735 THAT ARE PUT TOGETHER THAT MAKE 3570 02:27:43,735 --> 02:27:45,504 UP ALL OF THE DIFFERENT FOOD 3571 02:27:45,504 --> 02:27:47,606 GROUPS AND SO THAT LET'S US 3572 02:27:47,606 --> 02:27:49,207 ACROSS ALL OF THE DIFFERENT 3573 02:27:49,207 --> 02:27:50,709 PROTOCOLS AND SEE WHAT HAPPENS 3574 02:27:50,709 --> 02:27:52,444 WHEN YOU START TO CHANGE ALL OF 3575 02:27:52,444 --> 02:27:56,481 THE KNOBS AND IDENTIFY NUTRIENT 3576 02:27:56,481 --> 02:27:57,149 VALUE AT THE END. 3577 02:27:57,149 --> 02:27:59,251 >> THANK YOU, CHRIS. THAT IS 3578 02:27:59,251 --> 02:28:00,652 REALLY HELPFUL. 3579 02:28:00,652 --> 02:28:01,753 >> HE IS BACK. 3580 02:28:01,753 --> 02:28:03,989 >> BUILDING ON ANGELA'S COMMENT. 3581 02:28:03,989 --> 02:28:07,059 AS YOU REDUCE BY A QUARTER OR 3582 02:28:07,059 --> 02:28:09,361 HALF A CUP EACH TIME ARE YOU 3583 02:28:09,361 --> 02:28:12,731 STARTING AT US DIET OR FIVE 3584 02:28:12,731 --> 02:28:14,900 SERVINGS A DAY TYPE OF THING? 3585 02:28:14,900 --> 02:28:17,402 >> STARTING AT CURRENT PATTERN. 3586 02:28:17,402 --> 02:28:20,072 >> CURRENT PATTERNS ARE ALREADY 3587 02:28:20,072 --> 02:28:21,473 LOW. IS THERE ANY POSSIBILITY 3588 02:28:21,473 --> 02:28:24,276 OF GOING UP A QUARTER OR HALF A 3589 02:28:24,276 --> 02:28:24,810 CUP? 3590 02:28:24,810 --> 02:28:27,012 ALL I SAW WAS REDUCING OPPOSED 3591 02:28:27,012 --> 02:28:29,281 TO IF GOAL IS TO HAVE THEM 3592 02:28:29,281 --> 02:28:30,782 INCREASED I WOULD IMAGINE THAT 3593 02:28:30,782 --> 02:28:33,518 YOU WOULD ALSO MODEL GOING UP. 3594 02:28:33,518 --> 02:28:35,854 IS THAT -- IS THAT WITHOUT 3595 02:28:35,854 --> 02:28:37,789 DISPLACEMENT AND WITHOUT ADDING 3596 02:28:37,789 --> 02:28:39,891 CALORIES AND OH, SO MANY 3597 02:28:39,891 --> 02:28:41,927 CALORIES ADDING SO MANY VEGGIES 3598 02:28:41,927 --> 02:28:43,195 AND FRUITS AND GAINING WEIGHT 3599 02:28:43,195 --> 02:28:45,297 AND THERE IS LOTS TO TAKE INTO 3600 02:28:45,297 --> 02:28:46,031 CONSIDERATION AND BALANCE. 3601 02:28:46,031 --> 02:28:49,134 HOW WILL IT BE HANDLED? 3602 02:28:49,134 --> 02:28:51,369 >> I SAW THAT REBECCA UNMUTED. 3603 02:28:51,369 --> 02:28:52,204 GO FIRST. 3604 02:28:52,204 --> 02:28:54,039 >> I WAS MAKING SURE WE WERE 3605 02:28:54,039 --> 02:28:56,408 TALKING ABOUT THE SAME PATTERN. 3606 02:28:56,408 --> 02:28:59,311 WE WILL START WITH THE HEALTHY 3607 02:28:59,311 --> 02:29:02,514 US STYLE DIETARY PATTERN. THE 3608 02:29:02,514 --> 02:29:04,149 RECOMMENDED QUANTITIES NOT 3609 02:29:04,149 --> 02:29:05,650 CURRENT DIETARY INTAKE 3610 02:29:05,650 --> 02:29:06,017 QUANTITIES. 3611 02:29:06,017 --> 02:29:07,819 I DON'T KNOW IF THAT CLARIFIES 3612 02:29:07,819 --> 02:29:08,386 THE QUESTION. 3613 02:29:08,386 --> 02:29:12,324 I THOUGHT THAT I HEARD A 3614 02:29:12,324 --> 02:29:14,593 MISUNDERSTANDING IN THE TWO. 3615 02:29:14,593 --> 02:29:17,262 >> SOUNDS GREAT TO SORT OF BACK 3616 02:29:17,262 --> 02:29:17,429 UP. 3617 02:29:17,429 --> 02:29:19,264 ISN'T THERE -- WE HAVE ALSO -- 3618 02:29:19,264 --> 02:29:20,899 IF YOU LOOK AT THE 3619 02:29:20,899 --> 02:29:22,067 RECOMMENDATION, I MEAN, 3620 02:29:22,067 --> 02:29:24,136 SOMETIMES IT IS FIVE A DAY OR 3621 02:29:24,136 --> 02:29:25,170 SOMETIMES FIVE TO 9. 3622 02:29:25,170 --> 02:29:26,905 I CAN'T REMEMBER WHAT THE 3623 02:29:26,905 --> 02:29:31,209 CURRENT US RECOMMENDATIONS ARE 3624 02:29:31,209 --> 02:29:32,611 IN TABLES AND THEY ARE GREAT AND 3625 02:29:32,611 --> 02:29:38,483 WOULD YOU GO UP IN NINE OPPOSED 3626 02:29:38,483 --> 02:29:41,086 TO GOING UP ZERO? 3627 02:29:41,086 --> 02:29:42,954 >> ESTABLISHED IN CALORIE LEVELS 3628 02:29:42,954 --> 02:29:45,223 THEMSELVES AND WOULD BE 3629 02:29:45,223 --> 02:29:46,224 PROPORTIONALITY AND SAME WAY 3630 02:29:46,224 --> 02:29:49,461 THAT THE HEI HEALTHY EATING 3631 02:29:49,461 --> 02:29:51,663 INDEX SCORE IS PROPORTIONAL TO 3632 02:29:51,663 --> 02:29:53,832 CALORIES THAT IF YOU EAT MORE 3633 02:29:53,832 --> 02:29:56,735 CALORIES YOU WILL ALSO NEED TO 3634 02:29:56,735 --> 02:29:58,804 PROPORTIONALLY EAT MORE THEN IT 3635 02:29:58,804 --> 02:30:01,339 IS TO YOUR POINT KIND OF I MET 3636 02:30:01,339 --> 02:30:03,675 MY 4 AND NOW I CAN EAT WHATEVER 3637 02:30:03,675 --> 02:30:06,545 I WANT. IT DOESN'T MATTER AND 3638 02:30:06,545 --> 02:30:08,613 NOW I MET FOUR AND CAN EAT 3639 02:30:08,613 --> 02:30:10,515 WHATEVER AND WHERE IT IS BASED 3640 02:30:10,515 --> 02:30:13,185 ON CALORIE LEVEL THE FOOD GROUPS 3641 02:30:13,185 --> 02:30:15,353 THAT ARE PROPORTIONALLY SET UP. 3642 02:30:15,353 --> 02:30:19,057 YOU HAVE A NUTRIENT-DENSE 3643 02:30:19,057 --> 02:30:22,360 DIVERSE DIET AT EVERY STAGE OF 3644 02:30:22,360 --> 02:30:24,629 THE CALORIE LEVEL THAT YOU WILL 3645 02:30:24,629 --> 02:30:26,331 CONTINUE TO PROPORTIONALLY EAT 3646 02:30:26,331 --> 02:30:28,733 THE SAME WAY WITH MORE CALORIES 3647 02:30:28,733 --> 02:30:32,504 NOT I CAN NOW MEET SOME MINIMUM 3648 02:30:32,504 --> 02:30:34,773 CRITERIA OF ALL RIGHT I ONLY 3649 02:30:34,773 --> 02:30:36,641 NEEDED THREE GRAINS OR WHATEVER 3650 02:30:36,641 --> 02:30:39,811 AND CAN EAT WHAT I WANT AND GET 3651 02:30:39,811 --> 02:30:42,280 ALL FRUIT OR VEGETABLE. THOSE 3652 02:30:42,280 --> 02:30:44,282 IMPLICATIONS ARE AS YOU START TO 3653 02:30:44,282 --> 02:30:46,284 MOVE EXTRA CALORIES TO OTHER 3654 02:30:46,284 --> 02:30:49,754 FOOD GROUPS IT HAS NUTRITIONAL 3655 02:30:49,754 --> 02:30:53,158 IMPLICATIONS AND KEEPING A 3656 02:30:53,158 --> 02:30:55,760 PATTERN VERY DIVERSE AND 3657 02:30:55,760 --> 02:30:57,495 PROPORTIONAL HELPS TO MEET THE 3658 02:30:57,495 --> 02:30:58,930 NUTRIENT NEEDS ACROSS THE 3659 02:30:58,930 --> 02:31:00,498 DIFFERENT GROUPS AND STAYING 3660 02:31:00,498 --> 02:31:07,539 WITHIN CALORIE LEVELS. 3661 02:31:07,539 --> 02:31:12,077 >> GO AHEAD, ANGELA. 3662 02:31:12,077 --> 02:31:16,281 >> OKAY. DON'T KILL ME. THIS 3663 02:31:16,281 --> 02:31:18,183 IS A QUESTION. 3664 02:31:18,183 --> 02:31:20,085 THAT GOES BACK TO WHAT YOU 3665 02:31:20,085 --> 02:31:23,989 PRESENTED BEFORE ABOUT THE EAR 3666 02:31:23,989 --> 02:31:24,389 POPULATION-BASED. 3667 02:31:24,389 --> 02:31:29,461 AT THE END OF THIS, WILL IT BE A 3668 02:31:29,461 --> 02:31:31,196 SAMPLE, YOU KNOW, THINGS TO 3669 02:31:31,196 --> 02:31:33,365 THINK ABOUT THE EAR OR 3670 02:31:33,365 --> 02:31:34,933 ESSENTIALLY IS IT BASICALLY 3671 02:31:34,933 --> 02:31:41,473 LOOKING AT NUTRITIONAL ADEQUACY 3672 02:31:41,473 --> 02:31:41,973 WITHIN? 3673 02:31:41,973 --> 02:31:43,475 THAT WOULD BE REALLY HARD. 3674 02:31:43,475 --> 02:31:47,245 I KNOW IT WOULD BE PRETTY 3675 02:31:47,245 --> 02:31:48,747 INTENSE TO LOOK AT A POPULATION 3676 02:31:48,747 --> 02:31:50,548 LEVEL AND IS MORE OF A QUESTION 3677 02:31:50,548 --> 02:31:52,684 TO SEE IF THAT IS SOMETHING THAT 3678 02:31:52,684 --> 02:31:57,455 WAS -- IT IS BEING THOUGHT 3679 02:31:57,455 --> 02:31:58,456 ABOUT. 3680 02:31:58,456 --> 02:32:06,831 >> MRS. REBECCA CAN PROBABLY 3681 02:32:06,831 --> 02:32:09,968 PROVIDE POIGNANT DISCUSSION 3682 02:32:09,968 --> 02:32:10,201 AROUND. 3683 02:32:10,201 --> 02:32:11,903 >> IF I UNDERSTAND YOUR QUESTION 3684 02:32:11,903 --> 02:32:14,139 CORRECTLY, THE SIMULATIONS ARE 3685 02:32:14,139 --> 02:32:18,209 OUR OPPORTUNITY TO EVALUATE 3686 02:32:18,209 --> 02:32:20,445 PATTERNS WITHIN INDIVIDUAL FOODS 3687 02:32:20,445 --> 02:32:24,115 AT A SIMULATED POPULATION LEVEL. 3688 02:32:24,115 --> 02:32:25,951 SO, THAT IS OUR NEW AND LIKE -- 3689 02:32:25,951 --> 02:32:31,389 THAT IS OUR BIG NEXT STEP, WHICH 3690 02:32:31,389 --> 02:32:35,293 YOU NOTED IS WORK AND 3691 02:32:35,293 --> 02:32:39,698 COMPLICATED AND VERY EXCITING. 3692 02:32:39,698 --> 02:32:43,335 FOOD PANELING ANALYSIS WE FOCUS 3693 02:32:43,335 --> 02:32:47,639 AT GIVING RECOMMENDATION S AT 3694 02:32:47,639 --> 02:32:50,508 INDIVIDUAL LEVEL FOR INDIVIDUALS 3695 02:32:50,508 --> 02:32:57,916 WITHIN A POPULATION MEET ORING 3696 02:32:57,916 --> 02:33:01,786 COMPARING FOOD GROUPS IN 3697 02:33:01,786 --> 02:33:06,057 PATTERNS COMPARING TO 3698 02:33:06,057 --> 02:33:08,660 CONSERVATIVE MEASURE. 3699 02:33:08,660 --> 02:33:09,227 >> THANK YOU. 3700 02:33:09,227 --> 02:33:13,765 >> THAT IS WHAT I WANTED TO SAY 3701 02:33:13,765 --> 02:33:20,338 I'M AFRAID WE MIGHT BE WRONG. 3702 02:33:20,338 --> 02:33:23,942 GETTING TO THE POPULATION 3703 02:33:23,942 --> 02:33:25,877 DISTRIBUTION IS SIMULATIONS 3704 02:33:25,877 --> 02:33:32,817 ACROSS 3500 DAYS AND ACTUAL 3705 02:33:32,817 --> 02:33:34,986 PATTERNS THEMSELVES GIVES A 3706 02:33:34,986 --> 02:33:36,254 TELLING US HOW MANY FRUITS TO 3707 02:33:36,254 --> 02:33:46,765 PUT IN NUTRITIONAL PROFILE -- 3708 02:33:48,633 --> 02:33:52,804 TOTAL NUTRIENTS WE GET BASED ON 3709 02:33:52,804 --> 02:33:55,807 WHAT THOSE FINAL NUTRIENT 3710 02:33:55,807 --> 02:33:57,542 PROFILES LOOK LIKE. 3711 02:33:57,542 --> 02:34:01,780 THAT IS THAT BASIS PROTOCOL AND 3712 02:34:01,780 --> 02:34:04,082 PROTOCOL 1 AND 2 POPULATION 3713 02:34:04,082 --> 02:34:06,584 SUBGROUPS HOW IT CARIES FORWARD 3714 02:34:06,584 --> 02:34:08,486 INTO WHAT REPRESENTS A CUP OF 3715 02:34:08,486 --> 02:34:10,088 FRUIT WHEN WE DO THAT ANALYSIS 3716 02:34:10,088 --> 02:34:12,957 AND WHAT HAPPENS WHEN YOU TURN 3717 02:34:12,957 --> 02:34:15,693 KNOBS AND COMPARE THAT TO THE 3718 02:34:15,693 --> 02:34:15,894 RDA? 3719 02:34:15,894 --> 02:34:20,765 >> YEAH. I WAS CURIOUS IN I'M 3720 02:34:20,765 --> 02:34:23,735 NOT AFRAID TO ASK A STUPID 3721 02:34:23,735 --> 02:34:25,336 QUESTION BUT I WAS CURIOUS WHAT 3722 02:34:25,336 --> 02:34:28,440 HAPPENS WHEN YOU HAVE A 3723 02:34:28,440 --> 02:34:30,108 PERCENTAGE OF THE POPULATION 3724 02:34:30,108 --> 02:34:31,743 THAT DOESN'T EAT A CERTAIN LIKE 3725 02:34:31,743 --> 02:34:34,679 ARE NUTRIENTS WOULD IT BE THE 3726 02:34:34,679 --> 02:34:36,881 IMPLICATION AND NUTRITIONAL 3727 02:34:36,881 --> 02:34:38,316 IMPLICATIONS ON A POPULATION 3728 02:34:38,316 --> 02:34:39,584 LEVEL FOR PEOPLE THAT FALL 3729 02:34:39,584 --> 02:34:41,786 WITHIN CATEGORIES IF YOU ASSUME 3730 02:34:41,786 --> 02:34:43,321 THAT THERE IS A CERTAIN 3731 02:34:43,321 --> 02:34:44,422 PERCENTAGE OF THE POPULATION 3732 02:34:44,422 --> 02:34:46,958 THAT WILL BE IN THAT CATEGORY. 3733 02:34:46,958 --> 02:34:48,660 SO, BUT THAT IS -- THAT IS 3734 02:34:48,660 --> 02:34:50,995 REALLY HELPFUL AND THIS IS 3735 02:34:50,995 --> 02:34:52,664 REALLY EXCITING WORK TO SEE. IT 3736 02:34:52,664 --> 02:34:55,333 HAS A LOT OF IMPLICATIONS FOR 3737 02:34:55,333 --> 02:34:56,768 EQUITY ACROSS THE BOARD. 3738 02:34:56,768 --> 02:35:00,939 SO, IT IS GREAT TO HEAR ABOUT. 3739 02:35:00,939 --> 02:35:03,475 >> GREAT TO BE ABLE TO LOOK AT 3740 02:35:03,475 --> 02:35:05,210 IT FROM FOOD GROUPS THEMSELVES 3741 02:35:05,210 --> 02:35:06,711 AT THIS POINT AND NEXT STEP THAT 3742 02:35:06,711 --> 02:35:08,780 TAKES IT ALL THE WAY TO THE 3743 02:35:08,780 --> 02:35:11,649 SIMULATION LEVEL OF ALL RIGHT. 3744 02:35:11,649 --> 02:35:13,952 LET'S ACTUALLY PUT IT INTO PLAY. 3745 02:35:13,952 --> 02:35:18,056 YOU CAN RANDOMLY DRAW A CARD OUT 3746 02:35:18,056 --> 02:35:19,624 OF EACH DECK TO REPRESENT FOOD 3747 02:35:19,624 --> 02:35:21,726 AND WHAT PROFILE LOOKS LIKE IN 3748 02:35:21,726 --> 02:35:23,161 TOTAL POPULATION THAT IS A 3749 02:35:23,161 --> 02:35:25,997 REALLY COOL WAY TO USE 3750 02:35:25,997 --> 02:35:27,932 INVALUABLE DATA WE HAVE WHAT WE 3751 02:35:27,932 --> 02:35:31,169 IN AMERICA SHOULD REALLY HELP 3752 02:35:31,169 --> 02:35:34,305 AND KIND OF ACTUAL, ACTIONABLE 3753 02:35:34,305 --> 02:35:35,974 STRATEGIES FOR ACTUALLY MAKING 3754 02:35:35,974 --> 02:35:38,209 DIETARY SELECTIONS. 3755 02:35:38,209 --> 02:35:46,618 IT IS REALLY COOL. 3756 02:35:46,618 --> 02:35:49,187 ANY OTHER QUESTIONS? 3757 02:35:49,187 --> 02:35:49,954 >> WONDERFUL. 3758 02:35:49,954 --> 02:35:51,156 THANK YOU SO MUCH. 3759 02:35:51,156 --> 02:35:54,058 SO, NOW WE ARE GOING TO TAKE A 3760 02:35:54,058 --> 02:36:07,975 MUCH EARNED BREAK AND COME BACK 3761 02:36:07,975 --> 02:36:10,377 >> THANK YOU SO MUCH FOR JOINING 3762 02:36:10,377 --> 02:36:13,847 THE 2025 DIETARY GUIDELINES 3763 02:36:13,847 --> 02:36:14,948 ADVISORY COMMITTEE TODAY. WE 3764 02:36:14,948 --> 02:36:16,683 ARE BACK FROM BREAK AND NOW WILL 3765 02:36:16,683 --> 02:36:18,051 HEAR ABOUT STRATEGIES FOR 3766 02:36:18,051 --> 02:36:19,353 INDIVIDUALS AND FAMILIES THAT 3767 02:36:19,353 --> 02:36:22,589 ARE RELATED TO DIET QUALITY AND 3768 02:36:22,589 --> 02:36:27,728 WEIGHT MANAGEMENT LED BY CHAIR 3769 02:36:27,728 --> 02:36:33,400 CHRISTINA MRASAS. TAKE IT AWAY. 3770 02:36:33,400 --> 02:36:34,568 >> GOOD MORNING EVERYONE. WE 3771 02:36:34,568 --> 02:36:38,505 ARE EXCITED TO PRESENT THE FIRST 3772 02:36:38,505 --> 02:36:48,982 RESULTS FOR THIS COMMITTEE. 3773 02:36:55,455 --> 02:36:58,825 HOLD ON. I JUST LOST MY SLIDES. 3774 02:36:58,825 --> 02:37:02,763 OKAY. SO, THIS IS OUR 3775 02:37:02,763 --> 02:37:04,765 SUB-COMMITTEE. INDIVIDUALS IN 3776 02:37:04,765 --> 02:37:05,799 OUR SUB-COMMITTEE AND YOU 3777 02:37:05,799 --> 02:37:09,002 PROBABLY KNOW ALL OF THEM 3778 02:37:09,002 --> 02:37:11,805 ALREADY IN THE NEXT SLIDE, 3779 02:37:11,805 --> 02:37:12,039 PLEASE. 3780 02:37:12,039 --> 02:37:15,342 AS WITH THE OTHER SUB-COMMITTEES 3781 02:37:15,342 --> 02:37:17,744 WE HAVE PRESENTED SO FAR I WOULD 3782 02:37:17,744 --> 02:37:19,980 LIKE TO THANK SUPERHEROES FOR 3783 02:37:19,980 --> 02:37:22,282 THIS WORK THAT MAKE WORK EASIER 3784 02:37:22,282 --> 02:37:23,784 AND GO ON TO PRESENT DATA IN 3785 02:37:23,784 --> 02:37:26,219 DIFFERENT WAYS TO TRY TO COME UP 3786 02:37:26,219 --> 02:37:28,088 WITH SOME CONCLUSION STATEMENT. 3787 02:37:28,088 --> 02:37:30,057 THANK YOU. AGAIN. 3788 02:37:30,057 --> 02:37:30,657 NEXT SLIDE. 3789 02:37:30,657 --> 02:37:33,560 WE HAVE MADE A BIT OF PROGRESS 3790 02:37:33,560 --> 02:37:36,129 SINCE MEETING 3. 3791 02:37:36,129 --> 02:37:37,831 WE WILL SHOW TODAY TWO 3792 02:37:37,831 --> 02:37:39,966 CONCLUSION STATEMENTS FOR THE 3793 02:37:39,966 --> 02:37:42,202 FIRST TWO SYSTEMATIC REVIEWS. 3794 02:37:42,202 --> 02:37:46,073 THERE ARE THREE SYSTEMATIC 3795 02:37:46,073 --> 02:37:50,811 REVIEWS STILL ON THE WAY. 3796 02:37:50,811 --> 02:37:53,013 WE HAVE AN EVIDENCE SCAN ON THE 3797 02:37:53,013 --> 02:37:56,616 WAY TOO AND CONTINUED LAST 3798 02:37:56,616 --> 02:38:00,687 EVIDENCE SCAN BECAUSE OF THE 3799 02:38:00,687 --> 02:38:05,926 AMOUNT OF WORK AND CULTURAL 3800 02:38:05,926 --> 02:38:07,594 INTERVENTION SCAN THAT HAS BEEN 3801 02:38:07,594 --> 02:38:12,265 SO FAR THOUSANDS OF ARTICLES TO 3802 02:38:12,265 --> 02:38:12,566 SCAN. 3803 02:38:12,566 --> 02:38:14,401 TO GIVE AND PRIORITIZE OTHER 3804 02:38:14,401 --> 02:38:18,605 QUESTIONS AND TO HAVE MORE TIME 3805 02:38:18,605 --> 02:38:20,307 FOR THE STAFF AND BE ABLE TO 3806 02:38:20,307 --> 02:38:21,942 FINISH THIS YEAR THIS WILL 3807 02:38:21,942 --> 02:38:24,444 CONTINUE WITH THE AVAILABILITY 3808 02:38:24,444 --> 02:38:25,011 EVIDENCE SCAN. 3809 02:38:25,011 --> 02:38:26,012 NEXT SLIDE. 3810 02:38:26,012 --> 02:38:27,948 SO, TODAY WE WILL PRESENT THE 3811 02:38:27,948 --> 02:38:30,684 CONCLUSION STATEMENTS FOR THE 3812 02:38:30,684 --> 02:38:32,652 EVIDENCE REVIEW WITH QUESTIONS 3813 02:38:32,652 --> 02:38:36,756 ON FREQUENCY OF NEWS AND/OR 3814 02:38:36,756 --> 02:38:37,557 SNACKING. 3815 02:38:37,557 --> 02:38:39,159 SO, THE NEXT QUESTION, PLEASE. 3816 02:38:39,159 --> 02:38:40,961 THIS IS THE FIRST QUESTION WE 3817 02:38:40,961 --> 02:38:41,862 HAVE COMPLETED SO FAR. 3818 02:38:41,862 --> 02:38:45,332 WHAT IS THE RELATIONSHIP BETWEEN 3819 02:38:45,332 --> 02:38:49,236 FREQUENCY OF MEALS AND SNACKING 3820 02:38:49,236 --> 02:38:50,504 CONSUMING DIETARY PATTERN 3821 02:38:50,504 --> 02:38:52,105 ALIGNED WITH DIETARY GUIDANCE 3822 02:38:52,105 --> 02:38:53,740 PATTERNS FOR AMERICANS AND THIS 3823 02:38:53,740 --> 02:38:55,675 IS A NEW SYSTEMATIC REVIEW 3824 02:38:55,675 --> 02:38:59,079 INCLUDING ARTICLES PUBLISHED 3825 02:38:59,079 --> 02:39:02,249 FROM JANUARY 2000 TO MAY 2023 3826 02:39:02,249 --> 02:39:07,587 AND WE SHOW THE PICO TABLE AND 3827 02:39:07,587 --> 02:39:09,456 POPULATION -- INTERVENTION OR 3828 02:39:09,456 --> 02:39:12,526 EXPOSURE AND WE INCLUDED THE 3829 02:39:12,526 --> 02:39:14,261 FREQUENCY OF NEWS AND/OR 3830 02:39:14,261 --> 02:39:16,396 SNACKING AND VARIED A BIT ACROSS 3831 02:39:16,396 --> 02:39:19,866 DIFFERENT STUDIES AND HOW THE 3832 02:39:19,866 --> 02:39:21,568 AUTHORS DEFINED THIS. 3833 02:39:21,568 --> 02:39:25,839 THIS WAS A DIFFERENT FREQUENCY. 3834 02:39:25,839 --> 02:39:27,407 OUTCOMES WAS DIET QUALITY 3835 02:39:27,407 --> 02:39:29,276 MEASURED BY HEALTHY EATING INDEX 3836 02:39:29,276 --> 02:39:33,613 IN ANY OF THE VERSIONS AND KEY 3837 02:39:33,613 --> 02:39:35,348 CONFOUNDERS ARE SHOWN THERE. 3838 02:39:35,348 --> 02:39:39,853 THE SYNTHESIS PLAN WAS INTENDED. 3839 02:39:39,853 --> 02:39:41,354 HOWEVER, IF THERE WERE ENOUGH 3840 02:39:41,354 --> 02:39:42,923 STUDIES WE WOULD GROUP THEM IN 3841 02:39:42,923 --> 02:39:44,724 DIFFERENT CATEGORIES. 3842 02:39:44,724 --> 02:39:46,826 FOR EXAMPLE, BREAKFAST AND 3843 02:39:46,826 --> 02:39:48,628 SNACKING AND NUMBER OF EATING 3844 02:39:48,628 --> 02:39:48,929 OCCASIONS. 3845 02:39:48,929 --> 02:39:51,598 IN THE CASES WHERE WE DIDN'T 3846 02:39:51,598 --> 02:39:54,201 HAVE ENOUGH STUDIES PER 3847 02:39:54,201 --> 02:39:55,702 CATEGORY, THEN WE FORM OUR 3848 02:39:55,702 --> 02:39:57,938 CONCLUSION STATEMENT FOR THE 3849 02:39:57,938 --> 02:40:00,173 BROADER QUESTION, WHICH IS 3850 02:40:00,173 --> 02:40:04,778 FREQUENCY OF MEALS AND/OR 3851 02:40:04,778 --> 02:40:05,045 SNACKING. 3852 02:40:05,045 --> 02:40:07,681 NEXT SLIDE, PLEASE. 3853 02:40:07,681 --> 02:40:10,350 JUST MENTIONING THREE SYNTHESIS 3854 02:40:10,350 --> 02:40:11,451 CATEGORIES ARE BREAKFAST AND 3855 02:40:11,451 --> 02:40:12,986 NUMBER OF EATING OCCASIONS AND 3856 02:40:12,986 --> 02:40:14,588 SNACKING THAT YOU CAN SEE THEM 3857 02:40:14,588 --> 02:40:14,854 HERE. 3858 02:40:14,854 --> 02:40:16,990 WE HAVE THEM FOR CHILDREN AND 3859 02:40:16,990 --> 02:40:19,693 ADLESSIENTS AND ADULTS AND OLDER 3860 02:40:19,693 --> 02:40:20,160 ADULTS. 3861 02:40:20,160 --> 02:40:23,663 BECAUSE THERE IS NOT ENOUGH 3862 02:40:23,663 --> 02:40:26,399 STUDIES THAT WERE PUBLISHED IN 3863 02:40:26,399 --> 02:40:30,937 THESE THREE CATEGORIES IN THIS 3864 02:40:30,937 --> 02:40:32,639 LIFE STAGE WE WERE NOT ABLE TO 3865 02:40:32,639 --> 02:40:34,274 DRAW A CONCLUSION AND WILL GIVE 3866 02:40:34,274 --> 02:40:37,777 MORE DETAILS IN THE NEXT SLIDE, 3867 02:40:37,777 --> 02:40:38,612 PLEASE. 3868 02:40:38,612 --> 02:40:41,214 OKAY. SO, AGAIN, A CONCLUSION 3869 02:40:41,214 --> 02:40:43,283 STATEMENT WAS NOT -- WE WERE NOT 3870 02:40:43,283 --> 02:40:46,319 ABLE TO DRAW ONE ABOUT THE 3871 02:40:46,319 --> 02:40:48,088 RELATIONSHIP BETWEEN FREQUENCY 3872 02:40:48,088 --> 02:40:50,957 OF NEWS IN OR SNACKING CONSUMING 3873 02:40:50,957 --> 02:40:53,360 DIETARY PATTERN BETTER ALIGNED 3874 02:40:53,360 --> 02:40:55,195 WITH DIETARY GUIDANCE OF 3875 02:40:55,195 --> 02:40:57,197 AMERICANS AND TWO PROSPECTIVE 3876 02:40:57,197 --> 02:41:00,800 COHORT STUDIES THAT ARE INCLUDED 3877 02:41:00,800 --> 02:41:03,303 IN OUR EVIDENCE AND NOT ABLE TO 3878 02:41:03,303 --> 02:41:07,374 ANSWER THIS QUESTION THAT IS TWO 3879 02:41:07,374 --> 02:41:09,876 PARTICULAR STUDIES WHERE ON 3880 02:41:09,876 --> 02:41:13,380 BREAKFAST AND THEY WERE VERY 3881 02:41:13,380 --> 02:41:16,249 SPECIFIC TO 10TH GRADERS AND 3882 02:41:16,249 --> 02:41:17,751 MILITARY RECRUITS. 3883 02:41:17,751 --> 02:41:21,621 SO, THIS DIDN'T ALLOW US 2% TO 3884 02:41:21,621 --> 02:41:23,456 DRAW OUR CONCLUSION STATEMENT. 3885 02:41:23,456 --> 02:41:31,765 NEXT RESULT WILL BE PRESENTED BY 3886 02:41:31,765 --> 02:41:31,998 ALINE. 3887 02:41:31,998 --> 02:41:34,601 >> THANK YOU, CHRISTINA AND TO 3888 02:41:34,601 --> 02:41:36,236 INCREDIBLE TEAMS THAT WORKED ON 3889 02:41:36,236 --> 02:41:37,704 THIS QUESTION TOGETHER. 3890 02:41:37,704 --> 02:41:39,739 ESPECIALLY AMAZING SUPPORT 3891 02:41:39,739 --> 02:41:40,006 STAFF. 3892 02:41:40,006 --> 02:41:42,609 THE SECOND SYSTEMATIC REVIEW 3893 02:41:42,609 --> 02:41:44,311 QUESTION THAT WE ANSWERED WAS 3894 02:41:44,311 --> 02:41:46,880 WHAT IS THE RELATIONSHIP BETWEEN 3895 02:41:46,880 --> 02:41:49,115 FREQUENCY OF MEAL AND/OR 3896 02:41:49,115 --> 02:41:51,751 SNACKING AND ENERGY INTAKE? 3897 02:41:51,751 --> 02:41:54,587 AS WITH THE LAST QUESTION, THIS 3898 02:41:54,587 --> 02:41:57,123 IS A NEW SYSTEMATIC REVIEW 3899 02:41:57,123 --> 02:41:58,658 INCLUDING ARTICLES PUBLISHED 3900 02:41:58,658 --> 02:42:02,595 FROM JANUARY 2000 TO MAY OF 2023 3901 02:42:02,595 --> 02:42:05,365 AND THE OUTCOME COULD BE 3902 02:42:05,365 --> 02:42:07,801 REPORTED MEASURE OF INTAKE 3903 02:42:07,801 --> 02:42:09,536 DEFINED BY AUTHOR AND WHEN THERE 3904 02:42:09,536 --> 02:42:12,772 IS EVIDENCE LIKE BEFORE, WE 3905 02:42:12,772 --> 02:42:14,507 CATEGORIZE AND ORGANIZE THE 3906 02:42:14,507 --> 02:42:17,077 EVIDENCE BY DIFFERENT FREQUENCY 3907 02:42:17,077 --> 02:42:18,945 OF MEALS AND SNACKING AND 3908 02:42:18,945 --> 02:42:20,647 BREAKFAST SNACKING AND NUMBER OF 3909 02:42:20,647 --> 02:42:24,684 EATING OCCASION AND CATEGORIES 3910 02:42:24,684 --> 02:42:29,155 BY AGE AND OUTCOME. 3911 02:42:29,155 --> 02:42:31,791 SO, NEXT SLIDE, PLEASE. 3912 02:42:31,791 --> 02:42:34,461 SO, LIKE I -- JUST LIKE I LOOKED 3913 02:42:34,461 --> 02:42:37,997 AT SIMILARLY TO WHAT CHRISTINA 3914 02:42:37,997 --> 02:42:40,066 PRESENTED, ALL OF THE DIFFERENT 3915 02:42:40,066 --> 02:42:42,402 FREQUENCY OF MEALS AND SNACKING 3916 02:42:42,402 --> 02:42:45,605 IN THE TWO LIFE STAGE GROUPS YOU 3917 02:42:45,605 --> 02:42:47,974 CAN SEE FOR CHILDREN AND 3918 02:42:47,974 --> 02:42:49,642 ADOLESCENTS WE DIDN'T HAVE 3919 02:42:49,642 --> 02:42:50,977 ENOUGH EVIDENCE FOR CONCLUSION 3920 02:42:50,977 --> 02:42:52,545 STATEMENT AND WILL REVEAL A 3921 02:42:52,545 --> 02:42:54,047 LITTLE BIT OF EVIDENCE RIGHT 3922 02:42:54,047 --> 02:42:54,781 AFTER THIS. 3923 02:42:54,781 --> 02:42:57,717 FOR ADULTS AND OLDER ADULTS THAT 3924 02:42:57,717 --> 02:42:58,752 THERE WAS A LITTLE BIT MORE 3925 02:42:58,752 --> 02:43:01,221 EVIDENCE THAT ALLOWS US TO 3926 02:43:01,221 --> 02:43:02,822 EVALUATE THE THREE DIFFERENT 3927 02:43:02,822 --> 02:43:06,359 FREQUENCY OF MEALS AND SNACKING 3928 02:43:06,359 --> 02:43:06,726 CATEGORIES. 3929 02:43:06,726 --> 02:43:09,396 NEXT SLIDE, PLEASE. 3930 02:43:09,396 --> 02:43:11,164 SO, THE FIRST SECTION OF THE 3931 02:43:11,164 --> 02:43:13,400 EVIDENCE THAT WAS ANALYZED FOR 3932 02:43:13,400 --> 02:43:15,402 THIS QUESTION WAS IN FREQUENCY 3933 02:43:15,402 --> 02:43:17,370 AND MEAL AND SNACKING AND IN 3934 02:43:17,370 --> 02:43:20,039 CHILDREN AND ADOLESCENTS SO 3935 02:43:20,039 --> 02:43:21,808 EARLY AGE GROUP CONCLUSION 3936 02:43:21,808 --> 02:43:23,209 STATEMENT COULD NOT BE DRAWN 3937 02:43:23,209 --> 02:43:27,347 ABOUT THE RELATIONSHIP BETWEEN 3938 02:43:27,347 --> 02:43:37,891 FREQUENCY AND MEAL AND/OR SNACK. 3939 02:43:40,093 --> 02:43:42,695 >> I THINK I MIGHT HAVE TO TAKE 3940 02:43:42,695 --> 02:43:45,331 OVER. ALINE WAS HAVING ISSUES 3941 02:43:45,331 --> 02:43:46,399 WITH HER CONNECTION. 3942 02:43:46,399 --> 02:43:50,637 I WILL GIVE HER A FEW MORE 3943 02:43:50,637 --> 02:43:57,477 SECONDS JUST IN CASE IT COMES 3944 02:43:57,477 --> 02:43:58,244 BACK. 3945 02:43:58,244 --> 02:44:02,549 SO, IT SEEMS I WILL HAVE TO 3946 02:44:02,549 --> 02:44:05,385 CONTINUE. 3947 02:44:05,385 --> 02:44:08,655 ALL RIGHT. HERE WE SHOW 3948 02:44:08,655 --> 02:44:11,424 EVIDENCE FOR DETAILS IN CHILDREN 3949 02:44:11,424 --> 02:44:13,560 AND IN ADOLESCENTS. 3950 02:44:13,560 --> 02:44:16,963 AS ALINE WAS MENTIONING, A 3951 02:44:16,963 --> 02:44:19,165 CONCLUSION STATEMENT COULDN'T BE 3952 02:44:19,165 --> 02:44:20,633 DRAWN ABOUT RELATIONSHIP BETWEEN 3953 02:44:20,633 --> 02:44:22,435 FREQUENCY OF MEALS AND SNACKING 3954 02:44:22,435 --> 02:44:24,871 AND ENERGY INTAKE IN THIS GROUP 3955 02:44:24,871 --> 02:44:26,940 DUE TO TWO MAIN ISSUES. 3956 02:44:26,940 --> 02:44:29,008 FIRST, NUMBER OF STUDIES WITH 3957 02:44:29,008 --> 02:44:32,111 ONLY FIVE ARTICLES ACROSS ALL 3958 02:44:32,111 --> 02:44:33,780 RANDOMIZED CLINICAL TRIALS AND 3959 02:44:33,780 --> 02:44:36,049 ALSO DIFFERENCES IN EXPOSURES 3960 02:44:36,049 --> 02:44:39,052 AND THREE ASSESSED BREAKFAST 3961 02:44:39,052 --> 02:44:40,420 CONSUMPTION AND ONE SNACKING AND 3962 02:44:40,420 --> 02:44:42,422 ONE NUMBER OF EATING PATIENTS SO 3963 02:44:42,422 --> 02:44:44,691 THEY ALLOW US TO HAVE ENOUGH 3964 02:44:44,691 --> 02:44:46,226 ARTICLES FOR DIFFERENT 3965 02:44:46,226 --> 02:44:49,696 CATEGORIES AND TO DRAW 3966 02:44:49,696 --> 02:44:50,029 CONCLUSIONS. 3967 02:44:50,029 --> 02:44:53,032 NEXT SLIDE, PLEASE. 3968 02:44:53,032 --> 02:44:56,636 OKAY. NOW WE SHOW THE EVIDENCE 3969 02:44:56,636 --> 02:44:59,272 ON BREAKFAST AND ENERGY INTAKE 3970 02:44:59,272 --> 02:45:02,609 IN ADULTS AND OLDER ADULTS AND 3971 02:45:02,609 --> 02:45:04,911 CONCLUSION IS THERE IS LIMITED 3972 02:45:04,911 --> 02:45:07,347 EVIDENCE THAT BREAKFAST 3973 02:45:07,347 --> 02:45:08,815 CONSUMPTION COMPARED TO NO 3974 02:45:08,815 --> 02:45:10,517 BREAKFAST CONSUMPTION THAT DOES 3975 02:45:10,517 --> 02:45:12,552 NOT DECREASE TOTAL ENERGY INTAKE 3976 02:45:12,552 --> 02:45:14,621 IN ADULTS AND CONCLUSION CAME 3977 02:45:14,621 --> 02:45:18,391 FROM 19 ARTICLES AND ORIGINALLY 3978 02:45:18,391 --> 02:45:20,927 HAVE 26 ARTICLES AND 3979 02:45:20,927 --> 02:45:22,262 SUB-COMMITTEE DECIDED TO FOCUS 3980 02:45:22,262 --> 02:45:24,230 REVIEW ON STUDIES THAT HAD A 3981 02:45:24,230 --> 02:45:26,966 MEASURE OF TOTAL DAILY ENERGY 3982 02:45:26,966 --> 02:45:29,102 INTAKE AND OTHER STUDIES THAT 3983 02:45:29,102 --> 02:45:31,371 WERE LOOKING AT BREAKFAST 3984 02:45:31,371 --> 02:45:34,307 CONSUMPTION AND THEN THE ENERGY 3985 02:45:34,307 --> 02:45:35,742 INTAKE OF THE NEXT MEAL THAT WE 3986 02:45:35,742 --> 02:45:38,011 THOUGHT WAS BEST TO LOOK AT THE 3987 02:45:38,011 --> 02:45:40,346 ENTIRE DAY SO THAT IT REDUCES 3988 02:45:40,346 --> 02:45:42,849 EVIDENCE TO 19 ARTICLES. 3989 02:45:42,849 --> 02:45:45,818 AMONG 19 ARTICLES, EVIDENCE WAS 3990 02:45:45,818 --> 02:45:48,588 PRETTY MUCH CONSISTENT AND 17 3991 02:45:48,588 --> 02:45:50,890 REPORTED NO IMPACT OF TOTAL 3992 02:45:50,890 --> 02:45:52,992 ENERGY INTAKE OR THERE WAS A 3993 02:45:52,992 --> 02:45:55,895 HIGHER TOTAL DAILY ENERGY INTAKE 3994 02:45:55,895 --> 02:45:58,031 WHEN BREAKFAST WAS CONSUMED 3995 02:45:58,031 --> 02:46:00,500 COMPARED TO NO BREAKFAST AND 3996 02:46:00,500 --> 02:46:04,237 THERE WAS NO REASON FOUND TO 3997 02:46:04,237 --> 02:46:06,005 EXPLAIN DIFFERENCES. 3998 02:46:06,005 --> 02:46:10,143 WE DIDN'T SEE ANYTHING BASED ON 3999 02:46:10,143 --> 02:46:12,612 DURATION OR AGE OR DESCRIPTION 4000 02:46:12,612 --> 02:46:14,314 OF PARTICIPANTS OR STUDY 4001 02:46:14,314 --> 02:46:15,982 METHODOLOGIES THAT IS ALL OVER 4002 02:46:15,982 --> 02:46:17,350 THE PLACE AND THE EVIDENCE. 4003 02:46:17,350 --> 02:46:20,453 IN TERMS OF RISK OF BIAS, THERE 4004 02:46:20,453 --> 02:46:23,122 WERE SERIOUS CONCERNS DUE TO 4005 02:46:23,122 --> 02:46:24,857 SMALL SAMPLE SIZE RANGING FROM 4006 02:46:24,857 --> 02:46:28,061 10 PARTICIPANTS TO 178 AND SOME 4007 02:46:28,061 --> 02:46:29,862 CONCERNS THAT ARE RELATED TO NOT 4008 02:46:29,862 --> 02:46:33,433 HAVING DETAILS OF THE 4009 02:46:33,433 --> 02:46:35,668 RANDOMIZATION OR CONCEILMENT OR 4010 02:46:35,668 --> 02:46:38,204 NOT ENOUGH POWER REGULATIONS AND 4011 02:46:38,204 --> 02:46:40,440 HAVING PRE-REGISTERED DATA 4012 02:46:40,440 --> 02:46:42,308 ANALYSIS PLAN OR HAVING HIGH 4013 02:46:42,308 --> 02:46:43,343 ATTRITION. 4014 02:46:43,343 --> 02:46:45,278 IN TERMS OF DIRECTNESS, THERE 4015 02:46:45,278 --> 02:46:47,080 WERE MINIMAL CONCERNS. 4016 02:46:47,080 --> 02:46:49,148 IN TERMS OF PRECISION, THERE 4017 02:46:49,148 --> 02:46:52,619 WERE SERIOUS CONCERNS WITH THE 4018 02:46:52,619 --> 02:46:54,120 GENERALIZABILITY OF THE EVIDENCE 4019 02:46:54,120 --> 02:46:56,489 AND MOST STUDIES WERE IN YOUNG 4020 02:46:56,489 --> 02:46:58,625 ADULTS BETWEEN 19 TO 30 YEARS 4021 02:46:58,625 --> 02:47:01,828 OLD AND A FEW REPORTED RACE, 4022 02:47:01,828 --> 02:47:03,763 ETHNICITY OR SOCIOECONOMIC 4023 02:47:03,763 --> 02:47:04,030 POSITION. 4024 02:47:04,030 --> 02:47:07,166 IN OLDER ADULTS, CONCLUSION 4025 02:47:07,166 --> 02:47:10,169 STATEMENT CANNOT BE DRAWN ABOUT 4026 02:47:10,169 --> 02:47:10,803 THE RELATIONSHIP BETWEEN 4027 02:47:10,803 --> 02:47:13,806 BREAKFAST AND ENERGY INTAKE. 4028 02:47:13,806 --> 02:47:15,808 IT WAS JUST NOT ENOUGH STUDIES 4029 02:47:15,808 --> 02:47:19,445 AND WERE ONLY ONE STUDY 4030 02:47:19,445 --> 02:47:21,247 INCLUDING INDIVIDUALS OLDER THAN 4031 02:47:21,247 --> 02:47:22,982 50. THAT IS IT. 4032 02:47:22,982 --> 02:47:24,984 WE COULDN'T DRAW CONCLUSION 4033 02:47:24,984 --> 02:47:25,284 STATEMENTS. 4034 02:47:25,284 --> 02:47:30,456 IS ALINE BACK? 4035 02:47:30,456 --> 02:47:33,593 >> I AM. GO AHEAD, CHRISTINA. 4036 02:47:33,593 --> 02:47:37,563 THANKS SO MUCH FOR TAKING OVER. 4037 02:47:37,563 --> 02:47:41,801 >> GO AHEAD AND CONTINUE. 4038 02:47:41,801 --> 02:47:48,741 >> NEXT SLIDE. 4039 02:47:48,741 --> 02:47:51,210 >> ARTICLES THAT WERE ANALYZED 4040 02:47:51,210 --> 02:47:55,248 IN THIS CATEGORY REPORTED NUMBER 4041 02:47:55,248 --> 02:47:57,450 OF TIMES PARTICIPANT ATE 4042 02:47:57,450 --> 02:47:59,352 ANYTHING OR HAD AN EVENT ACROSS 4043 02:47:59,352 --> 02:48:00,820 THE DAY. 4044 02:48:00,820 --> 02:48:03,022 THE NEXT SUBSET OF ARTICLES WE 4045 02:48:03,022 --> 02:48:04,624 ASSESSED IS ON THE NUMBER OF 4046 02:48:04,624 --> 02:48:06,292 EATING OCCASION AND ENERGY 4047 02:48:06,292 --> 02:48:08,461 INTAKE IN ADULTS AND OLDER 4048 02:48:08,461 --> 02:48:10,897 ADULTS AND IN THAT EVIDENCE A 4049 02:48:10,897 --> 02:48:12,031 CONCLUSION STATEMENT CANNOT BE 4050 02:48:12,031 --> 02:48:14,133 DRAWN ABOUT THE RELATIONSHIP 4051 02:48:14,133 --> 02:48:15,735 BETWEEN NUMBER OF EATING 4052 02:48:15,735 --> 02:48:17,770 OCCASION AND ENERGY INTAKE IN 4053 02:48:17,770 --> 02:48:23,109 ADULTS AND OLDER ADULTS AND DUE 4054 02:48:23,109 --> 02:48:33,553 TO -- NEXT SLIDE, PLEASE. 4055 02:48:49,402 --> 02:48:51,771 THE NEXT SUBSET OF ARTICLES WE 4056 02:48:51,771 --> 02:48:53,406 ASSESS IS SNACKING ENERGY INTAKE 4057 02:48:53,406 --> 02:48:57,744 ON ADULTS AND OLDER ADULTS. 4058 02:48:57,744 --> 02:48:59,412 LOTS OF OVERLAP WITH PREVIOUS 4059 02:48:59,412 --> 02:49:01,314 SECTION ON NUMBER OF EATING 4060 02:49:01,314 --> 02:49:03,382 OCCASION AND AUTHORS COMPARE 4061 02:49:03,382 --> 02:49:05,585 THREE VERSUS 6 EATING OCCASION 4062 02:49:05,585 --> 02:49:07,653 PER DAY THIS COULD INTERPRETED 4063 02:49:07,653 --> 02:49:10,757 THREE MAIN MEALS VERSUS THREE 4064 02:49:10,757 --> 02:49:12,759 MEALS AND SNACKS PER DAY AND 4065 02:49:12,759 --> 02:49:14,327 ARTICLES NUMBER OF EATING 4066 02:49:14,327 --> 02:49:16,763 OCCASION UB SET THAT WE INCLUDED 4067 02:49:16,763 --> 02:49:19,132 HERE AND RESULTS OF THERE BEING 4068 02:49:19,132 --> 02:49:21,601 SO FEW ARTICLES INCLUDED IN 4069 02:49:21,601 --> 02:49:26,072 CATEGORY AND THAT OVERLAP 4070 02:49:26,072 --> 02:49:27,807 CONCLUSION THAT IS SIMILAR TO 4071 02:49:27,807 --> 02:49:29,408 LAST AND CONCLUSION CAN'T BE 4072 02:49:29,408 --> 02:49:30,977 DRAWN ABOUT RELATIONSHIP BETWEEN 4073 02:49:30,977 --> 02:49:33,446 SNACK INTAKE AND OLDER ADULTS 4074 02:49:33,446 --> 02:49:35,948 DUE TO LACK OF ARTICLES AND 4075 02:49:35,948 --> 02:49:39,619 SERIOUS LIMITATION RELATED TO 4076 02:49:39,619 --> 02:49:40,353 GENERALIZABILITY. 4077 02:49:40,353 --> 02:49:42,822 AGAIN, THERE WERE A FEW ARTICLES 4078 02:49:42,822 --> 02:49:45,591 AND ALSO THEY WERE NARROWLY 4079 02:49:45,591 --> 02:49:48,327 FOCUSED ON SNACKING AND CONTEXT 4080 02:49:48,327 --> 02:49:51,697 OF WAIT LOSS INTERVENTION TRIALS 4081 02:49:51,697 --> 02:49:54,300 AND OVERWEIGHT AND WOULDN'T BE 4082 02:49:54,300 --> 02:49:57,603 EFFECTIVE OF US POPULATION AND 4083 02:49:57,603 --> 02:49:58,471 CONCLUDES WORK THUS FAR 4084 02:49:58,471 --> 02:49:59,939 COMPLETED FOR QUESTION WHAT IS 4085 02:49:59,939 --> 02:50:02,241 THE RELATIONSHIP BETWEEN 4086 02:50:02,241 --> 02:50:04,777 FREQUENCY OF MEALS AND/OR 4087 02:50:04,777 --> 02:50:09,215 SNACKING ENERGY INTAKE. THANK 4088 02:50:09,215 --> 02:50:09,715 YOU. 4089 02:50:09,715 --> 02:50:11,784 >> NEXT SLIDE, PLEASE. 4090 02:50:11,784 --> 02:50:15,788 NOW, WE ARE OPEN TO COMMENTS OR 4091 02:50:15,788 --> 02:50:22,061 QUESTI 4092 02:50:22,061 --> 02:50:22,361 QUESTIONS. 4093 02:50:22,361 --> 02:50:22,695 >> SARAH? 4094 02:50:22,695 --> 02:50:26,465 >> YES. THANK YOU SO MUCH FOR 4095 02:50:26,465 --> 02:50:27,466 THE PRESENTATION. 4096 02:50:27,466 --> 02:50:30,269 I JUST WANT TO DO A -- TWO 4097 02:50:30,269 --> 02:50:30,536 COMMENTS. 4098 02:50:30,536 --> 02:50:33,573 I WANT TO THANK YOU. THIS IS A 4099 02:50:33,573 --> 02:50:35,374 CALLOUT FOR YOU ACTUALLY 4100 02:50:35,374 --> 02:50:37,476 CONSIDERING OLDER ADULTS AS AN 4101 02:50:37,476 --> 02:50:39,345 AGE GROUP AND THINK THAT YOU ARE 4102 02:50:39,345 --> 02:50:42,949 FINDING A LACK OF RESEARCH THAT 4103 02:50:42,949 --> 02:50:44,016 IS REALLY IMPORTANT BECAUSE I 4104 02:50:44,016 --> 02:50:45,918 THINK THAT IT IS SENDING A 4105 02:50:45,918 --> 02:50:48,120 MESSAGE WHERE WE HAVE REALLY 4106 02:50:48,120 --> 02:50:54,126 TRUE GR GAPS IN KNOWLEDGE. I'M 4107 02:50:54,126 --> 02:50:55,828 LITTLE STUNNED BY YOUR FINDINGS 4108 02:50:55,828 --> 02:50:59,165 IN THE SENSE THAT IF ONE WAS TO 4109 02:50:59,165 --> 02:51:01,667 LISTEN TO MEET POPULAR MEDIA AND 4110 02:51:01,667 --> 02:51:03,469 LOTS OF DISCUSSION IN THE 4111 02:51:03,469 --> 02:51:05,204 NUTRITION FIELD, ONE WOULD JUST 4112 02:51:05,204 --> 02:51:06,906 MAKE THE ASSUMPTION THAT THERE 4113 02:51:06,906 --> 02:51:08,741 WERE MANY, MANY STUDIES 4114 02:51:08,741 --> 02:51:09,041 AVAILABLE. 4115 02:51:09,041 --> 02:51:11,878 THE FACT THAT WE HAVE A LOT OF 4116 02:51:11,878 --> 02:51:14,280 DISCUSSION AND CONCLUSIONS, BUT 4117 02:51:14,280 --> 02:51:16,015 THERE IS NOT THE EVIDENCE, I 4118 02:51:16,015 --> 02:51:18,251 THINK THAT YOUR FINDINGS ARE SO 4119 02:51:18,251 --> 02:51:18,551 IMPORTANT. 4120 02:51:18,551 --> 02:51:21,020 IT IS A CALL TO THE NUTRITION 4121 02:51:21,020 --> 02:51:23,356 COMMUNITY TO DO THE STUDIES NOW 4122 02:51:23,356 --> 02:51:26,459 IN ORDER FOR US TO REALLY 4123 02:51:26,459 --> 02:51:31,397 UNDERSTAND THE OUTCOMES OR THE 4124 02:51:31,397 --> 02:51:33,499 IMPLICATIONS OF DIFFERENT EATING 4125 02:51:33,499 --> 02:51:35,635 PATTERNS AND KUDOS TO THIS 4126 02:51:35,635 --> 02:51:37,069 GROUP. IT WAS AN AMAZING AMOUNT 4127 02:51:37,069 --> 02:51:39,238 OF WORK THAT YOU HAVE ALSO 4128 02:51:39,238 --> 02:51:41,674 CALLED OUR COMMUNITY TO ACTION. 4129 02:51:41,674 --> 02:51:42,208 THANK YOU. 4130 02:51:42,208 --> 02:51:45,945 >> WE WERE ACTUALLY VERY 4131 02:51:45,945 --> 02:51:49,548 SURPRISED TO. 4132 02:51:49,548 --> 02:51:51,384 SO STUDIES OUT THERE AND 4133 02:51:51,384 --> 02:51:53,352 BREAKFAST AND BECAUSE OF THE 4134 02:51:53,352 --> 02:51:55,087 PICOTABLE AND WAY WE SET UP 4135 02:51:55,087 --> 02:52:01,894 SOMETIMES AND WAY WE SET UP 4136 02:52:01,894 --> 02:52:02,194 QUESTIONS. 4137 02:52:02,194 --> 02:52:06,399 SOMETIMES WE RESTRICT STUDIES TO 4138 02:52:06,399 --> 02:52:08,701 CERTAIN PARTICULAR STUDIES AND 4139 02:52:08,701 --> 02:52:10,269 WE WERE VERY SURPRISED AND ALSO 4140 02:52:10,269 --> 02:52:12,471 WITH RESULTS FOR BREAKFAST AND 4141 02:52:12,471 --> 02:52:13,739 STARTED TO LOOK AT DIFFERENT 4142 02:52:13,739 --> 02:52:15,174 WAYS AND ASKING AND SAYING AT 4143 02:52:15,174 --> 02:52:17,610 THE BEGINNING TO THANKING THE 4144 02:52:17,610 --> 02:52:17,910 STAFF. 4145 02:52:17,910 --> 02:52:20,379 WE ASK AND ARE LIKE CAN YOU ALSO 4146 02:52:20,379 --> 02:52:22,782 LOOK AT IT THIS OTHER WAY? 4147 02:52:22,782 --> 02:52:24,183 CAN WE SEE THIS OTHER 4148 02:52:24,183 --> 02:52:25,484 INFORMATION TO TRY TO MAKE SENSE 4149 02:52:25,484 --> 02:52:27,053 OF THE DATA? 4150 02:52:27,053 --> 02:52:29,889 SO, I DON'T KNOW IF THERE ARE 4151 02:52:29,889 --> 02:52:31,757 ANY OTHER COMMITTEE MEMBERS THAT 4152 02:52:31,757 --> 02:52:39,465 WOULD LIKE TO COMMENT ON THIS. 4153 02:52:39,465 --> 02:52:43,502 >> THANK YOU. 4154 02:52:43,502 --> 02:52:44,971 GREAT POINT CRISTINA AND 4155 02:52:44,971 --> 02:52:46,472 THINKING ABOUT THIS LITERATURE I 4156 02:52:46,472 --> 02:52:48,941 HAVE DONE WORK ON SNACKING 4157 02:52:48,941 --> 02:52:50,643 INSTANCE AND HOST OF STUDIES AND 4158 02:52:50,643 --> 02:52:52,011 MANY ARE CROSS-SECTIONAL AND 4159 02:52:52,011 --> 02:52:55,047 THINK IT REALLY -- YOU KNOW, 4160 02:52:55,047 --> 02:52:57,550 THIS COMMUNITY'S WORK IS FOCUSED 4161 02:52:57,550 --> 02:52:59,285 ON MORE RIGOROUS RESEARCH AND 4162 02:52:59,285 --> 02:53:00,619 ARE ONLY CONSIDERING STUDIES 4163 02:53:00,619 --> 02:53:03,122 WITH RANDOMIZED CONTROL OR 4164 02:53:03,122 --> 02:53:04,590 REMOTE CONTROL DESIGNS FOLLOWING 4165 02:53:04,590 --> 02:53:07,360 PEOPLE OVER TIME AND LOOKING AT 4166 02:53:07,360 --> 02:53:08,928 TEMPORAL ORDERING AND THINK IT 4167 02:53:08,928 --> 02:53:11,364 REALLY DOES OR SHOULD BE LIFTED 4168 02:53:11,364 --> 02:53:13,666 OUT TO THE RESEARCH COMMUNITY TO 4169 02:53:13,666 --> 02:53:16,769 REALLY HIGHLIGHT NEEDS TO MOVE 4170 02:53:16,769 --> 02:53:18,270 PAST CROSS-SECTIONAL STUDIES AND 4171 02:53:18,270 --> 02:53:20,172 FUND THIS TYPE OF WORK. 4172 02:53:20,172 --> 02:53:22,408 >> I AGREE, JEN. 4173 02:53:22,408 --> 02:53:24,610 MAYBE PEOPLE DO HAVE OR MANY 4174 02:53:24,610 --> 02:53:26,278 RESEARCHERS MAY HAVE THIS DATA 4175 02:53:26,278 --> 02:53:27,713 AND MAYBE THEY HAVE NOT 4176 02:53:27,713 --> 02:53:29,882 PUBLISHED IT IN A WAY THAT WE 4177 02:53:29,882 --> 02:53:32,184 CAN USE IT. 4178 02:53:32,184 --> 02:53:36,322 IT IS ALSO A -- A STATEMENT OR A 4179 02:53:36,322 --> 02:53:38,290 -- TO -- MAYBE WE CAN START TO 4180 02:53:38,290 --> 02:53:40,493 LOOK AT DATA IN DIFFERENT WAYS 4181 02:53:40,493 --> 02:53:45,464 TO HELP US WITH OUR QUESTIONS. 4182 02:53:45,464 --> 02:53:45,865 CHRIS? 4183 02:53:45,865 --> 02:53:48,501 >> YEAH. I KNOW THIS IS 4184 02:53:48,501 --> 02:53:50,970 SOMEWHAT NESTED WITHIN THE 4185 02:53:50,970 --> 02:53:52,538 PRESENTATION AND HOW ARTICLES 4186 02:53:52,538 --> 02:53:54,607 ARE KIND OF SIFTED IN AND OUT. 4187 02:53:54,607 --> 02:53:58,310 I THINK AS WE MOVE FORWARD WITH 4188 02:53:58,310 --> 02:54:02,982 THIS, AND KIND OF OUR 4189 02:54:02,982 --> 02:54:04,016 CONVERSATION BEFORE AROUND WHAT 4190 02:54:04,016 --> 02:54:05,651 SUBSTITUTION AND SHIFTING DOES. 4191 02:54:05,651 --> 02:54:08,954 DOES THE COMMITTEE HAVE ANY 4192 02:54:08,954 --> 02:54:10,089 DISCUSSION WHERE WERE GAPS THAT 4193 02:54:10,089 --> 02:54:12,191 YOU SAW FROM THE STUDIES 4194 02:54:12,191 --> 02:54:13,926 THEMSELVES THAT DIDN'T MAKE IT 4195 02:54:13,926 --> 02:54:16,095 IN. YOU CAN LOOK AT SNACKS AND 4196 02:54:16,095 --> 02:54:18,831 LOOK AT WHAT SNACKS CHANGED AND 4197 02:54:18,831 --> 02:54:20,366 LOOKING AT THAT DIFFERENCE 4198 02:54:20,366 --> 02:54:25,337 BETWEEN MEALS VERSUS SNACKS FOR 4199 02:54:25,337 --> 02:54:28,074 FUTURE RESEARCH WE NEED. 4200 02:54:28,074 --> 02:54:30,576 >> I CAN ACTUALLY TALK FOR 4201 02:54:30,576 --> 02:54:31,777 ENERGY INTAKE AND THINK THERE IS 4202 02:54:31,777 --> 02:54:33,746 ALSO STUDIES THAT LOOKED AT A 4203 02:54:33,746 --> 02:54:36,182 MEAL AND IMPACT ON A MEAL FOR 4204 02:54:36,182 --> 02:54:37,650 EXAMPLE THAT ARE VERY 4205 02:54:37,650 --> 02:54:38,918 RESTRICTIVE TIME PERIOD. 4206 02:54:38,918 --> 02:54:41,821 SO, I THINK THAT IS WHERE 4207 02:54:41,821 --> 02:54:43,089 PROBABLY THE LACK ALSO OF 4208 02:54:43,089 --> 02:54:44,790 EVIDENCE THAT WE ARE PRESENTING 4209 02:54:44,790 --> 02:54:45,891 IS; RIGHT? 4210 02:54:45,891 --> 02:54:47,827 WE ARE TRYING TO UNDERSTAND LIKE 4211 02:54:47,827 --> 02:54:51,230 YOU ARE DOING, YOU KNOW, MORE OF 4212 02:54:51,230 --> 02:54:52,531 A TEMPORAL EFFECT. 4213 02:54:52,531 --> 02:54:55,067 SO, I THINK THAT IS PART OF IT. 4214 02:54:55,067 --> 02:54:59,138 SO, I THINK THAT IS A BIG 4215 02:54:59,138 --> 02:55:01,173 LIMITATION AND THEN JEN HONED IN 4216 02:55:01,173 --> 02:55:02,875 ON THE RIGOROUSNESS OF THE 4217 02:55:02,875 --> 02:55:05,111 DESIGN AND THINK THAT THOSE TWO 4218 02:55:05,111 --> 02:55:09,381 ARE THE MAJOR DRIVERS OF LOW EVIDENCE. 4219 02:55:09,381 --> 02:55:11,117 I ALSO WANT TO ADD THAT MANY OF 4220 02:55:11,117 --> 02:55:17,490 THE STUDIES THAT WE SAW WERE 4221 02:55:17,490 --> 02:55:18,924 WEIGHT LOSS INTERVENTION TRIALS 4222 02:55:18,924 --> 02:55:21,360 AND EFRD WAS NOT APPLICABLE TO 4223 02:55:21,360 --> 02:55:23,195 THE REST OF THE GENERAL 4224 02:55:23,195 --> 02:55:26,699 POPULATION AND ALSO HAD AN 4225 02:55:26,699 --> 02:55:28,434 ISSUE. 4226 02:55:28,434 --> 02:55:29,135 DEANNA? 4227 02:55:29,135 --> 02:55:33,038 >> YES. KIND OF FOLLOWING UP ON 4228 02:55:33,038 --> 02:55:36,108 WHAT CRISTINA SAID THAT THE LACK 4229 02:55:36,108 --> 02:55:38,444 OF GENERALIZABILITY WAS KIND OF 4230 02:55:38,444 --> 02:55:40,813 -- IT WAS INTERESTING TO ME. 4231 02:55:40,813 --> 02:55:44,316 EVEN DIFFERENT AGE GROUPS, YOU 4232 02:55:44,316 --> 02:55:44,817 DIDN'T HAVE DIFFERENT 4233 02:55:44,817 --> 02:55:48,387 RACIAL/ETHNIC GROUPS WERE NOT IN 4234 02:55:48,387 --> 02:55:51,190 THE STUDY. 4235 02:55:51,190 --> 02:55:53,926 THERE WASN'T MUCH VARIATION 4236 02:55:53,926 --> 02:55:54,727 THERE AT ALL. 4237 02:55:54,727 --> 02:55:57,129 >> GOING BACK TO A PREVIOUS 4238 02:55:57,129 --> 02:55:58,097 QUESTION THAT I THINK WAS CHRIS 4239 02:55:58,097 --> 02:56:01,200 OR WHAT IS LACKING THERE. 4240 02:56:01,200 --> 02:56:03,869 I THINK THAT THERE ARE MAIN 4241 02:56:03,869 --> 02:56:05,804 STUDIES AMONG COLLEGE STUDENTS 4242 02:56:05,804 --> 02:56:08,541 LOOKING AT SNACKING. BIG ISSUE 4243 02:56:08,541 --> 02:56:11,443 OF COLLEGE STUDENTS AND MOST OF 4244 02:56:11,443 --> 02:56:13,379 THEM ARE CROSS-SECTIONAL AND WE 4245 02:56:13,379 --> 02:56:16,248 ARE NOT ABLE TO INCLUDE THOSE. 4246 02:56:16,248 --> 02:56:17,016 TERESA? 4247 02:56:17,016 --> 02:56:20,619 >> YEAH. THANK YOU. THIS TALK 4248 02:56:20,619 --> 02:56:22,721 IS CROSS -- THIS IS 4249 02:56:22,721 --> 02:56:24,423 CROSS-SECTION IN TERMS OF 4250 02:56:24,423 --> 02:56:25,724 CROSS-POPULATION SEGMENTS THAT I 4251 02:56:25,724 --> 02:56:28,294 CAN SEE IT FROM THE OLDER ADULTS 4252 02:56:28,294 --> 02:56:30,262 POPULATION THAT YOU DON'T HAVE 4253 02:56:30,262 --> 02:56:32,965 ANY STUDIES AND TO THEM WAIT 4254 02:56:32,965 --> 02:56:35,034 MANAGEMENT IS MAINTAINING WAIT 4255 02:56:35,034 --> 02:56:38,804 OR MUSCLE MASS. YOU KNOW, 4256 02:56:38,804 --> 02:56:43,209 CROSSING INTO CRYTOPENIA AREA 4257 02:56:43,209 --> 02:56:45,878 AND FOR THEM LOSING MUSCLE MASS 4258 02:56:45,878 --> 02:56:48,113 AND APPETITES GOES DOWN SNACKING 4259 02:56:48,113 --> 02:56:50,749 AND TIMING OF EATING IS REALLY 4260 02:56:50,749 --> 02:56:51,817 IMPORTANT THAT BECOMES SOMETHING 4261 02:56:51,817 --> 02:56:54,753 THAT CLINICIANS MIGHT BE ABLE TO 4262 02:56:54,753 --> 02:56:57,323 TAKE ADVANTAGE OF IF WE HAVE 4263 02:56:57,323 --> 02:57:00,859 DATA TO BETTER ADVISE THE OLDER 4264 02:57:00,859 --> 02:57:02,294 POPULATION IN MAINTAINING MASS 4265 02:57:02,294 --> 02:57:04,230 AND HOPE THAT FOR RESEARCHERS IN 4266 02:57:04,230 --> 02:57:06,565 THE NEXT FEW YEARS WILL TAKE UP 4267 02:57:06,565 --> 02:57:07,800 THIS TOPIC AND FOR ME WILL BE 4268 02:57:07,800 --> 02:57:11,136 THE OLDER POPULATION THAT WE 4269 02:57:11,136 --> 02:57:12,905 REALLY NEED DATA ON. 4270 02:57:12,905 --> 02:57:15,374 >> WE AGREED THAT ALSO IN 4271 02:57:15,374 --> 02:57:17,843 CHILDREN THAT WE COULD NOT DRAW 4272 02:57:17,843 --> 02:57:18,777 CONCLUSION STATEMENTS WITH DATA 4273 02:57:18,777 --> 02:57:22,214 FOR CHILDREN AND ADLESSIENTS AND 4274 02:57:22,214 --> 02:57:24,083 MANY OF THE -- ON THE OTHER SIDE 4275 02:57:24,083 --> 02:57:28,153 OF THE SPECTRUM, THIS IS A TIME, 4276 02:57:28,153 --> 02:57:31,724 PEAK, CRITICAL PERIOD TO PREVENT 4277 02:57:31,724 --> 02:57:33,025 EXCESSIVE WEIGHT GAIN AND 4278 02:57:33,025 --> 02:57:35,394 GETTING TO OVERWEIGHT 4279 02:57:35,394 --> 02:57:35,694 CATEGORIES. 4280 02:57:35,694 --> 02:57:36,362 >> YEAH. 4281 02:57:36,362 --> 02:57:38,931 >> I THINK WE ARE MISSING BOTH 4282 02:57:38,931 --> 02:57:39,231 SPECTRUMS. 4283 02:57:39,231 --> 02:57:43,269 >> AND AGE OF THE LIFESPAN, 4284 02:57:43,269 --> 02:57:43,469 YEAH. 4285 02:57:43,469 --> 02:57:48,774 >> YEAH. BUT GREAT POINTS OR 4286 02:57:48,774 --> 02:57:49,041 COMMENTS. 4287 02:57:49,041 --> 02:57:49,808 >> ANYTHING ELSE? 4288 02:57:49,808 --> 02:57:54,647 SO WE STILL HAVE ONE MORE SLIDE 4289 02:57:54,647 --> 02:57:56,582 PENDING TO SHOW -- IF YOU CAN 4290 02:57:56,582 --> 02:57:58,117 SHOW THE NEXT ONE. 4291 02:57:58,117 --> 02:58:02,888 SO, OUR NEXT STEPS, SO, FOR, 4292 02:58:02,888 --> 02:58:04,323 HOPEFULLY, BY NEXT PUBLIC 4293 02:58:04,323 --> 02:58:06,558 MEETING, WE WILL BE ABLE TO SHOW 4294 02:58:06,558 --> 02:58:09,061 THE CONCLUSION STATEMENTS ON THE 4295 02:58:09,061 --> 02:58:12,031 FREQUENCY OF MEALS AND/OR 4296 02:58:12,031 --> 02:58:13,632 SNACKING WITH GROWTH BODY 4297 02:58:13,632 --> 02:58:15,134 COMPOSITION AND RISK OF OBESITY 4298 02:58:15,134 --> 02:58:17,503 AND CONSUMING A DIETARY PATTERN 4299 02:58:17,503 --> 02:58:19,805 MORE ALIGNED TO DIETARY 4300 02:58:19,805 --> 02:58:21,840 GUIDELINES AND WITH ENERGY 4301 02:58:21,840 --> 02:58:24,009 INTAKE AND WE ALREADY STARTED TO 4302 02:58:24,009 --> 02:58:25,911 WORK ON PORTION SIZE AND THESE 4303 02:58:25,911 --> 02:58:28,047 TWO OUTCOMES. 4304 02:58:28,047 --> 02:58:30,516 AND THEN WE WILL SEE HOW FAR WE 4305 02:58:30,516 --> 02:58:34,053 GET WITH THE EVIDENCE SCAN. AS 4306 02:58:34,053 --> 02:58:35,354 I MENTIONED BEFORE, WE OWN 4307 02:58:35,354 --> 02:58:38,290 THOUSANDS OF ARTICLES WITH OUR 4308 02:58:38,290 --> 02:58:40,159 EVIDENCE SCAN ON CULTURAL 4309 02:58:40,159 --> 02:58:41,393 TAILORED DIETARY INTERVENTIONS 4310 02:58:41,393 --> 02:58:43,162 THAT WILL BE INTERESTING TO SEE THE RESULTS. 4311 02:58:43,162 --> 02:58:47,466 THANK YOU. 4312 02:58:47,466 --> 02:58:49,635 >> THANK YOU FOR THE VERY RICH 4313 02:58:49,635 --> 02:58:53,372 DISCUSSION THIS MORNING AND NOW 4314 02:58:53,372 --> 02:58:56,141 WE WILL TAKE A BREAK UNTIL 12:15. 4315 02:58:56,141 --> 02:59:01,040 SO, WE WILL REJOIN AT 12:15 EASTERN TIME. THANK YOU VERY MUCH 4316 02:59:01,040 --> 02:59:03,376 >> OKAY. WELCOME BACK. THANKS 4317 02:59:03,376 --> 02:59:05,545 AGAIN FOR JOINING THE 4TH 4318 02:59:05,545 --> 02:59:08,481 MEETING OF THE 2025 GUIDELINES 4319 02:59:08,481 --> 02:59:09,849 ADVISORY COMMITTEE AND THANKS 4320 02:59:09,849 --> 02:59:12,919 FOR JOINING ON A FRIDAY. 4321 02:59:12,919 --> 02:59:16,522 FROM MULTIPLE TIME ZONES AND FOR 4322 02:59:16,522 --> 02:59:18,424 AN ALL-DAY ZOOM MEETING. I 4323 02:59:18,424 --> 02:59:21,360 APPRECIATE IT. IT IS A LONG 4324 02:59:21,360 --> 02:59:23,329 HAUL AND APPRECIATE EVERYONE 4325 02:59:23,329 --> 02:59:24,831 STICKING IN AND PARTICIPATING 4326 02:59:24,831 --> 02:59:27,466 AND WE SHOULD HAVE A GREAT 4327 02:59:27,466 --> 02:59:29,135 AFTERNOON WITH THESE FINAL 4328 02:59:29,135 --> 02:59:30,870 PRESENTATIONS AND WE WILL 4329 02:59:30,870 --> 02:59:32,471 CONTINUE WITH COMMUNITY 4330 02:59:32,471 --> 02:59:33,439 PRESENTATIONS AND DISCUSSION. 4331 02:59:33,439 --> 02:59:35,441 NEXT UP WE HAVE OUR PRESENTATION 4332 02:59:35,441 --> 02:59:37,910 FROM OUR SUB-COMMITTEE THAT IS 4333 02:59:37,910 --> 02:59:40,179 FOCUSING ON DIETARY PATTERNS AND 4334 02:59:40,179 --> 02:59:43,282 SPECIFIC DIETARY COMPONENTS 4335 02:59:43,282 --> 02:59:46,152 ACROSS LIFE STAGES. THAT IS BY 4336 02:59:46,152 --> 02:59:51,023 DEANNA AND WE WILL TURN IT TO 4337 02:59:51,023 --> 02:59:51,390 YOU. 4338 02:59:51,390 --> 02:59:53,459 >> THANKS, EVE. I WANT TO SAY 4339 02:59:53,459 --> 02:59:55,795 GOOD AFTERNOON OR GOOD MORNING 4340 02:59:55,795 --> 02:59:58,297 DEPENDING ON WHERE YOU ARE. 4341 02:59:58,297 --> 03:00:00,499 TODAY'S PRESENTATION ON DIETARY 4342 03:00:00,499 --> 03:00:02,468 PATTERNS AND SPECIFIC DIETARY 4343 03:00:02,468 --> 03:00:05,404 PATTERN COMPONENTS ACROSS LIFE 4344 03:00:05,404 --> 03:00:07,039 STAGES WILL INCLUDE 4345 03:00:07,039 --> 03:00:09,876 PRESENTATIONS BY MYSELF AND OUR 4346 03:00:09,876 --> 03:00:12,678 OTHER FABULOUS COMMITTEE 4347 03:00:12,678 --> 03:00:13,012 MEMBERS. 4348 03:00:13,012 --> 03:00:16,983 DR. CHERYL ANDESON AND 4349 03:00:16,983 --> 03:00:25,224 CHRISTOPHER GARDNER HOLLY, 4350 03:00:25,224 --> 03:00:29,195 DEDE-TOBIAS AND TERESA FUNG AND 4351 03:00:29,195 --> 03:00:32,498 ANDREA DEIERLAN. YOU WILL HEAR 4352 03:00:32,498 --> 03:00:34,767 FROM THEM LATER. THE NEXT SLIDE 4353 03:00:34,767 --> 03:00:36,669 SHOWS THE REST OF THE COMMITTEE 4354 03:00:36,669 --> 03:00:38,271 MEMBERS AND WANT TO POINT OUT AS 4355 03:00:38,271 --> 03:00:40,473 YOU HAVE SEEN PREVIOUSLY THAT 4356 03:00:40,473 --> 03:00:42,074 SEVERAL COMMITTEE MEMBERS SERVE 4357 03:00:42,074 --> 03:00:44,243 ON THE HEALTH EQUITY WORKING 4358 03:00:44,243 --> 03:00:47,113 GROUP INCLUDING THE CHAIR OF THE 4359 03:00:47,113 --> 03:00:52,084 GROUP AND SAMEERA WHO IS ON OUR 4360 03:00:52,084 --> 03:00:52,385 COMMITTEE. 4361 03:00:52,385 --> 03:00:55,288 ONCE AGAIN WE WOULD JUST LIKE TO 4362 03:00:55,288 --> 03:00:57,957 REITERATE OUR THANKS AND 4363 03:00:57,957 --> 03:00:59,025 APPRECIATION FOR EVERYTHING THAT 4364 03:00:59,025 --> 03:01:02,929 THE SUPPORT STAFF DOES FOR US. 4365 03:01:02,929 --> 03:01:07,967 THE NESR STAFF IS FANTASTIC. WE 4366 03:01:07,967 --> 03:01:09,568 HAVE MADE THEM ARRANGE AND 4367 03:01:09,568 --> 03:01:11,337 REARRANGE DATA MANY TIMES TO 4368 03:01:11,337 --> 03:01:13,272 COME TO THESE CONCLUSION 4369 03:01:13,272 --> 03:01:13,773 STATEMENTS. 4370 03:01:13,773 --> 03:01:15,741 I REALLY APPRECIATE THEIR 4371 03:01:15,741 --> 03:01:17,743 FLEXIBILITY AS DOES THE REST OF 4372 03:01:17,743 --> 03:01:18,577 THE TEAM. 4373 03:01:18,577 --> 03:01:21,514 SO, AS I GO ON, I JUST WANTED TO 4374 03:01:21,514 --> 03:01:23,482 KIND OF HIGHLIGHT WHAT I WILL 4375 03:01:23,482 --> 03:01:24,517 TALK ABOUT TODAY. 4376 03:01:24,517 --> 03:01:26,719 WHAT WE WILL ALL TALK ABOUT. 4377 03:01:26,719 --> 03:01:28,754 SO, FIRST OF ALL, WE WILL GIVE 4378 03:01:28,754 --> 03:01:30,589 YOU THE PROGRESS THAT WE HAVE 4379 03:01:30,589 --> 03:01:32,825 MADE SINCE THE LAST MEETING. 4380 03:01:32,825 --> 03:01:35,027 SECONDLY, WE WILL HIGHLIGHT FOUR 4381 03:01:35,027 --> 03:01:36,896 PROTOCOL REVISIONS THAT HAVE 4382 03:01:36,896 --> 03:01:37,697 BEEN MADE. 4383 03:01:37,697 --> 03:01:39,799 THEN WE WILL FOLLOW THAT BY 4384 03:01:39,799 --> 03:01:41,667 TALKING ABOUT THE EVIDENCE 4385 03:01:41,667 --> 03:01:45,771 REVIEW ON DIETARY PATTERNS AND 4386 03:01:45,771 --> 03:01:48,474 GROWTH BODY COMPOSITION AND RISK 4387 03:01:48,474 --> 03:01:50,276 OF OBESITY. 4388 03:01:50,276 --> 03:01:53,312 THE 4TH PART IS TALKING ABOUT 4389 03:01:53,312 --> 03:01:55,815 SPECIFIC DIETARY PATTERN 4390 03:01:55,815 --> 03:01:56,115 COMPONENTS. 4391 03:01:56,115 --> 03:02:00,019 TODAY, WE WILL TALK ABOUT 4392 03:02:00,019 --> 03:02:01,287 BEVERAGES. 4393 03:02:01,287 --> 03:02:04,523 AND THE GROWTH BODY COMPOSITION 4394 03:02:04,523 --> 03:02:06,959 AND RISK OF OBESITY AND FINALLY 4395 03:02:06,959 --> 03:02:08,594 WILL TALK ABOUT NEXT STEPS. 4396 03:02:08,594 --> 03:02:10,563 AS WE GO THROUGH THESE, YOU WILL 4397 03:02:10,563 --> 03:02:12,765 SEE A FEW PLACES WE HAVE 4398 03:02:12,765 --> 03:02:14,500 HIGHLIGHTED HEALTH EQUITY. 4399 03:02:14,500 --> 03:02:16,869 SINCE THE LAST MEETING, OUR 4400 03:02:16,869 --> 03:02:19,572 COMMITTEE HAS BEEN BUSY AS ALL 4401 03:02:19,572 --> 03:02:20,973 OF THE COMMITTEES. 4402 03:02:20,973 --> 03:02:23,275 COMING UP WITH SYSTEMATIC 4403 03:02:23,275 --> 03:02:24,810 REVIEWS WITH DRAFT CONCLUSION 4404 03:02:24,810 --> 03:02:25,244 STATEMENTS. 4405 03:02:25,244 --> 03:02:27,480 SO, THE ONES THAT WE ARE SHOWING 4406 03:02:27,480 --> 03:02:31,050 YOU TODAY ARE GROWTH BODY COMP 4407 03:02:31,050 --> 03:02:33,519 AND BODY COMPOSITION AND RISK OF 4408 03:02:33,519 --> 03:02:33,786 OBESITY. 4409 03:02:33,786 --> 03:02:36,489 AS I MENTIONED BEFORE, WELL, AS 4410 03:02:36,489 --> 03:02:39,425 I WILL MENTION LATER, THERE IS 4411 03:02:39,425 --> 03:02:41,460 SEVERAL LIFE STAGES WE WILL TALK 4412 03:02:41,460 --> 03:02:42,028 ABOUT. 4413 03:02:42,028 --> 03:02:44,530 IT ENDS UP BEING SEVERAL 4414 03:02:44,530 --> 03:02:45,931 DIFFERENT CONCLUSION STATEMENTS 4415 03:02:45,931 --> 03:02:47,733 THAT WE WILL PRESENT. 4416 03:02:47,733 --> 03:02:52,338 SO, THERE IS SEVERAL SYSTEMATIC 4417 03:02:52,338 --> 03:02:54,073 REVIEWS CURRENTLY UNDERWAY. 4418 03:02:54,073 --> 03:02:56,776 THEY INCLUDE ULTRAPROCESSED 4419 03:02:56,776 --> 03:02:59,645 FOODS AND DIETARY PATTERNS IN 4420 03:02:59,645 --> 03:03:04,350 TERMS OF TYPE II DIABETES AND 4421 03:03:04,350 --> 03:03:05,284 CARDIOVASCULAR DISEASE AND 4422 03:03:05,284 --> 03:03:08,421 COGNITIVE DECLINE AND DEMENTIA 4423 03:03:08,421 --> 03:03:09,822 AND ALZHEIMER'S DISEASE AND 4424 03:03:09,822 --> 03:03:13,125 BREAST AND COLORECTAL CANCER AND 4425 03:03:13,125 --> 03:03:15,194 BONE HEALTH AND WE HAVE 4426 03:03:15,194 --> 03:03:16,862 CONTINUED SYSTEMATIC REVIEW THAT 4427 03:03:16,862 --> 03:03:19,698 IS ON THE RELATIONSHIP BETWEEN 4428 03:03:19,698 --> 03:03:21,133 DIETARY PATTERNS AND RISK OF 4429 03:03:21,133 --> 03:03:22,501 PROSTATE CANCER. 4430 03:03:22,501 --> 03:03:24,537 THE REASON THAT WE HAVE 4431 03:03:24,537 --> 03:03:26,205 DISCONTINUED THIS ONE IS THE 4432 03:03:26,205 --> 03:03:27,540 LITERATURE ON DIETARY PATTERNS 4433 03:03:27,540 --> 03:03:29,875 AND RELATION TO HEALTH AND TO 4434 03:03:29,875 --> 03:03:32,411 THIS HEALTH OUTCOME THAT HAS NOT 4435 03:03:32,411 --> 03:03:34,346 GROWN SUBSTANTIALLY SINCE THE 4436 03:03:34,346 --> 03:03:36,315 PREVIOUS REVIEWS THAT ARE 4437 03:03:36,315 --> 03:03:39,552 CONDUCTED BY THE 2020 DIETARY 4438 03:03:39,552 --> 03:03:41,153 GUIDELINES ADVISORY COMMITTEE. 4439 03:03:41,153 --> 03:03:43,255 OTHER QUESTIONS ARE HIGHER 4440 03:03:43,255 --> 03:03:47,760 PRIORITY FOR US FOR THIS 4441 03:03:47,760 --> 03:03:48,494 GO-ROUND. 4442 03:03:48,494 --> 03:03:51,397 SO, IN TERMS OF SPECIFIC DIETARY 4443 03:03:51,397 --> 03:03:54,433 PATTERN COMPONENTS, SYSTEMATIC 4444 03:03:54,433 --> 03:03:56,202 REVIEWS WITH DRAFT CONCLUSION 4445 03:03:56,202 --> 03:03:57,903 STATEMENTS THAT WE WILL PRESENT 4446 03:03:57,903 --> 03:04:03,943 TODAY ARE DAIRY MILK AND MILK 4447 03:04:03,943 --> 03:04:06,145 ALTERNATIVES AND BODY COMP AND 4448 03:04:06,145 --> 03:04:10,082 RISK OF OBESITY AND 100% JUICE. 4449 03:04:10,082 --> 03:04:12,518 SO, WE STILL HAVE SEVERAL 4450 03:04:12,518 --> 03:04:15,688 SYSTEMATIC REVIEWS UNDERWAY. 4451 03:04:15,688 --> 03:04:18,958 MOST ARE WITH SUGAR SWEETENED 4452 03:04:18,958 --> 03:04:21,560 BEVERAGES AND WE HAVE ALSO LOW 4453 03:04:21,560 --> 03:04:24,130 AND NO CALORIE SWEETENED 4454 03:04:24,130 --> 03:04:26,465 BEVERAGES WITH TYPE II DIABETES 4455 03:04:26,465 --> 03:04:30,569 AND FOOD SOURCES WITH FAT AND 4456 03:04:30,569 --> 03:04:32,438 CARDIO RISK AND CARDIOVASCULAR 4457 03:04:32,438 --> 03:04:35,541 DISEASE AND WE UNDERWENT A 4458 03:04:35,541 --> 03:04:37,743 REPRIORITIZATION AND WE 4459 03:04:37,743 --> 03:04:39,645 DISCONTINUED SEVERAL SYSTEMATIC 4460 03:04:39,645 --> 03:04:41,680 REVIEWS THAT INCLUDE COFFEE 4461 03:04:41,680 --> 03:04:44,350 AND/OR TEA IN BOTH OF THE GROWTH 4462 03:04:44,350 --> 03:04:46,652 BODY COMPOSITION AND RISK OF 4463 03:04:46,652 --> 03:04:49,155 OBESITY AND RISK OF TYPE II 4464 03:04:49,155 --> 03:04:52,591 DIABETES AND DAIRY MILK AND MILK 4465 03:04:52,591 --> 03:04:54,927 ALTERNATIVES AND RISK OF TYPE II 4466 03:04:54,927 --> 03:04:57,963 DIABETES AND 100% RISK OF JUICE 4467 03:04:57,963 --> 03:05:00,132 AND TYPE II DIABETES. 4468 03:05:00,132 --> 03:05:02,468 SOME OF THESE WILL BE EXPLAINED 4469 03:05:02,468 --> 03:05:05,838 IN OTHER FOOD PATTERN MODELING. 4470 03:05:05,838 --> 03:05:07,006 SYSTEMATIC REVIEW QUESTIONS 4471 03:05:07,006 --> 03:05:07,673 ALSO. 4472 03:05:07,673 --> 03:05:09,241 WE THOUGHT IT WAS MORE IMPORTANT 4473 03:05:09,241 --> 03:05:11,310 TO LOOK AT DIETARY PATTERNS 4474 03:05:11,310 --> 03:05:14,046 INSTEAD OF LOOKING AT SPECIFIC 4475 03:05:14,046 --> 03:05:16,115 DIETARY PATTERN COMPONENTS FOR 4476 03:05:16,115 --> 03:05:16,448 THESE. 4477 03:05:16,448 --> 03:05:18,817 IT IS NOT THAT THEY ARE NOT 4478 03:05:18,817 --> 03:05:21,287 IMPORTANT BUT THEY WERE 4479 03:05:21,287 --> 03:05:22,354 DEPRIORITIZED COMPARED TO ALL OF 4480 03:05:22,354 --> 03:05:25,958 THE OTHER WORK WE HAVE RIGHT 4481 03:05:25,958 --> 03:05:27,793 NOW. 4482 03:05:27,793 --> 03:05:31,430 SO, RIGHT NOW, I WILL PRESENT 4483 03:05:31,430 --> 03:05:35,234 ALONG WITH MY COMMITTEE MEMBERS 4484 03:05:35,234 --> 03:05:38,871 FOUR PROTOCOL REVISIONS THAT WE 4485 03:05:38,871 --> 03:05:39,705 HAVE WORKED ON. 4486 03:05:39,705 --> 03:05:42,308 THESE ARE -- WERE PRESENTED 4487 03:05:42,308 --> 03:05:42,608 PREVIOUSLY. 4488 03:05:42,608 --> 03:05:45,511 WE MADE CHANGES TO STREAMLINE 4489 03:05:45,511 --> 03:05:49,415 REVIEWS AND TO REALLY FOCUS ON 4490 03:05:49,415 --> 03:05:53,152 HIGHER QUALITY EVIDENCE? 4491 03:05:53,152 --> 03:06:03,295 SO, THE GROWTH AND BODY 4492 03:06:03,295 --> 03:06:06,699 COMPOSITION AND RISK OF OBESITY 4493 03:06:06,699 --> 03:06:08,500 AND REVISING EXCLUSION AND 4494 03:06:08,500 --> 03:06:09,935 INCLUSION CRITERIA TO EXCLUDE 4495 03:06:09,935 --> 03:06:11,604 DIFFERENT DIETARY PATTERNS. 4496 03:06:11,604 --> 03:06:13,505 SO, WHAT -- WHEN YOU LOOK AT 4497 03:06:13,505 --> 03:06:15,874 THEM, THEY REALLY VARY IN LOTS 4498 03:06:15,874 --> 03:06:17,676 OF DIFFERENT FOODS AND FOOD 4499 03:06:17,676 --> 03:06:18,410 GROUPS. 4500 03:06:18,410 --> 03:06:21,113 SO, IT WAS HARD TO STANDARDIZE 4501 03:06:21,113 --> 03:06:21,413 THEM. 4502 03:06:21,413 --> 03:06:23,949 WE MODIFIED THE COMPARATOR TO 4503 03:06:23,949 --> 03:06:27,019 BETTER ISOLATE EFFECTS OF 4504 03:06:27,019 --> 03:06:29,388 DIETARY PATTERNS AND DIFFERENT 4505 03:06:29,388 --> 03:06:31,857 AMOUNTS OF ULTRA PROCESSED FOODS 4506 03:06:31,857 --> 03:06:33,859 AND WHAT THE COMPARATOR IS GOING 4507 03:06:33,859 --> 03:06:36,528 TO BE NOW IS DIFFERENT LEVELS OF 4508 03:06:36,528 --> 03:06:39,565 CONSUMPTION AND/OR ADHERENCE TO 4509 03:06:39,565 --> 03:06:40,432 SAME DIETARY PATTERN WITH 4510 03:06:40,432 --> 03:06:42,801 DIFFERENT AMOUNTS OF ULTRA 4511 03:06:42,801 --> 03:06:43,435 PROCESSED FOOD. 4512 03:06:43,435 --> 03:06:47,873 FOR EXAMPLE, IF USING THE ANOVA 4513 03:06:47,873 --> 03:06:52,478 CLASSIFICATION IT MIGHT BE NOEFA 4514 03:06:52,478 --> 03:06:56,415 1 VERSUS ANOVA 4. IT IS NOT 4515 03:06:56,415 --> 03:06:57,950 ONLY ULTRA PROCESSED FOOD 4516 03:06:57,950 --> 03:06:59,518 CLASSIFICATION WE ARE LOOKING AT 4517 03:06:59,518 --> 03:07:01,954 THOUGH FOR THIS REVIEW AND 4518 03:07:01,954 --> 03:07:04,156 PUBLICATION DATE HAS ALSO BEEN 4519 03:07:04,156 --> 03:07:06,225 CORRECTED AND GOES UNTIL JANUARY 4520 03:07:06,225 --> 03:07:07,493 9TH, 2024. 4521 03:07:07,493 --> 03:07:10,696 SO, I WANTED TO POINT THAT OUT. 4522 03:07:10,696 --> 03:07:13,299 AND ALSO, THESE REVISIONS WERE 4523 03:07:13,299 --> 03:07:15,100 MADE BEFORE EVIDENCE WAS 4524 03:07:15,100 --> 03:07:16,602 SYNTHESIZED ON THIS QUESTION. 4525 03:07:16,602 --> 03:07:20,539 WE HAVE NOT BEGUN THAT PROCESS 4526 03:07:20,539 --> 03:07:21,440 YET. 4527 03:07:21,440 --> 03:07:23,475 SO, WITH THAT, I WOULD LIKE TO 4528 03:07:23,475 --> 03:07:27,379 TURN IT OVER TO DR. ANDERSON. 4529 03:07:27,379 --> 03:07:29,415 >> THANK YOU SO MUCH. 4530 03:07:29,415 --> 03:07:32,184 THIS SLIDE SHOWS OUR PROTOCOL 4531 03:07:32,184 --> 03:07:34,353 REVISIONS FOR OUR DIETARY 4532 03:07:34,353 --> 03:07:37,656 PATTERNS AND RISK OF 4533 03:07:37,656 --> 03:07:40,259 CARDIOVASCULAR DISEASE PROTOCOL 4534 03:07:40,259 --> 03:07:42,294 MAKING CHANGES BEFORE ANY 4535 03:07:42,294 --> 03:07:43,796 EVIDENCE WAS SYNTHESIZED AND 4536 03:07:43,796 --> 03:07:46,265 NOTICE THAT CHANGES RELATE TO 4537 03:07:46,265 --> 03:07:47,633 INCLUSION AND EXCLUSION CRITERIA 4538 03:07:47,633 --> 03:07:49,635 AND I WILL GO THROUGH THE FOUR 4539 03:07:49,635 --> 03:07:51,437 CHANGES THAT HAVE HAPPENED. 4540 03:07:51,437 --> 03:07:54,707 THE FIRST IS WE REVISED 4541 03:07:54,707 --> 03:07:56,975 INCLUSION AND EXCLUSION CRITERIA 4542 03:07:56,975 --> 03:07:59,278 FOR POPULATION THAT NOW EXCLUDES 4543 03:07:59,278 --> 03:08:00,646 INFANTS AND TODDLERS. 4544 03:08:00,646 --> 03:08:03,182 AS YOU CAN IMAGINE, DIETARY FAT 4545 03:08:03,182 --> 03:08:04,683 INTAKE REQUIREMENTS WILL DIFFER 4546 03:08:04,683 --> 03:08:07,386 FOR INFANTS AND TODDLERS 4547 03:08:07,386 --> 03:08:10,089 COMPARED TO ALL OTHER LIFE 4548 03:08:10,089 --> 03:08:11,423 STAGES AND SECOND CHANGE IS 4549 03:08:11,423 --> 03:08:14,460 RELATED TO STUDY DURATION AND 4550 03:08:14,460 --> 03:08:15,994 CRITERION NOW INCLUDES STUDIES 4551 03:08:15,994 --> 03:08:18,097 HAVING A DURATION OF AT LEAST 4552 03:08:18,097 --> 03:08:20,933 FOUR WEEKS AND PREVIOUSLY 4553 03:08:20,933 --> 03:08:22,534 PROTOCOL SPECIFIED THAT STUDIES 4554 03:08:22,534 --> 03:08:24,370 HAVE TO BE AT LEAST 12 WEEKS TO 4555 03:08:24,370 --> 03:08:26,505 BE INCLUDED AND WE CAN NOW 4556 03:08:26,505 --> 03:08:29,041 BETTER CAPTURE INTERMEDIATE 4557 03:08:29,041 --> 03:08:30,809 CARDIO VAS SLAR DISEASE OUTCOMES 4558 03:08:30,809 --> 03:08:33,445 WITH WHICH AN INVESTIGATOR MIGHT 4559 03:08:33,445 --> 03:08:35,514 EXPECT TO SEE CHANGES HAPPEN IN 4560 03:08:35,514 --> 03:08:38,050 A FOUR-WEEK PERIOD AND YOU WILL 4561 03:08:38,050 --> 03:08:40,686 NOTICE THAT WE REMOVED SIZE OF 4562 03:08:40,686 --> 03:08:43,422 STUDY GROUPS CRITERION 4563 03:08:43,422 --> 03:08:44,256 PREVIOUSLY SPECIFIED 4564 03:08:44,256 --> 03:08:45,891 OBSERVATIONAL STUDY ENROLLING IN 4565 03:08:45,891 --> 03:08:49,762 AT LEAST 1,000 ENROLLED 4566 03:08:49,762 --> 03:08:50,662 PARTICIPANTS AND HOPE THAT AFTER 4567 03:08:50,662 --> 03:08:52,931 WE REMOVED THIS CAP WE WILL BE 4568 03:08:52,931 --> 03:08:55,300 ABLE TO LOOK AT OBSERVATIONAL 4569 03:08:55,300 --> 03:08:56,802 STUDIES THAT ENROLL 4570 03:08:56,802 --> 03:08:58,036 UNDER-REPRESENTED POPULATIONS 4571 03:08:58,036 --> 03:09:00,172 AND LIFE STAGES THAT MAY HAVE 4572 03:09:00,172 --> 03:09:03,475 LED TO A SMALLER STUDY SIZE AND 4573 03:09:03,475 --> 03:09:05,677 LASTLY WE REVISE THE CRITERION 4574 03:09:05,677 --> 03:09:09,415 FOR STUDIES THAT WERE CONDUCTED 4575 03:09:09,415 --> 03:09:12,651 IN ALL COUNTRIES TO INCLUDE 4576 03:09:12,651 --> 03:09:14,486 STUDIES CONDUCTED IN THE US 4577 03:09:14,486 --> 03:09:18,791 LOOKING AT ADULTS AND OLDER 4578 03:09:18,791 --> 03:09:21,527 ADULTS THAT ALLOWS US TO 4579 03:09:21,527 --> 03:09:22,227 LEVERAGE ALREADY STRONG 4580 03:09:22,227 --> 03:09:23,829 CONCLUSION STATEMENT WE HAVE FOR 4581 03:09:23,829 --> 03:09:26,165 ADULTS AND ALLOW US TO FOCUS ON 4582 03:09:26,165 --> 03:09:29,401 STUDIES MOST APPLICABLE TO THE 4583 03:09:29,401 --> 03:09:31,703 US POPULATION. 4584 03:09:31,703 --> 03:09:40,946 THANK YOU, DEANNA. 4585 03:09:40,946 --> 03:09:45,451 >> CHRISTOPHER GARDNER WILL TALK 4586 03:09:45,451 --> 03:09:50,322 ABOUT THE PROTOCOL REVISIONS FOR 4587 03:09:50,322 --> 03:10:00,032 SATURATED FAT. 4588 03:10:00,032 --> 03:10:02,134 >> SORRY ABOUT THAT. THIS IS A 4589 03:10:02,134 --> 03:10:04,269 REALLY EXCITING TOPIC THAT I'M 4590 03:10:04,269 --> 03:10:05,737 HAPPY TO SAY WE HAVE ACTUALLY A 4591 03:10:05,737 --> 03:10:08,674 LOT OF PAPERS IN THIS AREA. 4592 03:10:08,674 --> 03:10:10,909 LOOKING AT IT HOPING TO MAKE 4593 03:10:10,909 --> 03:10:12,811 STRONGEST CONCLUSIONS BASED ON 4594 03:10:12,811 --> 03:10:15,714 STRONGEST DATA WE DECIDED TO 4595 03:10:15,714 --> 03:10:18,317 MODIFY CRITERIA INCLUDING 4596 03:10:18,317 --> 03:10:19,685 STUDIES AT LEAST 30 PARTICIPANTS 4597 03:10:19,685 --> 03:10:22,154 PER STUDY AND HAVE A POWER 4598 03:10:22,154 --> 03:10:24,556 CALCULATION THAT IN SOME WAY 4599 03:10:24,556 --> 03:10:26,258 JUSTIFIED FEWER PARTICIPANTS 4600 03:10:26,258 --> 03:10:26,892 THAN THAT. 4601 03:10:26,892 --> 03:10:28,961 THIS WILL ADD TO THE RIGOR OF 4602 03:10:28,961 --> 03:10:30,496 PAPER IN GENERAL AND WILL ALSO 4603 03:10:30,496 --> 03:10:32,998 MAKE IT MORE CONSISTENT WITH 4604 03:10:32,998 --> 03:10:34,766 WHAT CHERYL SHARED WITH US IN 4605 03:10:34,766 --> 03:10:39,371 TERMS OF DIETARY PATTERNS AND 4606 03:10:39,371 --> 03:10:40,272 CARDIOVASCULAR DISEASE AND SAID 4607 03:10:40,272 --> 03:10:42,474 ALL THESE REVISIONS ARE MADE 4608 03:10:42,474 --> 03:10:44,476 BEFORE ANY EVIDENCE WAS 4609 03:10:44,476 --> 03:10:44,910 SYNTHESIZED. 4610 03:10:44,910 --> 03:10:49,081 PASSING THIS BACK TO YOU, 4611 03:10:49,081 --> 03:10:51,850 DEANNA. 4612 03:10:51,850 --> 03:10:55,854 I'M PASSING IT TO ANDREA. 4613 03:10:55,854 --> 03:10:57,890 >> GREAT. WE MADE A FEW 4614 03:10:57,890 --> 03:11:00,759 REVISIONS TO BEVERAGES PROTOCOLS 4615 03:11:00,759 --> 03:11:03,929 AND FOR OUR 100% JUICE AND 4616 03:11:03,929 --> 03:11:08,367 GROWTH BODY COMPOSITION RISK AND 4617 03:11:08,367 --> 03:11:11,670 OBESITY PROTOCOL LIMITING 4618 03:11:11,670 --> 03:11:14,039 METAANALYSIS TO BIRTH UP TO 19 4619 03:11:14,039 --> 03:11:15,007 YEARS POPULATION AND MADE CHANGE 4620 03:11:15,007 --> 03:11:18,544 TO FOCUS METAANALYSIS EFFORTS 4621 03:11:18,544 --> 03:11:20,846 POPULATION MOST LIKELY TO YIELD 4622 03:11:20,846 --> 03:11:23,315 RESULTS INFORMING GUIDANCE AND 4623 03:11:23,315 --> 03:11:26,285 QUANTITATIVE SYNTHESIS WAS 4624 03:11:26,285 --> 03:11:27,986 UPDATED TO CLARIFY TWO STUDIES 4625 03:11:27,986 --> 03:11:29,755 ARE NECESSARY AND NOT 4626 03:11:29,755 --> 03:11:31,423 NECESSARILY SUFFICIENT TO 4627 03:11:31,423 --> 03:11:32,958 CONDUCT METAANALYSIS AND LASTLY 4628 03:11:32,958 --> 03:11:35,994 REVIEWED EXAMINING SUGAR 4629 03:11:35,994 --> 03:11:37,262 SWEETENED BEVERAGES AND RISK OF 4630 03:11:37,262 --> 03:11:39,932 TYPE 2 DIABETES WE REVISED 4631 03:11:39,932 --> 03:11:41,667 INCLUSION AND EXCLUSION CRITERIA 4632 03:11:41,667 --> 03:11:45,137 FOR STUDY DESIGN TO EXCLUDE 4633 03:11:45,137 --> 03:11:46,371 OBSERVATIONAL STUDIES AMONG 4634 03:11:46,371 --> 03:11:50,008 ADULTS THAT EXAMINED 4635 03:11:50,008 --> 03:11:52,311 INTERMEDIATE OUTCOMES OF FASTING 4636 03:11:52,311 --> 03:11:54,913 BLOOD GLUCOSE AND GLUCOSE 4637 03:11:54,913 --> 03:11:57,482 TOLERANCE AND RESISTANCE 4638 03:11:57,482 --> 03:12:00,285 HEMOGLOBIN A1C AND PREDIABETES 4639 03:12:00,285 --> 03:12:02,955 AND CHANGE IS MADE FOCUSING ON 4640 03:12:02,955 --> 03:12:04,456 STRONGER BODY OF EVIDENCE AND 4641 03:12:04,456 --> 03:12:07,326 INCLUDING TRIAL DATA FROM ADULTS 4642 03:12:07,326 --> 03:12:09,861 EXAMINING INTERMEDIATE OUTCOMES 4643 03:12:09,861 --> 03:12:11,897 AND WILL INCLUDE TRIAL AND 4644 03:12:11,897 --> 03:12:12,864 OBSERVATIONAL DATA AMONG 4645 03:12:12,864 --> 03:12:17,436 CHILDREN THAT EXAMINES 4646 03:12:17,436 --> 03:12:22,374 INTERMEDIATE OUTCOMES. 4647 03:12:22,374 --> 03:12:24,610 >> THANK YOU. NOW, WE ARE 4648 03:12:24,610 --> 03:12:29,247 OPENING IT UP TO A COMMITTEE 4649 03:12:29,247 --> 03:12:29,548 DISCUSSION. 4650 03:12:29,548 --> 03:12:33,986 IF THERE IS ANY QUESTIONS ON OUR 4651 03:12:33,986 --> 03:12:37,089 PROTOCOL REVISIONS? 4652 03:12:37,089 --> 03:12:39,791 >> CHRISTINA. 4653 03:12:39,791 --> 03:12:45,530 >> YES. THANK YOU SO MUCH FOR 4654 03:12:45,530 --> 03:12:47,232 YOUR PRESENTATIONS AND I'M VERY 4655 03:12:47,232 --> 03:12:48,934 EXCITED THAT YOU WILL BE 4656 03:12:48,934 --> 03:12:51,670 INCLUDING OTHER MEASURES OF 4657 03:12:51,670 --> 03:12:55,440 ULTRA PROCESSED FOODS LIKE ANOVA 4658 03:12:55,440 --> 03:12:56,875 AND WANTED TO UNDERSTAND WHAT 4659 03:12:56,875 --> 03:13:00,278 WAS THE REASONING FOR DOING THIS 4660 03:13:00,278 --> 03:13:02,314 AND FOR MAKING THIS CHANGE. 4661 03:13:02,314 --> 03:13:06,051 >> WHEN YOU START LOOKING AT IT, 4662 03:13:06,051 --> 03:13:07,352 THE COMPARATOR GOT TO BE A 4663 03:13:07,352 --> 03:13:08,987 LITTLE DIFFICULT WHEN YOU LOOKED 4664 03:13:08,987 --> 03:13:12,457 AT OTHER DIETARY PATTERNS. 4665 03:13:12,457 --> 03:13:18,363 SO, IF IT WAS SAY THE WAY THAT 4666 03:13:18,363 --> 03:13:22,067 PEOPLE KIND OF DESIGNATED A 4667 03:13:22,067 --> 03:13:24,036 DIETARY PATTERN WITH ULTRA 4668 03:13:24,036 --> 03:13:26,905 PROCESSED FOODS, A LOT OF TIMES 4669 03:13:26,905 --> 03:13:29,441 IT WASN'T SPECIFIC TO THOSE 4670 03:13:29,441 --> 03:13:30,742 FOODS THAT WOULD CHANGE EVERY 4671 03:13:30,742 --> 03:13:33,111 TIME AND WASN'T A STANDARD WHAT 4672 03:13:33,111 --> 03:13:35,213 FOODS WERE NULL TRA PROCESSED 4673 03:13:35,213 --> 03:13:36,815 AND WHAT WEREN'T WHEN YOU LOOKED 4674 03:13:36,815 --> 03:13:38,417 AT OTHER DIETARY PATTERNS. 4675 03:13:38,417 --> 03:13:41,520 IN LOOKING AT THAT, IT MADE IT 4676 03:13:41,520 --> 03:13:44,690 MUCH MORE STANDARD IN THE 4677 03:13:44,690 --> 03:13:48,527 ABILITY TO HAVE US COME UP WITH 4678 03:13:48,527 --> 03:13:49,761 A BETTER CONCLUSION STATEMENT. 4679 03:13:49,761 --> 03:13:53,465 WE DECIDED TO GO WITH DIFFERENT 4680 03:13:53,465 --> 03:13:55,534 LEVELS OF AN ULTRA PROCESSED 4681 03:13:55,534 --> 03:13:57,102 SYSTEM THAT WAS ALREADY DONE 4682 03:13:57,102 --> 03:13:57,369 THERE. 4683 03:13:57,369 --> 03:14:01,540 SO THAT YOU HAD A LITTLE BIT 4684 03:14:01,540 --> 03:14:05,343 MORE STANDARDIZATION ACROSS. 4685 03:14:05,343 --> 03:14:05,811 >> YEAH. 4686 03:14:05,811 --> 03:14:08,814 >> THERE IS SO MUCH DEBATE WITH 4687 03:14:08,814 --> 03:14:11,049 ANOVA SYSTEM THAT IT IS GOOD TO 4688 03:14:11,049 --> 03:14:13,185 SEE OTHER -- OTHER SYSTEMS USED 4689 03:14:13,185 --> 03:14:15,854 OUT THERE AND MORE MODERN AND 4690 03:14:15,854 --> 03:14:16,221 MORE ADVANCED. 4691 03:14:16,221 --> 03:14:19,725 THANK YOU FOR INCLUDING THAT. 4692 03:14:19,725 --> 03:14:22,894 >> YEAH. 4693 03:14:22,894 --> 03:14:24,763 >> ALINE. 4694 03:14:24,763 --> 03:14:27,466 >> YEAH. MY QUESTION IS MORE 4695 03:14:27,466 --> 03:14:29,768 FOR CHRISTOPHER AND APPRECIATING 4696 03:14:29,768 --> 03:14:33,338 NEED FOR REDUCTION ON DATA WITH 4697 03:14:33,338 --> 03:14:34,339 CRITERIA OF [INDISCERNIBLE] 4698 03:14:34,339 --> 03:14:36,408 PARTICIPANT PER GROUP AND WONDER 4699 03:14:36,408 --> 03:14:38,110 IF YOU HAD CONSIDERATION FOR 4700 03:14:38,110 --> 03:14:39,711 UNDER-REPRESENTED GROUPS AND 4701 03:14:39,711 --> 03:14:42,214 MINORITIES AND WHETHER IT WILL 4702 03:14:42,214 --> 03:14:44,316 EFFECT YOUR OUTCOMES. 4703 03:14:44,316 --> 03:14:47,786 >> THAT IS A GREAT POINT THAT, 4704 03:14:47,786 --> 03:14:48,286 THAT DIDN'T COME INTO 4705 03:14:48,286 --> 03:14:50,355 CONSIDERATION AS I RECALL IN THE 4706 03:14:50,355 --> 03:14:50,689 CONVERSATION. 4707 03:14:50,689 --> 03:14:52,257 IT WAS REALLY MORE ABOUT THE 4708 03:14:52,257 --> 03:14:56,128 SIZE OF THE LITERATURE BASE. 4709 03:14:56,128 --> 03:15:00,499 I KNOW WE CHANGED EPIGUIDELINES 4710 03:15:00,499 --> 03:15:02,934 FOR OVER 1 THOUSAND AND UNDER 4711 03:15:02,934 --> 03:15:03,168 1,000. 4712 03:15:03,168 --> 03:15:06,705 THAT MAKES SENSE TO ME, ALINE IF 4713 03:15:06,705 --> 03:15:08,340 YOU HAVE HUNDREDS AND HUNDREDS 4714 03:15:08,340 --> 03:15:10,075 OF THOUSANDS BUT NOT QUITE A 4715 03:15:10,075 --> 03:15:12,244 THOUSAND AND GETTING BELOW 30 4716 03:15:12,244 --> 03:15:15,280 AND EQUITY AND DIVERSITY CULTURE 4717 03:15:15,280 --> 03:15:17,482 ISSUES THAT BECOMES HARDER AND 4718 03:15:17,482 --> 03:15:20,318 HARDER AS YOU HAVE JUST A FEW 4719 03:15:20,318 --> 03:15:21,787 PARTICIPANTS AND SUSPECT THAT 4720 03:15:21,787 --> 03:15:23,421 PAPERS WILL STILL BE OUT THERE 4721 03:15:23,421 --> 03:15:26,391 AND FOCUS WILL BE ON THOSE MORE 4722 03:15:26,391 --> 03:15:28,093 RIGOROUS WITH AT LEAST 30 THAT 4723 03:15:28,093 --> 03:15:29,461 FOR AN INTERVENTION TRIAL IS NOT 4724 03:15:29,461 --> 03:15:33,565 MANY TO BEGIN WITH TO BE HONEST 4725 03:15:33,565 --> 03:15:37,536 AND SO PRETTY LOW BAR. 4726 03:15:37,536 --> 03:15:39,971 >> THANK YOU. 4727 03:15:39,971 --> 03:15:42,507 >> WE HAVE QUESTIONS OR COMMENTS 4728 03:15:42,507 --> 03:15:49,548 OR DISCUSSION AROUND PROTOCOL 4729 03:15:49,548 --> 03:15:49,848 REVISIONS. 4730 03:15:49,848 --> 03:15:52,751 IF NOT TURNING IT BACK TO DEANNA 4731 03:15:52,751 --> 03:15:55,187 TO CONTINUE DISCUSSION AROUND 4732 03:15:55,187 --> 03:15:55,587 DIETARY PATTERNS. 4733 03:15:55,587 --> 03:15:58,456 >> THANK YOU. SO, AS WE GO INTO 4734 03:15:58,456 --> 03:16:03,595 THIS, I WANT TO JUST REMIND YOU 4735 03:16:03,595 --> 03:16:05,964 THAT THE CONCLUSION STATEMENTS 4736 03:16:05,964 --> 03:16:07,499 WE WILL PRESENT TODAY ARE KIND 4737 03:16:07,499 --> 03:16:09,734 OF FOLLOWING WHAT SARAH SAID AT 4738 03:16:09,734 --> 03:16:11,736 THE BEGINNING OF TODAY'S 4739 03:16:11,736 --> 03:16:12,003 MEETING. 4740 03:16:12,003 --> 03:16:14,272 THEY WILL BE LOOKED AT 4741 03:16:14,272 --> 03:16:15,473 COLLECTIVELY WITH FOOD PATTERN 4742 03:16:15,473 --> 03:16:18,476 MODELING AND DATA ANALYSIS 4743 03:16:18,476 --> 03:16:19,678 FINDINGS TO INFORM THE 4744 03:16:19,678 --> 03:16:21,646 RECOMMENDATIONS IN THE 4745 03:16:21,646 --> 03:16:22,247 SCIENTIFIC REPORT. 4746 03:16:22,247 --> 03:16:23,815 THESE WON'T STAND ALONE. 4747 03:16:23,815 --> 03:16:25,483 THEY WILL BE TAKEN TOGETHER WITH 4748 03:16:25,483 --> 03:16:27,018 ALL OUR FINDINGS. 4749 03:16:27,018 --> 03:16:29,321 SO, I WANTED TO GIVE A QUICK 4750 03:16:29,321 --> 03:16:30,288 REMINDER ABOUT THAT. 4751 03:16:30,288 --> 03:16:39,331 I WOULD LIKE TO TURN IT OVER TO 4752 03:16:39,331 --> 03:16:39,664 DEDE-TOBIAS. 4753 03:16:39,664 --> 03:16:42,133 >> OKAY. I THINK -- 4754 03:16:42,133 --> 03:16:44,436 >> SORRY I HAVE ONE MORE SLIDE. 4755 03:16:44,436 --> 03:16:45,136 >> YEAH. YEAH. 4756 03:16:45,136 --> 03:16:48,073 >> I GOT AHEAD OF MYSELF THERE. 4757 03:16:48,073 --> 03:16:49,574 SO, BEFORE WE GET INTO ALL OF 4758 03:16:49,574 --> 03:16:51,576 THESE, I WANTED TO JUST PRESENT 4759 03:16:51,576 --> 03:16:53,912 THE ANALYTIC FRAMEWORK AND JUST 4760 03:16:53,912 --> 03:16:55,447 REMIND YOU ALL ABOUT THIS. 4761 03:16:55,447 --> 03:16:57,315 SO, THE POPULATION, AS YOU SEE, 4762 03:16:57,315 --> 03:17:00,285 WE HAVE DIVIDED IT INTO SEVERAL 4763 03:17:00,285 --> 03:17:02,988 LIFE STAGES AND INTERVENTION 4764 03:17:02,988 --> 03:17:04,155 EXPOSURE FOR ALL CONCLUSION 4765 03:17:04,155 --> 03:17:06,224 STATEMENTS YOU WILL SEE IS 4766 03:17:06,224 --> 03:17:08,393 CONSUMPTION OF A DIETARY PATTERN 4767 03:17:08,393 --> 03:17:09,761 AND COMPARATOR IS A DIFFERENT 4768 03:17:09,761 --> 03:17:11,563 DIETARY PATTERN OR DIFFERENT 4769 03:17:11,563 --> 03:17:13,265 ADHERENCE OR CONSUMPTION TO THE 4770 03:17:13,265 --> 03:17:15,567 SAME DIETARY PATTERN AND WE ARE 4771 03:17:15,567 --> 03:17:17,435 LOOKING AT GROWTH BODY 4772 03:17:17,435 --> 03:17:19,304 COMPOSITION AND RISK OF OBESITY 4773 03:17:19,304 --> 03:17:21,373 AND ALL OUTCOMES ARE THERE. 4774 03:17:21,373 --> 03:17:23,308 IF YOU NOTICE, GROWTH IS FOR 4775 03:17:23,308 --> 03:17:25,143 INFANTS AND TODDLERS AND 4776 03:17:25,143 --> 03:17:27,579 CHILDREN AND ADULTS IS BODY 4777 03:17:27,579 --> 03:17:29,681 COMPOSITION AND RISK OF OBESITY. 4778 03:17:29,681 --> 03:17:33,318 FOR PREGNANCY AND POSTPARTUM IS 4779 03:17:33,318 --> 03:17:36,288 GESTATIONAL WEIGHT GAIN DURING 4780 03:17:36,288 --> 03:17:37,656 PREGNANCY AND POSTPARTUM WEIGHT 4781 03:17:37,656 --> 03:17:40,191 CHANGE DURING POSTPARTUM AND KEY 4782 03:17:40,191 --> 03:17:42,661 CONFOUNDERS ARE LISTED THERE TO 4783 03:17:42,661 --> 03:17:44,396 JUST BRING YOUR ATTENTION TO 4784 03:17:44,396 --> 03:17:46,398 SOME KEY CONFOUNDERS THAT ARE 4785 03:17:46,398 --> 03:17:47,999 SPECIFIC FOR DIFFERENT 4786 03:17:47,999 --> 03:17:48,867 POPULATIONS. 4787 03:17:48,867 --> 03:17:52,270 SO, HUMAN MILK FEEDING FOR 4788 03:17:52,270 --> 03:17:55,640 EXAMPLE WAS OR WOULD HAVE JUST 4789 03:17:55,640 --> 03:17:59,177 BEEN EXAMINED IN THE POST-PARTUM 4790 03:17:59,177 --> 03:17:59,911 POPULATION. 4791 03:17:59,911 --> 03:18:03,548 OKAY. NOW I WILL HAND IT OVER 4792 03:18:03,548 --> 03:18:04,683 TO DR. TOBIAS. 4793 03:18:04,683 --> 03:18:06,618 >> THANK YOU. THIS SLIDE IS 4794 03:18:06,618 --> 03:18:10,188 JUST BRIEFLY SUMMARIZING THAT WE 4795 03:18:10,188 --> 03:18:13,892 EVALUATED THESE DIETARY PATTERNS 4796 03:18:13,892 --> 03:18:15,160 ACROSS FOUR DISTINCT LIFE STAGES 4797 03:18:15,160 --> 03:18:17,128 AND POINT OF THAT IN OUR 4798 03:18:17,128 --> 03:18:19,030 PROTOCOL WAS TO JUST EVALUATE 4799 03:18:19,030 --> 03:18:20,966 WHETHER DIETARY PATTERNS MAY 4800 03:18:20,966 --> 03:18:23,435 HAVE A UNIQUE COMPOSITION WITH 4801 03:18:23,435 --> 03:18:26,104 RESPECT TO THESE ENDPOINTS THAT 4802 03:18:26,104 --> 03:18:28,506 ARE DEPENDING ON LIFE STAGES OF 4803 03:18:28,506 --> 03:18:30,976 THIS POSTPARTUM WINDOW AND 4804 03:18:30,976 --> 03:18:32,911 ADULTS AND OLDER ADULTS AND 4805 03:18:32,911 --> 03:18:35,046 CHILDREN AND ADOLESCENTS 4806 03:18:35,046 --> 03:18:36,781 SEPARATELY AND A PHASE OF BIRTH 4807 03:18:36,781 --> 03:18:39,484 24 MONTHS THAT ARE INDEPENDENT 4808 03:18:39,484 --> 03:18:40,452 OF THOSE. 4809 03:18:40,452 --> 03:18:41,786 NEXT SLIDE, PLEASE. 4810 03:18:41,786 --> 03:18:44,923 SO, THIS IS OUR CONCLUSION THAT 4811 03:18:44,923 --> 03:18:47,192 RESULTS FROM THE SYSTEMATIC 4812 03:18:47,192 --> 03:18:50,061 REVIEW OF DIETARY PATTERNS AND 4813 03:18:50,061 --> 03:18:52,864 POSTPARTUM WEIGHT CHANGE IN THE 4814 03:18:52,864 --> 03:18:54,866 POSTPARTUM PERIOD. 4815 03:18:54,866 --> 03:18:57,202 WE IDENTIFIED THROUGH SYSTEMATIC 4816 03:18:57,202 --> 03:18:59,637 REVIEW PROCESS ONE RANDOMIZED 4817 03:18:59,637 --> 03:19:02,273 TRIAL AND SIX PROSPECTIVE COHORT 4818 03:19:02,273 --> 03:19:04,542 STUDIES AND THIS AVAILABLE 4819 03:19:04,542 --> 03:19:07,479 EVIDENCE WE DEEMED WAS TOO 4820 03:19:07,479 --> 03:19:08,913 INCONSISTENT TO DRAW CONCLUSIONS 4821 03:19:08,913 --> 03:19:10,915 FOR THE RELATIONSHIP OF A 4822 03:19:10,915 --> 03:19:14,753 SPECIFIC OR SET OF DIETARY 4823 03:19:14,753 --> 03:19:18,089 PATTERNS WITH RISK OF POSTPARTUM 4824 03:19:18,089 --> 03:19:20,892 WEIGHT CHANGE OR WEIGHT GAIN 4825 03:19:20,892 --> 03:19:21,226 SPECIFICALLY. 4826 03:19:21,226 --> 03:19:22,827 FURTHER EVEN AMONG THESE 4827 03:19:22,827 --> 03:19:24,629 STUDIES, WE IDENTIFIED 4828 03:19:24,629 --> 03:19:27,699 LIMITATIONS, INCLUDING A HIGH 4829 03:19:27,699 --> 03:19:32,804 RISK OF BIAS AND PRECISION AND 4830 03:19:32,804 --> 03:19:34,239 GENERALIZABILITY THAT CONCLUDED 4831 03:19:34,239 --> 03:19:36,174 TO A DECISION THAT A CONCLUSION 4832 03:19:36,174 --> 03:19:39,310 COULDN'T BE DRAWN. 4833 03:19:39,310 --> 03:19:43,748 NEXT SLIDE, PLEASE. 4834 03:19:43,748 --> 03:19:45,817 EVALUATING DIETARY PATTERNS IN 4835 03:19:45,817 --> 03:19:47,852 OLDER ADULTS AND ADULTS IN 4836 03:19:47,852 --> 03:19:49,854 OUTCOMES OF BODY COMPOSITION AND 4837 03:19:49,854 --> 03:19:52,590 RISK OF OBEETTY WAS A DIFFERENT 4838 03:19:52,590 --> 03:19:55,627 LANDSCAPE THAT WE INCLUDED WITH 4839 03:19:55,627 --> 03:19:57,228 ELIGIBILITY CRITERIA OVER 100 4840 03:19:57,228 --> 03:19:59,464 ARTICLES AND 106 ARTICLES 4841 03:19:59,464 --> 03:20:03,735 INCLUDING 26 RANDOMIZED TRIALS 4842 03:20:03,735 --> 03:20:06,938 AND OBSERVATIONAL STUDIES, 80, 4843 03:20:06,938 --> 03:20:09,240 THAT FROM THIS INCREDIBLY 4844 03:20:09,240 --> 03:20:10,675 COMPREHENSIVE SET OF LITERATURE 4845 03:20:10,675 --> 03:20:12,844 AND QUALITATIVE SYNTHESIS OF 4846 03:20:12,844 --> 03:20:15,146 EVIDENCE AND RESULTS THAT THEY 4847 03:20:15,146 --> 03:20:18,850 PRESENTED, WE CONCLUDE THAT THIS 4848 03:20:18,850 --> 03:20:21,653 LITERATURE IDENTIFIES MODERATE 4849 03:20:21,653 --> 03:20:23,388 EVIDENCE THAT DIETARY PATTERNS 4850 03:20:23,388 --> 03:20:25,924 CONSUMED BY ADULTS AND OLDER 4851 03:20:25,924 --> 03:20:28,126 ADULTS THAT EMPHASIZED A 4852 03:20:28,126 --> 03:20:31,329 COMBINATION OF VEGETABLES FRUITS 4853 03:20:31,329 --> 03:20:33,698 WHOLE GRAINS FISH SEA FOID NUTS 4854 03:20:33,698 --> 03:20:36,835 LEGUMES AND DEEMPHASIS LOWER 4855 03:20:36,835 --> 03:20:38,837 AMOUNTS OF MEET AND INCLUDE 4856 03:20:38,837 --> 03:20:42,006 REPROCESSED MEETS AND REFINED 4857 03:20:42,006 --> 03:20:44,542 BEVERAGES WERE ASSOCIATED WITH 4858 03:20:44,542 --> 03:20:46,277 FAVORABLE OUTCOMES IN OUR 4859 03:20:46,277 --> 03:20:48,246 COMPREHENSIVE CATEGORY OF BODY 4860 03:20:48,246 --> 03:20:51,516 WEIGHT AND RISK OF OBESITY 4861 03:20:51,516 --> 03:20:55,487 COMPOSITION AND DIETARY PATTERNS 4862 03:20:55,487 --> 03:20:56,788 ASSOCIATED WITH FAVORABLE 4863 03:20:56,788 --> 03:20:58,990 OUTCOMES INCLUDED ALSO HIGHER 4864 03:20:58,990 --> 03:21:01,159 INTAKES OF UNSATURATED FATS AND 4865 03:21:01,159 --> 03:21:04,162 LOWER INTAKES OF UNSATURATED 4866 03:21:04,162 --> 03:21:06,331 FATS AND SODIUM AND WITH GRADING 4867 03:21:06,331 --> 03:21:08,333 OF BODY OF EVIDENCE WE GIVE A 4868 03:21:08,333 --> 03:21:10,435 GRADE OF MODERATE THAT IS BASED 4869 03:21:10,435 --> 03:21:12,103 ON ROWS BELOW THE BODY OF 4870 03:21:12,103 --> 03:21:14,839 EVIDENCE THAT YOU SEE 4871 03:21:14,839 --> 03:21:16,641 CONSISTENCY PRECISION RISK OF 4872 03:21:16,641 --> 03:21:19,644 BIAS AND GENERALIZABILITY AND 4873 03:21:19,644 --> 03:21:21,079 CONSISTENCY IS MINIMAL VARIATION 4874 03:21:21,079 --> 03:21:23,715 AND MAGNITUDE AND EFFECT SIZE 4875 03:21:23,715 --> 03:21:25,550 ACROSS STUDIES AND PRECISION WAS 4876 03:21:25,550 --> 03:21:27,018 NOT A CONCERN. 4877 03:21:27,018 --> 03:21:29,053 THERE WERE ADEQUATE SAMPLE SIZES 4878 03:21:29,053 --> 03:21:32,524 AND POWER, STATISTICAL POWER 4879 03:21:32,524 --> 03:21:35,059 ACROSS STUDIES THAT INCREASED 4880 03:21:35,059 --> 03:21:36,961 CONFIDENCE IN THIS CONCLUSION OF 4881 03:21:36,961 --> 03:21:40,431 THE EVIDENCE AND RISK OF BIAS, 4882 03:21:40,431 --> 03:21:41,699 THERE WAS VARIABILITY CONCERNS 4883 03:21:41,699 --> 03:21:44,135 WHERE THERE WAS POTENTIAL BIAS 4884 03:21:44,135 --> 03:21:47,705 INCLUDING CONFOUNDING AND 4885 03:21:47,705 --> 03:21:50,074 POTENTIAL SELECTION OF REPORTED 4886 03:21:50,074 --> 03:21:50,608 RESULTS. 4887 03:21:50,608 --> 03:21:52,544 NOT NECESSARILY APPLYING TO ALL 4888 03:21:52,544 --> 03:21:54,345 STUDIES BUT TO AT LEAST A 4889 03:21:54,345 --> 03:21:56,881 PORTION OF US TO NOTE THAT 4890 03:21:56,881 --> 03:21:59,217 DIRECTNESS AND WE WERE NOT 4891 03:21:59,217 --> 03:22:01,452 CONCERNED THERE AND MOST 4892 03:22:01,452 --> 03:22:02,754 DIRECTLY EVALUATED OUTCOMES THAT 4893 03:22:02,754 --> 03:22:05,490 ARE LISTED ABOVE AND HENCE WHY 4894 03:22:05,490 --> 03:22:07,992 THEY WERE ULTIMATELY INCLUDED 4895 03:22:07,992 --> 03:22:10,428 AND GENERALIZABILITY WE HAVE A 4896 03:22:10,428 --> 03:22:14,232 FEW CONCERNS WITH PARTICIPANTS 4897 03:22:14,232 --> 03:22:16,434 INCLUDED AND PATTERNS EVALUATED 4898 03:22:16,434 --> 03:22:19,604 AND OUTCOMES RELATIVE TO THE US 4899 03:22:19,604 --> 03:22:21,372 POPULATION THAT MOST SEEMED 4900 03:22:21,372 --> 03:22:23,007 LARGELY REPRESENTATIVE OF THE -- 4901 03:22:23,007 --> 03:22:27,512 AT LEAST FROM THE DIET THAT IS 4902 03:22:27,512 --> 03:22:29,080 CONSUMED BY OUR POPULATION. 4903 03:22:29,080 --> 03:22:33,184 >> AND I THINK THAT IS IT FROM 4904 03:22:33,184 --> 03:22:38,389 MY SLIDE. 4905 03:22:38,389 --> 03:22:42,827 >> SO, YEAH. THE NEXT ONE LOOKS 4906 03:22:42,827 --> 03:22:46,097 AT DIETARY PATTERNS CONSUMED BY 4907 03:22:46,097 --> 03:22:49,234 CHILDREN AND ADOLESCENTS AND 4908 03:22:49,234 --> 03:22:50,034 UNFAVORABLE BODY GROWTH 4909 03:22:50,034 --> 03:22:52,470 COMPOSITION AND RISK OF OBESITY 4910 03:22:52,470 --> 03:22:54,205 AND RISK OF CONCLUSION STATEMENT 4911 03:22:54,205 --> 03:22:56,207 IS THAT LIMITED EVIDENCE 4912 03:22:56,207 --> 03:22:59,110 SUGGESTS THAT DIETARY PATTERNS 4913 03:22:59,110 --> 03:23:01,112 CONASSUMED DURING CHILDHOOD AND 4914 03:23:01,112 --> 03:23:04,015 ADOLESCENT ARE ASSOCIATED WITH 4915 03:23:04,015 --> 03:23:05,984 UNFAVORABLE GROWTH PATTERNS AND 4916 03:23:05,984 --> 03:23:08,786 BODY COMPOSITION AND HIGHER 4917 03:23:08,786 --> 03:23:11,489 OBESITY IN CHILDHOOD UP TO EARLY 4918 03:23:11,489 --> 03:23:14,959 ADULTHOOD AND AFTER REVIEWING 4919 03:23:14,959 --> 03:23:17,428 EVIDENCE PUBLISHED FROM 2000 TO 4920 03:23:17,428 --> 03:23:20,031 2023 SUGING UPDATES TO EXISTING 4921 03:23:20,031 --> 03:23:21,065 CONCLUSION STATEMENT THAT I JUST 4922 03:23:21,065 --> 03:23:23,301 READ ON THIS SLIDE AND WE 4923 03:23:23,301 --> 03:23:24,569 DETERMINED STRENGTH OF EVIDENCE 4924 03:23:24,569 --> 03:23:27,472 WAS LIMITED BASED ON ASSESSMENT 4925 03:23:27,472 --> 03:23:28,740 OF GRADING ELEMENTS. 4926 03:23:28,740 --> 03:23:32,176 WE HAVE 62 ARTICLES AND THREE 4927 03:23:32,176 --> 03:23:34,979 TRIALS AND 59 PROSPECTIVE COHORT 4928 03:23:34,979 --> 03:23:38,349 STUDIES AND 1/3 OF THE STUDIES 4929 03:23:38,349 --> 03:23:39,884 REPORTED DIETARY PATTERNS 4930 03:23:39,884 --> 03:23:41,986 CONSUMED DURING CHILDHOOD ARE 4931 03:23:41,986 --> 03:23:43,988 ASSOCIATED SIGNIFICANTLY WITH 4932 03:23:43,988 --> 03:23:45,023 UNFAVORABLE OUTCOMES AND ARE 4933 03:23:45,023 --> 03:23:47,792 THINGS LIKE HIGHER RISK OF 4934 03:23:47,792 --> 03:23:50,395 OBESITY AND LARGER WASTE 4935 03:23:50,395 --> 03:23:51,229 CIRCUMFERENCE AND FOUND THAT 4936 03:23:51,229 --> 03:23:53,197 EFFECT SIZES WERE RELATIVELY 4937 03:23:53,197 --> 03:23:56,534 SMALL AND DIETARY PATTERNS THAT 4938 03:23:56,534 --> 03:23:58,636 WERE ASSOCIATED WITH HIGH -- 4939 03:23:58,636 --> 03:24:03,341 WITH UNFAVORABLE GROWTH PATTERNS 4940 03:24:03,341 --> 03:24:06,210 INCLUDED THOSE THAT HAD HIGH 4941 03:24:06,210 --> 03:24:08,680 INTAKES OF FRIED POTATOES AND 4942 03:24:08,680 --> 03:24:11,516 REFINED GRAINS AND RED AND 4943 03:24:11,516 --> 03:24:15,553 PROCESSED MEAT AND SUGAR 4944 03:24:15,553 --> 03:24:17,288 SWEETENED DRINKS AND SUGAR 4945 03:24:17,288 --> 03:24:19,691 SWEETENED SALTY FOODS AND LOWER 4946 03:24:19,691 --> 03:24:21,626 INTAKES OF VEGETABLES, FRUITS 4947 03:24:21,626 --> 03:24:23,661 AND WHOLE GRAINS AND OTHER 4948 03:24:23,661 --> 03:24:27,165 SELECT COMPONENTS KIND OF VARIED 4949 03:24:27,165 --> 03:24:29,600 WIDELY AMONG DIFFERENT DIETARY 4950 03:24:29,600 --> 03:24:30,902 PATTERNS THAT INCLUDED -- THEY 4951 03:24:30,902 --> 03:24:33,538 INCLUDED FACTORS SUCH AS DIETARY 4952 03:24:33,538 --> 03:24:36,341 PRODUCTS OR DAIRY PRODUCTS AND 4953 03:24:36,341 --> 03:24:37,608 SOURCES OF FAT. 4954 03:24:37,608 --> 03:24:40,511 THERE WERE SERIOUS CONCERNS WITH 4955 03:24:40,511 --> 03:24:43,548 PRECISION DUE TO SMALLER SAMPLE 4956 03:24:43,548 --> 03:24:45,616 SIZES AND WIDER CONFIDENCE 4957 03:24:45,616 --> 03:24:48,286 INTERVALS ACROSS FINDINGS. 4958 03:24:48,286 --> 03:24:51,389 AND THERE WERE CONCERNS WITH 4959 03:24:51,389 --> 03:24:52,790 RISK OF BIAS. 4960 03:24:52,790 --> 03:24:55,727 USUALLY THOSE WERE ASSOCIATED OR 4961 03:24:55,727 --> 03:24:58,496 DUE TO IMPORTANT CONFOUNDING 4962 03:24:58,496 --> 03:25:00,365 DOMAINS NOT BEING ACCOUNTED FOR. 4963 03:25:00,365 --> 03:25:03,835 SO, FOR EXAMPLE, ANTLOEPOMETRY 4964 03:25:03,835 --> 03:25:05,937 AT BASELINE OR PHYSICAL 4965 03:25:05,937 --> 03:25:06,938 ACTIVITY. 4966 03:25:06,938 --> 03:25:09,240 THEN THERE WAS THE RISK FOR 4967 03:25:09,240 --> 03:25:10,641 POTENTIAL EXPOSURE 4968 03:25:10,641 --> 03:25:11,709 MISCLASSIFICATIONS BECAUSE SOME 4969 03:25:11,709 --> 03:25:14,112 OF THE DIETARY ASSESSMENT TOOLS 4970 03:25:14,112 --> 03:25:16,347 WERE NOT CLEARLY VALIDATED IN 4971 03:25:16,347 --> 03:25:18,883 CHILDREN OR DIDN'T ASSESS 4972 03:25:18,883 --> 03:25:20,818 DIETARY CHANGE OVER TIME. 4973 03:25:20,818 --> 03:25:23,921 THERE WERE ONLY A FEW CONCERNS 4974 03:25:23,921 --> 03:25:27,091 WITH DIRECTNESS BECAUSE MOST OF 4975 03:25:27,091 --> 03:25:28,826 THE OBSERVATIONAL STUDIES WERE 4976 03:25:28,826 --> 03:25:31,396 DIRECTLY EXAMINING RELATIONSHIP 4977 03:25:31,396 --> 03:25:32,830 OF INTEREST FOR THIS QUESTION 4978 03:25:32,830 --> 03:25:36,501 AND THE OUTCOME EXAMINED ACROSS 4979 03:25:36,501 --> 03:25:40,938 THE BODY OF EVIDENCE THAT WERE 4980 03:25:40,938 --> 03:25:42,940 APPLICABLE BUT SOME PARTICIPANT 4981 03:25:42,940 --> 03:25:44,542 CHARACTERISTICS AND DIETARY 4982 03:25:44,542 --> 03:25:46,444 PATTERNS MIGHT NOT BE -- MIGHT 4983 03:25:46,444 --> 03:25:49,781 BE LESS GENERALIZABLE TO THE US 4984 03:25:49,781 --> 03:25:50,081 POPULATION. 4985 03:25:50,081 --> 03:25:54,485 SO, AS AN EXAMPLE, ONE STUDY 4986 03:25:54,485 --> 03:25:57,989 EXAMINED A MODERN DIETARY 4987 03:25:57,989 --> 03:25:59,424 PATTERN AND THEIR GNOMEN 4988 03:25:59,424 --> 03:25:59,791 CHICANO/CHICANA 4989 03:25:59,791 --> 03:26:00,458 LATINO/LATINATURE CHARACTERIZED 4990 03:26:00,458 --> 03:26:04,529 BY HIGH INTAKES OF FRENCH FRIED 4991 03:26:04,529 --> 03:26:08,900 UNPROCESSED MEATS SWEET POTATOES 4992 03:26:08,900 --> 03:26:12,970 CEREALS NOODLES AND STAR FRUIT A 4993 03:26:12,970 --> 03:26:17,408 STAR CHI TROPICAL FRU AND TARO A 4994 03:26:17,408 --> 03:26:19,811 STAR CHI ROOT VEGETABLE THIS WAS 4995 03:26:19,811 --> 03:26:22,079 CONDUCTED IN SAM OE AN CHILDREN 4996 03:26:22,079 --> 03:26:23,548 AGES 2 AND 4 YEARS. 4997 03:26:23,548 --> 03:26:28,019 THERE WAS ISSUES WITH 4998 03:26:28,019 --> 03:26:29,120 GENERALIZABILITY. 4999 03:26:29,120 --> 03:26:31,322 SO THE NEXT CONCLUSION STATEMENT 5000 03:26:31,322 --> 03:26:33,691 IS -- SEEMS TO BE BUT IS NOT 5001 03:26:33,691 --> 03:26:35,760 THAT JUST THE OPPOSITE OF WHAT 5002 03:26:35,760 --> 03:26:36,994 WE JUST PRESENTED. 5003 03:26:36,994 --> 03:26:39,764 THESE ARE DIETARY PATTERNS 5004 03:26:39,764 --> 03:26:41,432 CONSUMED BY CHILDREN AND 5005 03:26:41,432 --> 03:26:42,900 ADLESSIENTS AND FAVORABLE GROWTH 5006 03:26:42,900 --> 03:26:46,103 AND BODY COMPOSITION AND RISK OF 5007 03:26:46,103 --> 03:26:47,371 OBESITY AND CONCLUSION STATEMENT 5008 03:26:47,371 --> 03:26:49,674 IS LIMITED EVIDENCE SUGGESTS 5009 03:26:49,674 --> 03:26:52,443 DIETARY PATTERNS CONSUMED IN 5010 03:26:52,443 --> 03:26:54,345 CHILDHOOD ADOLESCENTS ARE 5011 03:26:54,345 --> 03:26:56,547 ASSOCIATED WITH FAVORABLE BODY 5012 03:26:56,547 --> 03:26:58,416 PATTERNS AND HEALTH COMPOSITION 5013 03:26:58,416 --> 03:27:01,152 AND LOWER RISK OBESITY LATER IN 5014 03:27:01,152 --> 03:27:03,354 CHILDHOOD TO EARLY ADULTHOOD. 5015 03:27:03,354 --> 03:27:04,889 THIS ONE AS YOU SEE WAS ALSO 5016 03:27:04,889 --> 03:27:08,326 JUDGE LIMITED AND BODY OF 5017 03:27:08,326 --> 03:27:09,961 EVIDENCE WAS THE SAME AS WHAT I 5018 03:27:09,961 --> 03:27:12,029 PRESENTED PREVIOUSLY WITH THE 5019 03:27:12,029 --> 03:27:14,832 SAME NUMBER OF STUDIES. 5020 03:27:14,832 --> 03:27:17,235 IN ABOUT ANOTHER 1/3 OF THE 5021 03:27:17,235 --> 03:27:19,804 STUDIES DIETARY PATTERNS 5022 03:27:19,804 --> 03:27:22,440 CONSUMED DURING CHILDHOOD WERE 5023 03:27:22,440 --> 03:27:24,876 SIGNIFICANTLY ASSOCIATED WITH 5024 03:27:24,876 --> 03:27:26,878 FAVORABLE PATTERNS AND GROWTH 5025 03:27:26,878 --> 03:27:28,946 BODY COMPOSITION AND HERE 5026 03:27:28,946 --> 03:27:32,517 EMPHASIZING VEGETABLES FRUITS 5027 03:27:32,517 --> 03:27:35,019 LEGUMES NUTS WHOLE GRAINS FISH 5028 03:27:35,019 --> 03:27:37,455 SEA FOID DAIRY PARTICULARLY LOW 5029 03:27:37,455 --> 03:27:39,857 FAT AND UNSWEETENED LOWERED IN 5030 03:27:39,857 --> 03:27:43,828 RED AND PROCESSED MEET AND SUGAR 5031 03:27:43,828 --> 03:27:47,598 SWEETENED DRINKS AND SUGAR 5032 03:27:47,598 --> 03:27:49,667 SWEETENED AND SAVORY OR SALTY 5033 03:27:49,667 --> 03:27:52,537 SNACK FOODS AND IS PARTICULARLY 5034 03:27:52,537 --> 03:27:54,205 INTERESTING I THINK GIVEN 5035 03:27:54,205 --> 03:27:55,306 CONVERSATION ABOUT SNACK 5036 03:27:55,306 --> 03:27:57,909 OCCASIONS AND LOTS OF THE FOODS 5037 03:27:57,909 --> 03:27:59,377 ARE SERVED DURING SNACK 5038 03:27:59,377 --> 03:28:02,246 OCCASIONS AND EFFECT SIZES HERE 5039 03:28:02,246 --> 03:28:04,048 RANGED FROM SMALL TO MODEST. 5040 03:28:04,048 --> 03:28:07,685 AND EVIDENCE SUPPORTING THIS 5041 03:28:07,685 --> 03:28:09,787 CONCLUSION HAD SIMILAR CONCERNS 5042 03:28:09,787 --> 03:28:12,189 WITH PRECISION AND RISK OF BIAS 5043 03:28:12,189 --> 03:28:14,091 I MENTIONED PREVIOUSLY. 5044 03:28:14,091 --> 03:28:17,128 TWO TRIALS OF THREE TRIALS WERE 5045 03:28:17,128 --> 03:28:17,528 INDIRECT. 5046 03:28:17,528 --> 03:28:20,464 ONE WAS DESIGNED TO TREAT MILD 5047 03:28:20,464 --> 03:28:21,032 ASTHMA. 5048 03:28:21,032 --> 03:28:24,969 ONE WAS DESIGNED TO TREAT 5049 03:28:24,969 --> 03:28:28,439 METABOLIC SYNDROME, FOR EXAMPLE. 5050 03:28:28,439 --> 03:28:30,374 SO, OBSERVATIONAL STUDIES WERE 5051 03:28:30,374 --> 03:28:32,176 DIRECT IN ASSESSING THE 5052 03:28:32,176 --> 03:28:33,611 RELATIONSHIP OF INTEREST FOR 5053 03:28:33,611 --> 03:28:34,445 THIS QUESTION. 5054 03:28:34,445 --> 03:28:38,416 BUT, SIMILAR TO THE PREVIOUS 5055 03:28:38,416 --> 03:28:40,618 SLIDE AND CONCLUSION STATEMENT, 5056 03:28:40,618 --> 03:28:43,321 OUTCOMES WERE APPLICABLE AND 5057 03:28:43,321 --> 03:28:45,156 PARTICIPANT CHARACTERISTICS AND 5058 03:28:45,156 --> 03:28:48,926 DIETARY PATTERNS WERE LESS 5059 03:28:48,926 --> 03:28:51,996 GENERALIZABILITY AND LESS 5060 03:28:51,996 --> 03:28:53,030 GENERALIZABLE TO THE US 5061 03:28:53,030 --> 03:28:54,832 POPULATION AND FOR EXAMPLE ONE 5062 03:28:54,832 --> 03:28:58,302 STUDY WAS CONDUCTED IN IRAN AND 5063 03:28:58,302 --> 03:29:00,404 ENROLLED ONLY FEMALE ADOLESCENTS 5064 03:29:00,404 --> 03:29:03,274 WITH METABOLIC SYNDROMES AND 5065 03:29:03,274 --> 03:29:07,078 GENERALIZABILITY WAS ASSESSED AS 5066 03:29:07,078 --> 03:29:08,546 LOWER FOR THIS. 5067 03:29:08,546 --> 03:29:12,149 I WOULD LIKE TO TURN IT OVER TO 5068 03:29:12,149 --> 03:29:12,550 DR. FUNG. 5069 03:29:12,550 --> 03:29:14,885 >> THANK YOU. I WOULD LIKE TO 5070 03:29:14,885 --> 03:29:16,621 PRESENT THE CONCLUSIONS FOR 5071 03:29:16,621 --> 03:29:18,489 DIETARY PATTERNS CONSUMED FROM 5072 03:29:18,489 --> 03:29:22,393 BIRTH TO 24 MONTHS AND BODY 5073 03:29:22,393 --> 03:29:23,894 COMPOSITION WITH RISK OF OBESITY 5074 03:29:23,894 --> 03:29:27,765 AND NOT ABLE TO DRAW A 5075 03:29:27,765 --> 03:29:28,432 CONCLUSION ON THIS TOPIC MAINLY 5076 03:29:28,432 --> 03:29:29,767 BECAUSIN CONSISTENT DIRECTION OF 5077 03:29:29,767 --> 03:29:32,536 THE RESULTS AS WELL AS VARIATION 5078 03:29:32,536 --> 03:29:35,006 ON THE MAGNITUDE OF THE RESULTS. 5079 03:29:35,006 --> 03:29:39,810 WE DID FIND ONE RCT AND 18 5080 03:29:39,810 --> 03:29:42,246 PROSPECTIVE COHORT STUDIES AND 5081 03:29:42,246 --> 03:29:43,614 HOWEVER DIETARY COMPOSITION OF 5082 03:29:43,614 --> 03:29:45,883 THE STUDIES WERE VERY VARIED 5083 03:29:45,883 --> 03:29:48,285 INTO A CERTAIN EXTENT IT WAS 5084 03:29:48,285 --> 03:29:49,787 EXPECTED BECAUSE OF THIS AGE 5085 03:29:49,787 --> 03:29:53,257 GROUP THAT IS TWO YEARS AGE SPAN 5086 03:29:53,257 --> 03:29:55,126 THAT REPRESENTS TREMENDOUS 5087 03:29:55,126 --> 03:29:56,394 DEVELOPMENT AND GROWTH IN THE 5088 03:29:56,394 --> 03:29:59,897 STAGE OF LIFE AND DIET THAT CAN 5089 03:29:59,897 --> 03:30:01,465 CHANGE VERY QUICKLY AND 5090 03:30:01,465 --> 03:30:03,567 DRASTICALLY WITHIN A SMALL FEW 5091 03:30:03,567 --> 03:30:06,737 MONTHS OF TIME SPAN. 5092 03:30:06,737 --> 03:30:09,840 SO, THE DIETARY COMPOSITION IN 5093 03:30:09,840 --> 03:30:10,574 STUDIES EXTRACTED FROM THE 5094 03:30:10,574 --> 03:30:11,942 SEARCH ALSO COMES FROM AROUND 5095 03:30:11,942 --> 03:30:14,378 THE WORLD THAT THERE WERE A FEW. 5096 03:30:14,378 --> 03:30:16,647 THERE WAS FIVE COMING FROM THE 5097 03:30:16,647 --> 03:30:20,184 US AND THEN SEVERAL THAT IS FROM 5098 03:30:20,184 --> 03:30:22,386 ELSEWHERE AND TOTAL OF NINE 5099 03:30:22,386 --> 03:30:23,688 COUNTRIES INVOLVED IN THIS BODY 5100 03:30:23,688 --> 03:30:26,257 OF LITERATURE AND SO THE WAY 5101 03:30:26,257 --> 03:30:28,693 THAT THE INVESTIGATORS DEFINED 5102 03:30:28,693 --> 03:30:30,361 THE DIET WAS VERY DIFFERENT AND 5103 03:30:30,361 --> 03:30:34,098 PART OF THE BIRTH TO 24 AGE SPAN 5104 03:30:34,098 --> 03:30:35,866 INCLUDING SOME BREASTFEEDING OR 5105 03:30:35,866 --> 03:30:37,501 FORMULA FEEDING AND THEREFORE 5106 03:30:37,501 --> 03:30:40,137 BASED ON VARIATION OF THE 5107 03:30:40,137 --> 03:30:41,839 DIETARY PATTERNS INCLUDED, IT IS 5108 03:30:41,839 --> 03:30:44,175 VERY DIFFICULT TO ACTUALLY NAIL 5109 03:30:44,175 --> 03:30:46,577 DOWN WHAT WAS THE PATTERN THAT 5110 03:30:46,577 --> 03:30:50,614 HAD SOME CONSISTENCY. 5111 03:30:50,614 --> 03:30:52,383 MOREOVER, DIET ASSESSMENT WAS 5112 03:30:52,383 --> 03:30:53,918 ALSO VERY VARIED AND TIME POINTS 5113 03:30:53,918 --> 03:30:56,220 IN TERMS OF AGE THAT WAS 5114 03:30:56,220 --> 03:31:01,125 ASSESSED FOR THE DIET WAS ALSO 5115 03:31:01,125 --> 03:31:04,095 VERY VARIED AND ASSESSMENT 5116 03:31:04,095 --> 03:31:06,964 TIMESPAN OF SIX MONTHS IS A BIG 5117 03:31:06,964 --> 03:31:09,033 DIFFERENCE FOR THIS AGE GROUP 5118 03:31:09,033 --> 03:31:11,368 AND IN ADDITION MANY STUDIES 5119 03:31:11,368 --> 03:31:14,472 HAVE WORRIES ON CONFOUNDERS NOT 5120 03:31:14,472 --> 03:31:16,507 MEASURED OR ADJUSTED FOR AND 5121 03:31:16,507 --> 03:31:17,875 PARTICULARLY ETHNICITY AND 5122 03:31:17,875 --> 03:31:19,543 INFORMATION WAS NOT AVAILABLE IN 5123 03:31:19,543 --> 03:31:22,079 A GOOD NUMBER OF THE STUDIES AND 5124 03:31:22,079 --> 03:31:24,615 ALSO A GOOD NUMBER OF THEM HAVE 5125 03:31:24,615 --> 03:31:26,350 QUITE HIGH OF AN ATTRITION RATE 5126 03:31:26,350 --> 03:31:28,119 AS WELL. 5127 03:31:28,119 --> 03:31:30,521 STUDIES ACTUALLY OVERALL WERE 5128 03:31:30,521 --> 03:31:32,389 MEASURING DIFFERENT MEASURES OF 5129 03:31:32,389 --> 03:31:34,658 BODY COMPOSITION OBESITY THAT IS 5130 03:31:34,658 --> 03:31:35,626 VERY DIRECT. 5131 03:31:35,626 --> 03:31:38,229 BUT, IN TERMS OF GEOGRAPHIC 5132 03:31:38,229 --> 03:31:42,700 LOCATION, IT IS VARIOUS DIETARY 5133 03:31:42,700 --> 03:31:44,468 DEFINITIONS AND PATTERN 5134 03:31:44,468 --> 03:31:46,003 CHARACTERISTICS WAS VERY VARIED 5135 03:31:46,003 --> 03:31:48,139 AND ALSO BECAUSE OF THE RISK OF 5136 03:31:48,139 --> 03:31:51,742 BIAS ISSUE WE WERE UNABLE TO 5137 03:31:51,742 --> 03:31:54,111 DRAW A CONCLUSION FOR THIS THERE 5138 03:31:54,111 --> 03:31:56,147 IS ALSO A GRADE THAT CONCLUSION 5139 03:31:56,147 --> 03:31:58,315 WAS ALSO NOT ASSIGNABLE. 5140 03:31:58,315 --> 03:31:59,650 NEXT SLIDE, PLEASE. 5141 03:31:59,650 --> 03:32:02,787 THIS IS THE SUMMARY OF THE 5142 03:32:02,787 --> 03:32:04,955 ENTIRE LIFESPAN AND BODY OF 5143 03:32:04,955 --> 03:32:07,391 EVIDENCE ON GROWTH AND BODY 5144 03:32:07,391 --> 03:32:09,493 COMPOSITION AND RISK OF OBESITY 5145 03:32:09,493 --> 03:32:11,195 AND FROM THE LEFT I MENTIONED WE 5146 03:32:11,195 --> 03:32:13,597 WERE NOT ABLE TO DRAW CONCLUSION 5147 03:32:13,597 --> 03:32:16,300 FROM BIRTH TO 24 MONTHS GROUP 5148 03:32:16,300 --> 03:32:19,336 AND CHILDREN AND ADOLESCENTS AND 5149 03:32:19,336 --> 03:32:23,541 DR. TOBIAS SAID THAT IS ACTUALLY 5150 03:32:23,541 --> 03:32:25,409 DR. HOSHER AND EVIDENCE WAS 5151 03:32:25,409 --> 03:32:27,645 LIMITED FOR BOTH PATTERNS THAT 5152 03:32:27,645 --> 03:32:29,446 IS UNFAVORABLE TO THIS OUTCOME 5153 03:32:29,446 --> 03:32:31,348 AND PATTERNS FAVORABLE TO THIS 5154 03:32:31,348 --> 03:32:34,451 OUTCOME AND ADULTS AND OLDER 5155 03:32:34,451 --> 03:32:36,520 ADULTS DR. TOBIAS SAID THAT 5156 03:32:36,520 --> 03:32:38,756 EVIDENCE IS DEFINITELY COMPARED 5157 03:32:38,756 --> 03:32:40,991 WITH OTHERS MUCH MORE CONSISTENT 5158 03:32:40,991 --> 03:32:43,561 AND MORE EVIDENCE INDICATING 5159 03:32:43,561 --> 03:32:46,330 DIETARY PATTERNS EMPHASIZING 5160 03:32:46,330 --> 03:32:48,232 VEGETABLES WHOLE GRAINS AND 5161 03:32:48,232 --> 03:32:51,035 COMMONLY RECOMMENDED FOODS AND 5162 03:32:51,035 --> 03:32:53,070 LOW IN COLONY FOODS HAVE 5163 03:32:53,070 --> 03:32:55,539 FAVORABLE OUTCOMES FOR BODY 5164 03:32:55,539 --> 03:32:57,808 COMPOSITION AND WEIGHT AND IN 5165 03:32:57,808 --> 03:33:02,046 OBESITY AND RISK OF OBESITY AND 5166 03:33:02,046 --> 03:33:04,615 OVERWEIGHT. POSTPARTUM STAGE, 5167 03:33:04,615 --> 03:33:06,917 CONCLUSION WAS UNABLE AND NOT 5168 03:33:06,917 --> 03:33:09,887 ABLE TO DRAW CONCLUSIONS. 5169 03:33:09,887 --> 03:33:17,428 ONCE AGAIN, OTHERS HAVE SAID 5170 03:33:17,428 --> 03:33:18,762 THESE CONCLUSIONS DON'T DIRECTLY 5171 03:33:18,762 --> 03:33:22,299 TRANSLATE TO GUIDANCE AND NEED 5172 03:33:22,299 --> 03:33:23,801 DATA ANALYSIS RESULTING MODELING 5173 03:33:23,801 --> 03:33:28,539 RESULTS IN ORDER TO DO OVERALL 5174 03:33:28,539 --> 03:33:33,377 SYNTHESIS IN RATE OF FOR 5175 03:33:33,377 --> 03:33:35,446 SCIENTIFIC REPORT AND NEXT 5176 03:33:35,446 --> 03:33:35,913 SLIDE, PLEASE. 5177 03:33:35,913 --> 03:33:37,448 ARE THERE QUESTIONS OR COMMENTS 5178 03:33:37,448 --> 03:33:44,889 FROM THE REST OF THE COMMITTEE? 5179 03:33:44,889 --> 03:33:46,857 >> QUESTIONS OR DISCUSSIONS 5180 03:33:46,857 --> 03:33:50,861 RELATED TO DIETARY PATTERNS? 5181 03:33:50,861 --> 03:33:51,528 CRISTINA? 5182 03:33:51,528 --> 03:33:53,631 >> THANK YOU. THERESA, I'M 5183 03:33:53,631 --> 03:33:55,566 INTERESTED IN WHAT YOU PRESENTED 5184 03:33:55,566 --> 03:33:58,802 IN DIETARY PATTERNS FROM BIRTH 5185 03:33:58,802 --> 03:34:05,209 TO 24 MONTHS. 5186 03:34:05,209 --> 03:34:07,611 YOU HAVE 18 PROSPECTIVE COHORT 5187 03:34:07,611 --> 03:34:10,080 STUDIES AND SEEMS THERE IS A LOT 5188 03:34:10,080 --> 03:34:12,283 OF VARIABILITY AND CAN YOU TELL 5189 03:34:12,283 --> 03:34:13,851 US MORE ABOUT WHAT DIETARY 5190 03:34:13,851 --> 03:34:16,053 PATTERNS THEY EVALUATED? 5191 03:34:16,053 --> 03:34:18,522 >> MANY DIFFERENT PATTERNS AND 5192 03:34:18,522 --> 03:34:22,259 SOME PATTERNS ON EARLY AGE GROUP 5193 03:34:22,259 --> 03:34:24,128 0 TO 12 THAT WERE LIKE FOR 5194 03:34:24,128 --> 03:34:26,964 EXAMPLE DIFFERENT LEVELS OF 5195 03:34:26,964 --> 03:34:28,232 BREASTFEEDING PLUS SOLID FOODS 5196 03:34:28,232 --> 03:34:30,534 AND DIFFERENT LEVELS OF FOREIGN 5197 03:34:30,534 --> 03:34:32,403 FEEDING AND DIFFERENT SOLID 5198 03:34:32,403 --> 03:34:39,243 FOODS AND OLDER AND THE OLDER 24 5199 03:34:39,243 --> 03:34:40,577 GIVES THAT IS DIFFERENT FOR 5200 03:34:40,577 --> 03:34:43,948 EXAMPLE THERE IS AN AUSTRALIAN 5201 03:34:43,948 --> 03:34:47,117 STUDY CORE AUST TRAILIAN PATTERN 5202 03:34:47,117 --> 03:34:50,120 AND STUDY FROM BRAZIL AND STABLE 5203 03:34:50,120 --> 03:34:52,423 DIETARY PATTERNS IN BRAZIL AND 5204 03:34:52,423 --> 03:34:55,359 WAY THAT STUDIES AND 5205 03:34:55,359 --> 03:34:56,427 [INDISCERNIBLE] WAS DIFFERENT 5206 03:34:56,427 --> 03:34:58,829 AND SOME WERE BASED ON 5207 03:34:58,829 --> 03:35:01,298 [INDISCERNIBLE] AND SOME WERE 5208 03:35:01,298 --> 03:35:03,300 BASED ON DATA DRIVEN METHOD SUCH 5209 03:35:03,300 --> 03:35:08,005 AS FACTOR ANALYSIS AND THEREFORE 5210 03:35:08,005 --> 03:35:11,208 FOOD COLONATION WAS VERY, VERY 5211 03:35:11,208 --> 03:35:13,577 DIFFERENT AND THOSE THAT WOULD 5212 03:35:13,577 --> 03:35:17,715 THINK AND NOT A NUMBER FROM A 5213 03:35:17,715 --> 03:35:23,587 GEOGRAPHICAL LOCATION AND THE 5214 03:35:23,587 --> 03:35:25,322 DIFFERENCE IN AGE AND 5215 03:35:25,322 --> 03:35:27,925 INVESTIGATORS EXTRACTED AND 5216 03:35:27,925 --> 03:35:29,393 IDENTIFYING PATTERNS AND IS 5217 03:35:29,393 --> 03:35:32,529 CONSISTENCY THAT WAS NOT 5218 03:35:32,529 --> 03:35:35,866 ACTUALLY THERE. 5219 03:35:35,866 --> 03:35:40,204 >> SO SORRY SEEMS THERE IS 5220 03:35:40,204 --> 03:35:42,973 ENOUGH EVIDENCE THAT WE COULD -- 5221 03:35:42,973 --> 03:35:44,108 >> 18 IS. 5222 03:35:44,108 --> 03:35:44,575 >> YEAH. 5223 03:35:44,575 --> 03:35:46,643 >> IT IS QUITE A LARGE NUMBER. 5224 03:35:46,643 --> 03:35:48,312 >> YEAH. 5225 03:35:48,312 --> 03:35:50,247 >> SO, THIS IS A VERY 5226 03:35:50,247 --> 03:35:52,016 INTERESTING AGE GROUP YOU CAN 5227 03:35:52,016 --> 03:35:55,052 IMAGINE 6 MONTHS OLD VERSUS 12 5228 03:35:55,052 --> 03:35:56,954 MONTHS OLD DIETARY PATTERN IS 5229 03:35:56,954 --> 03:36:00,657 RATHER DIFFERENT FROM 18 MONTHS. 5230 03:36:00,657 --> 03:36:03,360 SO, IT IS DIFFICULT TO -- EVEN 5231 03:36:03,360 --> 03:36:05,596 18 WHEN YOU START LOOKING INTO 5232 03:36:05,596 --> 03:36:09,366 AGE GROUPS THAT IS -- THEN IT 5233 03:36:09,366 --> 03:36:12,536 BECOMES NOT SO MANY ANYMORE. 5234 03:36:12,536 --> 03:36:18,776 >> OKAY. 5235 03:36:18,776 --> 03:36:21,578 >> JUST TO FOLLOW UP WHAT DR. 5236 03:36:21,578 --> 03:36:22,880 FUNG SAID THIS IS TRUE ACROSS 5237 03:36:22,880 --> 03:36:31,889 ALL OF THE STUDIES IDENTIFY IIN 5238 03:36:31,889 --> 03:36:34,324 PATTERNS AND IT IS HARD TO BRING 5239 03:36:34,324 --> 03:36:36,527 THAT OUT IN ARTICLES AND THINK 5240 03:36:36,527 --> 03:36:38,762 THAT IS SOMETHING THAT IS A 5241 03:36:38,762 --> 03:36:39,963 RECOMMENDATION FOR THE FUTURE 5242 03:36:39,963 --> 03:36:42,266 THAT IS TO THINK ABOUT IF YOU 5243 03:36:42,266 --> 03:36:44,001 ARE DOING AN INTERVENTION WHAT 5244 03:36:44,001 --> 03:36:46,036 KIND OF DIETARY PATTERN YOU HAD 5245 03:36:46,036 --> 03:36:48,205 AND EXPLAINING IT CLEARLY. 5246 03:36:48,205 --> 03:36:50,541 SO, THAT IS WHERE I THINK LOTS 5247 03:36:50,541 --> 03:36:52,209 OF THESE WE GET STUCK. 5248 03:36:52,209 --> 03:36:54,945 THEN IT IS HARD TO MAKE A 5249 03:36:54,945 --> 03:36:57,681 CONCLUSION WITH THAT. 5250 03:36:57,681 --> 03:36:59,850 I DON'T KNOW IF OTHER MEMBERS OF 5251 03:36:59,850 --> 03:37:04,188 THE COMMITTEE WANTED TO COMMENT 5252 03:37:04,188 --> 03:37:11,462 ON THAT OR FOLLOW UP. 5253 03:37:11,462 --> 03:37:14,298 >> DIETARY [INDISCERNIBLE] IS 5254 03:37:14,298 --> 03:37:18,235 ISSUE OVERALL IS ACROSS THE 5255 03:37:18,235 --> 03:37:21,572 BOARD AND REGARDLESS WHAT AGE 5256 03:37:21,572 --> 03:37:25,042 GROUP AND OUTCOMES AND METHODS 5257 03:37:25,042 --> 03:37:26,677 THERE AND DIFFERENT PEOPLE FOCUS 5258 03:37:26,677 --> 03:37:31,448 ON DIFFERENT ENDPOINTS THAT 5259 03:37:31,448 --> 03:37:32,516 CERTAIN MEASURES AND CERTAIN 5260 03:37:32,516 --> 03:37:34,952 DIETARY PATTERNS ARE RELEVANT TO 5261 03:37:34,952 --> 03:37:38,222 CERTAIN ENDPOINTS THAT IS AN 5262 03:37:38,222 --> 03:37:42,759 ONGOING -- AN ONGOING NOT 5263 03:37:42,759 --> 03:37:44,328 LIMITATIONS BUT COMPLEXITIES IN 5264 03:37:44,328 --> 03:37:46,396 TERMS OF INTERPRETING. 5265 03:37:46,396 --> 03:37:49,266 SO, I THINK IN A WAY MORE 5266 03:37:49,266 --> 03:37:51,168 STUDIES WOULD HELP AND THEN EACH 5267 03:37:51,168 --> 03:37:53,704 OF THE DIETARY DIFFERENT 5268 03:37:53,704 --> 03:37:55,072 CHARACTERISTICS OF DIFFERENT 5269 03:37:55,072 --> 03:37:56,006 DIETARY PATTERNS WOULD HAVE MORE 5270 03:37:56,006 --> 03:37:58,208 NUMBERS ON IT AND EASY TO DRAW 5271 03:37:58,208 --> 03:37:59,476 CONCLUSIONS AND IS EFFORT IN 5272 03:37:59,476 --> 03:38:01,745 TRYING TO COME UP WITH A LITTLE 5273 03:38:01,745 --> 03:38:04,748 MORE STANDARDIZED MORE 5274 03:38:04,748 --> 03:38:06,083 COMMONALITY IN DIFFERENT DIETARY 5275 03:38:06,083 --> 03:38:08,819 PATTERNS FOR COMPARISON AND 5276 03:38:08,819 --> 03:38:09,920 SYNTHESIZING INFORMATION BECOMES 5277 03:38:09,920 --> 03:38:18,996 MORE EASIER ON THAT. 5278 03:38:18,996 --> 03:38:19,363 >> HEATHER? 5279 03:38:19,363 --> 03:38:22,466 >> THANK YOU. I CAN SEE HOW 5280 03:38:22,466 --> 03:38:23,867 CHALLENGING THIS WOULD BE TO, 5281 03:38:23,867 --> 03:38:26,370 YOU KNOW, TO BE ABLE TO KIND OF 5282 03:38:26,370 --> 03:38:31,475 GET CONSENSUS ON PATTERN IING. 5283 03:38:31,475 --> 03:38:33,443 ONE THING ABOUT THIS, WERE THERE 5284 03:38:33,443 --> 03:38:37,047 CERTAIN METHODS OR METRICS USED 5285 03:38:37,047 --> 03:38:38,982 MORE PREVALENTLY THAN OTHERS IN 5286 03:38:38,982 --> 03:38:41,185 KIND OF DEFINING WHAT THE 5287 03:38:41,185 --> 03:38:41,952 PATTERNS WERE? 5288 03:38:41,952 --> 03:38:45,355 I MEAN, I KNOW YOU PULLED OUT A 5289 03:38:45,355 --> 03:38:46,223 GREAT STATEMENT FROM THE 5290 03:38:46,223 --> 03:38:46,490 EVIDENCE. 5291 03:38:46,490 --> 03:38:49,326 I WONDERED ABOUT THE ACTUAL 5292 03:38:49,326 --> 03:38:52,529 METRICS THAT WOULD -- THAT WERE 5293 03:38:52,529 --> 03:38:54,598 USED IN STUDIES. 5294 03:38:54,598 --> 03:38:57,034 >> I THINK THAT LOREL, IF YOU 5295 03:38:57,034 --> 03:38:58,602 COULD GIVE US THE DEFINITION, I 5296 03:38:58,602 --> 03:39:00,804 DON'T -- I KNOW YOU CAN PROBABLY 5297 03:39:00,804 --> 03:39:03,974 GIVE US THE EXACT DEFINITION FOR 5298 03:39:03,974 --> 03:39:06,243 WHAT A DIETARY PATTERN AND HOW 5299 03:39:06,243 --> 03:39:06,910 YOU DETERMINE THAT. 5300 03:39:06,910 --> 03:39:10,180 >> YEAH. WE APPLY THE SAME 5301 03:39:10,180 --> 03:39:11,448 DEFINITION FOR DIETARY PATTERNS 5302 03:39:11,448 --> 03:39:13,317 THAT HAS BEEN APPLIED AND 5303 03:39:13,317 --> 03:39:15,485 PRESENTED ON ALL OF THE DIETARY 5304 03:39:15,485 --> 03:39:17,287 PATTERNS AND ANALYTIC 5305 03:39:17,287 --> 03:39:17,654 FRAMEWORKS. 5306 03:39:17,654 --> 03:39:21,792 SO, IT IS -- IT IS APPLYING THAT 5307 03:39:21,792 --> 03:39:23,193 SAME DEFINITION. 5308 03:39:23,193 --> 03:39:26,330 I AM CURIOUS, HEATHER, IF I CAN 5309 03:39:26,330 --> 03:39:28,432 FOLLOW UP WITH IF YOU ARE ASKING 5310 03:39:28,432 --> 03:39:30,968 ABOUT DEFINITION OF DIETARY 5311 03:39:30,968 --> 03:39:33,570 PATTERN OR METHODS OR APPROACHES 5312 03:39:33,570 --> 03:39:37,107 USED TO DEFINE DIETARY PATTERN 5313 03:39:37,107 --> 03:39:38,909 IN SET FOR 24. 5314 03:39:38,909 --> 03:39:40,377 >> LATTER PART. 5315 03:39:40,377 --> 03:39:40,978 >> THAT YOU SAID. 5316 03:39:40,978 --> 03:39:41,878 >> YEAH. 5317 03:39:41,878 --> 03:39:44,448 >> OKAY. THERE WAS A SORT OF 5318 03:39:44,448 --> 03:39:47,351 VARIETY IN TERMS OF INDISS JIZ 5319 03:39:47,351 --> 03:39:50,187 AND SCORES AND FACTOR CLUSTER 5320 03:39:50,187 --> 03:39:51,488 THAT REALLY KIND OF SPLIT. 5321 03:39:51,488 --> 03:39:53,924 SO, THERE WAS OBVIOUSLY ONE 5322 03:39:53,924 --> 03:39:57,527 INTERVENTION AND 8 OF THE 5323 03:39:57,527 --> 03:39:59,363 ARTICLES USED INDICES AND SCORES 5324 03:39:59,363 --> 03:40:04,001 AND 10 USED FACTOR CLUSTER AND 5325 03:40:04,001 --> 03:40:06,036 LATENT CLASSIC ANALYSIS AND 5326 03:40:06,036 --> 03:40:08,105 REGRESSION AND IN TERMS OF 5327 03:40:08,105 --> 03:40:11,174 ASSESSMENT METHODS VARIETY OF 5328 03:40:11,174 --> 03:40:12,409 FOOD FREQUENCY QUESTIONNAIRES 5329 03:40:12,409 --> 03:40:15,045 THAT WERE PRETTY COMMON AND MORE 5330 03:40:15,045 --> 03:40:17,681 COMMON FOR FOOD FREQUENCY 5331 03:40:17,681 --> 03:40:19,316 QUESTIONNAIRE AND LESS COMMON 5332 03:40:19,316 --> 03:40:22,419 FOR 24 HOUR RECALLS AND 5333 03:40:22,419 --> 03:40:25,055 CAREGIVER SURVEY AND INTERVIEWS. 5334 03:40:25,055 --> 03:40:25,856 >> THANKS. 5335 03:40:25,856 --> 03:40:26,990 >> YEAH. 5336 03:40:26,990 --> 03:40:28,191 >> THANKS. 5337 03:40:28,191 --> 03:40:29,059 >> CHRISTOPHER? 5338 03:40:29,059 --> 03:40:31,128 >> YEAH. TO JUST KEEP IN MIND I 5339 03:40:31,128 --> 03:40:32,896 LIKE PUSHING PEOPLE TO THINK 5340 03:40:32,896 --> 03:40:34,698 FORWARD AND WHAT STUDIES WE NEED 5341 03:40:34,698 --> 03:40:37,167 AND DEFINING PATTERNS IS ALWAYS 5342 03:40:37,167 --> 03:40:39,603 HARD. IF YOU SAID LOW CASH, 5343 03:40:39,603 --> 03:40:41,204 THERE COULD BE MULTIPLE LEVELS 5344 03:40:41,204 --> 03:40:45,142 OF LOW CASH. SAYING MED 5345 03:40:45,142 --> 03:40:46,243 TERRAINIAN NOT EVERYBODY DEFINES 5346 03:40:46,243 --> 03:40:49,680 IT SAME WAY AND DEFINING IT 5347 03:40:49,680 --> 03:40:50,914 CHECKING ADHERENCE TO DIETARY 5348 03:40:50,914 --> 03:40:52,883 PATTERNS IS REALLY CRITICAL TO 5349 03:40:52,883 --> 03:40:54,351 SEE IF THEY WERE FOLLOWING 5350 03:40:54,351 --> 03:40:56,386 ASSIGNED DIET THAT IS A GREAT 5351 03:40:56,386 --> 03:40:59,222 AND REALLY IMPORTANT FIELD AND 5352 03:40:59,222 --> 03:41:00,123 METHODOLOGICALLY LOTS OF WORK 5353 03:41:00,123 --> 03:41:02,526 WILL BE DONE TO FOLLOW UP AND 5354 03:41:02,526 --> 03:41:06,797 MAKE SENSE OF THIS FOR FUTURE 5355 03:41:06,797 --> 03:41:07,364 GUIDELINES. 5356 03:41:07,364 --> 03:41:09,633 >> I WOULD JUST LIKE TO 5357 03:41:09,633 --> 03:41:11,635 REITERATE THAT WE HAVE HAD A LOT 5358 03:41:11,635 --> 03:41:14,905 OF GREAT DISCUSSIONS ABOUT THIS 5359 03:41:14,905 --> 03:41:16,106 VERY ISSUE. 5360 03:41:16,106 --> 03:41:19,242 I KNOW THAT DEDEHAS BEEN REALLY 5361 03:41:19,242 --> 03:41:22,079 ACTIVE AND HAVING US LOOK AT 5362 03:41:22,079 --> 03:41:24,181 THAT AND CHRISTOPHER, YOU KNOW, 5363 03:41:24,181 --> 03:41:26,049 SEVERAL PEOPLE ACROSS THE 5364 03:41:26,049 --> 03:41:26,450 COMMITTEE. 5365 03:41:26,450 --> 03:41:28,318 SO, LOTS OF DISCUSSION ABOUT 5366 03:41:28,318 --> 03:41:29,286 THIS AREA. 5367 03:41:29,286 --> 03:41:32,022 >> I WANT TO THANK THE FEDERAL 5368 03:41:32,022 --> 03:41:33,957 STAFF FOR DOING EVERYTHING THAT 5369 03:41:33,957 --> 03:41:35,692 THEY CAN TO REFLECT AND PRESENT 5370 03:41:35,692 --> 03:41:37,461 THE PATTERNS AND CHARACTERISTICS 5371 03:41:37,461 --> 03:41:39,329 AND PATTERNS IN MANY DIFFERENT 5372 03:41:39,329 --> 03:41:42,632 WAYS SO WE CAN SEE IT FROM 5373 03:41:42,632 --> 03:41:45,602 DIFFERENT ANGLES. 5374 03:41:45,602 --> 03:41:52,876 >> AWESOME. THANK YOU ALL. 5375 03:41:52,876 --> 03:41:54,945 ALINE SEEING YOUR HAND UP DIDN'T 5376 03:41:54,945 --> 03:41:57,114 WANT TO MISS YOU. YOU GOOD? 5377 03:41:57,114 --> 03:41:59,950 EVERYTHING YOU NEEDED? 5378 03:41:59,950 --> 03:42:02,319 >> TERRY ANSWERED QUESTION IN 5379 03:42:02,319 --> 03:42:03,387 PREVIOUS ONE. THANK YOU. 5380 03:42:03,387 --> 03:42:06,056 >> DISCUSSION ON DIETARY 5381 03:42:06,056 --> 03:42:09,359 PATTERNS PIECE BEFORE WE SWITCH 5382 03:42:09,359 --> 03:42:11,294 GEARS A LITTLE? 5383 03:42:11,294 --> 03:42:13,830 >> DEANNA, TURNING IT BACK TO 5384 03:42:13,830 --> 03:42:17,367 YOU TO TALK ABOUT SPECIFIC 5385 03:42:17,367 --> 03:42:18,802 DIETARY PATTERN COMPONENTS. 5386 03:42:18,802 --> 03:42:20,904 >> YEAH. NOW WE WILL SWITCH TO 5387 03:42:20,904 --> 03:42:22,706 BEVERAGES THAT IS A LITTLE BIT 5388 03:42:22,706 --> 03:42:24,441 MORE CLEARCUT THAN WHAT WE HAVE 5389 03:42:24,441 --> 03:42:25,375 BEEN TALKING ABOUT. 5390 03:42:25,375 --> 03:42:27,811 SO, I WILL HAND IT OVER TO 5391 03:42:27,811 --> 03:42:31,214 ANDREA AND HOLLY WHO WILL 5392 03:42:31,214 --> 03:42:34,584 PRESENT THIS SECTION. 5393 03:42:34,584 --> 03:42:38,789 >> OKAY. GREAT. ALL RIGHT. 5394 03:42:38,789 --> 03:42:41,425 SO, THIS SLIDE IS PRESENTING 5395 03:42:41,425 --> 03:42:42,125 ANALYTIC FRAMEWORK FOR THE 5396 03:42:42,125 --> 03:42:44,761 QUESTION OF WHAT IS THE 5397 03:42:44,761 --> 03:42:46,396 RELATIONSHIP BETWEEN BEVERAGE 5398 03:42:46,396 --> 03:42:49,132 PATTERNS CONSUMED AND GROWTH 5399 03:42:49,132 --> 03:42:51,034 BODY COMPOSITION AND RISK OF 5400 03:42:51,034 --> 03:42:51,468 OBESITY. 5401 03:42:51,468 --> 03:42:53,270 SO, THE POPULATION GROUPS ARE 5402 03:42:53,270 --> 03:42:56,072 THE SAME FROM CHILDREN 2 TO 19 5403 03:42:56,072 --> 03:42:58,175 YEARS AND ADULTS OLDER ADULTS 5404 03:42:58,175 --> 03:43:00,644 AND INDIVIDUALS DURING PREGNANCY 5405 03:43:00,644 --> 03:43:03,680 AND INTERVENTION AND EXPOSURE IS 5406 03:43:03,680 --> 03:43:05,515 CONSUMPTION OF A BEVERAGE 5407 03:43:05,515 --> 03:43:07,984 PATTERN AND IN PROTOCOL WE 5408 03:43:07,984 --> 03:43:10,420 DEFINE BEVERAGE PATTERNS 5409 03:43:10,420 --> 03:43:13,790 QUANTITIES PROPORTIONS VARIETY 5410 03:43:13,790 --> 03:43:15,492 OR COMBINATION OF BEVERAGES OR 5411 03:43:15,492 --> 03:43:17,260 DIETS AND FREQUENCY WITH WHICH 5412 03:43:17,260 --> 03:43:20,330 THEY ARE HABITUALLY CONSUMED 5413 03:43:20,330 --> 03:43:22,365 COMPARATORS ARE CONSUMPTION OF 5414 03:43:22,365 --> 03:43:23,934 OR ADHERENCE TO DIFFERENT 5415 03:43:23,934 --> 03:43:25,836 BEVERAGE PATTERN OR DIFFERENT 5416 03:43:25,836 --> 03:43:32,008 LEVELS OF CONSUJTS OF OR 5417 03:43:32,008 --> 03:43:33,143 ADHERENCE TO BEVERAGE PATTERN 5418 03:43:33,143 --> 03:43:36,646 AND SEEING LIST OF KEY 5419 03:43:36,646 --> 03:43:40,317 CONFOUNDERS WE CONSIDERED. 5420 03:43:40,317 --> 03:43:42,352 ING NOTING FOR THIS QUESTION 5421 03:43:42,352 --> 03:43:44,054 AND BEVERAGE QUESTIONS THAT 5422 03:43:44,054 --> 03:43:45,989 TOTAL ENERGY INTAKE WAS NOT 5423 03:43:45,989 --> 03:43:48,325 CONSIDERED A KEY CONFOUNDER AND 5424 03:43:48,325 --> 03:43:50,026 WE DID TAKE INTO ACCOUNT WHETHER 5425 03:43:50,026 --> 03:43:52,128 OR NOT STUDIES CONTROLLED FOR 5426 03:43:52,128 --> 03:43:56,633 TOTAL ENERGY INTAKE WHEN 5427 03:43:56,633 --> 03:44:06,510 SYNTHESIZING EVIDENCE. 5428 03:44:06,510 --> 03:44:08,445 >> OKAY. FOR RESEARCH QUESTION 5429 03:44:08,445 --> 03:44:10,080 WE FOUND THAT THE CONCLUSION 5430 03:44:10,080 --> 03:44:11,481 STATEMENT COULDN'T BE DRAWN. 5431 03:44:11,481 --> 03:44:13,049 THERE IS NOT ENOUGH AVAILABLE 5432 03:44:13,049 --> 03:44:15,018 EVIDENCE LOOKING AT BODY OF 5433 03:44:15,018 --> 03:44:16,386 EVIDENCE IT WAS VERY SMALL AND 5434 03:44:16,386 --> 03:44:18,855 WE HAD FOUR ARTICLES WITH ONLY 5435 03:44:18,855 --> 03:44:20,457 TWO STUDIES AMONG CHILDREN AND 5436 03:44:20,457 --> 03:44:23,426 ONE STUDY AMONG ADULTS AND ONE 5437 03:44:23,426 --> 03:44:25,896 STUDY AMONG INDIVIDUALS DURING 5438 03:44:25,896 --> 03:44:27,998 PREGNANCY AND ADDITIONALLY TWO 5439 03:44:27,998 --> 03:44:29,866 STUDIES IN CHILDREN HAD VERY 5440 03:44:29,866 --> 03:44:35,005 DIFFERENT METHODS AS WELL AS 5441 03:44:35,005 --> 03:44:35,305 RESULTS. 5442 03:44:35,305 --> 03:44:37,173 NEXT SLIDE. 5443 03:44:37,173 --> 03:44:39,442 OKAY. THIS STUDY OR SLIDE 5444 03:44:39,442 --> 03:44:42,512 PRESENTS ANALYTIC FRAMEWORK FOR 5445 03:44:42,512 --> 03:44:44,748 THE RELATIONSHIP BETWEEN OR FOR 5446 03:44:44,748 --> 03:44:46,983 THE QUESTION OF THE RELATIONSHIP 5447 03:44:46,983 --> 03:44:51,521 BETWEEN 100% JUICE CONSUMPTION 5448 03:44:51,521 --> 03:44:53,223 AND GROWTH OF BODY CONSUMPTION 5449 03:44:53,223 --> 03:44:55,825 AND RISK OF OBESITY AND 5450 03:44:55,825 --> 03:44:57,127 PRIORITIZED FOR SYSTEMATIC 5451 03:44:57,127 --> 03:44:59,863 REVIEW WITH ANALYSIS FOR YOUNGER 5452 03:44:59,863 --> 03:45:03,233 POPULATIONS FROM INFANCY THROUGH 5453 03:45:03,233 --> 03:45:05,101 ADLESSIENTS AND INTERVENTION 5454 03:45:05,101 --> 03:45:10,040 EXPOSURE LIMITING QUESTIONS TO 5455 03:45:10,040 --> 03:45:13,276 STUDIES THAT HAVE JUICE 5456 03:45:13,276 --> 03:45:14,110 INDEPENDENTLY FROM BEVERAGES 5457 03:45:14,110 --> 03:45:16,313 FRUIT JUICES AND ADDED SUGAR 5458 03:45:16,313 --> 03:45:18,281 WILL BE INCLUDED IN SYSTEMATIC 5459 03:45:18,281 --> 03:45:21,084 REVIEW AND IN REVIEW FOR SUGAR 5460 03:45:21,084 --> 03:45:22,886 SWEETENED BEVERAGES AND IN 5461 03:45:22,886 --> 03:45:25,055 ADDITION TO COMPARATORS USED FOR 5462 03:45:25,055 --> 03:45:27,123 OTHER BEVERAGE TYPES IN ADDITION 5463 03:45:27,123 --> 03:45:29,292 TO COMPARING FOR CONSUMPTION OF 5464 03:45:29,292 --> 03:45:30,961 DIFFERENT AMOUNT OR WATER AND 5465 03:45:30,961 --> 03:45:34,130 STUDIES COMPARING 100% JUICE TO 5466 03:45:34,130 --> 03:45:36,933 A SOLID SUCH AS SOLID FRUIT WERE 5467 03:45:36,933 --> 03:45:39,202 ALSO ELIGIBLE FOR INCLUSION. 5468 03:45:39,202 --> 03:45:41,538 AND LOOKING AT THE KEY 5469 03:45:41,538 --> 03:45:42,606 CONFOUNDERS THAT WE ARE 5470 03:45:42,606 --> 03:45:45,275 INCLUDING ADDITION OF INFANTS 5471 03:45:45,275 --> 03:45:47,377 AND YOUNG CHILDREN UP TO TWO 5472 03:45:47,377 --> 03:45:49,813 YEARS OF AGE WE CONSIDERED KEY 5473 03:45:49,813 --> 03:45:52,382 CONFOUNDERS FOR AGE GROUPS AND 5474 03:45:52,382 --> 03:45:55,552 SEE IN TOP IN BOLD MATERNAL AGE 5475 03:45:55,552 --> 03:45:57,921 MILK FEEDING PRACTICES AND 5476 03:45:57,921 --> 03:45:59,089 GESTATIONAL AGE. 5477 03:45:59,089 --> 03:45:59,389 OKAY. 5478 03:45:59,389 --> 03:46:00,090 NEXT SLIDE. 5479 03:46:00,090 --> 03:46:02,158 THIS IS THE SUMMARY SLIDE THAT 5480 03:46:02,158 --> 03:46:04,094 IS SHOWING THE SUMMARY OF THE 5481 03:46:04,094 --> 03:46:05,228 DIFFERENT CONCLUSION STATEMENTS 5482 03:46:05,228 --> 03:46:07,464 WE HAVE MADE ACROSS THE 5483 03:46:07,464 --> 03:46:10,033 DIFFERENT LIFE STAGES WE LOOKED 5484 03:46:10,033 --> 03:46:10,467 AT. 5485 03:46:10,467 --> 03:46:15,705 I WILL DETAIL FINDINGS IN THE 5486 03:46:15,705 --> 03:46:17,374 NEXT SLIDES. 5487 03:46:17,374 --> 03:46:22,045 OKAY. FIRST, FOR 100% JUICE 5488 03:46:22,045 --> 03:46:23,980 CONSUMPTION IN CHILDREN AND 5489 03:46:23,980 --> 03:46:26,082 ADOLESCENTS WE FOUND MODERATE 5490 03:46:26,082 --> 03:46:28,084 EVIDENCE INDICATES 100% JUICE 5491 03:46:28,084 --> 03:46:29,653 CONSUMPTION IS NOT ASSOCIATED 5492 03:46:29,653 --> 03:46:31,454 WITH BODY COMPOSITION AND RISK 5493 03:46:31,454 --> 03:46:33,623 OF OBESITY IN YOUNG CHILDREN 5494 03:46:33,623 --> 03:46:35,959 THROUGH ADOLESCENTS AND 5495 03:46:35,959 --> 03:46:36,526 DEVELOPMENT OF CONCLUSION 5496 03:46:36,526 --> 03:46:38,395 STATEMENT IS BODY OF EVIDENCE 5497 03:46:38,395 --> 03:46:40,430 AND RESULTS OF METAANALYSIS AS 5498 03:46:40,430 --> 03:46:44,167 WELL AS ALL ARTICLES INCLUDING 5499 03:46:44,167 --> 03:46:45,969 SYSTEMATIC REVIEW AND FEWER 5500 03:46:45,969 --> 03:46:47,904 ARTICLES INCLUDING METAANALYSIS 5501 03:46:47,904 --> 03:46:50,640 AND SEEING 16 ARTICLES OUT OF 28 5502 03:46:50,640 --> 03:46:52,409 INCLUDED IN THE METAANALYSIS 5503 03:46:52,409 --> 03:46:56,746 THAT IS GENERALLY DUE TO TOO 5504 03:46:56,746 --> 03:46:57,547 FEW. 5505 03:46:57,547 --> 03:46:58,181 STUDENT: IES REPORTING COMMON 5506 03:46:58,181 --> 03:47:00,850 OUTCOMES OR SUFFICIENT 5507 03:47:00,850 --> 03:47:02,152 INFORMATION ESTIMATING COMMON 5508 03:47:02,152 --> 03:47:04,821 EFFECT SIZES AND NOTED THAT BODY 5509 03:47:04,821 --> 03:47:05,955 OF EVIDENCE INCLUDED FOUR 5510 03:47:05,955 --> 03:47:08,158 STUDIES IN BIRTH TO 24 MONTH 5511 03:47:08,158 --> 03:47:09,959 POPULATION AND ONLY ONE OF THE 5512 03:47:09,959 --> 03:47:12,495 STUDIES WAS INCLUDED IN THE 5513 03:47:12,495 --> 03:47:12,962 METAANALYSIS. 5514 03:47:12,962 --> 03:47:14,264 SO, THIS CONCLUSION STATEMENT 5515 03:47:14,264 --> 03:47:16,232 SHOULD BE INTERPRETED WITH 5516 03:47:16,232 --> 03:47:18,768 CAUTION WHEN WE ARE THINKING 5517 03:47:18,768 --> 03:47:20,837 ABOUT THE POPULATION OF THE 5518 03:47:20,837 --> 03:47:23,139 YOUNGER AGE GROUPS. 5519 03:47:23,139 --> 03:47:24,107 ADDITIONALLY, THE CURRENT 5520 03:47:24,107 --> 03:47:27,043 DIETARY GUIDELINES FOR AMERICANS 5521 03:47:27,043 --> 03:47:28,344 RECOMMENDS NO JUICE CONSUMPTION 5522 03:47:28,344 --> 03:47:29,779 BEFORE THE AGE OF 12 MONTHS THAT 5523 03:47:29,779 --> 03:47:32,482 YOU CAN SEE IN THE CONCLUSION 5524 03:47:32,482 --> 03:47:35,885 STATEMENT WE HAVE USED THE TERM 5525 03:47:35,885 --> 03:47:36,853 YOUNG CHILDREN TO DESIGNATE 5526 03:47:36,853 --> 03:47:39,622 YOUNG CHILDREN STARTING AT AGE 5527 03:47:39,622 --> 03:47:46,963 OF ONE YEAR GOING UPWARDS TO 5528 03:47:46,963 --> 03:47:48,665 ADOLESCENTS. 5529 03:47:48,665 --> 03:47:50,233 BMI AND WEIGHT WERE FOCUSED ON 5530 03:47:50,233 --> 03:47:52,435 AND DUE TO RELATIVELY FEW 5531 03:47:52,435 --> 03:47:56,539 STUDIES REPORTING ON BODY 5532 03:47:56,539 --> 03:47:58,274 COMPOSITION OUTD COMES. 5533 03:47:58,274 --> 03:48:01,311 BUT WITH INNER METAANALYSIS 5534 03:48:01,311 --> 03:48:03,213 RESULTS FINDINGS WERE CONSISTENT 5535 03:48:03,213 --> 03:48:04,380 WITH GENERAL AGREEMENT AND 5536 03:48:04,380 --> 03:48:06,082 DIRECTION AND MAGNITUDE OF 5537 03:48:06,082 --> 03:48:09,052 FINDINGS AND LOWER HETEROGENEITY 5538 03:48:09,052 --> 03:48:12,255 AND SYSTEMATIC REVIEW THINKING 5539 03:48:12,255 --> 03:48:13,823 OUTSIDE OF THE METAANALYSIS 5540 03:48:13,823 --> 03:48:16,226 FINDINGS THAT IS NOT ABLE TO 5541 03:48:16,226 --> 03:48:17,861 INCLUDE BODY COMPOSITION 5542 03:48:17,861 --> 03:48:19,729 OUTCOMES STUDIES INCLUDING 5543 03:48:19,729 --> 03:48:20,764 SYSTEMATIC ROOU VIEW THOUGHT 5544 03:48:20,764 --> 03:48:23,733 ABOUT THE OUTCOMES AND THINKING 5545 03:48:23,733 --> 03:48:26,069 OF WASTE CIRCUMFERENCE AND 5546 03:48:26,069 --> 03:48:27,771 PERCENT BODY FAT INCLUDED AND 5547 03:48:27,771 --> 03:48:30,206 ABLE TO LOOK AT THOSE PART OF 5548 03:48:30,206 --> 03:48:31,541 SYSTEMATIC REVIEW AND 5549 03:48:31,541 --> 03:48:33,209 CONSISTENCY FINDINGS WERE 5550 03:48:33,209 --> 03:48:34,744 CONSISTENT ACROSS STUDIES AND 5551 03:48:34,744 --> 03:48:37,113 FOR THOSE ESPECIALLY ADJUSTING 5552 03:48:37,113 --> 03:48:39,315 FOR TOTAL ENERGY INTAKE AND 5553 03:48:39,315 --> 03:48:41,851 FINDINGS WERE MIXED IN STUDIES 5554 03:48:41,851 --> 03:48:43,520 NOT ADJUSTING FOR TOTAL ENERGY 5555 03:48:43,520 --> 03:48:45,855 INTAKE AND THOSE THAT LOOKED 5556 03:48:45,855 --> 03:48:48,691 AMONG ADOLESCENT POPULATIONS AND 5557 03:48:48,691 --> 03:48:50,660 MAJORITY OF STUDIES STILL SHOWED 5558 03:48:50,660 --> 03:48:54,130 NULL FINDINGS METAANALYSIS 5559 03:48:54,130 --> 03:48:56,299 RESULTS SHOWED CONSISTENCY AND 5560 03:48:56,299 --> 03:48:58,368 DIRECTION OF FINDINGS ACROSS 5561 03:48:58,368 --> 03:49:00,303 ANALYSIS HELPING CONFIRM A LACK 5562 03:49:00,303 --> 03:49:02,505 OF RELATIONSHIP BETWEEN JUICE 5563 03:49:02,505 --> 03:49:04,874 CONSUMPTION WITH WEIGHT AND BMI. 5564 03:49:04,874 --> 03:49:06,209 SORRY ABOUT THIS. 5565 03:49:06,209 --> 03:49:08,444 PRECISION, ONE TRIAL, THERE IS 5566 03:49:08,444 --> 03:49:10,046 ONE TRIAL WITH A VERY SMALL 5567 03:49:10,046 --> 03:49:12,182 SAMPLE SIZE AND MULTIPLE COHORTS 5568 03:49:12,182 --> 03:49:14,450 THAT HAD A SMALLER SAMPLE SIZE 5569 03:49:14,450 --> 03:49:16,753 AROUND LESS THAN 100 5570 03:49:16,753 --> 03:49:17,854 PARTICIPANTS AND THOUGH THERE 5571 03:49:17,854 --> 03:49:20,156 WAS MANY COHORTS WITH SAMPLE 5572 03:49:20,156 --> 03:49:22,892 SIZES IN THE THOUSANDS AND 5573 03:49:22,892 --> 03:49:24,527 METAANALYSIS, THERE WERE A FEW 5574 03:49:24,527 --> 03:49:27,530 UNIQUE SAMPLES AND ALL ANALYSIS 5575 03:49:27,530 --> 03:49:29,399 WERE AROUND SIZABLE SAMPLE 5576 03:49:29,399 --> 03:49:29,766 SIZES. 5577 03:49:29,766 --> 03:49:32,569 FOR RISK OF BIAS, THE MAJORITY 5578 03:49:32,569 --> 03:49:34,971 OF COHORT STUDIES HAD RISK OF 5579 03:49:34,971 --> 03:49:37,774 BIAS DUE TO CONFOUNDING AS WELL 5580 03:49:37,774 --> 03:49:39,876 AS MISSING DATA AND DIRECTNESS 5581 03:49:39,876 --> 03:49:44,948 STUDIES DID CONSISTENTLY MEASURE 5582 03:49:44,948 --> 03:49:47,183 100% JUICE CONSUMPTION AND 5583 03:49:47,183 --> 03:49:49,719 MEASURING 100% FRUIT JUICE 5584 03:49:49,719 --> 03:49:51,654 CONSUMPTION AND LASTLY 5585 03:49:51,654 --> 03:49:53,022 GENERALIZABILITY BODY OF 5586 03:49:53,022 --> 03:49:54,824 EVIDENCE HAD GREATER DIVERSITY 5587 03:49:54,824 --> 03:49:56,459 LOOKING AT RACE AND ETHNICITY 5588 03:49:56,459 --> 03:49:58,695 AND SOCIOECONOMIC POSITION 5589 03:49:58,695 --> 03:50:00,363 COMPARED TO OTHERS THAT WE HAVE 5590 03:50:00,363 --> 03:50:02,966 SEEN IN THE BEVERAGE REVIEW AND 5591 03:50:02,966 --> 03:50:05,368 ONE SUBSTANTIAL CONCERN IS 5592 03:50:05,368 --> 03:50:06,569 GENERALIZABILITY AS I MENTIONED 5593 03:50:06,569 --> 03:50:09,172 IS WITH A SMALL NUMBER OF 5594 03:50:09,172 --> 03:50:10,406 STUDIES THAT ARE AMONG YOUNG 5595 03:50:10,406 --> 03:50:12,575 CHILDREN THAT LIMITS REALLY OUR 5596 03:50:12,575 --> 03:50:15,745 ABILITY TO MAKE CONCLUSIONS 5597 03:50:15,745 --> 03:50:19,649 ABOUT THAT POPULATION. 5598 03:50:19,649 --> 03:50:20,917 OKAY. NEXT SLIDE. 5599 03:50:20,917 --> 03:50:24,087 SO, HERE WE ARE LOOKING AT 100% 5600 03:50:24,087 --> 03:50:26,356 JUICE CONSUMPTION IN ADULTS 5601 03:50:26,356 --> 03:50:28,157 LOOKING AT BOTH BODY COMPOSITION 5602 03:50:28,157 --> 03:50:30,994 AND RISK OF OBESITY AND WE MADE 5603 03:50:30,994 --> 03:50:32,762 SEPARATE CONCLUSION STATEMENTS 5604 03:50:32,762 --> 03:50:35,932 FOR BODY COMPOSITION AND RISK OF 5605 03:50:35,932 --> 03:50:39,035 OBESITY AS WELL OR WEIGHT GAIN. 5606 03:50:39,035 --> 03:50:40,436 FIRST, STARTING WITH WEIGHT 5607 03:50:40,436 --> 03:50:43,573 GAIN, THERE IS LIMITED EVIDENCE 5608 03:50:43,573 --> 03:50:45,375 SUGGESTING 100% JUICE 5609 03:50:45,375 --> 03:50:47,076 CONSUMPTION MAY NOT BE 5610 03:50:47,076 --> 03:50:48,745 ASSOCIATED WITH WEIGHT GAIN IN 5611 03:50:48,745 --> 03:50:50,713 ADULTS AND YOU CAN SEE BODY OF 5612 03:50:50,713 --> 03:50:53,683 EVIDENCE WAS FOR CTS AND 11 5613 03:50:53,683 --> 03:50:56,519 PROSPECTIVE COHORT STUDIES AND 5614 03:50:56,519 --> 03:50:58,054 FOR CONSISTENCY THERE WAS 5615 03:50:58,054 --> 03:51:00,390 CONCERN WITH CONSISTENCY WITH 5616 03:51:00,390 --> 03:51:02,458 DIRECTIONS OF FINDINGS OVERALL 5617 03:51:02,458 --> 03:51:04,193 ESPECIALLY IN THE COHORT STUDIES 5618 03:51:04,193 --> 03:51:07,563 AND FINDINGS FROM TRIALS TENDED 5619 03:51:07,563 --> 03:51:10,066 TO BE MORE CONSISTENT WITH ALL 5620 03:51:10,066 --> 03:51:11,901 BUT ONE FINDING NULL RESULTS AND 5621 03:51:11,901 --> 03:51:15,238 FOR PRECISION THERE WERE 5622 03:51:15,238 --> 03:51:25,715 CONCERNS WITH -- AS WELL AS 5623 03:51:29,919 --> 03:51:32,555 LOOKING AT CONTINUOUS AND 5624 03:51:32,555 --> 03:51:34,223 CATEGORICAL EXPOSURES. 5625 03:51:34,223 --> 03:51:36,693 MAKING IT DIFFICULT TO COMPARE 5626 03:51:36,693 --> 03:51:39,762 EFFECT SIZES AND CONFIDENCE 5627 03:51:39,762 --> 03:51:40,930 INTERVALS ACROSS THE STUD JIZ 5628 03:51:40,930 --> 03:51:43,266 AND RISK OF BIAS TRIALS WERE 5629 03:51:43,266 --> 03:51:46,369 IMPACTED BY RISK OF BIAS AND 5630 03:51:46,369 --> 03:51:47,003 RANDOMIZATION TECHNIQUE AND 5631 03:51:47,003 --> 03:51:48,771 SELECTION IS REPORTED RESULTS 5632 03:51:48,771 --> 03:51:52,475 AND INADEQUATE ANALYSIS DETAILS 5633 03:51:52,475 --> 03:51:54,610 IN PRE-REGISTERED PROTOCOLS AND 5634 03:51:54,610 --> 03:51:56,813 COHORT STUDIES HIGH RISK OF BIAS 5635 03:51:56,813 --> 03:51:59,248 DUE TO CONFOUNDING AND MISSING 5636 03:51:59,248 --> 03:52:00,984 DATA AND DIRECTNESS AND TRIALS 5637 03:52:00,984 --> 03:52:02,719 WERE DESIGNED TO ANSWER THIS 5638 03:52:02,719 --> 03:52:05,188 QUESTION AND THEY ALL LOOKED AT 5639 03:52:05,188 --> 03:52:06,889 DIFFERENT INDIVIDUAL JUICE TYPES 5640 03:52:06,889 --> 03:52:09,058 AND FOR COHORT STUDIES WE DIDN'T 5641 03:52:09,058 --> 03:52:11,127 SEE NOTICEABLE ISSUES WITH 5642 03:52:11,127 --> 03:52:12,428 DIRECTNESS AND THEY OBVIOUSLY 5643 03:52:12,428 --> 03:52:14,430 HAVE BROADER DESIGNS OR 5644 03:52:14,430 --> 03:52:14,831 PURPOSES. 5645 03:52:14,831 --> 03:52:17,000 AND FOR GENERALIZABILITY, ALL 5646 03:52:17,000 --> 03:52:20,203 TRIALS WERE LIMITED TO 5647 03:52:20,203 --> 03:52:22,238 INDIVIDUALS WITH OVERWEIGHT OR 5648 03:52:22,238 --> 03:52:26,209 OBESITY AT BASELINE AND MOSTLY 5649 03:52:26,209 --> 03:52:27,577 TARGETING WEIGHT LOSS AND COHORT 5650 03:52:27,577 --> 03:52:30,747 STUDIES REPORTING RACE AND 5651 03:52:30,747 --> 03:52:32,415 ETHNICITY DATA PREDOMINANTLY 5652 03:52:32,415 --> 03:52:33,983 WHITE PARTICIPATE YNS WITH 5653 03:52:33,983 --> 03:52:38,287 HIGHER OR LOWER SOCIOECONOMIC 5654 03:52:38,287 --> 03:52:40,757 POSITION AND ONE HAD LOWER 5655 03:52:40,757 --> 03:52:42,225 SOCIOECONOMIC POSITION. 5656 03:52:42,225 --> 03:52:43,526 LOOKING FOR OTHER CONCLUSION 5657 03:52:43,526 --> 03:52:45,261 STATEMENTS WE FOUND THERE IS 5658 03:52:45,261 --> 03:52:46,462 MODERATE EVIDENCE TO INDICATE 5659 03:52:46,462 --> 03:52:50,033 THAT 100% JUICE INTAKE IS NOT 5660 03:52:50,033 --> 03:52:51,367 ASSOCIATED WITH BODY COMPOSITION 5661 03:52:51,367 --> 03:52:53,469 IN ADULTS AND HERE BODY OF 5662 03:52:53,469 --> 03:52:56,506 EVIDENCE IS THREE TRIALS AND 7 5663 03:52:56,506 --> 03:52:58,474 PROSPECTIVE COHORT STUDIES AND 5664 03:52:58,474 --> 03:52:59,976 CONSISTENCY HERE, FINDINGS 5665 03:52:59,976 --> 03:53:01,844 ACROSS ALL OF THE STUDIES WERE 5666 03:53:01,844 --> 03:53:04,614 NULL FOR 100% JUICE CONSUMPTION 5667 03:53:04,614 --> 03:53:06,749 AND MEASURES OF BODY COMPOSITION 5668 03:53:06,749 --> 03:53:08,918 IN ADULTS AND PRECISION AGAIN WE 5669 03:53:08,918 --> 03:53:10,887 HAD SIMILAR CONCERNS I MENTIONED 5670 03:53:10,887 --> 03:53:12,688 BEFORE IN TERMS OF SMALL NUMBER 5671 03:53:12,688 --> 03:53:15,358 OF TRIALS AND SMALL SAMPLE SIZES 5672 03:53:15,358 --> 03:53:18,428 AND COHORT STUDIES WITH VARYING 5673 03:53:18,428 --> 03:53:20,029 METRICS FOR EXPOSURES AND 5674 03:53:20,029 --> 03:53:22,131 SIMILAR CONCERNS FOR RISK OF 5675 03:53:22,131 --> 03:53:24,300 BIAS AGAIN AND SIMILAR TRIALS 5676 03:53:24,300 --> 03:53:25,802 PROOEND SPECULATIVE COHORT 5677 03:53:25,802 --> 03:53:27,970 STUDIES INCLUDED AND ISSUES WITH 5678 03:53:27,970 --> 03:53:30,506 RISK AND BIAS AND RANDOMIZATION 5679 03:53:30,506 --> 03:53:32,542 TECHNIQUE FOR TRIALS AS WELL AS 5680 03:53:32,542 --> 03:53:35,211 CONFOUNDING AND MISSING DATA FOR 5681 03:53:35,211 --> 03:53:36,746 COHORT STUDIES AND DIRECTNESS 5682 03:53:36,746 --> 03:53:38,881 AND TRIALS DESIGNED TO ANSWER 5683 03:53:38,881 --> 03:53:40,750 THIS QUESTION AS WELL AS COHORT 5684 03:53:40,750 --> 03:53:43,553 STUDIES AND SIMILARLY FOR 5685 03:53:43,553 --> 03:53:44,454 GENERALIZABILITY ISSUES THAT 5686 03:53:44,454 --> 03:53:47,490 TRIALS WERE BASED IN POPULATIONS 5687 03:53:47,490 --> 03:53:50,259 THAT WERE OVERWEIGHT OR OBESE AT 5688 03:53:50,259 --> 03:53:51,861 BASELINE AND LESS REPORTING OF 5689 03:53:51,861 --> 03:53:56,365 RACE AND ETHNICITY AND 5690 03:53:56,365 --> 03:53:59,068 SOCIOECONOMIC POSITION. 5691 03:53:59,068 --> 03:54:02,338 OKAY. 100% JUICE CONSUMPTION BY 5692 03:54:02,338 --> 03:54:05,041 INDIVIDUALS DURING PREGNANCY AND 5693 03:54:05,041 --> 03:54:07,009 GESTATIONAL WEIGHT GAIN AND 5694 03:54:07,009 --> 03:54:07,877 CONCLUSION STATEMENT COULDN'T BE 5695 03:54:07,877 --> 03:54:09,812 DRAWN AND NO EVIDENCE AVAILABLE 5696 03:54:09,812 --> 03:54:13,149 FOR EXAMINING THIS QUESTION. 5697 03:54:13,149 --> 03:54:15,284 LASTLY, SIMILAR TO DURING 5698 03:54:15,284 --> 03:54:16,886 PREGNANCY WE SEE IN AMONG 5699 03:54:16,886 --> 03:54:19,922 INDIVIDUALS DURING POSTPARTUM 5700 03:54:19,922 --> 03:54:21,057 WITH POSTPARTUM WEIGHT CHANGE WE 5701 03:54:21,057 --> 03:54:22,425 COULDN'T DRAW CONCLUSIONS ABOUT 5702 03:54:22,425 --> 03:54:27,163 THIS. AGAIN, THERE ARE NO 5703 03:54:27,163 --> 03:54:31,501 ARTICLES EXAMINING THIS QUES 5704 03:54:31,501 --> 03:54:35,805 QUESTION. 5705 03:54:35,805 --> 03:54:36,772 OKAY. NOW HOLLY. 5706 03:54:36,772 --> 03:54:39,075 >> THANK YOU, ANDREA. I WILL 5707 03:54:39,075 --> 03:54:43,212 MOVE ON TO LOOKING AT THE 5708 03:54:43,212 --> 03:54:45,915 RELATIONSHIP BETWEEN DAIRY MILK 5709 03:54:45,915 --> 03:54:48,384 AND MILK ALTERNATIVE CONSUMPTION 5710 03:54:48,384 --> 03:54:51,120 AND BODY COMPOSITION AND RISK OF 5711 03:54:51,120 --> 03:54:53,089 OBESITY AND SEEING THIS SLIDE 5712 03:54:53,089 --> 03:54:55,458 SHOWS ANALYTIC FRAMEWORK THAT 5713 03:54:55,458 --> 03:54:57,260 HOPEFULLY BY NOW LOOKS VERY 5714 03:54:57,260 --> 03:54:59,362 FAMILIAR AND WANT TO NOTE THAT, 5715 03:54:59,362 --> 03:55:01,330 EXCUSE ME. 5716 03:55:01,330 --> 03:55:03,966 WE EXAMINE EVIDENCE FOR FOETAL 5717 03:55:03,966 --> 03:55:06,102 MILK CONSUMPTION AND MILK 5718 03:55:06,102 --> 03:55:07,837 ALTERNATIVES AND MILK WITH 5719 03:55:07,837 --> 03:55:11,607 DIFFERENT AMOUNTS OF FAT AND/OR 5720 03:55:11,607 --> 03:55:13,476 SWEETENER AND SYNTHESIZE 5721 03:55:13,476 --> 03:55:16,145 EVIDENCE BY LIFE STAGE. 5722 03:55:16,145 --> 03:55:18,247 NEXT SLIDE. 5723 03:55:18,247 --> 03:55:20,683 >> THIS SLIDE PROVIDES A SUMMARY 5724 03:55:20,683 --> 03:55:22,451 OF ALL OUR CONCLUSION 5725 03:55:22,451 --> 03:55:22,752 STATEMENTS. 5726 03:55:22,752 --> 03:55:24,353 OUR NEXT SLIDES WE WILL GO 5727 03:55:24,353 --> 03:55:26,822 THROUGH ACTUALLY I WILL GO IN 5728 03:55:26,822 --> 03:55:30,126 MORE DETAIL ABOUT EACH OF THE 5729 03:55:30,126 --> 03:55:30,626 CONCLUSION STATEMENTS. 5730 03:55:30,626 --> 03:55:31,294 NEXT SLIDE. 5731 03:55:31,294 --> 03:55:34,463 SO, STARTING WITH TOTAL DAIRY 5732 03:55:34,463 --> 03:55:36,699 MILK AND MILK ALTERNATIVE 5733 03:55:36,699 --> 03:55:38,601 CONSUMPTION IN CHILDREN AND 5734 03:55:38,601 --> 03:55:40,002 ADLESSIENTS WE DEVELOPED 5735 03:55:40,002 --> 03:55:42,138 ACTUALLY TWO CONCLUSION 5736 03:55:42,138 --> 03:55:42,438 STATEMENTS. 5737 03:55:42,438 --> 03:55:44,373 ONE FOR YOUNGER CHILDREN AND ONE 5738 03:55:44,373 --> 03:55:46,442 FOR OLDER CHILDREN AND 5739 03:55:46,442 --> 03:55:46,776 ADOLESCENTS. 5740 03:55:46,776 --> 03:55:49,412 I WILL GO AHEAD AND START WITH 5741 03:55:49,412 --> 03:55:51,214 THE CONCLUSION STATEMENT FOR 5742 03:55:51,214 --> 03:55:52,481 YOUNGER CHILDREN AND CONCLUSION 5743 03:55:52,481 --> 03:55:55,218 STATEMENT IS LIMITED EVIDENCE 5744 03:55:55,218 --> 03:55:58,254 SUGGESTS TOTAL MILK CONSUMPTION 5745 03:55:58,254 --> 03:56:00,523 IN YOUNGER CHILDREN MAY BE 5746 03:56:00,523 --> 03:56:01,791 ASSOCIATED WITH FAVORABLE GROWTH 5747 03:56:01,791 --> 03:56:04,126 AND BODY COMPOSITION AND LOWER 5748 03:56:04,126 --> 03:56:07,129 RICK OF OBESITY IN CHILDREN AND 5749 03:56:07,129 --> 03:56:09,999 IN REGARDS TO AGE, CHILDREN IN 5750 03:56:09,999 --> 03:56:12,134 THESE STUDIES IN BODY OF 5751 03:56:12,134 --> 03:56:13,536 EVIDENCE RANGED IN AGE FROM 2 TO 5752 03:56:13,536 --> 03:56:17,640 5 YEARS AND BODY OF EVIDENCE 5753 03:56:17,640 --> 03:56:19,408 INCLUDED 13 PROSPECTIVE COHORT 5754 03:56:19,408 --> 03:56:21,911 STUDIES AND CONSISTENCY FINDINGS 5755 03:56:21,911 --> 03:56:30,286 WERE SPLIT WITH HALF SHOWING 5756 03:56:30,286 --> 03:56:32,455 NULL EVIDENCE AND -- SAMPLE 5757 03:56:32,455 --> 03:56:35,258 SIZES WERE ON SMALLER SIDE FOR 5758 03:56:35,258 --> 03:56:38,160 OFRPGSAL RESEARCH AND EXPOSURE 5759 03:56:38,160 --> 03:56:41,230 LINE WAS UNCLEAR AND DAIRY 5760 03:56:41,230 --> 03:56:43,165 INCLUSION OF MILK ALTERNATIVES 5761 03:56:43,165 --> 03:56:45,401 AND MOST LOOKED AT CONTINUOUS 5762 03:56:45,401 --> 03:56:47,837 INTAKE SOME DESCRIBES INTAKE 5763 03:56:47,837 --> 03:56:49,405 WITH VARYING CATEGORICAL 5764 03:56:49,405 --> 03:56:51,307 DEFINITIONS AND RISK OF BIAS 5765 03:56:51,307 --> 03:56:52,875 CONCERNS WERE CONFOUNDING AND 5766 03:56:52,875 --> 03:56:55,978 MISSING DATA AND WE HAD FEW 5767 03:56:55,978 --> 03:56:58,447 CONCERNS ABOUT DIRECTNESS AND 5768 03:56:58,447 --> 03:57:00,950 GENERALIZABILITY AND 1/3 OF 5769 03:57:00,950 --> 03:57:02,885 STUDIES DIDN'T REPORT RACE AND 5770 03:57:02,885 --> 03:57:04,353 ETHNICITY DATA. 5771 03:57:04,353 --> 03:57:07,023 OF THOSE THAT DID ALL ABOUT YOU 5772 03:57:07,023 --> 03:57:11,394 ONE ENROLLED PREDOMINANTLY 5773 03:57:11,394 --> 03:57:12,061 NON-HISPANIC WHITE CHILDREN AND 5774 03:57:12,061 --> 03:57:15,765 -- AND NO STUDIES IN LOWER 5775 03:57:15,765 --> 03:57:16,766 SOCIOECONOMIC POSITION 5776 03:57:16,766 --> 03:57:18,567 POPULATIONS AND MOVING TO OLDER 5777 03:57:18,567 --> 03:57:21,737 CHILDREN AND ADLESSIENTS, WE 5778 03:57:21,737 --> 03:57:22,838 DECIDED A CONCLUSION STATEMENT 5779 03:57:22,838 --> 03:57:25,541 COULDN'T BE DRAWN ABOUT THE 5780 03:57:25,541 --> 03:57:28,311 RELATIONSHIP BETWEEN TOTAL MILK 5781 03:57:28,311 --> 03:57:29,812 CONSUMPTION AND GROWTH BODY 5782 03:57:29,812 --> 03:57:33,316 COMPOSITION AND RISK OF OBESITY. 5783 03:57:33,316 --> 03:57:34,417 AVAILABLE EVIDENCE HAS 5784 03:57:34,417 --> 03:57:35,918 SUBSTANTIAL CONCERNS WITH 5785 03:57:35,918 --> 03:57:38,754 DIRECTNESS AND CONSISTENCY AND 5786 03:57:38,754 --> 03:57:40,222 RISK OF BIAS. 5787 03:57:40,222 --> 03:57:42,258 CHILDREN IN THE STUDIES IN THIS 5788 03:57:42,258 --> 03:57:43,893 BODY OF EVIDENCE RANGED IN AGE 5789 03:57:43,893 --> 03:57:47,730 FROM 8 TO 6 TA ENYEARS AND IN 5790 03:57:47,730 --> 03:57:50,299 REGARDS TO THE OVERALL BODY OF 5791 03:57:50,299 --> 03:57:51,701 EVIDENCE, THERE WERE FIVE 5792 03:57:51,701 --> 03:57:56,505 ARTICLES OF RANDOMIZED TRIALS 5793 03:57:56,505 --> 03:58:00,943 ONE NONRANDOMIZED TRIAL AND 14 5794 03:58:00,943 --> 03:58:03,379 PROSPECTIVE COHORT STUDIES. 5795 03:58:03,379 --> 03:58:06,082 THE -- FOR THE RANDOMIZED 5796 03:58:06,082 --> 03:58:07,650 TRIALS, THERE WERE FIVE ARTICLES 5797 03:58:07,650 --> 03:58:11,821 AND THREE INDEPENDENT TRIALS AND 5798 03:58:11,821 --> 03:58:13,222 OVERALL RATIONALE FOR DRAWING 5799 03:58:13,222 --> 03:58:14,190 CONCLUSION, TRIALS DIDN'T 5800 03:58:14,190 --> 03:58:16,092 ACCOUNT FOR ENERGY INTAKE AND 5801 03:58:16,092 --> 03:58:18,060 DIFFICULT TO TELL IF THE 5802 03:58:18,060 --> 03:58:20,296 FINDINGS WERE ATTRIBUTABLE TO 5803 03:58:20,296 --> 03:58:24,166 MILK OR ADDITIONAL CAL GORIES 5804 03:58:24,166 --> 03:58:27,636 AND TRIAL FINDINGS WERE MIXED 5805 03:58:27,636 --> 03:58:29,472 AND OBSERVATIONAL ARE MIXED AND 5806 03:58:29,472 --> 03:58:32,508 STUDIES VARY WIDELY AND STUDIES 5807 03:58:32,508 --> 03:58:34,143 USE MIXED AND CATEGORICAL 5808 03:58:34,143 --> 03:58:36,178 COMPARATORS WITH VARYING 5809 03:58:36,178 --> 03:58:37,980 CATEGORICAL DEFINITIONS AND RISK 5810 03:58:37,980 --> 03:58:40,649 OF BIAS PRIMARILY IMPACTED 5811 03:58:40,649 --> 03:58:44,253 CONFOUNDING AND MISSING DATA. 5812 03:58:44,253 --> 03:58:47,189 NEXT SLIDE. 5813 03:58:47,189 --> 03:58:49,258 SO, THESE ARE OUR CONCLUSION 5814 03:58:49,258 --> 03:58:52,261 STATEMENTS REGARDING DAIRY MILK 5815 03:58:52,261 --> 03:58:54,230 CONSUMPTION BY MILK FAT CONTENT 5816 03:58:54,230 --> 03:58:56,098 IN CHILDREN AND ADOLESCENTS AND 5817 03:58:56,098 --> 03:58:57,767 HAD TWO CONCLUSION STATEMENTS 5818 03:58:57,767 --> 03:58:59,702 AND ONE FOR YOUNGER CHILDREN AND 5819 03:58:59,702 --> 03:59:02,238 ONE FOR OLDER CHILDREN AND 5820 03:59:02,238 --> 03:59:03,973 ADOLESCENTS AND FOR YOUNGER 5821 03:59:03,973 --> 03:59:06,142 CHILDREN CONCLUSION STATEMENT 5822 03:59:06,142 --> 03:59:07,676 WAS LIMITED EVIDENCE THAT 5823 03:59:07,676 --> 03:59:09,612 SUGGESTS THAT CONSUMPTION OF 5824 03:59:09,612 --> 03:59:12,181 HIGHER FAT DAIRY MILK COMPARED 5825 03:59:12,181 --> 03:59:15,217 TO LOWER FAT DAIRY MILK IS 5826 03:59:15,217 --> 03:59:17,319 ASSOCIATED WITH FAVORABLE GROWTH 5827 03:59:17,319 --> 03:59:19,755 AND BODY COMPOSITION AND RISK OF 5828 03:59:19,755 --> 03:59:21,123 OBESITY AND AGE RANGE FOR 5829 03:59:21,123 --> 03:59:23,526 CHILDREN AND STUDIES IN THIS 5830 03:59:23,526 --> 03:59:25,027 BODY OF EVIDENCE IS 2 TO FIVE 5831 03:59:25,027 --> 03:59:27,696 YEARS AND THIS BODY OF EVIDENCE 5832 03:59:27,696 --> 03:59:31,500 INCLUDED SIX PROSPECTIVE COHORT 5833 03:59:31,500 --> 03:59:34,036 STUDIES IN REGARDS TO 5834 03:59:34,036 --> 03:59:35,671 CONSISTENCY FINDINGS WERE SPLIT 5835 03:59:35,671 --> 03:59:37,339 HALF SHOWING NULL EFFECT AND 5836 03:59:37,339 --> 03:59:39,809 HALF SHOW INCREASED MILL INTAKE 5837 03:59:39,809 --> 03:59:42,344 IS ASSOCIATED WITH INCREASED 5838 03:59:42,344 --> 03:59:44,513 HIGHER FAT CONTENT MILK INTAKE 5839 03:59:44,513 --> 03:59:46,248 IS ASSOCIATED WITH MORE 5840 03:59:46,248 --> 03:59:48,851 FAVORABLE OUTCOMES AND PRECISION 5841 03:59:48,851 --> 03:59:50,686 FINDINGS WERE CONSISTENT AND 5842 03:59:50,686 --> 03:59:52,888 OVERALL NUMBER OF STUDIES IS 5843 03:59:52,888 --> 03:59:55,024 RELATIVELY SMALL AND EXPOSURE 5844 03:59:55,024 --> 03:59:56,692 DEFINITION VARIED ACROSS 5845 03:59:56,692 --> 03:59:57,026 STUDIES. 5846 03:59:57,026 --> 04:00:07,503 FOR EXAMPLE SKIN PLUS 1% -- 5847 04:00:08,437 --> 04:00:11,507 THERE IS A MIXTURE OF STUDIES 5848 04:00:11,507 --> 04:00:14,343 AND RISK OF BIAS CONCERNS WERE 5849 04:00:14,343 --> 04:00:17,446 CONFOUNDING MISSING DATA FOR 5850 04:00:17,446 --> 04:00:18,914 DIRECTNESS, THE LARGEST CONCERN 5851 04:00:18,914 --> 04:00:20,783 IS THAT THERE WERE NO TRIALS 5852 04:00:20,783 --> 04:00:22,117 DESIGNED TO ANSWER THE QUESTION 5853 04:00:22,117 --> 04:00:24,987 AND FOR GENERALIZABILITY LARGEST 5854 04:00:24,987 --> 04:00:28,491 PROPORTION OF PARTICIPANTS WERE 5855 04:00:28,491 --> 04:00:32,495 NON-HISPANIC WHITE AND IN ALL 5856 04:00:32,495 --> 04:00:33,462 STUDIES SOCIOECONOMIC POSITION 5857 04:00:33,462 --> 04:00:36,565 WAS DIVERSE AND NO STUDIES IN 5858 04:00:36,565 --> 04:00:38,400 ECONOMIC POPULATIONS. 5859 04:00:38,400 --> 04:00:40,936 AND MOVING TO OLDER CHILDREN AND 5860 04:00:40,936 --> 04:00:43,072 ADULTS, WE DECIDED THAT A 5861 04:00:43,072 --> 04:00:45,741 CONCLUSION STATEMENT CANNOT BE 5862 04:00:45,741 --> 04:00:48,410 DRAWN ABOUT THIS RELATIONSHIP. 5863 04:00:48,410 --> 04:00:49,879 AVAILABLE EVIDENCE THAT HAS 5864 04:00:49,879 --> 04:00:51,881 SUBSTANTIAL CONCERNS WITH 5865 04:00:51,881 --> 04:00:54,783 CONSISTENCY WITH QUANTITY AND 5866 04:00:54,783 --> 04:00:56,785 RISK OF BIAS. 5867 04:00:56,785 --> 04:00:59,822 SO, THE AGE RANGE IN THIS BODY 5868 04:00:59,822 --> 04:01:01,223 OF EVIDENCE FOR STUDIES INCLUDED 5869 04:01:01,223 --> 04:01:08,497 IN BODY OF EVIDENCE WAS 8 TO 18 5870 04:01:08,497 --> 04:01:15,704 YEARS -- THE NUMBER OF STUDIES 5871 04:01:15,704 --> 04:01:17,940 BEING SMALL AND MAJORITY OF 5872 04:01:17,940 --> 04:01:20,509 STUDIES USED UNADJUSTED OUTCOME 5873 04:01:20,509 --> 04:01:22,378 DATA AND SXOEBURE DEFINITIONS, 5874 04:01:22,378 --> 04:01:25,147 AGAIN, VARY WIDELY AND FINDINGS 5875 04:01:25,147 --> 04:01:27,016 ARE MIXED AND STUDIES USE A MIX 5876 04:01:27,016 --> 04:01:30,519 OF CONTINUOUS AND CATEGORICAL 5877 04:01:30,519 --> 04:01:32,221 COMPARATORS AND RISK OF BIAS 5878 04:01:32,221 --> 04:01:34,056 PRIMARILY IMPACTED CONFOUNDING 5879 04:01:34,056 --> 04:01:40,229 AND MISSING DATA. 5880 04:01:40,229 --> 04:01:40,729 NEXT SLIDE. 5881 04:01:40,729 --> 04:01:43,365 FROM MILK ALTERNATIVE 5882 04:01:43,365 --> 04:01:45,267 CONSUMPTION BY CHILDREN AND 5883 04:01:45,267 --> 04:01:46,902 ADOLESCENTS WE DECIDED A 5884 04:01:46,902 --> 04:01:47,970 CONCLUSION STATEMENT CAN'T BE 5885 04:01:47,970 --> 04:01:50,272 DRAWN ABOUT RELATIONSHIP BETWEEN 5886 04:01:50,272 --> 04:01:52,775 CONSUMPTION OF MILK ALTERNATIVES 5887 04:01:52,775 --> 04:01:54,810 AND RISK OF OBESITY AND CHILDREN 5888 04:01:54,810 --> 04:01:57,212 AND ADOLESCENTS THERE IS NOT 5889 04:01:57,212 --> 04:01:59,782 ENOUGH EVIDENCE AVAILABLE ONE 5890 04:01:59,782 --> 04:02:03,919 NONRANDOMIZED TRIAL WAS 5891 04:02:03,919 --> 04:02:04,219 IDENTIFIED. 5892 04:02:04,219 --> 04:02:07,623 NEXT SLIDE. 5893 04:02:07,623 --> 04:02:09,058 SWEETENED MILK CONSUMPTION BY 5894 04:02:09,058 --> 04:02:11,961 CHILDREN AND ADOLESCENTS WE HAD 5895 04:02:11,961 --> 04:02:14,029 AGAIN TWO CONCLUSION STATEMENTS 5896 04:02:14,029 --> 04:02:15,598 AGAIN ONE FOR YOUNGER CHILDREN 5897 04:02:15,598 --> 04:02:18,500 AND ONE FOR OLDER CHILDREN AND 5898 04:02:18,500 --> 04:02:20,102 ADOLESCENTS AND OLDER CHILDREN 5899 04:02:20,102 --> 04:02:22,137 WE DECIDED A CONCLUSION 5900 04:02:22,137 --> 04:02:24,540 STATEMENT COULDN'T BE DRAWN 5901 04:02:24,540 --> 04:02:25,774 ABOUT RELATIONSHIP BETWEEN 5902 04:02:25,774 --> 04:02:28,510 CONSUMPTION OF SWEETENED MILK 5903 04:02:28,510 --> 04:02:30,346 AND GROWTH AND BODY RISK 5904 04:02:30,346 --> 04:02:31,714 COMPOSITION AND OBESITY BECAUSE 5905 04:02:31,714 --> 04:02:34,083 THERE WAS NO AVAILABLE EVIDENCE. 5906 04:02:34,083 --> 04:02:37,219 FOR OLDER CHILDREN AND 5907 04:02:37,219 --> 04:02:38,554 ADOLESCENTS, CONCLUSION 5908 04:02:38,554 --> 04:02:39,822 STATEMENT WAS LIMITED EVIDENCE 5909 04:02:39,822 --> 04:02:42,825 THAT SUGGESTS THAT THERE IS NO 5910 04:02:42,825 --> 04:02:44,026 RELATIONSHIP BETWEEN CONSUMPTION 5911 04:02:44,026 --> 04:02:47,396 OF SWEETENED MILK AND GROWTH 5912 04:02:47,396 --> 04:02:50,466 BODY COMPOSITION AND RISK OF 5913 04:02:50,466 --> 04:02:51,333 OBESITY. 5914 04:02:51,333 --> 04:02:54,536 FOR THE BODY OF EVIDENCE FOR 5915 04:02:54,536 --> 04:02:55,838 THIS CONCLUSION STATEMENT THAT 5916 04:02:55,838 --> 04:02:57,773 CHILDREN IN THE STUDIES RANGED 5917 04:02:57,773 --> 04:03:00,643 IN AGE FROM 10 TO 15 YEARS AND 5918 04:03:00,643 --> 04:03:02,878 THERE WERE THREE PROSPECTIVE 5919 04:03:02,878 --> 04:03:06,015 COHORT STUDIES AND IN REGARDS TO 5920 04:03:06,015 --> 04:03:08,083 CONSISTENCY, THE FINDINGS TENDED 5921 04:03:08,083 --> 04:03:09,852 TOWARDS THE NULL ACROSS THE 5922 04:03:09,852 --> 04:03:12,588 BOARD AND ESPECIALLY WHEN 5923 04:03:12,588 --> 04:03:14,923 UNADJUSTED OUTCOME DATA WAS 5924 04:03:14,923 --> 04:03:16,759 REMOVED AND PRECISION WAS SMALL 5925 04:03:16,759 --> 04:03:20,496 NUMBER OF STUDIES OVERALL AND 5926 04:03:20,496 --> 04:03:21,797 ONE STUDY HAD A PARTICULARLY 5927 04:03:21,797 --> 04:03:23,999 SMALL SAMPLE SIZE FOR COHORT 5928 04:03:23,999 --> 04:03:26,135 STUDY AND RISK OF BIAS, IT IS A 5929 04:03:26,135 --> 04:03:31,040 WHOLE -- IT WAS LOWER AS 5930 04:03:31,040 --> 04:03:32,441 COMPARED TO MANY OTHER 5931 04:03:32,441 --> 04:03:33,676 OBSERVATIONAL STUDIES AND ONE OF 5932 04:03:33,676 --> 04:03:36,512 THE STUDIES HAD A HIGH RISK OF 5933 04:03:36,512 --> 04:03:39,615 BIAS FOR MISSING DATA AND ALL 5934 04:03:39,615 --> 04:03:41,884 HAD CONCERNS ACROSS MULTIPLE 5935 04:03:41,884 --> 04:03:43,152 DOMAINS AND FOR DIRECTNESS, 5936 04:03:43,152 --> 04:03:47,790 THERE WAS A LACK OF TRIAL DATA. 5937 04:03:47,790 --> 04:03:49,358 GENERALIZABILITY, TWO STUDIES 5938 04:03:49,358 --> 04:03:51,126 ENROLLED PRIMARILY WHITE 5939 04:03:51,126 --> 04:03:52,661 PARTICIPANTS AND SOCIOECONOMIC 5940 04:03:52,661 --> 04:03:54,830 POSITION WAS HIGHER IN TWO 5941 04:03:54,830 --> 04:03:58,534 STUDIES THAT REPORTED IT. 5942 04:03:58,534 --> 04:04:00,069 NEXT SLIDE. 5943 04:04:00,069 --> 04:04:02,638 NOW, MOVING INTO ADULTS FOR 5944 04:04:02,638 --> 04:04:07,209 TOTAL DAIRY INTAKE AND MILK 5945 04:04:07,209 --> 04:04:08,310 ALTERNATIVE CONSUMPTION 5946 04:04:08,310 --> 04:04:09,545 CONCLUSION STATEMENT WAS 5947 04:04:09,545 --> 04:04:11,447 MODERATE EVIDENCE INDICATES THAT 5948 04:04:11,447 --> 04:04:15,484 TOTAL MILK CONSUMPTION IS NOT 5949 04:04:15,484 --> 04:04:16,485 ASSOCIATED WITH COMPOSITION AND 5950 04:04:16,485 --> 04:04:19,088 RISK OBESITY IN ADULTS BODY 5951 04:04:19,088 --> 04:04:21,423 EVIDENCE WE HAVE 8 RANDOMIZED 5952 04:04:21,423 --> 04:04:23,992 TRIALS AND 17 PROSPECTIVE COHORT 5953 04:04:23,992 --> 04:04:26,795 STUDIES AND CONSISTENCY MAJORITY 5954 04:04:26,795 --> 04:04:29,565 OF FINDINGS FOUND A NULL EFFECT. 5955 04:04:29,565 --> 04:04:32,434 WE HAD A SMALL NUMBER OF STUDIES 5956 04:04:32,434 --> 04:04:35,204 THAT WERE ALSO FINDING DEBT 5957 04:04:35,204 --> 04:04:37,106 TREMENTAL AND POSITIVE EFFECT 5958 04:04:37,106 --> 04:04:40,509 AND PRECISION MEASURES OF 5959 04:04:40,509 --> 04:04:42,411 EXPOSURE COMPARATOR VARIED 5960 04:04:42,411 --> 04:04:44,313 ACROSS STUDIES COMPARISON OF 5961 04:04:44,313 --> 04:04:46,749 EFFECT SIZES AND CONFIDENCE 5962 04:04:46,749 --> 04:04:49,284 INTERVALS DIFFICULT AND SMALL 5963 04:04:49,284 --> 04:04:51,487 EFFECT SIZES AND RISK OF BIAS 5964 04:04:51,487 --> 04:04:54,490 MOST TRIALS WERE FLAGGED FOR 5965 04:04:54,490 --> 04:04:55,824 INADEQUATE INFORMATION ON 5966 04:04:55,824 --> 04:04:57,259 RANDOMIZATION TECHNIQUE AND RISK 5967 04:04:57,259 --> 04:04:59,027 OF BIAS AND OBSERVATIONAL 5968 04:04:59,027 --> 04:05:00,729 STUDIES WAS PRIMARILY 5969 04:05:00,729 --> 04:05:02,965 CONFOUNDING MISSING DATA AND 5970 04:05:02,965 --> 04:05:04,566 DIRECTNESS, WE HAD A FEW 5971 04:05:04,566 --> 04:05:06,735 CONCERNS AND GENERALIZABILITY, 5972 04:05:06,735 --> 04:05:08,704 MAJORITY OF THE STUDIES DID NOT 5973 04:05:08,704 --> 04:05:11,473 REPORT RACE AND/OR ETHNICITY AND 5974 04:05:11,473 --> 04:05:15,878 ROUGHLY HALF OF THEM THAT DID 5975 04:05:15,878 --> 04:05:20,082 REPORT ON THESE VARIABLES AND 5976 04:05:20,082 --> 04:05:23,652 WERE RURAL PRIMARILY WHITE 5977 04:05:23,652 --> 04:05:25,320 PARTICIPANTS AND SOCIOECONOMIC 5978 04:05:25,320 --> 04:05:29,124 POSITION WAS HIGHER ACROSS 5979 04:05:29,124 --> 04:05:29,458 STUDIES. 5980 04:05:29,458 --> 04:05:30,759 NEXT SLIDE. 5981 04:05:30,759 --> 04:05:33,328 DAIRY MILK CONSUMPTION BY MILK 5982 04:05:33,328 --> 04:05:36,165 CONTENT IN ADULTS WE FELT THAT A 5983 04:05:36,165 --> 04:05:36,865 CONCLUSION STATEMENT COULDN'T BE 5984 04:05:36,865 --> 04:05:39,568 DRAWN ABOUT THE RELATIONSHIP 5985 04:05:39,568 --> 04:05:41,270 BETWEEN CONSUMPTION OF MILK BY 5986 04:05:41,270 --> 04:05:43,505 FAT CONTENT AND BODY COMPOSITION 5987 04:05:43,505 --> 04:05:47,509 AND RISK OF OBESITY IN ADULTS 5988 04:05:47,509 --> 04:05:49,111 AVAILABLE EVIDENCE HAS 5989 04:05:49,111 --> 04:05:50,512 SUBSTANTIAL CONCERNS WITH 5990 04:05:50,512 --> 04:05:52,881 DIRECTNESS CONSISTENCY AND 5991 04:05:52,881 --> 04:05:54,883 ABSENCE OF TRIAL DATA BODY OF 5992 04:05:54,883 --> 04:05:57,719 EVIDENCE 14 PROSPECTIVE COHORT 5993 04:05:57,719 --> 04:06:00,255 STUDIES WERE IDENTIFIED AND NONE 5994 04:06:00,255 --> 04:06:01,957 ELIGIBLE FOR RATIONALE 5995 04:06:01,957 --> 04:06:03,358 CONCLUSION STATEMENT THERE WAS 5996 04:06:03,358 --> 04:06:05,594 NO ELIGIBLE TRIALS THAT EXAMINED 5997 04:06:05,594 --> 04:06:06,862 THIS QUESTION. 5998 04:06:06,862 --> 04:06:09,131 FINDINGS FOR HIGHER FAT MILK 5999 04:06:09,131 --> 04:06:11,934 INTAKE WERE SUBSTANTIALLY MIXED 6000 04:06:11,934 --> 04:06:13,735 WITH STUDIES FINDING NEGATIVE, 6001 04:06:13,735 --> 04:06:15,704 POSITIVE AND NULL ASSOCIATIONS 6002 04:06:15,704 --> 04:06:18,307 AND EXPOSURE DEFINITION IN XOR 6003 04:06:18,307 --> 04:06:20,375 TORS VARIED SUBSTANTIALLY, 6004 04:06:20,375 --> 04:06:22,878 AGAIN, ACROSS STUDIES. 6005 04:06:22,878 --> 04:06:25,547 LOW FAT MILK WAS DEFINED AS SKIM 6006 04:06:25,547 --> 04:06:30,485 AND 1% SKIM AND 1% OR 2%. 6007 04:06:30,485 --> 04:06:32,688 NEXT SLIDE. 6008 04:06:32,688 --> 04:06:36,124 MILK ALTERNATIVE CONSUMPTION IN 6009 04:06:36,124 --> 04:06:37,726 ADULTS AND FELT THAT CONCLUSION 6010 04:06:37,726 --> 04:06:39,027 STATEMENT COULD NOT BE DRAWN 6011 04:06:39,027 --> 04:06:41,730 ABOUT THE RELATIONSHIP BETWEEN 6012 04:06:41,730 --> 04:06:43,165 CONSUMPTION AND MILK 6013 04:06:43,165 --> 04:06:45,334 ALTERNATIVES AND BODY 6014 04:06:45,334 --> 04:06:48,403 COMPOSITION AND RISK OF OBESITY 6015 04:06:48,403 --> 04:06:50,305 IN ADULTS. NOT ENOUGH EVIDENCE 6016 04:06:50,305 --> 04:06:52,774 AVAILABLE AND ONE PROSPECTIVE 6017 04:06:52,774 --> 04:06:55,711 COHORT STUDY WAS IDENTIFIED. 6018 04:06:55,711 --> 04:06:57,145 NEXT SLIDE. 6019 04:06:57,145 --> 04:06:59,081 FOR SWEETENED MILK CONSUMPTION 6020 04:06:59,081 --> 04:07:01,450 IN ADULTS WE FELT A CONCLUSION 6021 04:07:01,450 --> 04:07:02,484 STATEMENT COULDN'T BE DRAWN 6022 04:07:02,484 --> 04:07:04,553 ABOUT THE RELATIONSHIP BECAUSE 6023 04:07:04,553 --> 04:07:06,188 THERE IS NOT ENOUGH EVIDENCE 6024 04:07:06,188 --> 04:07:10,092 AVAILABLE AS NO ARTICLES WERE 6025 04:07:10,092 --> 04:07:11,727 IDENTIFIED FOR THIS. 6026 04:07:11,727 --> 04:07:21,937 NEXT SLIDE. 6027 04:07:23,972 --> 04:07:26,642 I THINK -- DID WE SKIP A SLIDE? 6028 04:07:26,642 --> 04:07:29,945 FOR DAIRY MILK AND MILK 6029 04:07:29,945 --> 04:07:31,446 ALTERNATIVE CONSUMPTION FOR 6030 04:07:31,446 --> 04:07:34,783 INDIVIDUALS DURING PREGNANCY AND 6031 04:07:34,783 --> 04:07:35,350 GESTATIONAL WEIGHT GAIN 6032 04:07:35,350 --> 04:07:38,153 CONCLUDED THAT A STATEMENT COULD 6033 04:07:38,153 --> 04:07:40,055 NOT BE DRAWN ABOUT THIS 6034 04:07:40,055 --> 04:07:41,957 RELATIONSHIP. THERE IS NOT 6035 04:07:41,957 --> 04:07:43,959 AVAILABLE EVIDENCE AND TWO 6036 04:07:43,959 --> 04:07:45,928 PROSPECTIVE COHORT STUDIES WERE 6037 04:07:45,928 --> 04:07:49,431 IDENTIFIED AND STUDIES VARIED 6038 04:07:49,431 --> 04:07:51,366 SUBSTANTIALLY ON EXPOSURE 6039 04:07:51,366 --> 04:07:54,536 DEFINITION AND ANALYSIS 6040 04:07:54,536 --> 04:07:55,938 TECHNIQUE AND DIRECTION OF 6041 04:07:55,938 --> 04:07:56,338 FINDINGS. 6042 04:07:56,338 --> 04:07:57,372 NEXT SLIDE. 6043 04:07:57,372 --> 04:08:00,442 DAIRY MILK AND MILK ALTERNATIVE 6044 04:08:00,442 --> 04:08:01,710 CONSUMPTION BY INDIVIDUALS 6045 04:08:01,710 --> 04:08:04,179 DURING POSTPARTUM AND POSTPARTUM 6046 04:08:04,179 --> 04:08:06,014 WEIGHT CHANGE WE FELT A 6047 04:08:06,014 --> 04:08:07,049 CONCLUSION STATEMENT COULDN'T BE 6048 04:08:07,049 --> 04:08:08,784 DRAWN. THERE IS NO EVIDENCE 6049 04:08:08,784 --> 04:08:12,788 AVAILABLE AS NO ARTICLES WERE 6050 04:08:12,788 --> 04:08:14,690 IDENTIFIED. 6051 04:08:14,690 --> 04:08:17,292 NEXT SLIDE. 6052 04:08:17,292 --> 04:08:18,427 SO, THIS REPRESENTS THE QUESTION 6053 04:08:18,427 --> 04:08:22,164 WHAT IS THE RELATIONSHIP BETWEEN 6054 04:08:22,164 --> 04:08:25,267 LOW AND NO CALORIE SWEETENED 6055 04:08:25,267 --> 04:08:27,436 BEVERAGE CONSUMPTION AND BODY 6056 04:08:27,436 --> 04:08:29,004 COMPOSITION AND RISK OF OBESITY 6057 04:08:29,004 --> 04:08:31,907 AND SLIDE SHOWS ANALYTIC 6058 04:08:31,907 --> 04:08:34,209 FRAMEWORK THAT HOPEFULLY, AGAIN, 6059 04:08:34,209 --> 04:08:35,243 LOOKS VERY FAMILIAR. 6060 04:08:35,243 --> 04:08:37,446 ONE IMPORTANT ITEM TO NOTE IN 6061 04:08:37,446 --> 04:08:38,981 REGARDS TO COMPARATORS IS THAT 6062 04:08:38,981 --> 04:08:42,317 THE COMPARATORS FOR THIS REVIEW 6063 04:08:42,317 --> 04:08:44,519 ARE CONSUMPTION OF A DIFFERENT 6064 04:08:44,519 --> 04:08:47,823 AMOUNT OF LOW AND NO CALORIE 6065 04:08:47,823 --> 04:08:50,525 SWEETENED BEVERAGE OR WATER AND 6066 04:08:50,525 --> 04:08:52,828 ARTICLES COMPARING LOW AND NO 6067 04:08:52,828 --> 04:08:55,364 CALORIE SWEETENED BEVERAGE AND 6068 04:08:55,364 --> 04:08:59,801 SUGAR SWEETENED BEVERAGES WILL 6069 04:08:59,801 --> 04:09:03,405 BE INCLUDED IN SUGAR SWEETENED 6070 04:09:03,405 --> 04:09:05,907 BEVERAGES REVIEW NEXT SLIDE. 6071 04:09:05,907 --> 04:09:07,843 THIS IS AN OVERALL SUMMARY OF 6072 04:09:07,843 --> 04:09:10,112 CONCLUSION STATEMENTS I WILL GO 6073 04:09:10,112 --> 04:09:16,418 INTO IN DETAIL IN NEXT SLIDE. 6074 04:09:16,418 --> 04:09:20,155 FOR LOW AND NO CALORIE -- 6075 04:09:20,155 --> 04:09:21,957 CONCLUSION STATEMENT WAS LIMITED 6076 04:09:21,957 --> 04:09:23,959 HE EVIDENCE THAT SUGGESTS THAT 6077 04:09:23,959 --> 04:09:28,530 LOW AND NO CALORIE SWEETENED 6078 04:09:28,530 --> 04:09:38,573 BEVERAGE CONSUMPTION 17 6079 04:09:38,573 --> 04:09:40,475 PROSPECTIVE COHORT STUDIES SO NO 6080 04:09:40,475 --> 04:09:43,278 TRIALS AND ALSO AS A WHOLE 6081 04:09:43,278 --> 04:09:46,081 REPORTED LOW AND NO CALORIE 6082 04:09:46,081 --> 04:09:48,250 SWEETENED BEVERAGE CONSUMPTION 6083 04:09:48,250 --> 04:09:52,220 THAT WAS VERY LOW IN THESE LIFE 6084 04:09:52,220 --> 04:09:52,521 STAGES. 6085 04:09:52,521 --> 04:09:55,190 IN REGARDS TO CONSISTENCY 6086 04:09:55,190 --> 04:09:58,727 FINDINGS WERE MOSTLY NULL. 6087 04:09:58,727 --> 04:10:02,731 THERE WERE MORE NEGATIVE THAN 6088 04:10:02,731 --> 04:10:04,533 BENEFICIAL FINDINGS AND MANY 6089 04:10:04,533 --> 04:10:05,600 UNFAVORABLE ASSOCIATIONS BETWEEN 6090 04:10:05,600 --> 04:10:08,804 LOW AND NO CALORIE SWEETENED 6091 04:10:08,804 --> 04:10:10,839 BEVERAGE CONSUMPTION WITH 6092 04:10:10,839 --> 04:10:14,876 OUTCOMES USED UNADJUSTED BMI 6093 04:10:14,876 --> 04:10:15,944 DATA MAKING FINDINGS DIFFICULT 6094 04:10:15,944 --> 04:10:18,613 TO INTERPRET AND PRECISION 6095 04:10:18,613 --> 04:10:21,750 SAMPLE SIZES ON SMALLER SIDE 6096 04:10:21,750 --> 04:10:24,252 OBSERVATIONAL STUDIES MANY 6097 04:10:24,252 --> 04:10:27,589 OBSERVATIONAL STUDIES AND 6098 04:10:27,589 --> 04:10:28,423 ARTICLES WITH COMPARATOR 6099 04:10:28,423 --> 04:10:31,193 CONTINUOUS INTAKE AND HAD A 6100 04:10:31,193 --> 04:10:34,262 HANDFUL COMPARING LOW AND NO 6101 04:10:34,262 --> 04:10:35,831 CALORIE SWEETENED BEVERAGE 6102 04:10:35,831 --> 04:10:38,433 CONSUMPTION CATEGORY AND RISK OF 6103 04:10:38,433 --> 04:10:39,768 BIAS BIGGEST CONCERNS 6104 04:10:39,768 --> 04:10:42,003 CONFOUNDING AND MISSING DATA AND 6105 04:10:42,003 --> 04:10:44,206 FOR DIRECTNESS CONCERNS MOSTLY 6106 04:10:44,206 --> 04:10:46,508 FOCUSED ON LACK OF TRIAL DATA 6107 04:10:46,508 --> 04:10:48,343 AND FOR GENERALIZABILITY ABOUT 6108 04:10:48,343 --> 04:10:50,645 1/3 OF THE ARTICLES DIDN'T 6109 04:10:50,645 --> 04:10:53,248 REPORT RACE AND/OR ETHNICITY 6110 04:10:53,248 --> 04:10:53,515 DATA. 6111 04:10:53,515 --> 04:10:55,717 OF THOSE THAT REPORTED ALL BUT 6112 04:10:55,717 --> 04:11:02,324 THREE ENROLLED PREDOMINANTLY 6113 04:11:02,324 --> 04:11:03,592 NON-HISPANIC WHITE CHILDREN. 6114 04:11:03,592 --> 04:11:06,495 NEXT SLIDE. 6115 04:11:06,495 --> 04:11:12,567 LOW AND NO CALORIE CONSUMPTION 6116 04:11:12,567 --> 04:11:21,910 WITH ADULTS. 6117 04:11:21,910 --> 04:11:23,812 COMPARED WITH WATER AND LOW 6118 04:11:23,812 --> 04:11:28,250 AMOUNTS OF CALORIE AND NO 6119 04:11:28,250 --> 04:11:30,018 SWEETENED BEVERAGES BODY OF 6120 04:11:30,018 --> 04:11:32,954 EVIDENCE INCLUDED 8 TRIALS AND 6121 04:11:32,954 --> 04:11:33,889 PROSPECTIVE COHORT STUDIES AND 6122 04:11:33,889 --> 04:11:36,258 FOR CONSISTENCY, RESULTS FROM 6123 04:11:36,258 --> 04:11:38,660 THE TRIALS WERE FAIRLY 6124 04:11:38,660 --> 04:11:40,028 CONSISTENT WITH MOST 6125 04:11:40,028 --> 04:11:40,962 DEMONSTRATING NO DIFFERENCE FROM 6126 04:11:40,962 --> 04:11:44,199 THE CONTROL OR ACTUALLY HAVING A 6127 04:11:44,199 --> 04:11:46,001 LESSER EFFECT THAN A WATER 6128 04:11:46,001 --> 04:11:48,737 CONTROL FOR REDUCING WEIGHT OR 6129 04:11:48,737 --> 04:11:51,573 BMI BUT ACTUALLY BOTH LOW AND NO 6130 04:11:51,573 --> 04:11:54,109 CALORIE SWEETENED BEVERAGE 6131 04:11:54,109 --> 04:11:56,378 CONSUMPTION AND WATER THAT 6132 04:11:56,378 --> 04:11:57,279 GENERALLY SHOWED WEIGHT LOSS IN 6133 04:11:57,279 --> 04:11:58,313 THE TRIALS. 6134 04:11:58,313 --> 04:12:00,515 RESULTS FROM THE PROSPECTIVE 6135 04:12:00,515 --> 04:12:02,851 COHORT STUDIES LACK CONSISTENCY 6136 04:12:02,851 --> 04:12:04,319 IN DIRECTION OF FINDINGS AND 6137 04:12:04,319 --> 04:12:08,056 PRECISION MOST OF THE TRIALS HAD 6138 04:12:08,056 --> 04:12:11,326 SMALLER SAMPLE SIZES AND MIX OF 6139 04:12:11,326 --> 04:12:13,662 CONTINUOUS AND CATEGORICAL 6140 04:12:13,662 --> 04:12:15,397 COMPARATORS ACROSS THE STUDY AND 6141 04:12:15,397 --> 04:12:17,899 RISK OF BIAS THERE WAS 6142 04:12:17,899 --> 04:12:19,601 SUBSTANTIAL CONCERNS RELATED TO 6143 04:12:19,601 --> 04:12:22,704 CONFOUNDING AND MISSING DATA AND 6144 04:12:22,704 --> 04:12:24,406 OBSERVATIONAL STUDIES. 6145 04:12:24,406 --> 04:12:26,741 THERE WERE SOME CONCERNS WITH 6146 04:12:26,741 --> 04:12:28,543 DIRECTNESS IN THE OBSERVATIONAL 6147 04:12:28,543 --> 04:12:31,179 STUDIES AND GENERALIZABILITY, 6148 04:12:31,179 --> 04:12:36,551 ALL BUT -- IN THE TRIALS, ALL 6149 04:12:36,551 --> 04:12:38,787 PARTICIPANTS WERE WITH 6150 04:12:38,787 --> 04:12:40,689 OVERWEIGHT OR OBESITY EXCEPT FOR 6151 04:12:40,689 --> 04:12:41,890 ONE TRIAL. 6152 04:12:41,890 --> 04:12:45,260 MOST STUDIES THAT REPORTED RACE 6153 04:12:45,260 --> 04:12:48,530 AND/OR ETHNICITY DATA CONDUCTED 6154 04:12:48,530 --> 04:12:52,167 IN PREDOMINANTLY WHITE 6155 04:12:52,167 --> 04:12:53,435 NON-HISPANIC -- POSITION DATA 6156 04:12:53,435 --> 04:12:56,204 WERE CONDUCTED IN MIDDLE TO 6157 04:12:56,204 --> 04:12:58,974 HIGHER SOCIOECONOMIC POPULATIONS 6158 04:12:58,974 --> 04:13:01,076 AND HALF OF THE ARTICLES DIDN'T 6159 04:13:01,076 --> 04:13:03,445 REPORT RACE AND ETHNICITY DATA 6160 04:13:03,445 --> 04:13:05,480 AND 1/3 DIDN'T REPORT 6161 04:13:05,480 --> 04:13:08,984 SOCIOECONOMIC POSITIONED DATA. 6162 04:13:08,984 --> 04:13:09,718 NEXT SLIDE. 6163 04:13:09,718 --> 04:13:13,188 LOW AND NO CALORIE SWEETENED 6164 04:13:13,188 --> 04:13:14,789 BEVERAGE CONSUMPTION BY 6165 04:13:14,789 --> 04:13:18,460 INDIVIDUALS DURING PREGNANCY, WE 6166 04:13:18,460 --> 04:13:19,527 DECIDED THAT A CONCLUSION 6167 04:13:19,527 --> 04:13:20,462 STATEMENT COULDN'T BE DRAWN 6168 04:13:20,462 --> 04:13:22,564 ABOUT THE RELATIONSHIP BETWEEN 6169 04:13:22,564 --> 04:13:25,233 LOW AND NO COLOREE SWEETENED 6170 04:13:25,233 --> 04:13:28,303 BEVERAGE DURING PREG NANNY AND 6171 04:13:28,303 --> 04:13:29,304 GESTATIONAL WEIGHT GAIN NO 6172 04:13:29,304 --> 04:13:32,274 EVIDENCE AVAILABLE AND ZERO 6173 04:13:32,274 --> 04:13:33,308 EVIDENCE WAS IDENTIFIED. 6174 04:13:33,308 --> 04:13:34,709 NEXT SLIDE, PLEASE. 6175 04:13:34,709 --> 04:13:39,047 AND FOR LOW AND NO CALORIE 6176 04:13:39,047 --> 04:13:40,515 SWEETENED CONSUMPTION BEVERAGE 6177 04:13:40,515 --> 04:13:42,484 FOR INDIVIDUALS DURING 6178 04:13:42,484 --> 04:13:45,287 POSTPARTUM AND POSTPARTUM WEIGHT 6179 04:13:45,287 --> 04:13:47,289 CHANGE WE DECIDED A CONCLUSION 6180 04:13:47,289 --> 04:13:49,024 STATEMENT COULDN'T BE DRAWN AND 6181 04:13:49,024 --> 04:13:50,992 NOT ENOUGH AVAILABLE EVIDENCE 6182 04:13:50,992 --> 04:13:53,194 AND ONE COHORT STUDY WAS 6183 04:13:53,194 --> 04:13:55,497 IDENTIFIED IN THE BODY OF 6184 04:13:55,497 --> 04:13:55,764 EVIDENCE. 6185 04:13:55,764 --> 04:13:59,334 WITH THAT, I WILL TURN IT BACK 6186 04:13:59,334 --> 04:14:06,941 OVER TO DEANNA. 6187 04:14:06,941 --> 04:14:09,344 >> THANK YOU. YOU CAN SEE THAT 6188 04:14:09,344 --> 04:14:12,747 WE HAVE BEEN VERY BUSY WITH A 6189 04:14:12,747 --> 04:14:16,051 LOT OF REVIEWING OF ARTICLES FOR 6190 04:14:16,051 --> 04:14:18,219 ALL OF THE DIFFERENT QUESTIONS. 6191 04:14:18,219 --> 04:14:21,856 SO, WE CAN OPEN IT UP FOR 6192 04:14:21,856 --> 04:14:28,530 QUESTIONS AND EVE WILL MODERATE. 6193 04:14:28,530 --> 04:14:29,097 >> THANK YOU. 6194 04:14:29,097 --> 04:14:32,367 >> GREAT. AMAZING WORK, DEANNA, 6195 04:14:32,367 --> 04:14:34,602 AND THE GROUP AND KUDOS FOR 6196 04:14:34,602 --> 04:14:36,805 PRESENTING IT IN SUCH A GREAT 6197 04:14:36,805 --> 04:14:37,205 FASHION. 6198 04:14:37,205 --> 04:14:39,708 TRYING TO FOLLOW UP ON A COUPLE 6199 04:14:39,708 --> 04:14:40,408 QUESTIONS. 6200 04:14:40,408 --> 04:14:43,545 ANYWAY, FIRST ONE IS FOR ANDREA 6201 04:14:43,545 --> 04:14:47,182 ON 100% JUICE AND RISK OF 6202 04:14:47,182 --> 04:14:47,449 OBESITY. 6203 04:14:47,449 --> 04:14:49,150 I THINK THAT YOU MADE A 6204 04:14:49,150 --> 04:14:51,119 STATEMENT THAT I WANTED 6205 04:14:51,119 --> 04:14:54,389 CLARIFICATION THAT MOST OF THE 6206 04:14:54,389 --> 04:14:55,623 POPULATION IN THAT EVIDENCE WERE 6207 04:14:55,623 --> 04:14:57,792 ALREADY IN THE OVERWEIGHT AND 6208 04:14:57,792 --> 04:14:59,728 OBESE CATEGORY MAYBE. 6209 04:14:59,728 --> 04:15:02,731 IN FACT, WE HAVE THIS RIGHT AND 6210 04:15:02,731 --> 04:15:07,102 THEN I WAS WONDERING HOW 6211 04:15:07,102 --> 04:15:09,471 ACCURATE YOU CAN ASSESS THE RISK 6212 04:15:09,471 --> 04:15:12,607 OF OBESITY IF THEY ARE ALREADY 6213 04:15:12,607 --> 04:15:23,151 IN MORE INTO THAT RISK CATEGORY. 6214 04:15:25,186 --> 04:15:32,727 >> GOOD QUESTION AND ONE PART IS 6215 04:15:32,727 --> 04:15:35,463 BODY XOGS COMPOSITION AND WEIGHT 6216 04:15:35,463 --> 04:15:38,800 GAIN AND NULL FINDINGS IN RCT 6217 04:15:38,800 --> 04:15:40,268 WEIGHT GAIN THAT PARTICIPANTS 6218 04:15:40,268 --> 04:15:45,273 WERE CONSUMING 100% JUICE. 6219 04:15:45,273 --> 04:15:47,442 >> OKAY. 6220 04:15:47,442 --> 04:15:48,510 >> MAKE SENSE? 6221 04:15:48,510 --> 04:15:51,946 I SEE WHAT YOU ARE SAYING. 6222 04:15:51,946 --> 04:15:56,885 THERE WASN'T ANY -- YEAH. DOES 6223 04:15:56,885 --> 04:15:58,052 THAT MAKE SENSE? 6224 04:15:58,052 --> 04:16:00,655 >> YEAH. THANK YOU. 6225 04:16:00,655 --> 04:16:03,558 >> HOLY WANT TO JUMP IN? 6226 04:16:03,558 --> 04:16:06,227 >> I CAN IMAGINE YOU SAYING THAT 6227 04:16:06,227 --> 04:16:07,195 WAS PURPOSEFUL AND BECAUSE OF 6228 04:16:07,195 --> 04:16:09,063 THE VERY REASON YOU BROUGHT UP 6229 04:16:09,063 --> 04:16:10,899 AND WE RECOGNIZE WE COULDN'T USE 6230 04:16:10,899 --> 04:16:12,233 THE USUAL TERMINOLOGY BECAUSE OF 6231 04:16:12,233 --> 04:16:14,235 THE VERY THING THAT YOU SAID. 6232 04:16:14,235 --> 04:16:17,539 SO, AS A GROUP, WE FELT LIKE 6233 04:16:17,539 --> 04:16:19,874 THAT SPECIFIC WORDING BEST 6234 04:16:19,874 --> 04:16:23,378 CAPTURED WHAT WE WERE SEEING. 6235 04:16:23,378 --> 04:16:27,348 >> THANK YOU. 6236 04:16:27,348 --> 04:16:29,017 >> SARAH? 6237 04:16:29,017 --> 04:16:35,323 >> YES. THANK YOU, EVERYONE. 6238 04:16:35,323 --> 04:16:37,358 GREAT, GREAT WORK. 6239 04:16:37,358 --> 04:16:39,427 SORRY I HAD A MORE GENERAL 6240 04:16:39,427 --> 04:16:42,530 QUESTION THAT IS BROAD. I WAS 6241 04:16:42,530 --> 04:16:45,099 LISTENING, PARTICULARLY, HOLLY, 6242 04:16:45,099 --> 04:16:46,968 YOUR PRESENTATION ON THE REASONS 6243 04:16:46,968 --> 04:16:51,239 WHY THERE WAS LIMITED EVIDENCE. 6244 04:16:51,239 --> 04:16:54,008 YOU MADE COMMENTS SUCH AS THERE 6245 04:16:54,008 --> 04:16:56,544 WAS NO INFORMATION ON 6246 04:16:56,544 --> 04:16:58,580 RANDOMIZATION AND THERE WAS VERY 6247 04:16:58,580 --> 04:16:59,380 SMALL STUDIES. 6248 04:16:59,380 --> 04:17:02,150 YOU KNOW, JOURNALS HAVE REALLY 6249 04:17:02,150 --> 04:17:04,352 IN RECENT YEARS TRIED VERY HARD 6250 04:17:04,352 --> 04:17:07,922 TO INCREASE THE ARIGOR OF HOW WE 6251 04:17:07,922 --> 04:17:09,691 REPORT THESE TRIALS. 6252 04:17:09,691 --> 04:17:12,494 IT IS A GREAT DEAL OF DETAIL IN 6253 04:17:12,494 --> 04:17:13,595 MOST JOURNALS. 6254 04:17:13,595 --> 04:17:16,331 MY QUESTION TO YOU IS: ARE YOU 6255 04:17:16,331 --> 04:17:17,765 FINDING A LOT OF THESE STUDIES 6256 04:17:17,765 --> 04:17:21,736 THAT YOU STRUGGLED WITH FROM A 6257 04:17:21,736 --> 04:17:23,638 METHODOLOGICAL PERSPECTIVE, WERE 6258 04:17:23,638 --> 04:17:26,207 THESE OLDER STUDIES? 6259 04:17:26,207 --> 04:17:28,343 DO WE STILL STRUGGLE AS A 6260 04:17:28,343 --> 04:17:30,778 COMMUNITY WITH ARIGOR IN OUR 6261 04:17:30,778 --> 04:17:33,648 REPORTING OF THESE TRIALS? 6262 04:17:33,648 --> 04:17:35,717 ALSO, OBSERVATIONAL STUDIES FROM 6263 04:17:35,717 --> 04:17:39,487 WHICH I THINK WE HAVE LAST 6264 04:17:39,487 --> 04:17:41,523 STRUCTURED HOW WE REPORT THEM. 6265 04:17:41,523 --> 04:17:44,959 >> THAT IS A SUPER GREAT 6266 04:17:44,959 --> 04:17:45,226 QUESTION. 6267 04:17:45,226 --> 04:17:47,061 I WOULD WELCOME ANYONE FROM THE 6268 04:17:47,061 --> 04:17:49,397 GROUP TO RESPOND ABOUT THE RIGOR 6269 04:17:49,397 --> 04:17:52,834 COMPONENT AND TO BE HONEST WITH 6270 04:17:52,834 --> 04:17:54,669 YOU, I CAN'T REMEMBER IF IT 6271 04:17:54,669 --> 04:17:56,070 SEEMED LIKE THERE WAS A 6272 04:17:56,070 --> 04:17:58,773 DIFFERENCE IN THE RIGOR OF 6273 04:17:58,773 --> 04:18:00,975 REPORTING BY PUBLICATION DATE. 6274 04:18:00,975 --> 04:18:04,112 WHAT WE DEFINITELY SAW THAT I 6275 04:18:04,112 --> 04:18:05,480 THINK THAT PROBABLY EVERYBODY 6276 04:18:05,480 --> 04:18:08,182 SEES IS THERE IS JUST AN 6277 04:18:08,182 --> 04:18:10,151 INCONSISTENTLY FOR SURE IN TERMS 6278 04:18:10,151 --> 04:18:12,353 OF THE EXPOSURE AND HOW THE 6279 04:18:12,353 --> 04:18:14,522 EXPOSURE WAS DEFINED THAT IS 6280 04:18:14,522 --> 04:18:16,758 DEFINITELY -- THERE IS NO 6281 04:18:16,758 --> 04:18:18,560 CONSISTENT TERMINOLOGY THAT IS 6282 04:18:18,560 --> 04:18:20,395 DEFINITELY ALL OVER THE PLACE. 6283 04:18:20,395 --> 04:18:22,230 THERE IS DEFINITELY A DIFFERENCE 6284 04:18:22,230 --> 04:18:24,499 IN THE RIGOR THAT IS REPORTED. 6285 04:18:24,499 --> 04:18:27,735 I DON'T KNOW. 6286 04:18:27,735 --> 04:18:31,739 ANDREA OR EDOR CHRISTOPHER THAT 6287 04:18:31,739 --> 04:18:33,641 IS GENERALLY ON THAT GROUP AND 6288 04:18:33,641 --> 04:18:36,477 DON'T KNOW IF ANYONE ELSE CAN 6289 04:18:36,477 --> 04:18:38,813 RECALL A PATTERN BY PUBLICATION 6290 04:18:38,813 --> 04:18:39,981 DATE OR ANY OF THAT. 6291 04:18:39,981 --> 04:18:43,551 >> I DON'T RECALL A PATTERN BY 6292 04:18:43,551 --> 04:18:44,152 PUBLICATION DATE. 6293 04:18:44,152 --> 04:18:47,889 BUT, YOU KNOW, I THINK THAT AT 6294 04:18:47,889 --> 04:18:52,527 -- I THINK IT HAS MORE TO DO 6295 04:18:52,527 --> 04:18:55,296 WITH LIKE IT SAYS IT WAS SAID 6296 04:18:55,296 --> 04:18:58,933 DIVERSITY HOW THE EXPOSURE IS 6297 04:18:58,933 --> 04:19:01,970 DEFINED AND COMPARISONS AND 6298 04:19:01,970 --> 04:19:03,271 LENGTH OF FOLLOWUP. 6299 04:19:03,271 --> 04:19:05,373 THERE IS LOTS OF ISSUES. 6300 04:19:05,373 --> 04:19:09,611 SO, I THINK THEY ARE INHERENT 6301 04:19:09,611 --> 04:19:11,312 AND DON'T THINK THE REPORTING IS 6302 04:19:11,312 --> 04:19:13,114 THE MAJOR ISSUE. 6303 04:19:13,114 --> 04:19:15,416 IT CAN BE IMPROVED, OF COURSE. 6304 04:19:15,416 --> 04:19:17,552 I THINK IT IS MORE DIVERSITY OF 6305 04:19:17,552 --> 04:19:20,788 THE DIFFERENT APPROACHES THAT 6306 04:19:20,788 --> 04:19:31,232 ARE TAK TAKEN STUDIES WERE NOT 6307 04:19:31,232 --> 04:19:33,301 DESIGNED AND COHORT STUDIES FOR 6308 04:19:33,301 --> 04:19:35,303 MORE REASONS AND QUESTIONNAIRES 6309 04:19:35,303 --> 04:19:39,307 MAY NOT HAVE DETAIL ON SOME 6310 04:19:39,307 --> 04:19:41,442 SPECIFICS ON BEVERAGES LIKE 6311 04:19:41,442 --> 04:19:43,645 SEPARATING 1% AND 2% AND ARE 6312 04:19:43,645 --> 04:19:45,713 MAIN ISSUES NOT SO MUCH 6313 04:19:45,713 --> 04:19:48,783 REPORTING THAT COULD OF COURSE 6314 04:19:48,783 --> 04:19:50,852 BE IMPROVED. 6315 04:19:50,852 --> 04:19:52,987 >> I WILL ADD I DON'T RECALL 6316 04:19:52,987 --> 04:19:55,490 PAPERS BEING FROM 21 AND 22 AND 6317 04:19:55,490 --> 04:19:58,593 23 AND LOOKING AT THESE WE HAVE 6318 04:19:58,593 --> 04:20:00,595 15 YEAR OLD 10 AND 12 YEAR OLD 6319 04:20:00,595 --> 04:20:02,497 PAPERS NO THE SUPER GREAT WE GET 6320 04:20:02,497 --> 04:20:04,365 TO UPDATE GUIDELINES BECAUSE OF 6321 04:20:04,365 --> 04:20:06,968 A SLEW OF NEW PAPERS THAT IS 6322 04:20:06,968 --> 04:20:08,870 USUALLY A BROAD RANGE OF YEARS 6323 04:20:08,870 --> 04:20:16,044 THAT SOME ARE QUITE A BIT OLDER. 6324 04:20:16,044 --> 04:20:19,213 >> REACTION TO THE CONVERSATION? 6325 04:20:19,213 --> 04:20:22,550 >> YEAH. EVE, ONE OTHER THING 6326 04:20:22,550 --> 04:20:24,552 THAT WE HAVE DISCUSSED SOMEWHAT 6327 04:20:24,552 --> 04:20:25,920 IS PUBLICATION BIAS THAT THERE 6328 04:20:25,920 --> 04:20:28,923 MIGHT BE A BIAS THAT QUESTIONS 6329 04:20:28,923 --> 04:20:30,358 ARE ALREADY ANSWERING. 6330 04:20:30,358 --> 04:20:32,527 SOMETIMES IT MIGHT BE DIFFICULT 6331 04:20:32,527 --> 04:20:35,096 TO GET PAPERS PUBLISHED OR 6332 04:20:35,096 --> 04:20:37,165 FUNDED, YOU KNOW, THAT ARE ALONG 6333 04:20:37,165 --> 04:20:37,999 THOSE WAYS. 6334 04:20:37,999 --> 04:20:39,701 THAT ANSWERED THOSE QUESTIONS 6335 04:20:39,701 --> 04:20:42,737 AND IS SOMETHING ELSE THAT WE 6336 04:20:42,737 --> 04:20:50,712 HAVE TALKED ABOUT. 6337 04:20:50,712 --> 04:20:52,714 >> ALINE? 6338 04:20:52,714 --> 04:20:55,917 >> I HAD A QUESTION FOR HOLLY ON 6339 04:20:55,917 --> 04:20:58,386 YOUR -- ON -- ON THE QUESTION OF 6340 04:20:58,386 --> 04:21:01,756 THE DAIRY MILK CONSUMPTION AND 6341 04:21:01,756 --> 04:21:03,891 GROWTH BODY RISK CONSUMPTION AND 6342 04:21:03,891 --> 04:21:07,528 RISK OF OBESITY AND RECALL 6343 04:21:07,528 --> 04:21:08,996 CORRECTLY YOUNG CHILDREN WERE 6344 04:21:08,996 --> 04:21:11,833 DEFINED 2 TO 5 AND OLDER I THINK 6345 04:21:11,833 --> 04:21:17,271 YOU SAY 8 TO MAYBE 19 OR 18. 6346 04:21:17,271 --> 04:21:19,841 SO, IS THERE A GAP IN THE 6347 04:21:19,841 --> 04:21:23,678 EVIDENCE BETWEEN THAT 5 AND 8 6348 04:21:23,678 --> 04:21:25,713 YEARS? 6349 04:21:25,713 --> 04:21:28,916 >> DID I GET IT WRONG. 6350 04:21:28,916 --> 04:21:31,986 >> YOU GOT IT RIGHT. I WAS 6351 04:21:31,986 --> 04:21:33,287 TRYING TO PULL BACK UP THE SLIDE 6352 04:21:33,287 --> 04:21:34,622 TO LOOK. 6353 04:21:34,622 --> 04:21:36,491 SIMILAR TO WHAT HAS BEEN 6354 04:21:36,491 --> 04:21:38,092 DESCRIBED BEFORE WE HAD 6355 04:21:38,092 --> 04:21:39,660 OBVIOUSLY THE DATA ORGANIZED IN 6356 04:21:39,660 --> 04:21:41,095 LOTS OF DIFFERENT WAYS TO BE 6357 04:21:41,095 --> 04:21:43,631 ABLE TO LOOK AT THINGS AND ONE 6358 04:21:43,631 --> 04:21:46,667 THING WE DID SEE WITH OVERALL AS 6359 04:21:46,667 --> 04:21:48,970 WELL AS WITH FAT CONTENT IS IT 6360 04:21:48,970 --> 04:21:50,905 LOOKED LIKE THERE IS AN AGE 6361 04:21:50,905 --> 04:21:52,907 DIFFERENCE PATTERN. 6362 04:21:52,907 --> 04:21:55,243 SO, WHEN WE -- WHEN WE 6363 04:21:55,243 --> 04:21:57,345 CATEGORIZED OR SORTED THINGS BY 6364 04:21:57,345 --> 04:21:59,647 AGE, YOU KNOW, YOU COULD REALLY 6365 04:21:59,647 --> 04:22:01,282 CLEARLY SEE THAT. 6366 04:22:01,282 --> 04:22:04,218 THERE IS DEFINITELY -- I THINK 6367 04:22:04,218 --> 04:22:07,021 THERE IS A GAP BETWEEN 5 TO 8. 6368 04:22:07,021 --> 04:22:08,890 THERE WAS A DEFINITE CLEAR BREAK 6369 04:22:08,890 --> 04:22:11,492 AT LEAST IN TERMS OF AGE GROUPS 6370 04:22:11,492 --> 04:22:19,233 THAT WE SAW IN THE STUDIES. 6371 04:22:19,233 --> 04:22:24,539 >> THANK YOU. ONE LAST QUESTION 6372 04:22:24,539 --> 04:22:28,476 IF NOBODY HAS ONE. 6373 04:22:28,476 --> 04:22:30,244 I THINK THAT CONCLUSION 6374 04:22:30,244 --> 04:22:32,747 STATEMENT IS MODERATED AND THERE 6375 04:22:32,747 --> 04:22:35,883 IS SUBSTANTIAL CONCERN ON TWO 6376 04:22:35,883 --> 04:22:37,518 CRITERIA AND SOME CONCERNS ON 6377 04:22:37,518 --> 04:22:39,954 THREE CRITERIA IF I CAN PICTURE 6378 04:22:39,954 --> 04:22:40,588 THE SLIDE. 6379 04:22:40,588 --> 04:22:43,291 I WAS WONDERING LIKE THE -- HOW 6380 04:22:43,291 --> 04:22:45,359 THE DISCUSSION CAME ABOUT TO 6381 04:22:45,359 --> 04:22:46,794 RATE THOSE AS MODERATE 6382 04:22:46,794 --> 04:22:49,797 CONSIDERING MAYBE THOSE 6383 04:22:49,797 --> 04:22:57,738 CONCERNS? 6384 04:22:57,738 --> 04:23:01,375 >> I'M LOOKING BACK AT OUR SLIDE 6385 04:23:01,375 --> 04:23:02,577 QUICKLY AND THINK THE BIG ISSUE 6386 04:23:02,577 --> 04:23:04,612 IS THAT IS A QUESTION THAT HAD 6387 04:23:04,612 --> 04:23:08,516 LARGEST NUMBER OF TRIALS IN IT. 6388 04:23:08,516 --> 04:23:13,321 AND THE TRIALS AS A WHOLE HAD 6389 04:23:13,321 --> 04:23:16,390 MOST CONSISTENT FINDINGS AND 6390 04:23:16,390 --> 04:23:19,961 LARGE NUMBER OF TRIALS AND 6391 04:23:19,961 --> 04:23:22,563 CONSISTENCY OF FINDING THAT IS 6392 04:23:22,563 --> 04:23:33,107 WHAT DRILLED THAT OVERALL SCORE. 6393 04:23:34,842 --> 04:23:37,278 >> WHAT OTHERS HEAR FROM OTHER 6394 04:23:37,278 --> 04:23:39,447 GROUPS AND RECALL TWO TRIALS 6395 04:23:39,447 --> 04:23:41,883 THAT WERE DECENT AND 20 6396 04:23:41,883 --> 04:23:44,151 EPISTUDIES AND WE WENT WITH THE 6397 04:23:44,151 --> 04:23:45,386 EPISTUDIES AND THERE WERE TWO 6398 04:23:45,386 --> 04:23:47,922 TRIALS AND SOMETIMES IS HALF AND 6399 04:23:47,922 --> 04:23:52,159 HALF AND SO I MEAN WE WAITED 6400 04:23:52,159 --> 04:23:54,962 TRIALS MORE HEAVILY THAN EPIONLY 6401 04:23:54,962 --> 04:23:57,598 IF THEY WERE THERE AND YOU HAD 6402 04:23:57,598 --> 04:24:00,534 TO GRADE IT IF ONE OR TWO AND 6403 04:24:00,534 --> 04:24:02,503 GOT TO GRADING AND GRADING 6404 04:24:02,503 --> 04:24:05,606 TRIALS AND EPISEPARATELY FOR SIX 6405 04:24:05,606 --> 04:24:07,742 CRIT EAR YA IS A LITTLE AWKWARD 6406 04:24:07,742 --> 04:24:10,544 AFTER A WHILE THINKING THAT IS 6407 04:24:10,544 --> 04:24:12,113 ONLY ONE OR TWO TRIALS AND YOU 6408 04:24:12,113 --> 04:24:16,150 HAVE TO BALANCE ALL THAT OUT IS 6409 04:24:16,150 --> 04:24:24,492 A CHALLENGE. 6410 04:24:24,492 --> 04:24:26,661 >> ADDITIONAL COMMENTS OR 6411 04:24:26,661 --> 04:24:27,395 QUESTIONS AND LAST DISCUSSION 6412 04:24:27,395 --> 04:24:29,530 PERIOD DIETARY PATTERNS AND 6413 04:24:29,530 --> 04:24:32,466 SPECIFIC DIETARY PATTERN 6414 04:24:32,466 --> 04:24:33,167 COMPONENT PRESENTATIONS AND ANY 6415 04:24:33,167 --> 04:24:34,702 FINAL QUESTIONS RELATED TO 6416 04:24:34,702 --> 04:24:41,809 SPECIFIC XOEN NENS COMPONENTS O 6417 04:24:41,809 --> 04:24:43,511 DIETARY PATTERNS BROADLY? IF 6418 04:24:43,511 --> 04:24:47,014 NOT WE WILL WRAP THE ASPECT UP 6419 04:24:47,014 --> 04:24:47,882 WITH NEXT STEPS. 6420 04:24:47,882 --> 04:24:49,717 >> THANK YOU AND TO ALL OF THE 6421 04:24:49,717 --> 04:24:53,020 COMMITTEE MEMBERS THAT PRESENTED 6422 04:24:53,020 --> 04:24:53,254 TODAY. 6423 04:24:53,254 --> 04:24:56,457 AND ALL OF THE NESR SUPPORT 6424 04:24:56,457 --> 04:24:58,459 STAFF AND FOR THE NEXT STEP WE 6425 04:24:58,459 --> 04:24:59,994 WILL CONTINUE THE WORK. 6426 04:24:59,994 --> 04:25:02,129 WE HAVE -- EXCUSE ME. 6427 04:25:02,129 --> 04:25:04,865 MANY MORE SYSTEMATIC REVIEWS TO 6428 04:25:04,865 --> 04:25:05,299 GO. 6429 04:25:05,299 --> 04:25:07,168 ONE MORE IN DIETARY PATTERNS 6430 04:25:07,168 --> 04:25:09,470 WITH THE ULTRA PROCESSED FOOD 6431 04:25:09,470 --> 04:25:12,807 AND GROWTH BODY COMP AND RISK OF 6432 04:25:12,807 --> 04:25:15,576 OBESITY AND GETTING TO OTHER 6433 04:25:15,576 --> 04:25:17,111 DISEASE OR CHRONIC DISEASE 6434 04:25:17,111 --> 04:25:19,280 OUTCOMES THAT YOU SEE OUTLINED 6435 04:25:19,280 --> 04:25:19,513 THERE. 6436 04:25:19,513 --> 04:25:22,616 IN TERMS OF SPECIFIC DIETARY 6437 04:25:22,616 --> 04:25:23,584 PATTERN COMPONENTS AS YOU HAVE 6438 04:25:23,584 --> 04:25:26,721 HEARD TODAY, YOU WILL BE WORKING 6439 04:25:26,721 --> 04:25:29,423 ON THE SUGAR SWEETENED BEVERAGES 6440 04:25:29,423 --> 04:25:33,294 AND LOW AND NO CALORIE SWEETENED 6441 04:25:33,294 --> 04:25:36,564 BEVERAGES WITH TYPE II DIABETES 6442 04:25:36,564 --> 04:25:39,600 AND FINALLY FOOD SOURCES WITH 6443 04:25:39,600 --> 04:25:41,802 SATURATED FAT AND LOTS OF WORK 6444 04:25:41,802 --> 04:25:43,437 LEFT TO DO EVEN THOUGH WE HAVE 6445 04:25:43,437 --> 04:25:45,806 DONE A LOT UP TO THIS POINT AND 6446 04:25:45,806 --> 04:25:47,041 LOOKING FORWARD TO THE NEXT 6447 04:25:47,041 --> 04:25:48,342 MEETING AND BEING ABLE TO 6448 04:25:48,342 --> 04:25:52,513 PRESENT SOME OF THE RESULTS AND 6449 04:25:52,513 --> 04:25:58,853 OUR CONCLUSION STATEMENTS. 6450 04:25:58,853 --> 04:25:59,153 THANKS. 6451 04:25:59,153 --> 04:26:00,955 >> EXCELLENT. GIVEN WE HAD MANY 6452 04:26:00,955 --> 04:26:02,590 STOPPED TO HAVE LUNCH OR 6453 04:26:02,590 --> 04:26:04,325 BREAKFAST DEPENDING WHERE YOU 6454 04:26:04,325 --> 04:26:06,327 ARE, WE WILL PAUSE HERE FOR A 6455 04:26:06,327 --> 04:26:09,363 QUICK BREAK AND STOP HERE FOR 10 6456 04:26:09,363 --> 04:26:13,034 MINUTES AND RECONVENE AT 1:55 6457 04:26:13,034 --> 04:26:16,428 EASTERN TIME JUST OVER 10 MINUTES. THANK YOU. 6458 04:26:16,428 --> 04:26:18,096 >> WELCOME BACK. I HOPE 6459 04:26:18,096 --> 04:26:20,065 EVERYBODY HAD A NICE BREAK. WE 6460 04:26:20,065 --> 04:26:23,769 WILL HAVE A FINAL SUB-COMMITTEE 6461 04:26:23,769 --> 04:26:33,845 PRESENTATION AND DIET AND 6462 04:26:33,845 --> 04:26:35,047 PREGNANCY AND ADOLESCENCE. 6463 04:26:35,047 --> 04:26:37,215 >> THANK YOU, EVE. CHANGING 6464 04:26:37,215 --> 04:26:39,651 VIEW TO GALLERY TO SEE YOU ALL 6465 04:26:39,651 --> 04:26:40,752 MUCH BETTER. 6466 04:26:40,752 --> 04:26:42,788 GOOD AFTERNOON, EVERYONE. IT IS 6467 04:26:42,788 --> 04:26:46,558 A PLEASURE TO WRAP UP OUR 6468 04:26:46,558 --> 04:26:47,826 PRESENTATIONS TODAY AND TO 6469 04:26:47,826 --> 04:26:49,795 PRESENT ON BEHALF OF 6470 04:26:49,795 --> 04:26:51,697 SUB-COMMITTEE 2 THAT IS 6471 04:26:51,697 --> 04:26:54,399 EXAMINING EVIDENCE ON DIET AND 6472 04:26:54,399 --> 04:26:56,234 PREGNANCY AND BIRTH AND 6473 04:26:56,234 --> 04:26:58,603 ADOLESCENCE AND DELIGHTED TO BE 6474 04:26:58,603 --> 04:27:01,373 JOINED BY CAROL AND SO THANK 6475 04:27:01,373 --> 04:27:04,710 YOU, CAROL, FOR JOINING. 6476 04:27:04,710 --> 04:27:06,478 NEXT SLIDE. 6477 04:27:06,478 --> 04:27:08,647 ALL RIGHT. BEFORE WE BEGIN, 6478 04:27:08,647 --> 04:27:10,615 LIKE OTHER SUB-COMMITTEES WE 6479 04:27:10,615 --> 04:27:14,753 WANT TO THANK THE NESR TEAM FOR 6480 04:27:14,753 --> 04:27:16,855 TREMENDOUS SUPPORT AND FEDERAL 6481 04:27:16,855 --> 04:27:19,858 STAFF WORKING WITH US INCLUDING 6482 04:27:19,858 --> 04:27:23,995 FEDERAL LIAISONS WHO HAVE BEEN 6483 04:27:23,995 --> 04:27:26,698 FANTASTIC AND DENNIS ANDERSON. 6484 04:27:26,698 --> 04:27:29,201 THANK YOU TO THEM. NEXT SLIDE. 6485 04:27:29,201 --> 04:27:31,903 ALSO, OF COURSE, OUR FANTASTIC 6486 04:27:31,903 --> 04:27:33,538 SUB-COMMITTEE MEMBERS THAT ARE 6487 04:27:33,538 --> 04:27:35,674 ALWAYS ALL IN ON THE 6488 04:27:35,674 --> 04:27:37,376 DELIBERATIONS AND REVIEWS. 6489 04:27:37,376 --> 04:27:39,611 I THINK THAT HAS BEEN A 6490 04:27:39,611 --> 04:27:40,779 FANTASTIC EXPERIENCE FOR ALL OF 6491 04:27:40,779 --> 04:27:43,949 US TO BE ABLE TO CONTRIBUTE TO 6492 04:27:43,949 --> 04:27:44,349 THIS. 6493 04:27:44,349 --> 04:27:46,985 I WILL NOTE LIKE OTHERS HAVE 6494 04:27:46,985 --> 04:27:49,588 THAT A NUMBER OF US ON HEALTH 6495 04:27:49,588 --> 04:27:52,791 EQUITY SUB-COMMITTEE AND SO WE 6496 04:27:52,791 --> 04:27:54,159 BRING THOSE IMPORTANT 6497 04:27:54,159 --> 04:27:55,660 PERSPECTIVES BACK TO THE 6498 04:27:55,660 --> 04:27:57,162 DELIBERATIONS IN THIS WORK THAT 6499 04:27:57,162 --> 04:27:58,964 WILL BE EVIDENCE IN SOME 6500 04:27:58,964 --> 04:27:59,398 COMMENTS. 6501 04:27:59,398 --> 04:28:01,066 NEXT SLIDE, PLEASE. 6502 04:28:01,066 --> 04:28:03,368 ALL RIGHT. WHAT HAVE WE BEEN 6503 04:28:03,368 --> 04:28:05,537 DOING? I FEEL WE HAVE BEEN 6504 04:28:05,537 --> 04:28:07,205 WORKING HARD AND MAYBE NOT THE 6505 04:28:07,205 --> 04:28:09,207 VOLUME THAT SUB-COMMITTEE 1 HAS 6506 04:28:09,207 --> 04:28:10,542 THAT IS IMPRESSIVE ALL OVER THAT 6507 04:28:10,542 --> 04:28:13,745 ALL OF THE WORK HAS BEEN TODAY. 6508 04:28:13,745 --> 04:28:15,614 COMMITTEE WAS TASKED WITH 6509 04:28:15,614 --> 04:28:17,516 REVIEWING THE EVIDENCE ON 8 6510 04:28:17,516 --> 04:28:18,750 SCIENTIFIC QUESTIONS AND FOUR OF 6511 04:28:18,750 --> 04:28:21,620 THE QUESTIONS WERE IN DIET 6512 04:28:21,620 --> 04:28:23,722 DURING PREGNANCY AND FOUR 6513 04:28:23,722 --> 04:28:27,058 INVOLVE DIET AND INFANCY AND 6514 04:28:27,058 --> 04:28:29,227 ADOLESCENCE AND LAST MEETING WE 6515 04:28:29,227 --> 04:28:30,862 PRESENTED EVIDENCE ON SYSTEMATIC 6516 04:28:30,862 --> 04:28:33,064 REVIEWS AND REPEATED SXOESH YOUR 6517 04:28:33,064 --> 04:28:38,737 FOR BIRTH 24 TO AGE GROUP AND 6518 04:28:38,737 --> 04:28:40,739 PROTOCOLS REVIEWING EVIDENCE AND 6519 04:28:40,739 --> 04:28:43,842 DIETARY PATTERNS AND MATERNAL 6520 04:28:43,842 --> 04:28:46,111 CHILD HEALTH OUTCOMES AND SINCE 6521 04:28:46,111 --> 04:28:48,713 THAT TIME WE HAVE COMPLETED A 6522 04:28:48,713 --> 04:28:51,383 NEW REVIEW FOR THE ITERATION OF 6523 04:28:51,383 --> 04:28:54,619 DIETARY GUIDELINES AND REPEATED 6524 04:28:54,619 --> 04:28:56,521 EXPOSURE CHILDREN 2 TO 6 YEARS 6525 04:28:56,521 --> 04:28:58,356 OF AGE PRESENTING TODAY AND 6526 04:28:58,356 --> 04:29:00,759 DELIGHTED TO SAY WE HAVE ALMOST 6527 04:29:00,759 --> 04:29:02,494 FINISHED A FULL SYSTEMATIC 6528 04:29:02,494 --> 04:29:04,362 REVIEW REPORT ON THIS TOPIC THAT 6529 04:29:04,362 --> 04:29:07,466 COMBINES EVIDENCE IN 2 TO 6 YEAR 6530 04:29:07,466 --> 04:29:09,334 OLDS WITH B24 [INDISCERNIBLE] 6531 04:29:09,334 --> 04:29:11,369 AND FINALLY COMMITTEE MEMBERS 6532 04:29:11,369 --> 04:29:13,104 HAVE COMPLETED REVIEW OF 6533 04:29:13,104 --> 04:29:16,208 EVIDENCE ON DIETARY PATTERNS AND 6534 04:29:16,208 --> 04:29:18,143 HYPERTENSIVE DISORDERS DURING 6535 04:29:18,143 --> 04:29:19,845 PREGNANCY THAT WILL BE PRESENTED 6536 04:29:19,845 --> 04:29:21,680 TOED BY CAROL. 6537 04:29:21,680 --> 04:29:24,483 OKAY. LET'S MOVE ON. 6538 04:29:24,483 --> 04:29:25,784 OKAY. WE WILL BEGIN WITH 6539 04:29:25,784 --> 04:29:27,953 EVIDENCE ON REPEATED EXPOSURE 6540 04:29:27,953 --> 04:29:30,589 AND FOOD ACCEPTANCE DURING 6541 04:29:30,589 --> 04:29:32,023 CHILDHOOD AND BY WAY OF 6542 04:29:32,023 --> 04:29:33,225 BACKGROUND AND TERMS OF 6543 04:29:33,225 --> 04:29:35,393 SIGNIFICANCE, IT IS REALLY WELL 6544 04:29:35,393 --> 04:29:38,463 ESTABLISHED THERE IS A STRONG 6545 04:29:38,463 --> 04:29:40,232 BIOLOGICAL COMPONENT FOR TASTE 6546 04:29:40,232 --> 04:29:42,100 PREFERENCES IN YOUNG CHILDREN 6547 04:29:42,100 --> 04:29:43,902 AND PREFERENCES FOR 6548 04:29:43,902 --> 04:29:45,003 [INDISCERNIBLE] AND FOOD 6549 04:29:45,003 --> 04:29:47,839 PREFERENCES ARE ALMOST LARGELY 6550 04:29:47,839 --> 04:29:48,707 ACQUIRED THROUGH EXPERIENCE THAT 6551 04:29:48,707 --> 04:29:51,209 ARE EXPERIENCES THAT ARE 6552 04:29:51,209 --> 04:29:52,844 INHERENTLY SOCIAL AND WHILE 6553 04:29:52,844 --> 04:29:55,146 FOODS THAT ARE THOSE THAT ARE 6554 04:29:55,146 --> 04:29:57,616 SWEET ARE READILY ACCEPTED BY 6555 04:29:57,616 --> 04:29:58,750 YOUNG CHILDREN AND MANY FOODS 6556 04:29:58,750 --> 04:30:00,085 INCLUDING THOSE THAT ARE 6557 04:30:00,085 --> 04:30:02,521 RECOMMENDED IN THE DIETARY 6558 04:30:02,521 --> 04:30:03,788 GUIDELINES ARE NOT. 6559 04:30:03,788 --> 04:30:04,956 RIGHT? 6560 04:30:04,956 --> 04:30:07,259 QUESTION IN REPEATED EXPOSURE IS 6561 04:30:07,259 --> 04:30:09,294 LARGER INTEREST IN ITERATION OF 6562 04:30:09,294 --> 04:30:10,729 DIETARY GUIDELINES AND 6563 04:30:10,729 --> 04:30:12,697 IDENTIFYING STRATEGIES THAT 6564 04:30:12,697 --> 04:30:15,033 SUPPORT DEVELOPMENT OF HEALTHFUL 6565 04:30:15,033 --> 04:30:17,569 EATING BEHAVIORS IN YOUNG 6566 04:30:17,569 --> 04:30:19,871 CHILDREN IN LINE WITH DIETARY 6567 04:30:19,871 --> 04:30:22,941 GUIDELINES AND IN THIS CASE 6568 04:30:22,941 --> 04:30:25,310 CONSIDERING CHILDREN'S 6569 04:30:25,310 --> 04:30:26,978 ACCEPTANCE OF HEALTHFUL FOOD AND 6570 04:30:26,978 --> 04:30:29,481 THIS SHOWS ANALYTIC FRAMEWORK WE 6571 04:30:29,481 --> 04:30:32,217 USED TO EVALUATE EVIDENCE AND 6572 04:30:32,217 --> 04:30:34,519 REMINDER THAT B24 COMPONENT OF 6573 04:30:34,519 --> 04:30:36,321 REVIEW THAT WE PRESENTED LAST 6574 04:30:36,321 --> 04:30:40,525 TIME IS AN ACTUAL UPDATE TO A 6575 04:30:40,525 --> 04:30:42,093 2019NESR REVIEW FOR THE LAST 6576 04:30:42,093 --> 04:30:44,396 ITERATION OF THE DIETARY 6577 04:30:44,396 --> 04:30:44,896 GUIDELINES. 6578 04:30:44,896 --> 04:30:47,599 HOWEVER, EVIDENCE, TODAY, AGAIN, 6579 04:30:47,599 --> 04:30:50,602 IS NEW TO DIETARY GUIDELINES AND 6580 04:30:50,602 --> 04:30:52,237 THIS ITERATION FOCUSES ON 6581 04:30:52,237 --> 04:30:56,441 CHILDREN 2 TO 6 YEARS OF AGE AND 6582 04:30:56,441 --> 04:30:58,610 PICO ELEMENT HAVE BEEN THE SAME 6583 04:30:58,610 --> 04:30:59,844 ACROSS TWO LIFE STAGES THAT WE 6584 04:30:59,844 --> 04:31:02,013 HAVE CONSIDERED AND TO REORIENT 6585 04:31:02,013 --> 04:31:04,115 YOU TO WHAT WE ARE LOOKING AT IN 6586 04:31:04,115 --> 04:31:07,919 THE STUDIES WE HAVE CONSIDERED 6587 04:31:07,919 --> 04:31:09,754 STUDIES OF TASTE EXPOSURE 6588 04:31:09,754 --> 04:31:13,391 CHILDREN ARE GIVEN OPPORTUNITY 6589 04:31:13,391 --> 04:31:17,295 TO TASTE AND CONSUME FOODS AND 6590 04:31:17,295 --> 04:31:19,531 THESE STUDIES INVOLVE SENSORY 6591 04:31:19,531 --> 04:31:22,567 EXPOSURE PLAYING WITH FOODS 6592 04:31:22,567 --> 04:31:25,136 READING PICTURE BOOKS ABOUT 6593 04:31:25,136 --> 04:31:28,707 FOODS AND METHODS OF STUDIES ARE 6594 04:31:28,707 --> 04:31:29,040 VARIABLE. 6595 04:31:29,040 --> 04:31:31,576 IN GENERAL, THIS STUDY IN THIS 6596 04:31:31,576 --> 04:31:33,745 BODY OF EVIDENCE ARE PROVIDING 6597 04:31:33,745 --> 04:31:36,581 TASTE AND NONTASTE EXPOSURE TO 6598 04:31:36,581 --> 04:31:38,984 FOODS BETWEEN 1 TO 14 TIMES AND 6599 04:31:38,984 --> 04:31:41,486 EITHER OCCURRING LIKE ON A DAILY 6600 04:31:41,486 --> 04:31:46,758 BASIS OR WITH A RANGE OF UP TO 6601 04:31:46,758 --> 04:31:48,827 ONCE TO TWICE A WEEK TO GIVE A 6602 04:31:48,827 --> 04:31:50,228 SENSE WHAT LITERATURE LOOKS LIKE 6603 04:31:50,228 --> 04:31:51,830 AND IN TERMS OF OUTCOMES THERE 6604 04:31:51,830 --> 04:31:53,732 IS A NUMBER OF INDICATORS OF 6605 04:31:53,732 --> 04:31:55,834 FOOD ACCEPTANCE REPORTED IN THE 6606 04:31:55,834 --> 04:31:57,335 LITERATURE WE CONSIDER. YOU CAN 6607 04:31:57,335 --> 04:31:59,237 SEE IT ALONG THE STANDARD 6608 04:31:59,237 --> 04:32:01,006 OUTCOME COLUMN. I WILL NOT READ 6609 04:32:01,006 --> 04:32:02,507 THROUGH ALL OF THOSE. 6610 04:32:02,507 --> 04:32:04,876 TO SAY THAT WE OPERATIONALLY 6611 04:32:04,876 --> 04:32:07,245 DEFINED A POSITIVE OUTCOME IN 6612 04:32:07,245 --> 04:32:10,015 TRIALS AS IN STATISTICALLY 6613 04:32:10,015 --> 04:32:12,984 INCREASE IN ONE OR MORE 6614 04:32:12,984 --> 04:32:13,284 INDICATORS. 6615 04:32:13,284 --> 04:32:16,187 FOR MOST STUDIES THAT WE 6616 04:32:16,187 --> 04:32:19,024 CONSIDERED, MOST STUDIES 6617 04:32:19,024 --> 04:32:20,325 ASSESSED AND INCLUDED WEIGHT 6618 04:32:20,325 --> 04:32:22,627 FOOD INTAKE MEASURES FOLLOWED BY 6619 04:32:22,627 --> 04:32:24,729 MEASURES OF LIKING AND 6620 04:32:24,729 --> 04:32:26,398 UNWILLINGNESS TO TRY AND WHAT I 6621 04:32:26,398 --> 04:32:28,433 WOULD LIKE TO DO NEXT IS PRESENT 6622 04:32:28,433 --> 04:32:30,902 FIVE CONCLUSION STATEMENTS WE 6623 04:32:30,902 --> 04:32:33,038 DEVELOPED BASED ON REVIEW OF 6624 04:32:33,038 --> 04:32:35,140 EVIDENCE BASED ON 2 TO 6 YEARS 6625 04:32:35,140 --> 04:32:35,707 OF AGE. 6626 04:32:35,707 --> 04:32:37,242 NEXT SLIDE. 6627 04:32:37,242 --> 04:32:39,244 THERE WILL BE TWO CONCLUSION 6628 04:32:39,244 --> 04:32:40,712 STATEMENTS ON THIS SLIDE THAT 6629 04:32:40,712 --> 04:32:42,881 WILL FOCUS ON ONE THAT IS 6630 04:32:42,881 --> 04:32:45,016 ACTUALLY SHOWN HERE. 6631 04:32:45,016 --> 04:32:47,852 THESE TWO STATEMENTS REFER TO 6632 04:32:47,852 --> 04:32:50,188 THE EFFECTS OF REPEATED TASTE 6633 04:32:50,188 --> 04:32:52,424 EXPOSURE TO VEGETABLES AND IN 6634 04:32:52,424 --> 04:32:56,594 STUDIES WERE THINGS LIKE SPINACH 6635 04:32:56,594 --> 04:33:00,231 BELL PEPPERS ZUCCHINI AND 6636 04:33:00,231 --> 04:33:02,267 ARTICHOKES AND FOODS NOVEL TO 6637 04:33:02,267 --> 04:33:04,903 CHILDREN AS WELL AS THAT ARE 6638 04:33:04,903 --> 04:33:07,205 FAMILIAR AND MORE OFTEN 6639 04:33:07,205 --> 04:33:10,408 INITIALLY DISLIKED FOODS AND 6640 04:33:10,408 --> 04:33:13,945 REVIEWING MODERATE EVIDENCE TO 6641 04:33:13,945 --> 04:33:15,380 INDICATE REPEATED TASTE EXPOSURE 6642 04:33:15,380 --> 04:33:20,652 TO SINGLE MULTIPLE OR DISLIKED 6643 04:33:20,652 --> 04:33:22,821 VEGETABLE TO INCREASED 6644 04:33:22,821 --> 04:33:24,956 ACCEPTANCE -- AGES 2 TO 6 YEARS 6645 04:33:24,956 --> 04:33:27,992 AND THIS CONCLUSION WAS BASED ON 6646 04:33:27,992 --> 04:33:32,297 THE DESIGN AND RESULTS OF 14RCTS 6647 04:33:32,297 --> 04:33:34,432 IN ONE NONRANDOMIZED CONTROL 6648 04:33:34,432 --> 04:33:38,269 TRIAL REPORTED IN 15 ARTICLES 6649 04:33:38,269 --> 04:33:40,438 ASSIGNING GRADE OF MODERATE 6650 04:33:40,438 --> 04:33:42,440 BASED ON COMMITTEE'S ASSESSMENTS 6651 04:33:42,440 --> 04:33:45,410 BASED ON STRENGTH AND DIRECTNESS 6652 04:33:45,410 --> 04:33:46,578 AND CONSISTENCY OF EVIDENCE AS 6653 04:33:46,578 --> 04:33:48,780 WELL AS PROTECTIONS OF EVIDENCE 6654 04:33:48,780 --> 04:33:51,249 OF BIAS AND STRENGTHS WERE 6655 04:33:51,249 --> 04:33:52,250 WEIGHED AGAINST SIGNIFICANT 6656 04:33:52,250 --> 04:33:54,986 CONCERNS ABOUT GENERALIZABILITY. 6657 04:33:54,986 --> 04:33:57,122 SO, I WILL SAY A LITTLE ABOUT 6658 04:33:57,122 --> 04:33:58,523 EACH OF THESE ELEMENTS STARTING 6659 04:33:58,523 --> 04:34:00,992 WITH THE STRENGTH AS WE PERCEIVE 6660 04:34:00,992 --> 04:34:01,459 THEM. 6661 04:34:01,459 --> 04:34:03,461 SO, FIRST STUDIES THAT ARE 6662 04:34:03,461 --> 04:34:05,230 DESIGNED TO DIRECTLY ANSWER THE 6663 04:34:05,230 --> 04:34:07,632 QUESTIONS THAT MOST INVOLVED 6664 04:34:07,632 --> 04:34:09,167 RANDOMIZED CONTROL TRIALS THAT 6665 04:34:09,167 --> 04:34:13,004 WERE DESIGNED SPECIFICALLY TO 6666 04:34:13,004 --> 04:34:14,472 ANSWER THIS QUESTION. 6667 04:34:14,472 --> 04:34:17,442 SECOND, RESULTS WERE REMARKABLY 6668 04:34:17,442 --> 04:34:17,976 CONSISTENT. 6669 04:34:17,976 --> 04:34:20,979 14 OUT OF THE 15 STUDIES 6670 04:34:20,979 --> 04:34:22,413 DEMONSTRATED STATISTICALLY 6671 04:34:22,413 --> 04:34:25,016 SIGNIFICANT INCREASES IN ONE OR 6672 04:34:25,016 --> 04:34:26,918 MORE MEASURES OF FOOD 6673 04:34:26,918 --> 04:34:27,819 ACCEPTANCE. 6674 04:34:27,819 --> 04:34:30,188 AGAIN, MOST STUDIES IN THIS AREA 6675 04:34:30,188 --> 04:34:32,223 INVOLVED OR SHOWED SIGNIFICANT 6676 04:34:32,223 --> 04:34:34,659 INCREASES IN OBJECTIVE MEASURES 6677 04:34:34,659 --> 04:34:37,262 OF WEIGHT INTAKE. 6678 04:34:37,262 --> 04:34:41,032 REGARDING RECISIONS STUDIES 6679 04:34:41,032 --> 04:34:44,803 ADEQUATE SAMPLE SIZES WERE 6680 04:34:44,803 --> 04:34:45,804 SUFFICIENTLY POWERED. 6681 04:34:45,804 --> 04:34:49,974 FINALLY, USE OF RCT DESIGNED 6682 04:34:49,974 --> 04:34:52,644 WERE AFFORDING MODERATE 6683 04:34:52,644 --> 04:34:54,312 PROTECTIONS AGAINST BIAS AND 6684 04:34:54,312 --> 04:34:55,780 NEXT COMMENTS REFER IN SOME WAYS 6685 04:34:55,780 --> 04:34:58,116 BACK TO THE CONVERSATION THAT WE 6686 04:34:58,116 --> 04:34:59,484 HAD BEFORE THE BREAK. 6687 04:34:59,484 --> 04:35:02,120 IN REVIEWING THESE STUDIES, WE 6688 04:35:02,120 --> 04:35:03,454 NOTED THAT REPORTING ELEMENTS 6689 04:35:03,454 --> 04:35:05,290 WERE MISSING DETAIL ABOUT LACK 6690 04:35:05,290 --> 04:35:08,593 OF -- LACK OF DETAIL ABOUT THE 6691 04:35:08,593 --> 04:35:10,161 RANDOMIZATION PROCESS OR A LACK 6692 04:35:10,161 --> 04:35:12,530 OF PRE-SPECIFIED ANALYSIS PLAN. 6693 04:35:12,530 --> 04:35:14,799 IN OUR CASE, THE COMMITTEE DID 6694 04:35:14,799 --> 04:35:17,602 NOT REVIEW THE -- THEY DID NOT 6695 04:35:17,602 --> 04:35:19,137 VIEW THESE AS SIGNIFICANT 6696 04:35:19,137 --> 04:35:20,805 CONCERNS GIVEN THAT GOOD NUMBER 6697 04:35:20,805 --> 04:35:22,674 OF STUDIES WERE PUBLISHED PRIOR 6698 04:35:22,674 --> 04:35:24,909 TO THE REGISTRATION OF CLINICAL 6699 04:35:24,909 --> 04:35:26,811 TRIALS AND PRIOR TO TIME WHEN 6700 04:35:26,811 --> 04:35:29,080 ASPECTS OF STUDIES OF DESIGN 6701 04:35:29,080 --> 04:35:31,816 WERE CONSIDERED TO BE STANDING 6702 04:35:31,816 --> 04:35:35,820 REPORTING REQUIREMENTS IN MOST 6703 04:35:35,820 --> 04:35:36,754 JOURNALS. 6704 04:35:37,055 --> 04:35:39,824 SO, DESPITE SIGNIFICANT 6705 04:35:39,824 --> 04:35:41,259 STRENGTHS, WE IDENTIFIED 6706 04:35:41,259 --> 04:35:42,994 SIGNIFICANT CONCERNS REGARDING 6707 04:35:42,994 --> 04:35:44,128 GENERALIZABILITY OF FINDINGS TO 6708 04:35:44,128 --> 04:35:45,864 THE US POPULATION. 6709 04:35:45,864 --> 04:35:48,399 SO, I WILL DETAIL THOSE FIRST. 6710 04:35:48,399 --> 04:35:50,468 STUDIES LACK DIVERSITY IN TERMS 6711 04:35:50,468 --> 04:35:52,570 OF RACE AND ETHNICITY AND ONLY 6712 04:35:52,570 --> 04:35:55,874 FIVE OR 15 STUDIES REPORTED DATA 6713 04:35:55,874 --> 04:35:58,610 ON RACE AND ETHNICITY AND 70% OR 6714 04:35:58,610 --> 04:36:00,645 MORE PARTICIPANTS IN STUDIES 6715 04:36:00,645 --> 04:36:02,947 WERE WHITE AND LACK DIVERSITY IN 6716 04:36:02,947 --> 04:36:05,116 TERMS OF ECONOMIC POSITION AND 7 6717 04:36:05,116 --> 04:36:09,187 IN 15 STUDIES SO LESS THAN HALF 6718 04:36:09,187 --> 04:36:10,021 REPORTED PARTICIPANT EDUCATION 6719 04:36:10,021 --> 04:36:11,456 AND EDUCATION LEVEL WAS HIGH IN 6720 04:36:11,456 --> 04:36:13,858 ALL OF THE STUDIES AND MEASURES 6721 04:36:13,858 --> 04:36:17,495 OF SEP WERE LESS FREQUENTLY AND 6722 04:36:17,495 --> 04:36:18,930 INCONSISTENTLY REPORTED AND 6723 04:36:18,930 --> 04:36:21,599 FINALLY MAJORITY OF STUDIES WERE 6724 04:36:21,599 --> 04:36:24,235 ACTUALLY CONDUCTED OUTSIDE OF 6725 04:36:24,235 --> 04:36:27,472 THE US IN 12 AND 15 AND WIDE 6726 04:36:27,472 --> 04:36:29,540 RANGE OF CULTURAL DIFFERENCES 6727 04:36:29,540 --> 04:36:31,309 INSTANCE CULTURAL FOODS CHILD 6728 04:36:31,309 --> 04:36:33,978 REARING PRACTICES EATING NORMS, 6729 04:36:33,978 --> 04:36:36,281 ET CETERA, COULD INFLUENCE FOOD 6730 04:36:36,281 --> 04:36:37,982 ACCEPTANCE PATTERNS AND YOUNG 6731 04:36:37,982 --> 04:36:39,851 CHILDREN TO CALL INTO QUESTION 6732 04:36:39,851 --> 04:36:41,653 THE GENERALIZABILITY OF FINDINGS 6733 04:36:41,653 --> 04:36:43,488 TO THE US POPULATION AND GOING 6734 04:36:43,488 --> 04:36:45,757 TO THE NEXT CONCLUSION 6735 04:36:45,757 --> 04:36:46,791 STATEMENT, PLEASE. 6736 04:36:46,791 --> 04:36:48,159 THANK YOU. 6737 04:36:48,159 --> 04:36:51,863 THE SECOND CONCLUSION STATEMENT 6738 04:36:51,863 --> 04:36:54,599 ADDRESSES THE EXTENT TO WHICH 6739 04:36:54,599 --> 04:36:57,435 EFFECTS OF REPEATED EXPOSURE TO 6740 04:36:57,435 --> 04:36:59,437 VEGETABLES MIGHT GENERALIZE TO 6741 04:36:59,437 --> 04:37:01,973 OTHER FOODS AND FOR EXAMPLE 6742 04:37:01,973 --> 04:37:04,776 WHETHER PROVIDING REPEATED 6743 04:37:04,776 --> 04:37:07,145 EXPOSURE TO ONE TYPE BRCA LEE 6744 04:37:07,145 --> 04:37:09,213 MIGHT BENEFIT CHILD'S ACCEPTANCE 6745 04:37:09,213 --> 04:37:11,149 OF ANOTHER TYPE OF VEGETABLE 6746 04:37:11,149 --> 04:37:12,984 LIKE GREEN BEANS AND IN THIS 6747 04:37:12,984 --> 04:37:16,387 CASE WE FOUND LIMITED EVIDENCE 6748 04:37:16,387 --> 04:37:18,356 TO SUGGEST EXPOSURE TO TARGET 6749 04:37:18,356 --> 04:37:21,893 VEGETABLE IS LIKELY TO INCREASE 6750 04:37:21,893 --> 04:37:23,127 ACCEPTANCE OF A DIFFERENT 6751 04:37:23,127 --> 04:37:25,496 VEGETABLE IN YEARS AGES 2 TO 6 6752 04:37:25,496 --> 04:37:27,832 YEARS OF AGE AND EVIDENCE FOR 6753 04:37:27,832 --> 04:37:29,133 THIS CONCLUSION STATEMENT CAME 6754 04:37:29,133 --> 04:37:33,805 FROM 6RCTS AND HERE WE ASSIGNED 6755 04:37:33,805 --> 04:37:35,840 A GRADE OF LIMITED PRIMARILY DUE 6756 04:37:35,840 --> 04:37:37,809 TO CONCERNS ABOUT CONSISTENCY AS 6757 04:37:37,809 --> 04:37:41,546 WELL AS GENERALIZABILITY OF 6758 04:37:41,546 --> 04:37:45,817 EVIDENCE TO A LESSER EXTENT 6759 04:37:45,817 --> 04:37:47,018 PRECISION AND WAS THE CASE FOR 6760 04:37:47,018 --> 04:37:49,354 PREVIOUS CONCLUSION AND GROUP OF 6761 04:37:49,354 --> 04:37:52,557 STUDIES, USE OF RCT DESIGNS 6762 04:37:52,557 --> 04:37:54,192 PROVIDED DIRECT ASSESSMENT OF 6763 04:37:54,192 --> 04:37:56,361 THE QUESTION AND BELIEVE 6764 04:37:56,361 --> 04:37:57,962 AFFORDED MODERATE PROTECTION 6765 04:37:57,962 --> 04:38:00,131 AGAINST BIAS AND HOWEVER IN THIS 6766 04:38:00,131 --> 04:38:01,966 AREA OF SCIENCE, FINDINGS WERE 6767 04:38:01,966 --> 04:38:05,036 QUITE INCONSISTENT AND ONLY SIX 6768 04:38:05,036 --> 04:38:07,105 STUDIES AND HALF OF THOSE 6769 04:38:07,105 --> 04:38:08,473 STUDIES REPORTED POSITIVE 6770 04:38:08,473 --> 04:38:10,842 EFFECTS AND OTHER STUDIES 6771 04:38:10,842 --> 04:38:12,443 REPORTED NO EFFECTS AND WERE 6772 04:38:12,443 --> 04:38:14,312 CURRENT CONCERNS REGARDING 6773 04:38:14,312 --> 04:38:15,713 PRECISION BECAUSE OF SAMPLE 6774 04:38:15,713 --> 04:38:16,948 SIZES THAT WERE SMALL. 6775 04:38:16,948 --> 04:38:20,051 THERE WAS A LACK OF POWER 6776 04:38:20,051 --> 04:38:20,852 ANALYSIS. 6777 04:38:20,852 --> 04:38:23,187 FINALLY, AS WITH THE PREVIOUS 6778 04:38:23,187 --> 04:38:25,990 STATEMENT, COMMITTEE IDENTIFIED 6779 04:38:25,990 --> 04:38:29,127 CONCERNS REGARDING 6780 04:38:29,127 --> 04:38:29,527 GENERALIZABILITY. 6781 04:38:29,527 --> 04:38:31,796 MOST STUDIES DIDN'T REPORT DATA 6782 04:38:31,796 --> 04:38:37,869 ON RACE ETHNICITY AND 6783 04:38:37,869 --> 04:38:39,504 SOCIOECONOMIC CONDITION AND 6784 04:38:39,504 --> 04:38:41,105 STUDIES WERE CONDUCTED OUTSIDE 6785 04:38:41,105 --> 04:38:42,106 OF THE US. 6786 04:38:42,106 --> 04:38:43,808 NEXT SLIDE, PLEASE. 6787 04:38:43,808 --> 04:38:45,176 THE NEXT TWO CONCLUSION 6788 04:38:45,176 --> 04:38:48,413 STATEMENTS PERTAINED TO EFFECTS 6789 04:38:48,413 --> 04:38:51,049 OF REPEATED TASTE EXPOSURE TO 6790 04:38:51,049 --> 04:38:52,617 FRUITS AND UNFORTUNATE UNLIKE 6791 04:38:52,617 --> 04:38:55,820 THE REVIEW OF B24 EVIDENCE, WE 6792 04:38:55,820 --> 04:38:57,822 WERE UNABLE TO IDENTIFY STUDIES 6793 04:38:57,822 --> 04:38:59,590 ON THIS TOPIC AMONG CHILDREN 2 6794 04:38:59,590 --> 04:39:02,527 TO 6 YEARS OF AGE AND THEREFORE 6795 04:39:02,527 --> 04:39:03,594 CONCLUSION STATEMENTS COULDN'T 6796 04:39:03,594 --> 04:39:06,230 BE DRAWN ABOUT THE EFFECTS OF 6797 04:39:06,230 --> 04:39:08,533 REPEATED TASTE EXPOSURE TO 6798 04:39:08,533 --> 04:39:08,900 FRUITS. 6799 04:39:08,900 --> 04:39:11,469 ON CHILDREN'S ACCEPTANCE OF 6800 04:39:11,469 --> 04:39:13,004 TARGET FRUIT THAT IS SHOWN IN 6801 04:39:13,004 --> 04:39:15,273 THE LEFT STATEMENT OR ON 6802 04:39:15,273 --> 04:39:17,708 CHILDREN ACCEPTANCE OF A 6803 04:39:17,708 --> 04:39:18,976 DIFFERENT FRUIT MEANING WHETHER 6804 04:39:18,976 --> 04:39:21,212 EFFECTS OF REPEATED EXPOSURE 6805 04:39:21,212 --> 04:39:25,316 WOULD GENERALIZE TO DIFFERENT 6806 04:39:25,316 --> 04:39:27,685 FRUITS AND ARE ABLE TO MAKE 6807 04:39:27,685 --> 04:39:30,955 HEADWAY IN THE AREA. 6808 04:39:30,955 --> 04:39:32,023 ALL RIGHT. 6809 04:39:32,023 --> 04:39:34,358 MOVING ON LET'S GO TO THE FINAL 6810 04:39:34,358 --> 04:39:36,194 CONCLUSION STATEMENT. 6811 04:39:36,194 --> 04:39:37,662 THIS CONCLUSION STATEMENT 6812 04:39:37,662 --> 04:39:40,131 PERTAINS TO STUDIES OF NONTASTE 6813 04:39:40,131 --> 04:39:41,799 EXPOSURE AND HERE WE FOUND 6814 04:39:41,799 --> 04:39:44,102 MODERATE EVIDENCE THAT REPEATED 6815 04:39:44,102 --> 04:39:46,137 NONTASTE EXPOSURE ALONE OR 6816 04:39:46,137 --> 04:39:47,839 TOGETHER WITH TASTE EXPOSURE TO 6817 04:39:47,839 --> 04:39:51,008 A TARGET FRUIT OR VEGETABLE 6818 04:39:51,008 --> 04:39:52,877 INCREASES ACCEPTANCE 6819 04:39:52,877 --> 04:39:55,012 SPECIFICALLY YOUNG CHILDREN'S 6820 04:39:55,012 --> 04:39:56,848 WILLINGNESS TO TRY TARGET FRUIT 6821 04:39:56,848 --> 04:39:59,016 OR VEGETABLE AND CONCLUSION 6822 04:39:59,016 --> 04:40:01,586 STATEMENT IS BASED ON FOUR RCTS 6823 04:40:01,586 --> 04:40:03,855 AND NOT ONE RANDOMIZED CONTROL 6824 04:40:03,855 --> 04:40:05,756 TRIAL EXPOSURE TO TARGET FRUIT 6825 04:40:05,756 --> 04:40:08,426 OR VEGETABLE USING STORYBOOKS OR 6826 04:40:08,426 --> 04:40:11,262 SENSORY PLAY ACTIVITIES WHERE 6827 04:40:11,262 --> 04:40:12,997 CHILDREN WERE INVOLVED 6828 04:40:12,997 --> 04:40:16,200 PHYSICALLY IN MANIPULATING FOODS 6829 04:40:16,200 --> 04:40:19,937 AND TWO OF THOSE SIX STUDIES 6830 04:40:19,937 --> 04:40:21,906 ACTUALLY COMBINED NONTASTE 6831 04:40:21,906 --> 04:40:23,941 EXPOSURE WITH TASTE EXPOSURE AND 6832 04:40:23,941 --> 04:40:26,611 GRADE OF MODERATE REFLECTED 6833 04:40:26,611 --> 04:40:29,147 STRENGTHS IN CONSISTENCY OF 6834 04:40:29,147 --> 04:40:31,149 FINDINGS AND DIRECTNESS OF 6835 04:40:31,149 --> 04:40:32,650 EVIDENCE AND ADEQUATE PRECISION 6836 04:40:32,650 --> 04:40:34,785 AND PROTECTIONS AGAINST BIAS AND 6837 04:40:34,785 --> 04:40:36,754 I WILL SUMMARIZE THE STRENGTH 6838 04:40:36,754 --> 04:40:41,159 AND AGAIN HERE WE SAW USE OF RCT 6839 04:40:41,159 --> 04:40:43,427 DESIGNS PROVIDED DIRECT 6840 04:40:43,427 --> 04:40:45,763 ASSESSMENT AND AFFORDED MODERATE 6841 04:40:45,763 --> 04:40:48,266 PROTECTIONS OF BIAS AND FOUND 6842 04:40:48,266 --> 04:40:50,401 THAT ALL FIVE STUDIES SHOWED 6843 04:40:50,401 --> 04:40:52,937 POSITIVE EFFECTS OF NONTASTE 6844 04:40:52,937 --> 04:40:54,305 EXPOSURE OF ACCEPTANCE IN 6845 04:40:54,305 --> 04:40:56,207 CHILDREN AND PARTY OF EVIDENCE 6846 04:40:56,207 --> 04:40:59,844 FOUR OF THE FIVE STUDIES 6847 04:40:59,844 --> 04:41:01,279 MEASURED CHILDREN'S WILLINGNESS 6848 04:41:01,279 --> 04:41:03,648 TO TRY TARGET FRUIT OR VEGETABLE 6849 04:41:03,648 --> 04:41:06,184 AND STUDIES FOUND POSITIVE 6850 04:41:06,184 --> 04:41:08,085 EFFECTS ON OUTCOME AND WHY 6851 04:41:08,085 --> 04:41:10,321 CONCLUSION STATEMENT 6852 04:41:10,321 --> 04:41:12,256 SPECIFICALLY MENTIONS 6853 04:41:12,256 --> 04:41:14,992 WILLINGNESS TO TRY AND POSITIVE 6854 04:41:14,992 --> 04:41:17,228 EFFECTS ON LIKING AND ON INTAKE 6855 04:41:17,228 --> 04:41:19,564 AND IN TERMS OF PRECISIONS 6856 04:41:19,564 --> 04:41:21,832 STUDIES HAD ADEQUATE SAMPLE 6857 04:41:21,832 --> 04:41:24,502 SIZES BEING ADEQUATELY POWERED 6858 04:41:24,502 --> 04:41:26,804 LIKE OTHER EVIDENCE WE REVIEWED 6859 04:41:26,804 --> 04:41:28,206 THERE WERE SIGNIFICANT CONCERNS 6860 04:41:28,206 --> 04:41:30,374 ABOUT LACK OF DIVERSITY AND 6861 04:41:30,374 --> 04:41:32,343 PARTICIPANT RACE AND ETHNICITY 6862 04:41:32,343 --> 04:41:35,746 AND SEP AND GENERALIZABILITY OF 6863 04:41:35,746 --> 04:41:37,615 THE INTERNATIONAL STUDIES. 6864 04:41:37,615 --> 04:41:39,317 ALL RIGHT. 6865 04:41:39,317 --> 04:41:42,386 LET'S MOVE TO THE LAST SLIDE ON 6866 04:41:42,386 --> 04:41:43,120 REPEATED EXPOSURE. 6867 04:41:43,120 --> 04:41:45,690 SO, THE SLIDE SHOWS YOU A 6868 04:41:45,690 --> 04:41:46,958 SUMMARY OF THE CONCLUSION 6869 04:41:46,958 --> 04:41:49,760 STATEMENTS THAT WE HAVE DRAFTED 6870 04:41:49,760 --> 04:41:52,663 BASED ON THE EVIDENCE OF 6871 04:41:52,663 --> 04:41:54,532 REPEATED EXPOSURE IN CHILDREN 6872 04:41:54,532 --> 04:41:56,701 FROM BIRTH UP TO SIX YEARS OF 6873 04:41:56,701 --> 04:41:56,901 AGE. 6874 04:41:56,901 --> 04:41:59,737 AND I WILL POINT OUT THAT THE 6875 04:41:59,737 --> 04:42:02,440 BODY OF EVIDENCE INVOLVES 36 6876 04:42:02,440 --> 04:42:04,475 RANDOMIZED CONTROL TRIALS AND 6877 04:42:04,475 --> 04:42:06,644 FIVE NONRANDOMIZED CONTROL 6878 04:42:06,644 --> 04:42:07,345 TRIALS. 6879 04:42:07,345 --> 04:42:09,947 IT REALLY -- I THINK IT 6880 04:42:09,947 --> 04:42:11,983 PROVIDES A FAIRLY XREE 6881 04:42:11,983 --> 04:42:13,985 HADDENCESIVE EXAMINATION OF THE 6882 04:42:13,985 --> 04:42:15,152 SCIENTIFIC EVIDENCE OF THIS 6883 04:42:15,152 --> 04:42:17,488 TOPIC DURING EARLY CHILDHOOD. 6884 04:42:17,488 --> 04:42:19,824 IN SHORT, WE FOUND THAT THE 6885 04:42:19,824 --> 04:42:22,159 EVIDENCE ON REPEATED TASTE 6886 04:42:22,159 --> 04:42:23,961 EXPOSURE AND VEGETABLE 6887 04:42:23,961 --> 04:42:26,163 ACCEPTANCE IS FAIRLY ROBUST 6888 04:42:26,163 --> 04:42:28,599 DURING EARLY CHILDHOOD AND 6889 04:42:28,599 --> 04:42:30,601 POSITIVE ACCEPTANCE OF TARGET 6890 04:42:30,601 --> 04:42:32,870 VEGETABLES IN BOTH GROUPS AND 6891 04:42:32,870 --> 04:42:34,772 EVIDENCE THAT BENEFITS ACCEPT 6892 04:42:34,772 --> 04:42:36,707 ANESS TO EXTEND TO DIFFERENT 6893 04:42:36,707 --> 04:42:39,543 VEGETABLES FOR INFANTS AND 6894 04:42:39,543 --> 04:42:41,679 TODDLERS NOT OLDER CHILDREN AND 6895 04:42:41,679 --> 04:42:42,980 REPEATED TASTE EXPOSURE IT 6896 04:42:42,980 --> 04:42:46,450 FRUITS IN CONTRAST COMES FROM 6897 04:42:46,450 --> 04:42:49,920 TODDLERS STUDIES OF INFANTS AND 6898 04:42:49,920 --> 04:42:51,088 TODDLERS WITH MODULATE INCREASED 6899 04:42:51,088 --> 04:42:54,125 ACCEPT ANESS TO TARGET FRUITS 6900 04:42:54,125 --> 04:42:56,494 AND LIMIT EVIDENCE EFFECTING 6901 04:42:56,494 --> 04:42:57,795 GENERALIZED TO DIFFERENT GROUPS 6902 04:42:57,795 --> 04:42:59,864 AND FINALLY FIRST TIME POINTING 6903 04:42:59,864 --> 04:43:02,400 OUT WE IDENTIFIED A NUMBER OF 6904 04:43:02,400 --> 04:43:04,869 STUDIES IN OLDER CHILDREN 6905 04:43:04,869 --> 04:43:06,771 INDICATING PROVIDING SENSORY 6906 04:43:06,771 --> 04:43:09,273 EXPOSURE BEYOND TASTING PROMOTE 6907 04:43:09,273 --> 04:43:12,943 FOOD ACCEPTANCE AND CHILDREN'S 6908 04:43:12,943 --> 04:43:14,211 WILLINGNESS TO TRY FOOD AND 6909 04:43:14,211 --> 04:43:16,147 IMPORTANT CAVEAT OF THIS WORK IS 6910 04:43:16,147 --> 04:43:18,849 THAT ALTHOUGH THE STUDIES IN 6911 04:43:18,849 --> 04:43:21,285 LITERATURE AS A WHOLE IS -- WERE 6912 04:43:21,285 --> 04:43:25,690 VIEWED TO BE FAIRLY ROBUST, WE 6913 04:43:25,690 --> 04:43:26,190 IDENTIFIED SIGNIFICANT 6914 04:43:26,190 --> 04:43:28,392 LIMITATIONS IN THE BODY OF EVERY 6915 04:43:28,392 --> 04:43:30,828 AS A WHOLE AROUND 6916 04:43:30,828 --> 04:43:32,196 GENERALIZABILITY THAT WE BELIEVE 6917 04:43:32,196 --> 04:43:34,699 ARE IMPORTANT TO ADDRESS IN 6918 04:43:34,699 --> 04:43:37,268 FUTURE WORK AND CERTAINLY HAVE 6919 04:43:37,268 --> 04:43:39,270 IMPLICATIONS AROUND HEALTH 6920 04:43:39,270 --> 04:43:39,570 EQUITY. 6921 04:43:39,570 --> 04:43:41,939 SO, LET'S MOVE FORWARD TO THE 6922 04:43:41,939 --> 04:43:43,274 NEXT SLIDE. 6923 04:43:43,274 --> 04:43:45,976 THAT CONCLUDES OUR REVIEW OF 6924 04:43:45,976 --> 04:43:48,679 EVIDENCE ON REPEATED EXPOSURE IN 6925 04:43:48,679 --> 04:43:49,013 CHILDHOOD. 6926 04:43:49,013 --> 04:43:50,981 WITH THAT, I WILL TURN IT OVER 6927 04:43:50,981 --> 04:43:53,284 TO CAROL WHO WILL NOW PRESENT 6928 04:43:53,284 --> 04:43:58,556 EVIDENCE ON DIETARY PATTERNS 6929 04:43:58,556 --> 04:44:00,991 DURING PREGNANCY AND 6930 04:44:00,991 --> 04:44:02,893 HYPERTENSIVE DISORDERS ON 6931 04:44:02,893 --> 04:44:03,194 PREGNANCY. 6932 04:44:03,194 --> 04:44:04,862 >> THANK YOU EVERYONE FOR BEING 6933 04:44:04,862 --> 04:44:06,330 HERE AND THE HOME STRETCH AND 6934 04:44:06,330 --> 04:44:07,865 RESEARCH QUESTION IF WE CAN HAVE 6935 04:44:07,865 --> 04:44:09,700 THE NEXT SLIDE. THE RESEARCH 6936 04:44:09,700 --> 04:44:11,702 QUESTION FOR THIS REVIEW IS WHAT 6937 04:44:11,702 --> 04:44:13,971 IS A RELATIONSHIP BETWEEN 6938 04:44:13,971 --> 04:44:17,408 DIETARY PATTERNS CONSUMED DURING 6939 04:44:17,408 --> 04:44:19,276 PREGNANCY AND HYPERTENSIVE 6940 04:44:19,276 --> 04:44:20,745 DISORDERS OF PREGNANCY AND THIS 6941 04:44:20,745 --> 04:44:22,747 IS AN UPDATE TO EXISTING 6942 04:44:22,747 --> 04:44:25,316 SYSTEMATIC REVIEW PUBLISHED IN 6943 04:44:25,316 --> 04:44:28,152 2019 AND PART OF THE PREGNANCY 6944 04:44:28,152 --> 04:44:30,454 AT BIRTH TO 24 MONTHS AT PROJECT 6945 04:44:30,454 --> 04:44:33,457 AND THAT REVIEW HAD A LIMITED 6946 04:44:33,457 --> 04:44:34,358 EVIDENCE CONCLUSION STATEMENT 6947 04:44:34,358 --> 04:44:36,527 AND DECIDED TO SYNTHESIZE ALL OF 6948 04:44:36,527 --> 04:44:38,929 THE EVIDENCE FROM JANUARY OF 6949 04:44:38,929 --> 04:44:42,666 1980 TO MAY OF 2023 AND REVIEW 6950 04:44:42,666 --> 04:44:43,200 UPDATE. 6951 04:44:43,200 --> 04:44:45,770 THE PICO ELEMENTS AND KEY 6952 04:44:45,770 --> 04:44:47,405 CONFOUNDERS ARE PRESENTED ON 6953 04:44:47,405 --> 04:44:49,507 THIS SLIDE AND NOT CHANGED SINCE 6954 04:44:49,507 --> 04:44:51,709 PROTOCOL IS PRESENTED AT LAST 6955 04:44:51,709 --> 04:44:53,411 MEETING AND SYNTHESIZED AT LEVEL 6956 04:44:53,411 --> 04:44:56,080 OF POPULATION AND CONSIDERED ALL 6957 04:44:56,080 --> 04:44:58,749 OUTCOMES UNDER THE UMBRELLA OF 6958 04:44:58,749 --> 04:45:00,384 HYPERTENSIVE DISORDERS OF 6959 04:45:00,384 --> 04:45:01,986 PREGNANCY YOU SEE LISTED ON THE 6960 04:45:01,986 --> 04:45:04,054 SLIDE THAT IS DONE TO NOT 6961 04:45:04,054 --> 04:45:07,024 EXCLUDE PARTICIPANTS AT RISK OF 6962 04:45:07,024 --> 04:45:09,126 HYPERTENSIVE DISORDERS OF 6963 04:45:09,126 --> 04:45:11,429 PREGNANCY AND MIGHT NOT MEET THE 6964 04:45:11,429 --> 04:45:13,497 THRESHOLD FOR THIS DIAGNOSIS. 6965 04:45:13,497 --> 04:45:14,899 NEXT SLIDE, PLEASE. 6966 04:45:14,899 --> 04:45:17,768 FOR THIS RESEARCH QUESTION, A 6967 04:45:17,768 --> 04:45:18,669 CONCLUSION STATEMENT CAN'T BE 6968 04:45:18,669 --> 04:45:20,805 DRAWN ABOUT THE RELATIONSHIP 6969 04:45:20,805 --> 04:45:23,707 BETWEEN DIETARY PATTERNS DURING 6970 04:45:23,707 --> 04:45:25,342 PREGNANCY AND HYPERTENSIVE 6971 04:45:25,342 --> 04:45:26,744 DISORDERS OF PREGNANCY AND THERE 6972 04:45:26,744 --> 04:45:29,180 IS SUBSTANTIAL CONCERNS ABOUT 6973 04:45:29,180 --> 04:45:30,848 DIRECTNESS, PRECISION AND 6974 04:45:30,848 --> 04:45:32,349 CONSISTENCY AND BODY OF 6975 04:45:32,349 --> 04:45:34,385 LITERATURE AND BODY OF EVIDENCE 6976 04:45:34,385 --> 04:45:38,088 INCLUDES 31 ARTICLES AND 61 6977 04:45:38,088 --> 04:45:39,790 PROSPECTIVE COHORT STUDIES AND 6978 04:45:39,790 --> 04:45:42,793 SIX RANDOMIZED CONTROL TRIALS 6979 04:45:42,793 --> 04:45:44,728 AND ONE NONRANDOMIZED CONTROL 6980 04:45:44,728 --> 04:45:47,398 TRIAL AND GRADE IS NOT 6981 04:45:47,398 --> 04:45:49,066 ASSIGNABLE FOR THESE REASONS 6982 04:45:49,066 --> 04:45:50,935 DIRECTNESS AND NONPRECISION AND 6983 04:45:50,935 --> 04:45:52,970 DESIGNED TO DIRECTLY EXAMINE 6984 04:45:52,970 --> 04:45:54,338 RELATIONSHIP BETWEEN DIETARY 6985 04:45:54,338 --> 04:45:57,341 PATTERNS DURING PREGNANCY AND 6986 04:45:57,341 --> 04:45:58,576 HYPERTENSIVE DISORDERS OF 6987 04:45:58,576 --> 04:46:00,678 PREGNANCY AND ACCORDING WILL I 6988 04:46:00,678 --> 04:46:01,979 INTERVENTION STUDIES WERE NOT 6989 04:46:01,979 --> 04:46:05,082 SUFFICIENTLY POWERED TO DETECT 6990 04:46:05,082 --> 04:46:07,651 DIFFERENCES BETWEEN GROUPS OF 6991 04:46:07,651 --> 04:46:08,986 HYPERTENSIVE DISORDERS NOT 6992 04:46:08,986 --> 04:46:11,555 PROVIDING POWER CALCULATIONS FOR 6993 04:46:11,555 --> 04:46:13,157 OUTCOMES OF INTEREST SUCH AS 6994 04:46:13,157 --> 04:46:15,159 BLOOD PRESSURE AND IN 6995 04:46:15,159 --> 04:46:17,962 OBSERVATIONAL STUDIES POWER 6996 04:46:17,962 --> 04:46:19,964 ANALYSIS WERE NOT COMMON AND ONE 6997 04:46:19,964 --> 04:46:22,933 NOTED A LARGE ENOUGH SAMPLE SIZE 6998 04:46:22,933 --> 04:46:25,369 TO DETECT DIFFERENCES IN 6999 04:46:25,369 --> 04:46:27,371 HYPERTENSIVE DISORDER OF 7000 04:46:27,371 --> 04:46:28,806 PREGNANCY OUTCOME WITH ADEQUATE 7001 04:46:28,806 --> 04:46:31,175 STATISTICAL POWER AND CONCERNS 7002 04:46:31,175 --> 04:46:32,643 ABOUT CONSISTENCY AND 31 7003 04:46:32,643 --> 04:46:34,578 ARTICLES FROM 22 UNIQUE TRIALS 7004 04:46:34,578 --> 04:46:37,715 OR COHORTS, AVAILABLE EVIDENCE 7005 04:46:37,715 --> 04:46:40,351 WAS TOO INCONSISTENT TO DRAW A 7006 04:46:40,351 --> 04:46:42,019 CONCLUSION ON RELATIONSHIP OF 7007 04:46:42,019 --> 04:46:44,688 DIETARY PATTERNS DURING PREYING 7008 04:46:44,688 --> 04:46:48,526 NNCY AND RISK OF HYPERTENSIVE 7009 04:46:48,526 --> 04:46:49,994 DISORDERS DURING PREGNANCY AND 7010 04:46:49,994 --> 04:46:52,396 DIRECTION OF RESULTS FROM 7011 04:46:52,396 --> 04:46:53,898 INTERVENTION STUDIES AND 7012 04:46:53,898 --> 04:46:55,366 OBSERVATIONAL STUDIES AND SOME 7013 04:46:55,366 --> 04:46:57,234 DIETARY PATTERNS WITH SIMILAR 7014 04:46:57,234 --> 04:46:59,770 FOODS AND BEVERAGES HAD A BEN 7015 04:46:59,770 --> 04:47:02,206 FIRNL AND DETRIMENTAL EFFECT 7016 04:47:02,206 --> 04:47:03,474 AND/OR NONSIGNIFICANT 7017 04:47:03,474 --> 04:47:06,143 ASSOCIATION WITH OUTCOMES. 7018 04:47:06,143 --> 04:47:09,446 ADDITIONAL DIETARY PATTERNS AND 7019 04:47:09,446 --> 04:47:10,548 OUTCOMES ASSESSED IN DIFFERENT 7020 04:47:10,548 --> 04:47:12,416 TRIMESTERS AND DIFFERENT WAYS 7021 04:47:12,416 --> 04:47:13,884 ACROSS STUDIES AND FOR EXAMPLE 7022 04:47:13,884 --> 04:47:16,520 13 ARTICLES USED IN INDEX ARE 7023 04:47:16,520 --> 04:47:19,990 SCORED FOR THE DIET AND 10 7024 04:47:19,990 --> 04:47:22,259 ARTICLES USING FACTOR ANALYSIS 7025 04:47:22,259 --> 04:47:30,601 AND CLUSTERAL ANALYSIS AND -- 7026 04:47:30,601 --> 04:47:31,936 CONSISTENTLY ASSOCIATED FOOD AND 7027 04:47:31,936 --> 04:47:38,242 BEVERAGES WITH LOWER RISK OF 7028 04:47:38,242 --> 04:47:39,910 HYPER-10SIVE DISORDER OF 7029 04:47:39,910 --> 04:47:41,078 PREGNANCY AND THANK YOU ALL FOR 7030 04:47:41,078 --> 04:47:42,713 YOUR ATTENTION AND MOVING TO THE 7031 04:47:42,713 --> 04:47:46,884 NEXT SLIDE TO ASK FOR INPUT FROM 7032 04:47:46,884 --> 04:47:55,326 THE COMMITTEE. 7033 04:47:55,326 --> 04:47:57,728 >> YES, FATIMA? 7034 04:47:57,728 --> 04:48:00,798 >> THIS IS FOR DR. FISCHER WHO I 7035 04:48:00,798 --> 04:48:02,132 ALWAYS GET EXCITED AND LET DOWN 7036 04:48:02,132 --> 04:48:04,935 AND FEEL I'M ON A ROLLER COASTER 7037 04:48:04,935 --> 04:48:07,471 LISTENING TO YOUR RESULTS AND 7038 04:48:07,471 --> 04:48:08,973 OBVIOUSLY SOMEONE TAKING THIS 7039 04:48:08,973 --> 04:48:11,842 FROM DR. ANDERSON TAKING 7040 04:48:11,842 --> 04:48:13,410 PATIENTS FROM WRINKLE TO WRINKLE 7041 04:48:13,410 --> 04:48:17,448 AND WHAT I CAN OFFER MY PATIENTS 7042 04:48:17,448 --> 04:48:18,649 EXPOSURES AND CHANGING 7043 04:48:18,649 --> 04:48:20,384 PREFERENCES FOR FOODS MORE 7044 04:48:20,384 --> 04:48:21,986 BENEFICIAL AND YOU SPECIFICALLY 7045 04:48:21,986 --> 04:48:24,822 TALKED ABOUT MODERATE EVIDENCE 7046 04:48:24,822 --> 04:48:25,923 FOR VEGETABLES AND CHANGING 7047 04:48:25,923 --> 04:48:28,492 PREFERENCE AND I TALK ABOUT MY 7048 04:48:28,492 --> 04:48:31,629 PATIENT POPULATION THAT DOES 7049 04:48:31,629 --> 04:48:34,231 HAVE A LARGE POPULATION THAT IS 7050 04:48:34,231 --> 04:48:37,635 RACIAL AND ETHNIC MINORITY AND 7051 04:48:37,635 --> 04:48:39,703 HOW DO I, YOU KNOW, TRANSLATE 7052 04:48:39,703 --> 04:48:41,505 THAT BECAUSE OF GENERALIZABILITY 7053 04:48:41,505 --> 04:48:45,009 TO THAT POPULATION THAT IS 7054 04:48:45,009 --> 04:48:46,110 HIGHLY PREDOMINANT IN ACTUAL 7055 04:48:46,110 --> 04:48:47,611 PATIENT POPULATION AND PEOPLE I 7056 04:48:47,611 --> 04:48:48,979 DO CARE FOR? 7057 04:48:48,979 --> 04:48:51,215 I GUESS, YOU KNOW, THAT IS 7058 04:48:51,215 --> 04:48:52,683 FUTURE RECOMMENDATIONS IN TERMS 7059 04:48:52,683 --> 04:48:54,485 OF OUR REPORT THAT IS MAKING 7060 04:48:54,485 --> 04:48:56,720 SURE WE INCLUDE POPULATIONS THAT 7061 04:48:56,720 --> 04:48:58,555 REFLECT MORE OF WHAT WE ARE 7062 04:48:58,555 --> 04:49:00,290 SEEING IN THE POPULATION IN 7063 04:49:00,290 --> 04:49:01,925 PARTICULARLY IN THE US AND WANT 7064 04:49:01,925 --> 04:49:03,894 TO HEAR YOUR THOUGHTS THAT I 7065 04:49:03,894 --> 04:49:06,030 WOULD LOVE TO SEE THAT AND I 7066 04:49:06,030 --> 04:49:07,965 WOULD LIKE TO KNOW HOW TO 7067 04:49:07,965 --> 04:49:12,202 TRANSLATE DATA TO ADULT PATIENTS 7068 04:49:12,202 --> 04:49:16,573 AND PEDIATRIC PATIENTS AND 7069 04:49:16,573 --> 04:49:18,142 RELATE TO HUSBAND DON'T TELL HIM 7070 04:49:18,142 --> 04:49:20,544 I SAID THAT HE CAN'T HEAR WHAT 7071 04:49:20,544 --> 04:49:21,412 I'M SAYING. 7072 04:49:21,412 --> 04:49:24,648 JUST WANT TO HEAR YOUR THOUGHTS 7073 04:49:24,648 --> 04:49:29,019 ABOUT THESE KEY ISSUES AND 7074 04:49:29,019 --> 04:49:30,120 GENERALIZABILITY ISSUE AND 7075 04:49:30,120 --> 04:49:31,689 MINORITY POPULATIONS. 7076 04:49:31,689 --> 04:49:35,159 >> YEAH. I'M SO GLAD THAT YOU 7077 04:49:35,159 --> 04:49:37,394 -- YOU ARE ASKING THIS QUESTION. 7078 04:49:37,394 --> 04:49:40,931 AND MAKING THOSE POINTS. 7079 04:49:40,931 --> 04:49:43,567 I THINK IT BEAUTIFULLY 7080 04:49:43,567 --> 04:49:44,635 ILLUSTRATES OUR LEVEL OF 7081 04:49:44,635 --> 04:49:47,638 CONCERNS THAT OVERALL IS A QUITE 7082 04:49:47,638 --> 04:49:49,707 ROBUST AREA THAT IS A VERY 7083 04:49:49,707 --> 04:49:52,376 NARROW ROBUST AREA OF SCIENCE 7084 04:49:52,376 --> 04:49:54,878 AND STUDIES HAVE NOT BEEN DONE 7085 04:49:54,878 --> 04:49:57,514 AND COMMUNITY FELT UNCOMFORTABLE 7086 04:49:57,514 --> 04:50:00,851 WRITING A BODY OF EVIDENCE THAT 7087 04:50:00,851 --> 04:50:03,987 IS SMALL PROVIDING STRONG 7088 04:50:03,987 --> 04:50:06,223 EVIDENCE FOR THAT EFFECT REASON 7089 04:50:06,223 --> 04:50:07,458 THERE IS A LACK OF 7090 04:50:07,458 --> 04:50:08,859 REPRESENTATION OF THE DIVERSITY 7091 04:50:08,859 --> 04:50:12,563 OF US POPULATION AND THAT IS 7092 04:50:12,563 --> 04:50:13,864 CERTAINLY ARTICULATED BETTER 7093 04:50:13,864 --> 04:50:15,566 THAN I COULD. 7094 04:50:15,566 --> 04:50:16,867 CERTAINLY, WE KNOW THAT INSTANCE 7095 04:50:16,867 --> 04:50:20,504 THERE ARE STUDIES THAT ARE IN 7096 04:50:20,504 --> 04:50:23,006 POPULATIONS WITH LOWER 7097 04:50:23,006 --> 04:50:23,841 SOCIOECONOMIC POSITION WHERE 7098 04:50:23,841 --> 04:50:25,609 THERE ARE SIGNIFICANT CONCERNS 7099 04:50:25,609 --> 04:50:28,278 ABOUT FOOD WASTE AND THERE IS A 7100 04:50:28,278 --> 04:50:29,980 REASON WHY REPEATED EXPOSURE 7101 04:50:29,980 --> 04:50:32,549 MIGHT NOT BE A VIABLE STRATEGY 7102 04:50:32,549 --> 04:50:36,353 FOR CERTAIN PARTS OF THE 7103 04:50:36,353 --> 04:50:37,354 POPULATION. 7104 04:50:37,354 --> 04:50:39,757 DO WE KNOW EFFECTS WOULD BE 7105 04:50:39,757 --> 04:50:40,591 SIMILAR? 7106 04:50:40,591 --> 04:50:42,292 NO. WE DON'T HAVE THAT EVIDENCE 7107 04:50:42,292 --> 04:50:44,428 ACTUALLY AND IT POINTS TO, 7108 04:50:44,428 --> 04:50:48,198 AGAIN, JUST AS YOU SAID, YOU 7109 04:50:48,198 --> 04:50:50,234 KNOW, A REAL -- WILL THIS TYPE 7110 04:50:50,234 --> 04:50:52,035 OF WORK BE FUNDED AT THIS POINT 7111 04:50:52,035 --> 04:50:53,270 IN THE SCIENCE? 7112 04:50:53,270 --> 04:50:54,304 I DON'T KNOW. 7113 04:50:54,304 --> 04:50:55,806 CERTAINLY IT IS IMPORTANT TO 7114 04:50:55,806 --> 04:50:58,642 CALL OUT THE NEED FOR WORK GOING 7115 04:50:58,642 --> 04:51:02,746 FORWARD TO -- TO HAVE A LENS OF 7116 04:51:02,746 --> 04:51:04,782 -- OF GREATER INCLUSION. 7117 04:51:04,782 --> 04:51:07,484 JUST FOR THE REASONS THAT YOU 7118 04:51:07,484 --> 04:51:08,051 DESCRIBED. 7119 04:51:08,051 --> 04:51:11,221 SO, I THINK THAT WE ALL SHARED 7120 04:51:11,221 --> 04:51:12,222 THAT PERSPECTIVE AND DOES ANYONE 7121 04:51:12,222 --> 04:51:15,859 ELSE ON THE COMMITTEE WANT TO 7122 04:51:15,859 --> 04:51:25,435 ADD ANYTHING? 7123 04:51:25,435 --> 04:51:29,540 THANK YOU. 7124 04:51:29,540 --> 04:51:32,009 >> ANY ADDITIONAL QUESTIONS FOR 7125 04:51:32,009 --> 04:51:35,078 THE SUB-COMMITTEE? 7126 04:51:35,078 --> 04:51:39,950 >> JENNY, ANYTHING ELSE YOU WANT 7127 04:51:39,950 --> 04:51:41,919 TO ADDRESS BEFORE WE MOVE TO THE 7128 04:51:41,919 --> 04:51:42,986 NEXT ITEM? 7129 04:51:42,986 --> 04:51:46,356 >> NO. I THANK YOU FOR YOUR 7130 04:51:46,356 --> 04:51:48,725 ATTENTION AND PARTICIPATING IN 7131 04:51:48,725 --> 04:51:50,761 THE DISCUSSION. 7132 04:51:50,761 --> 04:51:53,030 >> AWESOME. OUR NEXT AGENDA 7133 04:51:53,030 --> 04:51:57,568 ITEM IS A CHAIR AND VICE CHAIR 7134 04:51:57,568 --> 04:52:03,006 WRAP-UP FACILITATED BY DR. 7135 04:52:03,006 --> 04:52:05,542 ANGELA ODOMS-YOUNG. 7136 04:52:05,542 --> 04:52:07,711 >> THANK YOU, EVE. THIS HAS 7137 04:52:07,711 --> 04:52:09,646 BEEN EVEN BEFORE WE MOVED TO 7138 04:52:09,646 --> 04:52:12,516 VIRTUAL IT HAS BEEN A WONDERFUL 7139 04:52:12,516 --> 04:52:14,685 MEETING WHERE WE GET AN 7140 04:52:14,685 --> 04:52:17,120 OPPORTUNITY TO HEAR ABOUT THE 7141 04:52:17,120 --> 04:52:20,424 ROBUST EFFORT IN EACH OF THE 7142 04:52:20,424 --> 04:52:23,427 SUB-COMMITTEES THAT HAS HAPPENED 7143 04:52:23,427 --> 04:52:26,029 BETWEEN THE PREVIOUS PUBLIC 7144 04:52:26,029 --> 04:52:28,065 MEETING AND SARAH AND I HAD A 7145 04:52:28,065 --> 04:52:32,002 CHAT BEFORE THE MEETING THAT WE 7146 04:52:32,002 --> 04:52:35,672 WANTED TO GIVE EVERYBODY THE 7147 04:52:35,672 --> 04:52:36,006 OPPORTUNITY. 7148 04:52:36,006 --> 04:52:39,643 MAYBE WE CAN STOP SHARING. 7149 04:52:39,643 --> 04:52:41,745 LET'S SEE. MAYBE WE ARE NOT 7150 04:52:41,745 --> 04:52:44,147 SHARING AND MIGHT BE ME WHEN I 7151 04:52:44,147 --> 04:52:46,316 HAVE SPEAKER HIGHLIGHTED. 7152 04:52:46,316 --> 04:52:50,254 OKAY. NOW I'M BACK TO GALLERY 7153 04:52:50,254 --> 04:52:50,621 VIEW. 7154 04:52:50,621 --> 04:52:53,690 BUT WHERE WE COULD KIND OF GO 7155 04:52:53,690 --> 04:52:55,592 AROUND AND JUST, YOU KNOW, SHARE 7156 04:52:55,592 --> 04:52:58,128 OUR REFLECTIONS OR ANYTHING THAT 7157 04:52:58,128 --> 04:53:02,466 WE WANTED TO MENTION BEFORE WE 7158 04:53:02,466 --> 04:53:05,102 CLOSE AND MOVE INTO THINKING 7159 04:53:05,102 --> 04:53:07,304 ABOUT THE -- OUR COMMITTEE WORK 7160 04:53:07,304 --> 04:53:08,805 IN THE NEXT MEETING. 7161 04:53:08,805 --> 04:53:12,175 SO, WE ARE GOING TO DO A 7162 04:53:12,175 --> 04:53:14,678 HOLLYWOOD SQUARE SINCE WE ARE 7163 04:53:14,678 --> 04:53:15,412 VIRTUAL. 7164 04:53:15,412 --> 04:53:18,148 AND ACTUALLY, THE FIRST PERSON I 7165 04:53:18,148 --> 04:53:20,450 SEE ON MY SCREEN IS CHRIS 7166 04:53:20,450 --> 04:53:20,884 TAYLOR. 7167 04:53:20,884 --> 04:53:22,219 WE WANT TO HAVE REFLECTION WHEN 7168 04:53:22,219 --> 04:53:24,655 YOU THINK ABOUT THE WORK THAT 7169 04:53:24,655 --> 04:53:26,823 HAS BEEN DONE IN-BETWEEN THE 7170 04:53:26,823 --> 04:53:28,191 MEETING AND THINK ABOUT WHAT HAS 7171 04:53:28,191 --> 04:53:31,361 BEEN PRESENTED TODAY, DO YOU 7172 04:53:31,361 --> 04:53:34,765 HAVE ANY FINAL OR CLOSING 7173 04:53:34,765 --> 04:53:40,270 COMMENTS? 7174 04:53:40,270 --> 04:53:43,874 >> I THINK MY BIGGEST TAKEAWAY 7175 04:53:43,874 --> 04:53:46,343 IS EVALUATING THE MAGNITUDE OF 7176 04:53:46,343 --> 04:53:48,445 THE EVIDENCE THAT WE ARE SIFTING 7177 04:53:48,445 --> 04:53:48,712 THROUGH. 7178 04:53:48,712 --> 04:53:51,481 THE WORK THAT THE STAFF ARE 7179 04:53:51,481 --> 04:53:54,551 DOING ON THE BACKEND THAT KIND 7180 04:53:54,551 --> 04:53:56,453 OF IS THE FOUNDATION OF 7181 04:53:56,453 --> 04:53:59,790 EVERYTHING WE ARE DOING HERE. 7182 04:53:59,790 --> 04:54:04,127 BUT KIND OF BACK TO SARAH'S 7183 04:54:04,127 --> 04:54:05,762 COMMENT IN THE BEGINNING SHOWING 7184 04:54:05,762 --> 04:54:07,931 UP AND DISCUSSING WHAT IS 7185 04:54:07,931 --> 04:54:11,401 PRESENTED HERE AND MAGNITUDE OF 7186 04:54:11,401 --> 04:54:15,272 THE WORK BEING SIFTED THROUGH 7187 04:54:15,272 --> 04:54:16,440 AND [INDISCERNIBLE] THAT ALL OF 7188 04:54:16,440 --> 04:54:17,975 THE COMMITTEE MEMBERS YOU CAN 7189 04:54:17,975 --> 04:54:20,010 TELL FROM THE CONVERSATION ARE 7190 04:54:20,010 --> 04:54:22,612 BRINGING FORWARD ON LOOKING AT 7191 04:54:22,612 --> 04:54:23,580 COMPLEXITY OF RESEARCH DESIGN 7192 04:54:23,580 --> 04:54:26,183 AND CRITICAL NATURE OF DEFINING 7193 04:54:26,183 --> 04:54:28,885 DIETARY PATTERNS IN ALL OF THESE 7194 04:54:28,885 --> 04:54:30,721 WERE CONSTRAINED BY THE QUALITY 7195 04:54:30,721 --> 04:54:35,158 OF THE DATA AND PRESENTATION OF 7196 04:54:35,158 --> 04:54:36,360 THE DATA. 7197 04:54:36,360 --> 04:54:39,229 BUT, IT IS REALLY IMPORTANT WORK 7198 04:54:39,229 --> 04:54:41,832 WE ARE DOING IN REALLY TRYING TO 7199 04:54:41,832 --> 04:54:44,701 TAKE THIS MASSIVE BODY OF 7200 04:54:44,701 --> 04:54:46,103 SCIENCE AND CONDENSE IT DOWN TO 7201 04:54:46,103 --> 04:54:48,972 WHAT IS SUPPOSED TO BE THE FINAL 7202 04:54:48,972 --> 04:54:51,508 REPORT NOT TOO LONG FROM NOW AND 7203 04:54:51,508 --> 04:54:54,011 SUMMARIZES EVERYTHING FROM THE 7204 04:54:54,011 --> 04:54:55,746 SCIENTIFIC DATA THROUGH FOOD 7205 04:54:55,746 --> 04:54:58,915 PATTERN MODELING SIMULATIONS AND 7206 04:54:58,915 --> 04:55:02,886 JUST A HUGE CUEDO TO OUR 7207 04:55:02,886 --> 04:55:06,390 COMMITTEE AND STAFF SUPPORTING 7208 04:55:06,390 --> 04:55:06,556 US. 7209 04:55:06,556 --> 04:55:08,492 >> THANK YOU, CHRIS. I WILL 7210 04:55:08,492 --> 04:55:12,329 HAVE YOU POPCORN IT LIKE WE DO 7211 04:55:12,329 --> 04:55:13,897 IN CLASS. 7212 04:55:13,897 --> 04:55:16,333 MY CLASS ANYWAY WE CAN'T POPCORN 7213 04:55:16,333 --> 04:55:18,969 AROUND. SO, IF YOU COULD 7214 04:55:18,969 --> 04:55:23,273 POPCORN IT TO ANOTHER COMMITTEE 7215 04:55:23,273 --> 04:55:33,817 MEMBER? MAYBE WE COMPLETED THE 7216 04:55:51,401 --> 04:55:53,470 OUTSIDE AND ARE WORKING ON 7217 04:55:53,470 --> 04:55:55,072 INSIDE PUZ THAT'LL SAY LITTLE 7218 04:55:55,072 --> 04:55:56,239 MORE CHALLENGING. 7219 04:55:56,239 --> 04:55:59,176 I THINK IT IS GREAT AND SO FUN 7220 04:55:59,176 --> 04:56:00,544 TO LOOK AT WHAT THE DIFFERENT 7221 04:56:00,544 --> 04:56:03,080 COMMITTEES HAVE DONE AND TO SEE 7222 04:56:03,080 --> 04:56:05,015 HOW THEY FIT TOGETHER AND JUST 7223 04:56:05,015 --> 04:56:07,084 ANOTHER ROUND OF KUDOS FOR THE 7224 04:56:07,084 --> 04:56:10,420 STAFF. YOU DO AN INCREDIBLE JOB 7225 04:56:10,420 --> 04:56:14,591 OF KEEPING US ORGANIZED. WE 7226 04:56:14,591 --> 04:56:16,960 WOULD BE LOST WITHOUT THEM. 7227 04:56:16,960 --> 04:56:20,097 >> I'M GOING TO GIVE IT TO JENNY 7228 04:56:20,097 --> 04:56:23,266 WHO IS NEXT TO ME. 7229 04:56:23,266 --> 04:56:26,136 >> THANK YOU. I HAVE FURTHER 7230 04:56:26,136 --> 04:56:31,108 COMMENTS THAT HAVE BEEN MADE 7231 04:56:31,108 --> 04:56:31,875 BEFORE. 7232 04:56:31,875 --> 04:56:35,078 I AM STRUCK BY THIS COMMITTEE'S 7233 04:56:35,078 --> 04:56:36,947 DEDICATION TO THE TASK AT HAND. 7234 04:56:36,947 --> 04:56:39,783 I ACTUALLY THINK OUR LEADER 7235 04:56:39,783 --> 04:56:43,286 SARAH AND ANGELA HAVE A LARGE 7236 04:56:43,286 --> 04:56:45,021 ROLE IN THAT. 7237 04:56:45,021 --> 04:56:47,290 I HAVE NEVER BEEN PART OF A 7238 04:56:47,290 --> 04:56:48,458 GROUP WHERE PEOPLE HAVE JUST 7239 04:56:48,458 --> 04:56:51,294 LEFT THEIR EGOS AT THE DOOR AND 7240 04:56:51,294 --> 04:56:53,597 ROLLED UP THEIR SLEEVES AND DONE 7241 04:56:53,597 --> 04:56:56,233 HARD WORK AND BROUGHT THEIR BEST 7242 04:56:56,233 --> 04:56:59,636 CONVERSATIONS IN A WAY THAT IS 7243 04:56:59,636 --> 04:57:01,404 FORTHRIGHT AND HONEST AND OPEN. 7244 04:57:01,404 --> 04:57:04,174 WE OWE THAT TO YOU ALL FOR 7245 04:57:04,174 --> 04:57:05,976 MAKING EVERYONE FEEL INCLUDED 7246 04:57:05,976 --> 04:57:08,612 AND IMPORTANT AND REALLY THE 7247 04:57:08,612 --> 04:57:09,679 IMPERATIVE TO PARTICIPATE AND 7248 04:57:09,679 --> 04:57:17,721 BRING EVERYTHING WE HAVE TO T 7249 04:57:17,721 --> 04:57:18,054 THIS. 7250 04:57:18,054 --> 04:57:19,990 JANET BEGAN AND THEY MUST HAVE 7251 04:57:19,990 --> 04:57:20,590 KNOWN. 7252 04:57:20,590 --> 04:57:22,692 SO, THANK YOU TO BOTH OF YOU. 7253 04:57:22,692 --> 04:57:27,364 I AM GOING TO PICK HOLLY. YOU 7254 04:57:27,364 --> 04:57:29,099 ARE UNDERNEATH ME. 7255 04:57:29,099 --> 04:57:31,168 >> WOW. I DON'T KNOW HOW TO TOP 7256 04:57:31,168 --> 04:57:32,602 ALL OF THE COMMENTS. 7257 04:57:32,602 --> 04:57:36,439 THOSE ARE I WOULD AGREE 100%. 7258 04:57:36,439 --> 04:57:46,983 I GUESS MY ONLY OTHER COMMENT. 7259 04:58:08,071 --> 04:58:10,140 I AM KIND OF BLOWN AWAY BY IT 7260 04:58:10,140 --> 04:58:12,642 ALL. IT IS PRETTY AMAZING. 7261 04:58:12,642 --> 04:58:16,079 LET'S SEE. I WILL HAND IT OVER 7262 04:58:16,079 --> 04:58:18,014 TO CHRISTOPHER. 7263 04:58:18,014 --> 04:58:20,116 >> OKAY. THANK YOU. 7264 04:58:20,116 --> 04:58:21,585 REITERATING WHAT EVERYBODY SAID, 7265 04:58:21,585 --> 04:58:23,753 THIS IS A HUMBLING EXPERIENCE. 7266 04:58:23,753 --> 04:58:26,690 YES. MY WORDS WILL BE NOW THAT 7267 04:58:26,690 --> 04:58:29,359 WE HAVE MULTIPLE CONCLUSIONS AND 7268 04:58:29,359 --> 04:58:32,128 LAST TIME HAD ONE TO TWO 7269 04:58:32,128 --> 04:58:33,630 CONCLUSIONS; RIGHT? THREE 7270 04:58:33,630 --> 04:58:35,165 MONTHS AGO AND MOST CONCLUSIONS 7271 04:58:35,165 --> 04:58:37,534 ARE NOT ENOUGH DATA OR LIMITED 7272 04:58:37,534 --> 04:58:39,536 OR RARELY MODERATE. 7273 04:58:39,536 --> 04:58:40,303 INTERESTING THING IS THE 7274 04:58:40,303 --> 04:58:43,873 AMERICAN PUBLIC WILL EAT TODAY 7275 04:58:43,873 --> 04:58:44,975 AND TOMORROW. 7276 04:58:44,975 --> 04:58:46,710 SO, WE WILL NEVER HAVE ENOUGH 7277 04:58:46,710 --> 04:58:49,045 STUDIES THIS YEAR OR NEXT YEAR. 7278 04:58:49,045 --> 04:58:51,615 SO, IT IS A DAUNTING TASK TO 7279 04:58:51,615 --> 04:58:53,650 TAKE THOUSANDS OF RESEARCH 7280 04:58:53,650 --> 04:58:55,785 PAPERS THAT THERE ARE AND DEFINE 7281 04:58:55,785 --> 04:58:56,920 WHAT THE QUESTION IS. 7282 04:58:56,920 --> 04:58:59,055 IDENTIFY THE PAPERS THAT COULD 7283 04:58:59,055 --> 04:59:02,158 ADDRESS THAT AND COME UP WITH A 7284 04:59:02,158 --> 04:59:05,195 REASONABLY SOUND STATEMENT THAT 7285 04:59:05,195 --> 04:59:07,197 IS TO BE QUITE HONEST 7286 04:59:07,197 --> 04:59:08,465 DISAPPOINTING AND WHAT A 7287 04:59:08,465 --> 04:59:10,367 FANTASTIC GROUP OF PEOPLE TO 7288 04:59:10,367 --> 04:59:12,235 FIND THAT BALANCE OR HOW STRONG 7289 04:59:12,235 --> 04:59:13,837 OR WEAK THAT STATEMENT SHOULD BE 7290 04:59:13,837 --> 04:59:16,806 AND COME UP WITH PROPOSALS WHAT 7291 04:59:16,806 --> 04:59:18,074 RESEARCH WE NEED NEXT AND 7292 04:59:18,074 --> 04:59:20,010 HONORED TO JOIN ALL OF YOU IN 7293 04:59:20,010 --> 04:59:21,344 THE PROCESS. 7294 04:59:21,344 --> 04:59:23,813 POPCORNING IT TO FATIMA WHO IS 7295 04:59:23,813 --> 04:59:25,015 NEXT TO ME. 7296 04:59:25,015 --> 04:59:28,051 >> THANK YOU, CHRISTOPHER. 7297 04:59:28,051 --> 04:59:29,886 I THINK ONE OF THE KEY THINGS WE 7298 04:59:29,886 --> 04:59:31,655 HAVE LEARNED PARTICULARLY AS WE 7299 04:59:31,655 --> 04:59:34,557 SEE A KEY FOCUS IN A DIETARY 7300 04:59:34,557 --> 04:59:36,826 GUIDELINE ON EQUITY AND SAMEERA 7301 04:59:36,826 --> 04:59:38,662 I THANK YOU FOR TAKING AND 7302 04:59:38,662 --> 04:59:41,164 LEADING THIS CHARGE OF EQUITY 7303 04:59:41,164 --> 04:59:42,632 THROUGHOUT THIS WORK THAT IS 7304 04:59:42,632 --> 04:59:44,567 REALLY SEEING HOW, YOU KNOW, 7305 04:59:44,567 --> 04:59:46,970 LOTS OF THE RESEARCH THAT HAS 7306 04:59:46,970 --> 04:59:49,139 BEEN DONE EVEN THE REALLY -- THE 7307 04:59:49,139 --> 04:59:52,142 RESEARCH WE GOT BACK MODERATE 7308 04:59:52,142 --> 04:59:52,976 EVIDENCE THAT DOESN'T LEND 7309 04:59:52,976 --> 04:59:54,978 ITSELF TO THE DIVERSITY OF THE 7310 04:59:54,978 --> 04:59:56,713 POPULATION THAT REFLECTS THE 7311 04:59:56,713 --> 04:59:58,315 ACTUAL US POPULATION. 7312 04:59:58,315 --> 05:00:00,817 LOTS OF THE RESEARCH THAT IS 7313 05:00:00,817 --> 05:00:03,553 FUNDED JUST DOESN'T REALLY 7314 05:00:03,553 --> 05:00:05,822 CAPTURE THOSE THAT REFLECT THOSE 7315 05:00:05,822 --> 05:00:08,458 THAT ARE DESCENDENT ENSLAVED 7316 05:00:08,458 --> 05:00:13,096 LIKE MYSELF AND ARE NATIVE AND 7317 05:00:13,096 --> 05:00:17,467 HUBERT JERN ABEGAN THAT IS NEXT 7318 05:00:17,467 --> 05:00:19,336 PERSON AND PREPARE YOURSELF AND 7319 05:00:19,336 --> 05:00:20,637 WE HAVE TO BE THOUGHTFUL ABOUT 7320 05:00:20,637 --> 05:00:22,572 THIS AND DO WE HAVE RESEARCH 7321 05:00:22,572 --> 05:00:25,675 THAT IS FUNDED AND REFLECTS 7322 05:00:25,675 --> 05:00:27,210 POPULATION AND STUDIES OF RIGOR 7323 05:00:27,210 --> 05:00:28,812 AND DESIGN THAT REFLECTS WHO WE 7324 05:00:28,812 --> 05:00:30,447 ARE TALKING TO WHEN THINKING 7325 05:00:30,447 --> 05:00:32,449 ABOUT THE POPULATION THAT IS THE 7326 05:00:32,449 --> 05:00:34,484 US POPULATION AND IT IS BECOMING 7327 05:00:34,484 --> 05:00:36,953 MORE AND MORE DIVERSE EVERY 7328 05:00:36,953 --> 05:00:37,921 SECOND. 7329 05:00:37,921 --> 05:00:38,922 CHRISTOPHER, YOU SAID THAT 7330 05:00:38,922 --> 05:00:40,557 PEOPLE WILL EAT AND SOME OF US 7331 05:00:40,557 --> 05:00:42,359 WERE EATING AND WE ATE BETWEEN 7332 05:00:42,359 --> 05:00:44,761 BREAKS AND DURING BREAKS AND 7333 05:00:44,761 --> 05:00:46,996 WHILE ON BREAKS SIPPING 7334 05:00:46,996 --> 05:00:49,132 BEVERAGES WHILE HERE AND YOU 7335 05:00:49,132 --> 05:00:51,401 DIDN'T KNOW WHAT IT WAS AND 7336 05:00:51,401 --> 05:00:53,503 STRATEGIC NOT LETTING YOU KNOW 7337 05:00:53,503 --> 05:00:54,838 WHAT IT WAS. THIS WILL CONTINUE 7338 05:00:54,838 --> 05:00:56,840 TO BECOME PART OF WHAT WE DO. 7339 05:00:56,840 --> 05:00:58,742 OUR GOAL IS TO MAKE SURE 7340 05:00:58,742 --> 05:01:01,044 COMMITTEE AFTER COMMITTEE WE CAN 7341 05:01:01,044 --> 05:01:02,912 MAKE SURE WE ARE INFORMING 7342 05:01:02,912 --> 05:01:04,647 DECISIONS THAT REFLECT WHAT THE 7343 05:01:04,647 --> 05:01:06,249 REALITY IS OF THE AMERICAN 7344 05:01:06,249 --> 05:01:06,649 PEOPLE. 7345 05:01:06,649 --> 05:01:09,119 SO, THE GOAL IS WHEN YOU ARE 7346 05:01:09,119 --> 05:01:10,620 DESIGNING YOUR STUDIES, THINK 7347 05:01:10,620 --> 05:01:13,256 ABOUT THE PEOPLE THAT YOU SEE 7348 05:01:13,256 --> 05:01:15,158 WALKING DOWN THE STREETS AND IN 7349 05:01:15,158 --> 05:01:18,328 THE PLACES THAT YOU EAT, LIVE, 7350 05:01:18,328 --> 05:01:19,462 BREATHE AND PRAY. 7351 05:01:19,462 --> 05:01:21,631 IF YOUR WORK IS NOT REFLECTING 7352 05:01:21,631 --> 05:01:25,135 THAT, GO BACK AND RESIGN AND 7353 05:01:25,135 --> 05:01:25,468 RE-CONFIGURE. 7354 05:01:25,468 --> 05:01:27,170 DO THE WORK. 7355 05:01:27,170 --> 05:01:28,505 IT IS HARD WORK. 7356 05:01:28,505 --> 05:01:30,507 MAKE SURE IT REFLECTS PEOPLE 7357 05:01:30,507 --> 05:01:32,842 AROUND YOU. 7358 05:01:32,842 --> 05:01:35,578 SO, VALERIE BLOOMBERG JURN EGG 7359 05:01:35,578 --> 05:01:38,615 AN I WILL PASS THE TORCH TO YOU. 7360 05:01:38,615 --> 05:01:39,482 THANKS SO MUCH. 7361 05:01:39,482 --> 05:01:41,418 >> THANK YOU, FATIMA. 7362 05:01:41,418 --> 05:01:45,054 I WILL TREE TO SUMMARIZE ALL OF 7363 05:01:45,054 --> 05:01:46,055 THIS GRATITUDE I HAVE FOR 7364 05:01:46,055 --> 05:01:52,729 EVERYBODY ON THE COMMITTEE. 7365 05:01:52,729 --> 05:01:54,097 AND ALL OUR STAFF THAT HELP US 7366 05:01:54,097 --> 05:01:55,498 AND MAKE THIS POSSIBLE. 7367 05:01:55,498 --> 05:01:57,434 THEY REALLY DO INCREDIBLE WORK 7368 05:01:57,434 --> 05:01:59,836 THAT ALLOWS US TO DO WHAT WE 7369 05:01:59,836 --> 05:02:02,172 NEED TO DO. I HAVE NEVER WORKED 7370 05:02:02,172 --> 05:02:04,407 WITH A GROUP OF PEOPLE THAT ARE 7371 05:02:04,407 --> 05:02:06,709 SO INCREDIBLY PROFESSIONAL AND 7372 05:02:06,709 --> 05:02:09,879 JUST IT IS A JOY TO WORK WITH 7373 05:02:09,879 --> 05:02:12,649 ALL OF YOU AS WELL AS JUST I 7374 05:02:12,649 --> 05:02:16,719 WORK ON LOTS OF DISPARITIES 7375 05:02:16,719 --> 05:02:17,020 COMMITTEES. 7376 05:02:17,020 --> 05:02:19,422 FOR WHATEVER REASON, THERE IS A 7377 05:02:19,422 --> 05:02:23,560 MAGICAL CONNECTION WITHIN THIS 7378 05:02:23,560 --> 05:02:25,094 GROUP I FEEL PEOPLE IN THIS 7379 05:02:25,094 --> 05:02:27,864 GROUP REALLY GET IT AND ARE 7380 05:02:27,864 --> 05:02:30,767 REALLY HERE TO REALLY GIVE 7381 05:02:30,767 --> 05:02:33,636 OPPORTUNITIES TO VOICES THAT 7382 05:02:33,636 --> 05:02:35,171 HAVE NOT BEEN HEARD. 7383 05:02:35,171 --> 05:02:37,807 I ALWAYS TALK OPENLY ABOUT I 7384 05:02:37,807 --> 05:02:40,009 GREW UP ON COMMODITY FOODS AND 7385 05:02:40,009 --> 05:02:42,612 ARE FOODS I ATE WHEN I WAS A KID 7386 05:02:42,612 --> 05:02:44,514 IN THE 80S. 7387 05:02:44,514 --> 05:02:46,749 YOU KNOW, BACK THEN, THEY WERE 7388 05:02:46,749 --> 05:02:49,486 JUST WHATEVER WAS AVAILABLE FOR 7389 05:02:49,486 --> 05:02:50,453 POOR PEOPLE. 7390 05:02:50,453 --> 05:02:58,361 AND IT IS VERY MOVING TO SEE 7391 05:02:58,361 --> 05:03:02,665 THINGS DO CHANGE AND NEEDS OF 7392 05:03:02,665 --> 05:03:04,467 POPULATIONS ARE CONSIDERED AND 7393 05:03:04,467 --> 05:03:05,735 VOICES ARE BEING HEARD. 7394 05:03:05,735 --> 05:03:08,104 I WANT TO SAY THANK YOU SO VERY 7395 05:03:08,104 --> 05:03:11,808 MUCH FOR HELPING ME DO THIS AND 7396 05:03:11,808 --> 05:03:14,344 MAKING THIS ALL POSSIBLE. 7397 05:03:14,344 --> 05:03:17,747 I WILL PASS IT TO, LET'S SEE. I 7398 05:03:17,747 --> 05:03:23,486 WILL PASS IT TO OUR HEALTH 7399 05:03:23,486 --> 05:03:25,989 EQUITY CHAIR SAMEERA. 7400 05:03:25,989 --> 05:03:28,925 >> THANK YOU, VALARIE. 7401 05:03:28,925 --> 05:03:31,995 >> IT IS EXCITING TO BE AT THE 7402 05:03:31,995 --> 05:03:33,663 COMMITTEE MEETING AND 7403 05:03:33,663 --> 05:03:35,365 SUB-COMMITTEES YOU SEE WHAT THEY 7404 05:03:35,365 --> 05:03:37,967 HAVE BEEN WORKING ON AND 7405 05:03:37,967 --> 05:03:38,601 SUB-COMMITTEES PRESENTING 7406 05:03:38,601 --> 05:03:40,637 RESULTS IS REALLY NICE TO SEE 7407 05:03:40,637 --> 05:03:45,041 THE WORK THAT IS BEING PRESENTED 7408 05:03:45,041 --> 05:03:45,308 TOGETHER. 7409 05:03:45,308 --> 05:03:46,776 I WOULD ALSO LIKE TO APPRECIATE 7410 05:03:46,776 --> 05:03:48,344 THE COMMITTEE AND NOT JUST 7411 05:03:48,344 --> 05:03:50,780 HEALTH EQUITY WORKING GROUP AND 7412 05:03:50,780 --> 05:03:52,815 COMMITTEE TO BE CAREFUL IN 7413 05:03:52,815 --> 05:03:54,050 DELIBERATIONS TO MAKE SURE THAT 7414 05:03:54,050 --> 05:03:55,552 HEALTH EQUITY IS BEING 7415 05:03:55,552 --> 05:03:58,021 CONSIDERED IN ALL OF THE ASPECT 7416 05:03:58,021 --> 05:03:59,756 AND EVERY SUB-COMMITTEE 7417 05:03:59,756 --> 05:04:03,226 PRESENTED SPOKE ABOUT 7418 05:04:03,226 --> 05:04:04,561 GENERALIZABILITY AND HOW THEY 7419 05:04:04,561 --> 05:04:05,895 CONSIDER THE REPRESENTATIVENESS 7420 05:04:05,895 --> 05:04:07,730 OF THE US POPULATION. 7421 05:04:07,730 --> 05:04:10,533 NOT JUST HEALTH EQUITY WORKING 7422 05:04:10,533 --> 05:04:12,168 GROUP BUT EVERY SINGLE COMMITTEE 7423 05:04:12,168 --> 05:04:15,104 DID THAT AND THANK YOU FOR THAT. 7424 05:04:15,104 --> 05:04:16,873 I'M LOOKING FORWARD TO SEEING -- 7425 05:04:16,873 --> 05:04:20,343 I GUESS MORE RESULTS COME IN THE 7426 05:04:20,343 --> 05:04:22,679 NEXT MEETING AND DIET 7427 05:04:22,679 --> 05:04:24,347 SIMULATIONS IS ONE THAT EXCITES 7428 05:04:24,347 --> 05:04:26,716 ME MOST TO SEE WHAT COMES FOR 7429 05:04:26,716 --> 05:04:28,751 THAT, THAT IS RIGHT TOWARDS THE 7430 05:04:28,751 --> 05:04:29,085 END. 7431 05:04:29,085 --> 05:04:35,792 I GUESS I CAN GIVE IT TO CHERYL. 7432 05:04:35,792 --> 05:04:39,462 >> THANK YOU, SAMEERA. 7433 05:04:39,462 --> 05:04:42,231 I AM ALSO REALLY GRATEFUL FOR 7434 05:04:42,231 --> 05:04:43,766 EVERYTHING WE HAVE BEEN DOING AS 7435 05:04:43,766 --> 05:04:46,235 A TEAM AND FOR SUPPORT WE HAVE, 7436 05:04:46,235 --> 05:04:48,004 YOU KNOW, WITH OUR STAFF THAT 7437 05:04:48,004 --> 05:04:50,006 WORKS SO CLOSELY WITH US. 7438 05:04:50,006 --> 05:04:52,542 IT IS CLEAR TO ME THAT WE HAVE 7439 05:04:52,542 --> 05:04:53,876 REALLY EMBRACED THE 7440 05:04:53,876 --> 05:04:55,545 RESPONSIBILITY THAT COMES ALONG 7441 05:04:55,545 --> 05:04:59,382 WITH THIS WORK IN IGNITING 7442 05:04:59,382 --> 05:05:09,926 POSITIVE CHANGE. AND WHILE THE 7443 05:05:13,062 --> 05:05:18,201 DIETARY GUIDELINES ADVISORY 7444 05:05:18,201 --> 05:05:19,202 COMMITTEE REPORT IS ABEAUTIFUL 7445 05:05:19,202 --> 05:05:21,304 PIECE OF SCIENCE AND REPRESENTS 7446 05:05:21,304 --> 05:05:24,507 THE MOST UP TO DATE STATE OF 7447 05:05:24,507 --> 05:05:26,976 AFFAIRS IT ALSO MATTERS FOR 7448 05:05:26,976 --> 05:05:28,244 HOUSEHOLDS AND FOR COMMUNITIES 7449 05:05:28,244 --> 05:05:29,979 AND SO I AM THINKING ABOUT ALL 7450 05:05:29,979 --> 05:05:32,482 OF THE SCIENCE THAT WE HAVE BEEN 7451 05:05:32,482 --> 05:05:35,018 GOING THROUGH IN OUR CLIBRATIONS 7452 05:05:35,018 --> 05:05:36,953 AND I'M STRUCK BY THE FACT THAT 7453 05:05:36,953 --> 05:05:38,354 THE WAY THAT WE DO SCIENCE IS 7454 05:05:38,354 --> 05:05:40,256 NOT NECESSARILY ALIGNED WITH 7455 05:05:40,256 --> 05:05:41,491 THIS PROCESS. 7456 05:05:41,491 --> 05:05:44,761 BY THAT, I MEAN THAT WHEN EACH 7457 05:05:44,761 --> 05:05:48,364 OF US THINK ABOUT PUTTING A NEW 7458 05:05:48,364 --> 05:05:51,434 SCIENTIFIC ENDEAVOR INTO 7459 05:05:51,434 --> 05:05:53,069 PROPOESAL AND SEND FOR PEER 7460 05:05:53,069 --> 05:05:55,772 REVIEW WE ARE OFTEN TALKING 7461 05:05:55,772 --> 05:05:57,340 ABOUT MAKING SCIENCE MOST 7462 05:05:57,340 --> 05:05:58,107 DISTINGUISHED FROM EVERYTHING 7463 05:05:58,107 --> 05:06:00,943 THAT HAS BEEN REDUCED AND SIT IN 7464 05:06:00,943 --> 05:06:03,246 A TEAM AND LOOKING AT BODY OF 7465 05:06:03,246 --> 05:06:07,850 SCIENCE TO FIND THAT YOU DON'T 7466 05:06:07,850 --> 05:06:12,188 HAVE ENOUGH REPLICATION AND 7467 05:06:12,188 --> 05:06:14,757 LITERATURE AND WE HAVE BEEN BUSY 7468 05:06:14,757 --> 05:06:16,959 FIGURING OUT HOW TO MAKE 7469 05:06:16,959 --> 05:06:18,194 OURSELVES FEEL DIFFERENT. 7470 05:06:18,194 --> 05:06:21,264 I'M THINKING ABOUT THAT ALL 7471 05:06:21,264 --> 05:06:22,832 MYSELF AND SUSPECT IT MIGHT BE 7472 05:06:22,832 --> 05:06:24,434 ON YOUR MINDS AS WELL. 7473 05:06:24,434 --> 05:06:26,936 I WANT TO DRAW THAT OUT FOR 7474 05:06:26,936 --> 05:06:28,538 PONDERING AS WE THINK ABOUT HOW 7475 05:06:28,538 --> 05:06:30,807 WE APPROACH SCIENCE THAT IS 7476 05:06:30,807 --> 05:06:33,976 IMPORTANT FOR FORMING DIETARY 7477 05:06:33,976 --> 05:06:35,378 GUIDELINES. 7478 05:06:35,378 --> 05:06:38,147 NONETHELESS, THAT SAID, I'M, 7479 05:06:38,147 --> 05:06:39,782 AGAIN, GRATEFUL WE HAVE MADE 7480 05:06:39,782 --> 05:06:41,417 SUCH AMAZING PROGRESS AND THINK 7481 05:06:41,417 --> 05:06:43,453 THAT THE WORK WE HAVE DONE AND 7482 05:06:43,453 --> 05:06:46,089 HAVE YET TO DO WILL BE REALLY 7483 05:06:46,089 --> 05:06:51,194 HELPFUL IN THINKING ABOUT HOW 7484 05:06:51,194 --> 05:06:52,361 ALL, I UNDERSCORE ALL 7485 05:06:52,361 --> 05:06:53,529 [INDISCERNIBLE] SEE THEMSELVES 7486 05:06:53,529 --> 05:06:55,631 AS PART OF RESULTS OF THIS 7487 05:06:55,631 --> 05:06:58,568 PROCESS AND HOW ALL OF US GET TO 7488 05:06:58,568 --> 05:07:00,770 CHART A PATH FORWARD TOWARDS A 7489 05:07:00,770 --> 05:07:02,205 HEALTHY AND DIETARY PRACTICE. 7490 05:07:02,205 --> 05:07:10,246 WITH THAT, I WILL MOVE ON. 7491 05:07:10,246 --> 05:07:12,115 >> THANK YOU, CHERYL. 7492 05:07:12,115 --> 05:07:14,417 ACTUALLY, FIRST OF ALL, I WOULD 7493 05:07:14,417 --> 05:07:16,185 LIKE TO SAY I'M GRATEFUL TO BE 7494 05:07:16,185 --> 05:07:17,587 PART OF THIS PROCESS. 7495 05:07:17,587 --> 05:07:21,557 IT IS A PLEASURE WORKING WITH 7496 05:07:21,557 --> 05:07:23,126 EVERYBODY ON THE COMMITTEE AND 7497 05:07:23,126 --> 05:07:26,028 WITH THE STAFF AND TO THE POINT 7498 05:07:26,028 --> 05:07:28,331 THAT CHERYL BEAT ME TO THE POINT 7499 05:07:28,331 --> 05:07:29,198 THAT I WOULD BRING SOMETHING 7500 05:07:29,198 --> 05:07:32,969 DIFFERENT IN TERMS OF THE 7501 05:07:32,969 --> 05:07:33,369 RESEARCH. 7502 05:07:33,369 --> 05:07:35,705 YOU KNOW, I -- I THINK THAT, YOU 7503 05:07:35,705 --> 05:07:37,807 KNOW, IT IS TREMENDOUS TO BE 7504 05:07:37,807 --> 05:07:40,643 ABLE TO LOOK AT ALL OF THIS DATA 7505 05:07:40,643 --> 05:07:42,245 AND STUDIES THAT ARE DONE. 7506 05:07:42,245 --> 05:07:44,614 YOU KNOW, THERE IS A LOT OF 7507 05:07:44,614 --> 05:07:46,182 PEOPLE OUT THERE INCLUDING ALL 7508 05:07:46,182 --> 05:07:48,618 OF US THAT ARE WORKING ON THE 7509 05:07:48,618 --> 05:07:48,918 DATA. 7510 05:07:48,918 --> 05:07:51,154 THE ONE THING THAT IS A LITTLE 7511 05:07:51,154 --> 05:07:54,390 BIT FRUSTRATING SOMETIMES IS 7512 05:07:54,390 --> 05:07:56,492 THAT THERE IS A LOT OF -- A 7513 05:07:56,492 --> 05:07:58,761 LARGE NUMBER OF STUDIES THAT ARE 7514 05:07:58,761 --> 05:08:00,463 DONE AND IN SLIGHTLY DIFFERENT 7515 05:08:00,463 --> 05:08:02,665 WAYS AND PERSPECTIVES AND THERE 7516 05:08:02,665 --> 05:08:06,502 COULD BE 80 STUDIES IN SOME OF 7517 05:08:06,502 --> 05:08:09,605 THE BINS WE HAVE GOTTEN AND 7518 05:08:09,605 --> 05:08:13,042 STILL CAN'T COME UP WITH A REAL 7519 05:08:13,042 --> 05:08:14,410 AND CONCLUSIVE STATEMENT THAT IS 7520 05:08:14,410 --> 05:08:16,479 MAYBE THE NATURE OF RESEARCH. 7521 05:08:16,479 --> 05:08:18,714 I THIS I THAT WHEN THINKING 7522 05:08:18,714 --> 05:08:20,183 AHEAD WE WON'T SOLVE THAT IN 7523 05:08:20,183 --> 05:08:21,818 THIS YEAR. 7524 05:08:21,818 --> 05:08:24,587 BUT LIKE IN THE -- IN MORE ABOUT 7525 05:08:24,587 --> 05:08:26,589 FUTURE STUDIES, I THINK THAT THE 7526 05:08:26,589 --> 05:08:28,958 COMMUNITY HAS TO THINK OF WAYS 7527 05:08:28,958 --> 05:08:32,094 TO -- YOU KNOW, TO DESIGN THE 7528 05:08:32,094 --> 05:08:36,465 STUDY OR RESEARCH OR MAYBE DO 7529 05:08:36,465 --> 05:08:38,568 POOLING TYPE OF STUDIES AND YOU 7530 05:08:38,568 --> 05:08:41,470 POOL STUDIES WHERE YOU CAN 7531 05:08:41,470 --> 05:08:45,308 ORGANIZE DATA IN A WAY TO GET 7532 05:08:45,308 --> 05:08:47,210 MORE PRECISE ANSWERS RATHER THAN 7533 05:08:47,210 --> 05:08:49,045 TRYING TO SYNTHESIZE STUDIES 7534 05:08:49,045 --> 05:08:51,948 THAT THINGS ARE DONE A LITTLE 7535 05:08:51,948 --> 05:08:54,050 DIFFERENTLY AND EXPOSURE IS DONE 7536 05:08:54,050 --> 05:08:55,484 DIFFERENTLY AND AT END OF THE 7537 05:08:55,484 --> 05:08:56,719 DAY HARD TO MAKE THE CONCLUSION 7538 05:08:56,719 --> 05:08:58,721 AND HAVING SAID THAT, I THINK 7539 05:08:58,721 --> 05:09:00,923 THAT LOOKING AHEAD, SOME OF THE 7540 05:09:00,923 --> 05:09:02,758 TOPICS THAT I -- YOU KNOW, THAT 7541 05:09:02,758 --> 05:09:04,760 I'M JUST THINKING AHEAD THAT WE 7542 05:09:04,760 --> 05:09:06,696 WILL ADDRESS AND I ANTICIPATE 7543 05:09:06,696 --> 05:09:08,798 THAT WE WILL BE ABLE TO MAKE 7544 05:09:08,798 --> 05:09:10,333 MORE CONCLUSIVE STATEMENTS AND 7545 05:09:10,333 --> 05:09:13,736 THINK THAT TOPICS THAT WE HAVE 7546 05:09:13,736 --> 05:09:16,172 DEALT WITH ARE ONES IN SOME WAYS 7547 05:09:16,172 --> 05:09:18,307 HAVE BEEN TOUGHER TO DEAL WITH 7548 05:09:18,307 --> 05:09:19,942 AND MAYBE I'M OPTIMISTIC THAT BY 7549 05:09:19,942 --> 05:09:22,845 NEXT YEAR THAT WE WILL HAVE 7550 05:09:22,845 --> 05:09:25,147 IMPORTANT THINGS TO SAY. 7551 05:09:25,147 --> 05:09:27,516 IN ANY CASE, I'M REALLY GRATEFUL 7552 05:09:27,516 --> 05:09:30,753 TO BE WORKING WITH EVERYONE 7553 05:09:30,753 --> 05:09:31,420 HERE. 7554 05:09:31,420 --> 05:09:38,327 SO, NEXT, I WILL GO TO EDEAND 7555 05:09:38,327 --> 05:09:39,528 STICK WITH BOSTON. 7556 05:09:39,528 --> 05:09:42,765 >> THANK YOU. I ECHO SENTIMENTS 7557 05:09:42,765 --> 05:09:44,400 ABOUT STAFF SUPPORT AND 7558 05:09:44,400 --> 05:09:46,002 COMMUNITY WITHIN OUR GROUP AND I 7559 05:09:46,002 --> 05:09:50,606 WILL GEEK OUT ABOUT THE SCIENCE. 7560 05:09:50,606 --> 05:09:53,743 I WILL EMPHASIZE WHAT MY BIG 7561 05:09:53,743 --> 05:09:55,478 TAKEAWAY WITH DIETARY PATTERNS 7562 05:09:55,478 --> 05:09:55,745 IS. 7563 05:09:55,745 --> 05:09:58,881 AND IN THE 2015 GUIDELINES, THEY 7564 05:09:58,881 --> 05:10:00,816 PIVOTED FROM FOCUSING ON 7565 05:10:00,816 --> 05:10:02,919 INDIVIDUAL NUTRIENTS AND FOODS 7566 05:10:02,919 --> 05:10:06,355 TO REALLY DEVELOPING A PATTERN 7567 05:10:06,355 --> 05:10:07,356 APPROACH TO THE RECOMMENDATION 7568 05:10:07,356 --> 05:10:11,294 AND RECOGNIZING WE DON'T EAT 7569 05:10:11,294 --> 05:10:12,428 NUTRIENT ISOLATION AND RATHER 7570 05:10:12,428 --> 05:10:14,363 THROUGH THE COURSE OF A DAY OR 7571 05:10:14,363 --> 05:10:16,365 WEEK OR YEARS AND THIS PATTERN 7572 05:10:16,365 --> 05:10:19,135 IS ULTIMATELY WHAT PREDICTS LOTS 7573 05:10:19,135 --> 05:10:20,403 OF HEALTH OUTCOMES OF INTEREST 7574 05:10:20,403 --> 05:10:23,172 AND NOW THAT WE ARE REVIEWING A 7575 05:10:23,172 --> 05:10:25,408 VALUE OF LITERATURE FOR PATTERNS 7576 05:10:25,408 --> 05:10:27,009 WITH SPECIFIC POPULATIONS AND 7577 05:10:27,009 --> 05:10:28,577 ENDPOINTS IT IS REALLY 7578 05:10:28,577 --> 05:10:30,947 INTERESTING TO SEE WHERE AREAS 7579 05:10:30,947 --> 05:10:32,949 NEED TO CATCH UP AND DIETARY 7580 05:10:32,949 --> 05:10:37,086 PATTERN APPROACH HASN'T BEEN 7581 05:10:37,086 --> 05:10:39,922 REALLY EMPLOYED SCIENTIFICALLY 7582 05:10:39,922 --> 05:10:44,794 AND AREAS ADULT OBESITY AND VAST 7583 05:10:44,794 --> 05:10:46,729 LITERATURE AND THAT CONFIRMS 7584 05:10:46,729 --> 05:10:48,798 DIETARY PATTERN APPROACH THAT IS 7585 05:10:48,798 --> 05:10:52,835 ACTUALLY ADEQUATE TO ADDRESS A 7586 05:10:52,835 --> 05:10:59,809 BULK OF THAT RISK AND 7587 05:10:59,809 --> 05:11:01,811 RELATIONSHIP OF OUTCOMES AND 7588 05:11:01,811 --> 05:11:04,714 VAST DIVERSITY WHAT PATTERN IS 7589 05:11:04,714 --> 05:11:06,282 DEFINED AS AND DOESN'T APPEAR 7590 05:11:06,282 --> 05:11:09,118 THERE IS ONE OPTIMAL DIET FOR 7591 05:11:09,118 --> 05:11:14,190 ALL AND RATHER A FLEXIBILITY 7592 05:11:14,190 --> 05:11:15,858 THAT CAN ENCOMPASS VARIABILITY 7593 05:11:15,858 --> 05:11:17,460 AND HOW WE ARE EXPLORING HOW 7594 05:11:17,460 --> 05:11:19,362 DIFFERENT POPULATIONS WITHIN THE 7595 05:11:19,362 --> 05:11:22,398 US CAN ADAPT OR EXPAND OR BUILD 7596 05:11:22,398 --> 05:11:25,368 ON WHATEVER DIETARY PATTERN WE 7597 05:11:25,368 --> 05:11:30,606 MIGHT PUT FORTH AND IT IS JUST 7598 05:11:30,606 --> 05:11:32,274 I'M OPTIMISTIC THERE IS 7599 05:11:32,274 --> 05:11:35,745 FLEXIBILITY IN THE PATTERN TO BE 7600 05:11:35,745 --> 05:11:39,148 BUILT TO ACCOMMODATE DIFFERENT 7601 05:11:39,148 --> 05:11:41,584 WAYS OF DEFINING A HEALTHY 7602 05:11:41,584 --> 05:11:43,452 PATTERN WITHOUT NEEDING TO PUT 7603 05:11:43,452 --> 05:11:47,156 OUT ONE OPTIMAL ONE-SIZE FITS 7604 05:11:47,156 --> 05:11:48,724 ALL SCAFFOLDING. 7605 05:11:48,724 --> 05:11:48,991 THANKS. 7606 05:11:48,991 --> 05:11:52,161 I DON'T KNOW WHO IS LEFT. 7607 05:11:52,161 --> 05:11:52,862 THERESA? 7608 05:11:52,862 --> 05:11:54,296 >> SURE. 7609 05:11:54,296 --> 05:11:55,931 >> OKAY. 7610 05:11:55,931 --> 05:11:59,835 >> DR. FUNG. 7611 05:11:59,835 --> 05:12:02,204 >> I'M [INDISCERNIBLE] AND DOING 7612 05:12:02,204 --> 05:12:05,274 WEEKLY MEETINGS MANY HOARS AND 7613 05:12:05,274 --> 05:12:07,109 GENERAL PUBLIC MIGHT NOT KNOW 7614 05:12:07,109 --> 05:12:08,911 BESIDES EVERY FEW MONTHS MEEING 7615 05:12:08,911 --> 05:12:11,113 DO YOU MEET EVERY WEEK WE ARE IN 7616 05:12:11,113 --> 05:12:13,416 SEVERAL DIFFERENT SUB-COMMITTEES 7617 05:12:13,416 --> 05:12:15,551 AND NEED SEVERAL HOURS ADDING 7618 05:12:15,551 --> 05:12:17,386 EVERYTHING UP TOGETHER AND 7619 05:12:17,386 --> 05:12:20,656 HOMEWORK WE DO BEFORE AND COMING 7620 05:12:20,656 --> 05:12:25,628 TO WEEKLY MEETINGS AND DURING 7621 05:12:25,628 --> 05:12:29,532 MEETINGS HOW HONEST AND FRANK WE 7622 05:12:29,532 --> 05:12:31,967 CAN HAVE DISCUSSION ON 7623 05:12:31,967 --> 05:12:35,237 SCIENTIFIC DATA EVERYBODY IS 7624 05:12:35,237 --> 05:12:45,781 WILLING TO E- -- IT IS WONDERFUL 7625 05:12:47,516 --> 05:12:49,952 TO SEE HOW EVERYBODY VOICES AND 7626 05:12:49,952 --> 05:12:52,555 LISTENS TO EACH OTHER'S OPINION 7627 05:12:52,555 --> 05:12:53,689 AND DIFFERENT OPINIONS AND WAYS 7628 05:12:53,689 --> 05:12:57,960 OF SEEING DATA WE VOICE THAT AND 7629 05:12:57,960 --> 05:12:59,995 LISTEN AND CONSIDER EVERYBODY'S 7630 05:12:59,995 --> 05:13:00,296 VIEWPOINTS. 7631 05:13:00,296 --> 05:13:03,165 I REALLY, REALLY -- ENVIRONMENT 7632 05:13:03,165 --> 05:13:05,334 OF THE OPENNESS I WOULD REALLY 7633 05:13:05,334 --> 05:13:08,537 LIKE TO BRING IT TO OTHER PARTS 7634 05:13:08,537 --> 05:13:10,806 OF MY WORKSPACE AS WELL AND IS 7635 05:13:10,806 --> 05:13:13,242 ONE POINT AND ANOTHER POINT THAT 7636 05:13:13,242 --> 05:13:17,146 IS THE DEDICATION THAT WE ARE 7637 05:13:17,146 --> 05:13:19,281 ALL DOING THIS ON TOP OF OUR DAY 7638 05:13:19,281 --> 05:13:20,883 JOB AND WE DIVE INTO THIS AND 7639 05:13:20,883 --> 05:13:24,453 SEE THIS AS A HIGH PRIORITY ON 7640 05:13:24,453 --> 05:13:27,590 WORK LIST AND DO A VERY DETAILED 7641 05:13:27,590 --> 05:13:29,525 JOB AND DELIBERATE DETAILS WE 7642 05:13:29,525 --> 05:13:31,594 THINK OF AND DETAILS AND NO 7643 05:13:31,594 --> 05:13:34,296 STONE GOING UNTURNED MAKING SURE 7644 05:13:34,296 --> 05:13:36,232 EVERY ASPECT IS DISCUSSED SO WE 7645 05:13:36,232 --> 05:13:39,168 -- ALL OF THE BASIS HAVE BEEN 7646 05:13:39,168 --> 05:13:41,737 TOUCHED AND EVERYTHING IS A 7647 05:13:41,737 --> 05:13:43,105 COMPREHENSIVE REVIEW THAT WHEN 7648 05:13:43,105 --> 05:13:44,673 SCIENTIFIC REPORT COMES OUT 7649 05:13:44,673 --> 05:13:47,009 EVENTUALLY IT IS DETAIL AND HOPE 7650 05:13:47,009 --> 05:13:48,577 IT WILL BE VERY CONFIDENT IN THE 7651 05:13:48,577 --> 05:13:50,446 REPORT THAT WE HAVE REALLY 7652 05:13:50,446 --> 05:13:52,381 LOOKED INTO EVERY SINGLE ASPECT 7653 05:13:52,381 --> 05:13:55,718 AND EVERYTHING THAT HAS TO BE 7654 05:13:55,718 --> 05:13:58,387 DELIBERATED HAS BEEN DELIBERATED 7655 05:13:58,387 --> 05:14:00,589 AND MAYBE YOU CAN TAKE NEXT? 7656 05:14:00,589 --> 05:14:04,760 >> THANK YOU, THERESA. 7657 05:14:04,760 --> 05:14:10,966 YEAH. I JUST ECHO WONDERFUL 7658 05:14:10,966 --> 05:14:12,535 COMMENTS THAT HAVE BEEN SHARED 7659 05:14:12,535 --> 05:14:14,904 AND I'M SO THANKFUL TO BE PART 7660 05:14:14,904 --> 05:14:18,474 OF THE COMMITTEE AND EVERYONE IS 7661 05:14:18,474 --> 05:14:20,509 JUST VERY DEDICATED TO AS 7662 05:14:20,509 --> 05:14:23,345 THERESA WAS SAYING ALL OF THE 7663 05:14:23,345 --> 05:14:26,815 MEETINGS EVERY WEEK. 7664 05:14:26,815 --> 05:14:29,418 THE TIME THAT EVERYONE PUTS IN 7665 05:14:29,418 --> 05:14:32,488 AND THE KIND OF THINKING EFFORT 7666 05:14:32,488 --> 05:14:35,891 THAT EVERYONE BRINGS TO EACH OF 7667 05:14:35,891 --> 05:14:37,860 THE QUESTIONS THAT WERE -- WE 7668 05:14:37,860 --> 05:14:40,563 ARE CONSIDERING AND EVALUATING 7669 05:14:40,563 --> 05:14:44,300 AND JUST THE CONTINUED SUPPORT 7670 05:14:44,300 --> 05:14:46,068 OF THE STAFF TO LOOK UP ANSWERS 7671 05:14:46,068 --> 05:14:50,072 TO QUESTIONS THAT WE HAVE AND 7672 05:14:50,072 --> 05:14:55,844 REVIEW ALL OF THE DIFFERENT AND 7673 05:14:55,844 --> 05:14:57,646 COMPLICATED METHODS FOR EXAMPLE 7674 05:14:57,646 --> 05:15:01,350 THAT CHRIS DESCRIBED TO US SO 7675 05:15:01,350 --> 05:15:02,885 WELL IN FOOD PATTERN MODELING 7676 05:15:02,885 --> 05:15:06,855 AND SIMULATIONS WE HEARD ABOUT. 7677 05:15:06,855 --> 05:15:11,393 IT IS SO COMPLEX. 7678 05:15:11,393 --> 05:15:17,633 WE NEED REMINDERS OF ALL OF THE 7679 05:15:17,633 --> 05:15:19,635 DIFFERENT DETAILS AND PROCESSES 7680 05:15:19,635 --> 05:15:20,936 AND EVERYTHING THAT IS WILLING 7681 05:15:20,936 --> 05:15:23,672 TO HELP US WITH THAT. 7682 05:15:23,672 --> 05:15:27,476 ALSO TO CRITICALLY THINK ABOUT 7683 05:15:27,476 --> 05:15:30,579 WHAT THE DECISIONS THAT WE MAKE 7684 05:15:30,579 --> 05:15:34,483 IN THE -- IN PLANNING ALL OF THE 7685 05:15:34,483 --> 05:15:38,153 METHODS WILL MEAN TO THE ANSWERS 7686 05:15:38,153 --> 05:15:39,121 WE GET. 7687 05:15:39,121 --> 05:15:41,257 I THINK THAT IS THE PART THAT IS 7688 05:15:41,257 --> 05:15:42,891 REALLY EXCITING AS WELL IS 7689 05:15:42,891 --> 05:15:45,227 BECAUSE WE ARE -- WE SAW IN THIS 7690 05:15:45,227 --> 05:15:47,796 MEETING ALL OF THE PROGRESS. 7691 05:15:47,796 --> 05:15:49,531 IN THE NEXT TWO MEETINGS AFTER 7692 05:15:49,531 --> 05:15:51,533 THIS, WE WILL BE WORKING MORE 7693 05:15:51,533 --> 05:15:55,170 AND MORE TO PUTTING IT ALL 7694 05:15:55,170 --> 05:15:55,437 TOGETHER. 7695 05:15:55,437 --> 05:16:00,442 AND I'M REALLY EAGER TO SEE ALL 7696 05:16:00,442 --> 05:16:02,978 OF THE RESULTS AND BE PART OF 7697 05:16:02,978 --> 05:16:04,346 THAT. SO, THANK YOU. 7698 05:16:04,346 --> 05:16:10,185 I WILL TURN IT OVER TO 7699 05:16:10,185 --> 05:16:10,486 CHRISTINA. 7700 05:16:10,486 --> 05:16:13,555 >> THANK YOU, HEATHER. 7701 05:16:13,555 --> 05:16:16,358 I ECHO MANY THINGS SAID ABOUT 7702 05:16:16,358 --> 05:16:19,028 THE TYPE OF EVIDENCE THAT WE 7703 05:16:19,028 --> 05:16:19,595 HAVE FOUND. 7704 05:16:19,595 --> 05:16:22,197 I'M IMPRESSED BY THE LACK OF 7705 05:16:22,197 --> 05:16:23,899 STUDIES IN CERTAIN KEY AREAS 7706 05:16:23,899 --> 05:16:27,036 THAT WE SHOULD HAVE TO HAVE MORE 7707 05:16:27,036 --> 05:16:27,303 STUDIES. 7708 05:16:27,303 --> 05:16:30,973 I ALSO IMPRESS ABOUT THE RESULTS 7709 05:16:30,973 --> 05:16:35,744 OF CERTAIN QUESTIONS. 7710 05:16:35,744 --> 05:16:38,714 THEY FEEL SURPRISING TO SEE SOME 7711 05:16:38,714 --> 05:16:39,381 RESULTS. 7712 05:16:39,381 --> 05:16:41,750 I ALSO -- I LIKE THOUGH THAT WE 7713 05:16:41,750 --> 05:16:43,686 TRUST THE SCIENCE AND TRUST THE 7714 05:16:43,686 --> 05:16:46,855 PROCESS EVEN IF WE HAVE 7715 05:16:46,855 --> 05:16:47,956 PRE-CONCEIVED IDEAS OF SOME OF 7716 05:16:47,956 --> 05:16:49,825 THE ANSWERS AND SOME OF THE 7717 05:16:49,825 --> 05:16:52,761 QUESTIONS AND WE TRUST THE 7718 05:16:52,761 --> 05:16:54,596 PROCESS AND WE -- WE TRUST WHAT 7719 05:16:54,596 --> 05:16:56,298 WE FOUND AND I THINK THAT IT IS 7720 05:16:56,298 --> 05:16:58,300 IMPORTANT FOR THE PUBLIC TO KNOW 7721 05:16:58,300 --> 05:17:01,270 THAT WE ARE FOLLE OWING A VERY A 7722 05:17:01,270 --> 05:17:02,738 RIGOROUS PROCESS AND TRUSTING IN 7723 05:17:02,738 --> 05:17:04,573 THE RESULTS THAT WE FIND. 7724 05:17:04,573 --> 05:17:08,043 SO, I THINK THAT I HAVE BEEN 7725 05:17:08,043 --> 05:17:09,311 IMPRESSED BY HOW THE COMMITTEE 7726 05:17:09,311 --> 05:17:12,514 AND ALL OF THE COMMITTEES HAVE 7727 05:17:12,514 --> 05:17:15,284 WORKED WITH THE RESULTS THAT WE 7728 05:17:15,284 --> 05:17:17,186 HAVE FOUND SO FAR. 7729 05:17:17,186 --> 05:17:24,560 I WILL PASS IT TO ANDREA. 7730 05:17:24,560 --> 05:17:27,930 >> OKAY. NORMALLY I'M LAST AT 7731 05:17:27,930 --> 05:17:29,331 THIS POINT AND THERE IS LOTS 7732 05:17:29,331 --> 05:17:31,533 THAT HAS BEEN SAID AND I WANT TO 7733 05:17:31,533 --> 05:17:34,203 DEFINITELY ECHO LOTS OF THE 7734 05:17:34,203 --> 05:17:36,038 THINGS ABOUT OUR STAFF SUPPORT 7735 05:17:36,038 --> 05:17:38,173 AND HOW WONDERFUL THE COMMITTEE 7736 05:17:38,173 --> 05:17:40,743 IS AND THE WORK WE HAVE BEEN 7737 05:17:40,743 --> 05:17:43,145 DOING AND ONE THING I WAS STRUCK 7738 05:17:43,145 --> 05:17:45,547 BY TODAY THAT HAS BEEN SORT OF 7739 05:17:45,547 --> 05:17:46,582 BROUGHT UP TODAY ALREADY IS SOME 7740 05:17:46,582 --> 05:17:48,584 OF THE -- WHEN WE ARE HEARING 7741 05:17:48,584 --> 05:17:50,786 OURSELVES TALK ABOUT ALL OF THE 7742 05:17:50,786 --> 05:17:53,455 ISSUES WE FOUND WITH PRECISION 7743 05:17:53,455 --> 05:17:54,923 AND CONSISTENCY AND ALL OF THE 7744 05:17:54,923 --> 05:17:56,458 HOLES THAT WE HAVE DISCUSSED AND 7745 05:17:56,458 --> 05:17:58,527 THE RESEARCH AND AT THE SAME 7746 05:17:58,527 --> 05:18:00,829 TIME THERE IS A -- THERE IS A 7747 05:18:00,829 --> 05:18:02,431 MORE POSITIVE OUTLOOK TO TAKE 7748 05:18:02,431 --> 05:18:04,166 THAT IT SHOWS THE ARIGOR WE HAVE 7749 05:18:04,166 --> 05:18:05,968 BEEN DOING THIS WITH AND 7750 05:18:05,968 --> 05:18:07,803 REFLECTING WE HAVE BEEN DOING ON 7751 05:18:07,803 --> 05:18:09,872 DIFFERENT STUDIES AND CRITICALLY 7752 05:18:09,872 --> 05:18:12,808 EVALUATING THEM AND ALSO THAT 7753 05:18:12,808 --> 05:18:14,443 THERE ARE LOTS OF CONCLUSIONS 7754 05:18:14,443 --> 05:18:15,911 THAT CAN BE MADE FROM THE 7755 05:18:15,911 --> 05:18:19,047 EVIDENCE THAT IS THERE AND ALSO 7756 05:18:19,047 --> 05:18:21,917 WE ARE FINDING YOU KNOW WAYS TO 7757 05:18:21,917 --> 05:18:24,019 IMPROVE RESEARCH AND GETTING 7758 05:18:24,019 --> 05:18:25,220 RECOMMENDATIONS ON THAT AND 7759 05:18:25,220 --> 05:18:27,456 HAVING A HEALTH EQUITY LENS AS 7760 05:18:27,456 --> 05:18:29,291 WELL AND ADDING THAT PIECE IN 7761 05:18:29,291 --> 05:18:30,392 AND I'M SURE THAT EVEN FROM 7762 05:18:30,392 --> 05:18:32,060 TODAY WHAT WE TALKED ABOUT IN 7763 05:18:32,060 --> 05:18:33,962 TERMS OF THINKING ABOUT THE 7764 05:18:33,962 --> 05:18:35,898 VEGAN DIET AND ALL OF THE 7765 05:18:35,898 --> 05:18:37,866 DIFFERENT CULTURAL ASPECTS TO 7766 05:18:37,866 --> 05:18:39,201 DIFFERENT DIETARY PATTERNS THAT 7767 05:18:39,201 --> 05:18:41,670 ALL OF THAT IS GOING TO COME OUT 7768 05:18:41,670 --> 05:18:44,072 WITH THESE GUIDELINES AND ALSO 7769 05:18:44,072 --> 05:18:46,608 GIVING, YOU KNOW, FUTURE 7770 05:18:46,608 --> 05:18:47,009 DIRECTIONS. 7771 05:18:47,009 --> 05:18:51,413 SO, YEAH. SO, TODAY WAS A 7772 05:18:51,413 --> 05:18:52,915 WONDERFUL DAY TO HEAR ALL OF THE 7773 05:18:52,915 --> 05:18:55,851 PROGRESS WE HAVE ALL MADE AND 7774 05:18:55,851 --> 05:18:56,585 VERY ENJOYABLE. 7775 05:18:56,585 --> 05:18:59,688 I THINK THAT, CAROL -- 7776 05:18:59,688 --> 05:19:02,925 >> SO, I HAVE TO ECHO THAT 7777 05:19:02,925 --> 05:19:03,859 EVERYTHING THAT EVERYBODY HAS 7778 05:19:03,859 --> 05:19:06,161 SAID IS AN AMAZING PROCESS. 7779 05:19:06,161 --> 05:19:08,096 ONE OF THE THINGS THAT REALLY 7780 05:19:08,096 --> 05:19:10,098 STRUCK ME TODAY AND HAS BEEN 7781 05:19:10,098 --> 05:19:11,834 STRIKING ME IS THE DIETARY 7782 05:19:11,834 --> 05:19:13,936 PATTERNS CHALLENGES THAT WE 7783 05:19:13,936 --> 05:19:14,203 FACE. 7784 05:19:14,203 --> 05:19:16,438 IT WAS VERY VALIDATING TO HEAR 7785 05:19:16,438 --> 05:19:19,808 THAT WORKING GROUP ONE HAD THE 7786 05:19:19,808 --> 05:19:22,110 SAME STRUGGLE THAT WORKING GROUP 7787 05:19:22,110 --> 05:19:24,012 2 HAD AND DIDN'T HAVE CROSS-TALK 7788 05:19:24,012 --> 05:19:25,147 TO SPEAK OF. 7789 05:19:25,147 --> 05:19:29,318 THAT IS PRETTY INTERESTING. 7790 05:19:29,318 --> 05:19:31,220 THE ONE THING I HEARD TODAY IN 7791 05:19:31,220 --> 05:19:32,321 PARTICULAR THAT REALLY CAUGHT MY 7792 05:19:32,321 --> 05:19:35,491 EAR IS I THINK DEANNA YOU SAID 7793 05:19:35,491 --> 05:19:36,758 IT IS PUBLICATION BIAS. 7794 05:19:36,758 --> 05:19:39,361 IF THERE IS A PUBLICATION BIAS 7795 05:19:39,361 --> 05:19:43,599 BY EDITORS OR EVEN GRANT REVIEW 7796 05:19:43,599 --> 05:19:45,501 AGENCIES AND GROUPS, THAT THE 7797 05:19:45,501 --> 05:19:47,336 QUESTION HAS BEEN ANSWERED. 7798 05:19:47,336 --> 05:19:48,570 WE DON'T NEED MORE RESEARCH IN 7799 05:19:48,570 --> 05:19:51,073 THAT AREA. I THINK WE NEED TO 7800 05:19:51,073 --> 05:19:54,009 GET THAT MESSAGE OUT ABOUT THERE 7801 05:19:54,009 --> 05:19:55,911 MIGHT BE A LOT OF STUDIES. 7802 05:19:55,911 --> 05:19:59,615 THEY REALLY NEED TO BE 7803 05:19:59,615 --> 05:20:00,749 REPLICATED AS WHAT SOMEONE HAS 7804 05:20:00,749 --> 05:20:02,050 JUST SAID AND IF WILLING TO HAVE 7805 05:20:02,050 --> 05:20:04,753 OR GOING TO HAVE THAT ROBUST 7806 05:20:04,753 --> 05:20:08,223 SENSE OF DATA TO BE ABLE TO MAKE 7807 05:20:08,223 --> 05:20:09,791 STRONGER CONCLUSION STATEMENTS. 7808 05:20:09,791 --> 05:20:14,563 SO, ALL RIGHT. I WILL PASS IT 7809 05:20:14,563 --> 05:20:15,898 TO ALINE. 7810 05:20:15,898 --> 05:20:17,799 >> THANK YOU, CAROL. I THINK, 7811 05:20:17,799 --> 05:20:21,069 YOU KNOW, IT GETS OVERWHELMING 7812 05:20:21,069 --> 05:20:23,238 AFTER SO MANY WONDERFUL COMMENTS 7813 05:20:23,238 --> 05:20:25,073 AND CALL WHAT EVERYONE HAS SAID 7814 05:20:25,073 --> 05:20:27,109 AND I'M GRATEFUL TO BE PART OF 7815 05:20:27,109 --> 05:20:29,077 THE GROUP FOR WOND HERBFUL 7816 05:20:29,077 --> 05:20:30,279 SUPPORT WE GET FROM THE STAFF. 7817 05:20:30,279 --> 05:20:32,514 I WAS SO EXCITED TO SEE THE 7818 05:20:32,514 --> 05:20:36,451 RESULTS TODAY AND I WAS INSPIRED 7819 05:20:36,451 --> 05:20:38,220 LISTENING TO VALARIE'S 7820 05:20:38,220 --> 05:20:40,088 PRESENTATION AND HOW YOU ARE 7821 05:20:40,088 --> 05:20:41,857 ENGAGING EXPERTS WITHIN THE 7822 05:20:41,857 --> 05:20:43,992 COMMUNITIES AND MAKING SURE THAT 7823 05:20:43,992 --> 05:20:46,862 WE ARE NOT MAYBE LOOKING AT 7824 05:20:46,862 --> 05:20:50,098 THINGS TOO HIGH UP AND ARE 7825 05:20:50,098 --> 05:20:53,669 REALLY HAVING FOOD ON THE GROUND 7826 05:20:53,669 --> 05:20:55,837 TO THINK THROUGH AND YOU KNOW 7827 05:20:55,837 --> 05:20:58,707 HOW DO WE ADVANCE WITH THAT 7828 05:20:58,707 --> 05:21:01,977 HEALTH EQUITY LENS. 7829 05:21:01,977 --> 05:21:05,013 THANK YOU FOR DRIVING THOSE NEW 7830 05:21:05,013 --> 05:21:06,748 VISIONS FOR THE DIETARY 7831 05:21:06,748 --> 05:21:08,784 GUIDELINES AND I THINK I AGREE 7832 05:21:08,784 --> 05:21:12,421 WITH YOU THAT I'M HOPEFUL AND 7833 05:21:12,421 --> 05:21:16,758 KNOW THE SCIENCE IS NOT PERFECT 7834 05:21:16,758 --> 05:21:18,927 AND WE IDENTIFY THE GAPS AND 7835 05:21:18,927 --> 05:21:21,496 WHAT WE CAN AND CAN'T DO IN THE 7836 05:21:21,496 --> 05:21:23,999 FUTURE AND SEE MORE OF LESSONS 7837 05:21:23,999 --> 05:21:26,902 LEARNED AND HOW TO GUIDE THE 7838 05:21:26,902 --> 05:21:28,203 NUTRITION COMMUNITY TO FIELD 7839 05:21:28,203 --> 05:21:30,472 THOSE GAPS IN THE FUTURE AND 7840 05:21:30,472 --> 05:21:34,309 GUESS THAT IS WHERE KIND OF THE 7841 05:21:34,309 --> 05:21:37,646 FEELINGS OF THE DAY. 7842 05:21:37,646 --> 05:21:42,751 I WILL PASS IT TO JAN. 7843 05:21:42,751 --> 05:21:45,954 >> I THINK I HAVE GONE ALREADY. 7844 05:21:45,954 --> 05:21:47,723 >> SORRY, JAN. 7845 05:21:47,723 --> 05:21:49,324 >> STEVE MIGHT BE THE -- 7846 05:21:49,324 --> 05:21:49,591 >> STEVE. 7847 05:21:49,591 --> 05:21:52,628 >> SO, I WAS STRUCK BY ALL OF 7848 05:21:52,628 --> 05:21:55,864 THE DIFFERENT COMMITTEES TALKING 7849 05:21:55,864 --> 05:21:58,133 ABOUT WHAT CHILDREN SHOULD DRINK 7850 05:21:58,133 --> 05:21:59,468 AND ADULTS TOO AND DISCUSSION 7851 05:21:59,468 --> 05:22:02,537 ABOUT LOW FAT AND HIGH FAT AND 7852 05:22:02,537 --> 05:22:05,073 MILKS AND JUICES AND THINK THAT 7853 05:22:05,073 --> 05:22:06,308 EVERY SINGLE PANEL AND GROUP HAS 7854 05:22:06,308 --> 05:22:07,809 SOMETHING TO SAY ABOUT HOW 7855 05:22:07,809 --> 05:22:09,211 CHILDREN DRINK AND HAVE TO 7856 05:22:09,211 --> 05:22:10,946 FIGURE OUT HOW TO INTEGRATE THAT 7857 05:22:10,946 --> 05:22:12,948 AND FIGURING OUT WHAT CHILDREN 7858 05:22:12,948 --> 05:22:14,549 SHOULD DRINK AND WHAT 7859 05:22:14,549 --> 05:22:15,851 ALTERNATIVES ARE AND DOES A 7860 05:22:15,851 --> 05:22:18,453 PARENT REALLY UNDERSTAND LIMITED 7861 05:22:18,453 --> 05:22:20,622 VERSUS MODERATE EVIDENCE VERSUS 7862 05:22:20,622 --> 05:22:23,392 HIGH FAT OR LOW FAT AND 18 7863 05:22:23,392 --> 05:22:24,926 MONTHS OR 6 MONTHS AND WHETHER 7864 05:22:24,926 --> 05:22:26,428 OR NOT YOU ARE CHANGING AND 7865 05:22:26,428 --> 05:22:27,729 THINK THE CHALLENGE COMMITTEE IS 7866 05:22:27,729 --> 05:22:30,198 NOT RATING THINGS AS LOW, MEDIUM 7867 05:22:30,198 --> 05:22:32,567 OR HIGH IN TERMS OF QUALITY OF 7868 05:22:32,567 --> 05:22:33,568 THE EVIDENCE AND THAT IS 7869 05:22:33,568 --> 05:22:35,137 IMPORTANT AND FIGURING OUT WHAT 7870 05:22:35,137 --> 05:22:37,606 CHILDREN SHOULD BE DRINKING IS A 7871 05:22:37,606 --> 05:22:39,875 EXAMPLE THAT STRUCK ME AND WE 7872 05:22:39,875 --> 05:22:42,844 HAVE TO GET TOGETHER AND THESE 7873 05:22:42,844 --> 05:22:46,081 SEPARATE GROUPS AND FIGURING OUT 7874 05:22:46,081 --> 05:22:49,685 ANSWERS AND QUESTIONS ABOUT WHAT 7875 05:22:49,685 --> 05:22:52,821 PEOPLE SHOULD EAT AND DRINK AND 7876 05:22:52,821 --> 05:22:54,056 QUESTIONS FOR NEXT YEAR AND 7877 05:22:54,056 --> 05:22:56,491 VALUE AND THEY ARE IMPORTANT BUT 7878 05:22:56,491 --> 05:22:58,460 NOT TELL PEOPLE WHAT THEY SHOULD 7879 05:22:58,460 --> 05:22:59,261 EAT OR DRINK. 7880 05:22:59,261 --> 05:23:02,197 >> THANK YOU. I DON'T THINK WE 7881 05:23:02,197 --> 05:23:04,866 MISSED ANYBODY. TURNING IT TO 7882 05:23:04,866 --> 05:23:06,902 SARAH FOR FINAL COMMENTS. DID I 7883 05:23:06,902 --> 05:23:08,003 MISS SOMEBODY? 7884 05:23:08,003 --> 05:23:10,505 NO. OKAY. TURNING IT OVER TO 7885 05:23:10,505 --> 05:23:14,042 SARAH FOR CLOSING COMMENTS. 7886 05:23:14,042 --> 05:23:18,346 >> THANK YOU, ANGELA AND 7887 05:23:18,346 --> 05:23:20,015 EVERYONE. I ALWAYS GET 7888 05:23:20,015 --> 05:23:21,717 EMOTIONAL AT END OF THE 7889 05:23:21,717 --> 05:23:21,983 MEETINGS. 7890 05:23:21,983 --> 05:23:27,022 IT IS AN OVERWHELMING AMOUNT OF 7891 05:23:27,022 --> 05:23:31,827 POSITIVE THOUGHTS. 7892 05:23:31,827 --> 05:23:34,996 I TH THINK TODAY LISTENING TO 7893 05:23:34,996 --> 05:23:37,833 EVERYONE'S COMMENTS WE HAVE SEEN 7894 05:23:37,833 --> 05:23:39,735 A REAL SHIFT WHAT PEOPLE ARE 7895 05:23:39,735 --> 05:23:42,003 THINKING AND TODAY IS AROUND 7896 05:23:42,003 --> 05:23:43,839 METHODOLOGY AND RIGOR OF 7897 05:23:43,839 --> 05:23:47,342 METHODOLOGY AND INTERPRETATION 7898 05:23:47,342 --> 05:23:50,212 OF EACH REVIEW. 7899 05:23:50,212 --> 05:23:52,647 AND I HOPE THAT EVERY MEMBER OF 7900 05:23:52,647 --> 05:23:56,885 THE NUTRITION COMMUNITY IS 7901 05:23:56,885 --> 05:23:57,552 LISTENING TODAY. 7902 05:23:57,552 --> 05:24:03,358 I ALSO HOPE ENTITIES THAT FUND 7903 05:24:03,358 --> 05:24:05,794 NUTRITION RESEARCH ARE 7904 05:24:05,794 --> 05:24:06,094 LISTENING. 7905 05:24:06,094 --> 05:24:08,563 IN MY OPINION, WE HAVE MOST 7906 05:24:08,563 --> 05:24:10,332 THOUGHTFUL AND KNOWLEDGEABLE 7907 05:24:10,332 --> 05:24:11,833 PEOPLE IN THE FIELD TOGETHER 7908 05:24:11,833 --> 05:24:13,301 BEING HONEST AND PUTTING HEART 7909 05:24:13,301 --> 05:24:16,338 INTO THIS AND THEY BASICALLY ARE 7910 05:24:16,338 --> 05:24:18,306 LAYING OUT -- THEY ARE LAYING 7911 05:24:18,306 --> 05:24:21,042 OUT THE FUTURE AGENDA FOR 7912 05:24:21,042 --> 05:24:23,078 NUTRITION RESEARCH AND INFORMING 7913 05:24:23,078 --> 05:24:24,946 AMERICANS ON WHAT THEY WANT TO 7914 05:24:24,946 --> 05:24:28,617 EAT TO PROMOTE HEALTH. 7915 05:24:28,617 --> 05:24:31,419 I HOPE THAT THIS MEETING AND THE 7916 05:24:31,419 --> 05:24:33,889 NEXT YEAR OF OUR ACTIVITIES, 7917 05:24:33,889 --> 05:24:35,524 THAT WE CAN COME TOGETHER AND 7918 05:24:35,524 --> 05:24:37,959 PARTNER WITH A BROADER COMMUNITY 7919 05:24:37,959 --> 05:24:40,629 SO THAT THE NEXT DIETARY 7920 05:24:40,629 --> 05:24:42,364 GUIDELINES AND SCIENTIFIC 7921 05:24:42,364 --> 05:24:43,698 COMMITTEE WILL HAVE LOTS MORE TO 7922 05:24:43,698 --> 05:24:44,633 WORK WITH. 7923 05:24:44,633 --> 05:24:48,003 SO, I REALLY WANT TO THANK 7924 05:24:48,003 --> 05:24:51,072 EVERYONE. YOUR THOUGHTS AND 7925 05:24:51,072 --> 05:24:59,114 HARD WORK AND YOUR PASSION IS 7926 05:24:59,114 --> 05:25:00,515 UNRIVALLED. WITH THAT ENDING 7927 05:25:00,515 --> 05:25:02,384 THIS PORTION OF THE MEETING AND 7928 05:25:02,384 --> 05:25:04,052 HANDING IT OVER TO JANET. 7929 05:25:04,052 --> 05:25:07,122 >> I WANT TO THANK THE PUBLIC 7930 05:25:07,122 --> 05:25:08,590 FOR JOINING TODAY AND ENGAGING 7931 05:25:08,590 --> 05:25:10,425 IN THE COMMITTEE'S PROCESS. 7932 05:25:10,425 --> 05:25:12,561 MANY THANKS TO THE COMMITTEE FOR 7933 05:25:12,561 --> 05:25:14,863 YOUR FANTASTIC WORK SINCE YOUR 7934 05:25:14,863 --> 05:25:16,131 LAST MEETING. 7935 05:25:16,131 --> 05:25:18,567 FOR A YEAR NOW TODAY, HAPPY 7936 05:25:18,567 --> 05:25:18,900 ANNIVERSARY. 7937 05:25:18,900 --> 05:25:22,404 YOUR DEDICATION TO YOUR TASK AS 7938 05:25:22,404 --> 05:25:24,272 SPECIAL GOVERNMENT EMPLOYEES IS 7939 05:25:24,272 --> 05:25:25,941 IMPRESSIVE AND APPRECIATED AND 7940 05:25:25,941 --> 05:25:27,943 BIG THANKS TO STAFF IN THEIR 7941 05:25:27,943 --> 05:25:30,412 SUPPORT OF THE COMMITTEE AND OUR 7942 05:25:30,412 --> 05:25:31,446 COMMITTEE AND STAFF 7943 05:25:31,446 --> 05:25:33,381 COLLABORATION IS SO STRONG. WE 7944 05:25:33,381 --> 05:25:35,217 ALL HAVE THE SAME GOAL IMPROVING 7945 05:25:35,217 --> 05:25:38,053 PUBLIC HEALTH USING RIGOROUS 7946 05:25:38,053 --> 05:25:41,957 METHODS TO REVIEW EFRD AND 7947 05:25:41,957 --> 05:25:43,925 COMMITTEE'S ADVICE IN SCIENTIFIC 7948 05:25:43,925 --> 05:25:45,894 REPORT WILL INFORM DIETARY 7949 05:25:45,894 --> 05:25:47,462 GUIDANCE AND WE SO APPRECIATE 7950 05:25:47,462 --> 05:25:49,664 MEMBERS TAKING THIS ROLE SO 7951 05:25:49,664 --> 05:25:51,633 SERIOUSLY AND ALONG SAME LINES 7952 05:25:51,633 --> 05:25:54,703 AND STAFF WHO HAVE INSTITUTED 7953 05:25:54,703 --> 05:25:55,904 CONTINUOUS QUALITY AND 7954 05:25:55,904 --> 05:25:58,540 IMPROVEMENT TO METHODS FOR EACH 7955 05:25:58,540 --> 05:26:00,942 ROUND OF THE DIETARY GUIDELINES 7956 05:26:00,942 --> 05:26:02,210 DEVELOPMENT AND FINALLY THANKS 7957 05:26:02,210 --> 05:26:04,946 TO EVERYONE THAT PIVOTED FROM 7958 05:26:04,946 --> 05:26:06,748 IN-PERSON TO VIRTUAL ON VERY 7959 05:26:06,748 --> 05:26:07,249 SHORT NOTICE. 7960 05:26:07,249 --> 05:26:09,251 YOU KNOW WHO YOU ARE. YOU ARE 7961 05:26:09,251 --> 05:26:11,920 ALL APPRECIATED AND IT IS SO 7962 05:26:11,920 --> 05:26:13,688 WONDERFUL WORKING WITH A 7963 05:26:13,688 --> 05:26:15,991 TALENTED AND KIND AND 7964 05:26:15,991 --> 05:26:16,791 UNDERSTANDING COMMITTEE AND 7965 05:26:16,791 --> 05:26:19,427 STAFF TEAM. 7966 05:26:19,427 --> 05:26:23,365 NEXT SLIDE. 7967 05:26:23,365 --> 05:26:24,466 CONGRATULATIONS TO COMMITTEE AND 7968 05:26:24,466 --> 05:26:26,668 STAFF FOR WONDERFUL 7969 05:26:26,668 --> 05:26:27,636 ACCOMPLISHMENTS IN ADVANCE OF 7970 05:26:27,636 --> 05:26:30,438 MEETING 4 THAT WE ARE ABOUT TO 7971 05:26:30,438 --> 05:26:30,705 CONCLUDE. 7972 05:26:30,705 --> 05:26:33,541 THE NEXT PUBLIC MEETING IS 7973 05:26:33,541 --> 05:26:36,611 SCHEDULED FOR MAY 30TH. 7974 05:26:36,611 --> 05:26:39,881 NEXT SLIDE, PLEASE. 7975 05:26:39,881 --> 05:26:41,650 WE ARE SO APPRECIATIVE OF THE 7976 05:26:41,650 --> 05:26:43,618 PUBLIC ENGAGING IN THE PROCESS 7977 05:26:43,618 --> 05:26:45,220 AND PUBLIC COMMENTS ARE 7978 05:26:45,220 --> 05:26:47,455 APPRECIATED AND IT IS REQUESTED 7979 05:26:47,455 --> 05:26:52,527 THAT COMMENTS BE SUBMITTED IN 7980 05:26:52,527 --> 05:26:54,829 REGULATIONS.GOV INSTEAD OF TO 7981 05:26:54,829 --> 05:26:56,197 INDIVIDUAL COMMITTEE MEMBERS AND 7982 05:26:56,197 --> 05:26:57,866 SUBMITTING COMMENTS AND INPUT IN 7983 05:26:57,866 --> 05:27:00,068 THE DOCKET WILL ENSURE THEY 7984 05:27:00,068 --> 05:27:01,569 REACH THE FULL COMMITTEE AND 7985 05:27:01,569 --> 05:27:03,605 FIND THE LINK TO THE DOCKET TO 7986 05:27:03,605 --> 05:27:05,941 SUBMIT YOUR INPUT IN THE LINK ON 7987 05:27:05,941 --> 05:27:07,275 THIS SLIDE. 7988 05:27:07,275 --> 05:27:10,445 DIETARY GUIDELINES.GOV AND GET 7989 05:27:10,445 --> 05:27:11,079 INVOLVED SECTION. 7990 05:27:11,079 --> 05:27:13,381 THERE IS MANY WAYS TO ENGAGE IN 7991 05:27:13,381 --> 05:27:15,517 THE PROCESS AS YOU CAN SEE ON 7992 05:27:15,517 --> 05:27:16,351 THIS SLIDE. 7993 05:27:16,351 --> 05:27:18,787 I JUST NOTED PROVIDING PUBLIC 7994 05:27:18,787 --> 05:27:20,922 INPUT AND ATTENDING VIRTUAL 7995 05:27:20,922 --> 05:27:24,559 MEETINGS LIKE WE ARE DOING TODAY 7996 05:27:24,559 --> 05:27:27,662 AND SIGNING UP FOR UPDATES ON 7997 05:27:27,662 --> 05:27:29,597 OUR GET INVOLVED PAGE AND 7998 05:27:29,597 --> 05:27:32,534 VISITING DIETARY GUIDELINES.GOV 7999 05:27:32,534 --> 05:27:37,339 AND WE REGULARLY UPDATE DIETARY 8000 05:27:37,339 --> 05:27:38,006 GUIDELINES.GOV WITH INFORMATION 8001 05:27:38,006 --> 05:27:39,874 ON THE PROCESS AND AFTER EACH 8002 05:27:39,874 --> 05:27:41,343 MEETING ALL MATERIALS FROM THE 8003 05:27:41,343 --> 05:27:43,345 MEETING WILL BE PUBLISHED WITHIN 8004 05:27:43,345 --> 05:27:44,479 A MONTH. 8005 05:27:44,479 --> 05:27:48,750 IT IS ALSO APPRECIATED IF MEDIA 8006 05:27:48,750 --> 05:27:49,751 INQUIRIES REGARDING THE 8007 05:27:49,751 --> 05:27:53,588 COMMITTEE'S WORK BE SENT TO OUR 8008 05:27:53,588 --> 05:27:54,489 ODPHP INBOX. 8009 05:27:54,489 --> 05:27:57,425 THE ADDRESS IS ON THE SLIDE. 8010 05:27:57,425 --> 05:27:59,394 WHILE THE COMMITTEE IS WORKING, 8011 05:27:59,394 --> 05:28:01,062 THEY DISCUSS THEIR WORK IN 8012 05:28:01,062 --> 05:28:02,897 PUBLIC MEETINGS FOR BENEFIT OF 8013 05:28:02,897 --> 05:28:04,432 THE PUBLIC AND ALL OF US AND 8014 05:28:04,432 --> 05:28:07,535 THEY ARE NOT CONDUCTING 8015 05:28:07,535 --> 05:28:09,571 INTERVIEWS ON THEIR WORK 8016 05:28:09,571 --> 05:28:10,739 CURRENTLY BECAUSE THEIR WORK IS 8017 05:28:10,739 --> 05:28:12,674 STILL IN PROGRESS. 8018 05:28:12,674 --> 05:28:14,743 SO, ONCE THEIR SCIENTIFIC REPORT 8019 05:28:14,743 --> 05:28:16,644 IS RELEASED COMMITTEE MEMBERS 8020 05:28:16,644 --> 05:28:18,480 CAN TALK ABOUT THEIR REPORT THAT 8021 05:28:18,480 --> 05:28:19,981 THEY DEVELOPED COLLECTIVE WILL I 8022 05:28:19,981 --> 05:28:21,750 AND MEDIA, PLEASE FEEL FREE TO 8023 05:28:21,750 --> 05:28:24,986 REACH OUT TO THE ODPHP INBOX. 8024 05:28:24,986 --> 05:28:30,025 WE ARE HAPPY TO ANSWER YOUR 8025 05:28:30,025 --> 05:28:30,592 QUESTIONS. 8026 05:28:30,592 --> 05:28:33,928 NEXT SLIDE, PLEASE. 8027 05:28:33,928 --> 05:28:36,765 NEXT STEP IN THE PROCESS NEXT 8028 05:28:36,765 --> 05:28:40,168 MONTH UPDATED SYSTEMATIC REVIEW 8029 05:28:40,168 --> 05:28:43,571 PROTOCOLS WILL BE POSTED AND NEW 8030 05:28:43,571 --> 05:28:46,741 AND UPDATED FOOD PATTERN 8031 05:28:46,741 --> 05:28:47,642 MODELING PROTOCOLS INCLUDING 8032 05:28:47,642 --> 05:28:49,744 DIET SIMULATIONS YOU HEARD ABOUT 8033 05:28:49,744 --> 05:28:53,882 TODAY WILL BE POSTED AT DIETARY 8034 05:28:53,882 --> 05:28:55,183 GUIDELINES.GOV AND PUBLIC 8035 05:28:55,183 --> 05:28:57,152 COMMENTS ON PROTOCOLS ARE 8036 05:28:57,152 --> 05:28:58,420 APPRECIATED WITHIN A MONTH 8037 05:28:58,420 --> 05:29:00,321 FOLLOWING THE POSTING AND 8038 05:29:00,321 --> 05:29:01,923 SUB-COMMITTEES AND WORKING 8039 05:29:01,923 --> 05:29:03,491 GROUPS WILL CONTINUE CONTUKTING 8040 05:29:03,491 --> 05:29:04,959 THEIR EVIDENCE REVIEWS. 8041 05:29:04,959 --> 05:29:07,495 AS I MENTIONED EARLIER THAT 8042 05:29:07,495 --> 05:29:10,465 MEETING 5 IS TENTATIVELY 8043 05:29:10,465 --> 05:29:11,666 SCHEDULED FOR MAY 30TH. 8044 05:29:11,666 --> 05:29:14,269 WITH THAT I WILL ADJOURN MEETING 8045 05:29:14,269 --> 05:29:14,436 4. 8046 05:29:14,436 --> 05:29:24,746 THANK YOU AND HAVE