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WELCOME TO THE 2025 DIETARY 

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ADVISORY COMMITTEE WE HAVE ALL 

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MEMBERS PRESENT TODAY.

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THIS IS OUR DEVELOPMENT TIME 

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LINE AS YOU CAN SEE HERE THE 

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COMMITTEE HAS COMPLETED FOUR 

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MEETINGS AND TODAY WE'RE AT 

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MEETING FIVE WITH ONE MORE 

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MEETING LEFT IN SEPTEMBER.

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WE EXPECT THE COMMITTEE'S REPORT

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TO BE DELIVERED LATER THIS FALL.

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WE REALLY APPRECIATE THE PUBLIC 

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ENGAGEMENT.

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THERE'S MANY WAYS TO 

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PARTICIPATE.

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YOU CAN PROVIDE PUBLIC COMMENTS 

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TO THE COMMITTEE VIA THE PUBLIC 

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DOCKET ONLINE AND ATTEND VIRTUAL

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COMMITTEE MEETINGS LIKE TODAY 

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AND SIGN UP FOR UPDATES ON 

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DIETARY GUIDELINES.gov AND VISIT

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DIETARY GUIDELINES.gov.

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ALL THE COMMITTEE'S WORK IS 

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BEING UPDATED REGULARLY ON 

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DIETARY GUIDELINES.gov AND 

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FINALLY FOR MEDIA REQUESTS GO TO

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O

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ODPHS INFO AT HHS.gov.

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IT'S MY PLEASURE TO TURN IT OVER

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TO ANGELA ODOMS-YOUNG.

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>> WELCOME BACK.

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WE'RE HAPPY TO HAVE THE 

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COMMITTEE BACK TOGETHER TO SHARE

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PROGRESS SINCE THE LAST MEETING.

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THANK YOU SO MUCH FOR YOUR HARD 

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WORK.

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THE COMMITTEE HAS MADE 

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SIGNIFICANT PROGRESS SO IT'S 

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REALLY EXCITING TO GET BACK 

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TOGETHER.

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WE'LL HAVE HEALTH EQUITY RELATED

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TO DIETARY QUALITY AND 

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MANAGEMENT AND FOOD PATTERN 

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MODELLING.

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BOOTH THE IN YOUR FOLDER AND 

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ONLINE THE COMMITTEE CHAIRS ARE 

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LISTED BUT THERE WILL BE SEVERAL

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PRESENTERS WITHIN EACH 

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SUBCOMMITTEE.

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FOOT PATTERN MODELS WILL HAVE 

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PROTOCOLS AND STRATEGIES FOR 

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WEIGHT MANAGEMENT AND PROTOCOL 

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REVISIONS AND DISCONTINUED 

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PROTOCOLS AND DRAFTS OF 

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COLLUSION STATEMENTS AND THEN 

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ALSO THE DIETARY PATTERNS THE 

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SPECIFIC DIETARY PATTERN 

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COMPONENTS ACROSS THE LIFE 

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COURSE AND LIFE STAGES IS GOING 

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TO PRESENT PROTOCOL REVISIONS 

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AND DISCONTINUE PROTOCOLS AND 

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DRAFT REVISION STATEMENTS WHICH 

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WE'LL REVIEW AND DISCUSS.

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THE SAME WITH DIET AND PREGNANCY

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AND BIRTH THROUGH ADOLESCENCE 

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WE'LL HAVE DRAFT CONCLUSION 

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STATEMENTS.

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FOR TOMORROW THE AGENDA WITH A 

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LITTLE WE'LL HAVE A PRESENTATION

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ON RELATED PROJECTS AND UPDATES 

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AND DATA ANALYSIS WE'LL HAVE A 

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DIET AND PREGNANCY AND BIRTH 

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THROUGH ADOLESCENCE AND THE 

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COMPONENTS ACROSS THE LIFE 

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STAGES AND WRAP UP WITH THE 

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CHAIR AND VICE CHAIR.

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EACH SUBCOMMITTEE AND WORKING 

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GROUP WILL REPORT ON PROGRESS 

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MADE SINCE MEETING FOR 

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DISCUSSION.

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WE HAVE NEW PROTOCOLS AND VERY 

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VISIONS MAY BE MADE DURING THE 

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REVIEW PROCESS TO ENHANCE 

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CLARITY OR ENABLE A FOCUS ON THE

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STRONGER BODY OF EVIDENCE.

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IF YOU'RE INTERESTED IN MORE 

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DETAIL, I KNOW THERE'S PEOPLE 

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WATCHING ONLINE AND THERE'S 

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PROTOCOL REVISIONS ONLINE SO IF 

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YOU WANT TO DIG DEEPER, YOU CAN 

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DO SO ONLINE AS WELL AS THE 

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AGENDA IS POSTED ONLINE.

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WE HAVE SOME PROTOCOLS THAT WERE

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DEPRIORITIZED AND SUBCOMMITTEES 

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CONTINUED TO DEPRIORITIZE THE 

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SCIENTIFIC QUESTIONS TO ENSURE 

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TO THE QUESTIONS ADDRESSED ARE 

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RELEVANT, IMPORTANT AND HAVE THE

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GREATEST IMPACT ON FEDERAL 

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PROGRAMS.

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AND THEN OTHER CONSIDERATIONS C 

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THERE'S BEEN A DISCUSSION IN 

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DEPRIORITIZING AND WORK LOAD AND

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CAPACITY AND MAKING SURE EACH 

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GROUP LOOKS THROUGH A HEALTH 

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EQUITY LENS.

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CRAFT CONCLUSIONS AND THE 

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SYNTHESIS STATEMENTS FOR 

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QUESTIONS WILL BE PRESENTED OF 

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WHAT WE REVIEW TODAY.

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THANK YOU, THANK YOU, THANK YOU,

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PUBLIC FOR YOUR COMMENTS.

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WE'VE HAD A LOT OF ENGAGEMENT.

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OVER 4,000 WRITTEN COMMENTS AND 

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THEN AND MANY ARE DIETITIANS.

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IT'S EXCITING TO SEE THE PUBLIC 

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ENGAGEMENT.

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CONTINUE TO GET INVOLVED.

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WE WANT TO HEAR FROM YOU.

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PEER REVIEWERS ARE EXTERNAL AND 

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HAVE EXPERTISE AS IT RELATES TO 

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SPECIFIC QUESTION AND ALL 

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REVIEWERS HAVE A DOCTORATE 

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DEGREES AND APPOINTMENTS AT A 

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COLLEGE OR UNIVERSITY.

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I'M TURN IT OVER TO SAMEER RA TO

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ON THE WORKING GROUP.

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>> I CHAIR THE HEALTH
EQUITY 

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WORKING GROUP AND WILL BE 

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PRESENTING THE UPDATE ON OUR 

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WORKING GROUP.

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MEMBERS ARE REPRESENTED IN THE 

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SUBCOMMITTEES AND THANK YOU TO 

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THE FEDERAL STAFF WITHOUT THEIR 

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HEALTH AND SUPPORT WE WOULDN'T 

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BE ABLE TO DO THE WORK HERE 

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TODAY.

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THE 2025 DIETARY GUIDELINES WERE

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CHARGED WITH EXAMINING THE 

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QUESTIONS WITH THE HEALTH EQUITY

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LENS TO MAKE SURE THEY WERE 

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RELEVANT TO INDIVIDUALS AND 

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PEOPLE WITH SOCIAL AND ECONOMIC 

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BACKGROUNDS THE WORKING GROUP 

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HAS CONTINUED THE WORK HAS BEEN 

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APPLIED IN ALL THE WORK IT'S 

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BEEN DOING AND HAVE BEEN SURE TO

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INCORPORATE THE PUBLIC COMMENTS 

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THAT HAVE COME AND SPECIFICALLY 

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MADE SIGNIFICANT PROGRESS ON THE

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CHAPTER FOR THE OVER ALL 

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SCIENTIFIC REPORT.

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NOW, ONE HAS FOCUSSED ON THE 

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VISUAL OR DRAFTING OF THE VISUAL

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TO REPRESENT THE WHOLE PROCESS 

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TO MAKE SURE HEALTH EQUITY IS 

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INCORPORATED INTO OUR 

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DELIBERATIONS.

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WE HAVE SEVERAL MEMBERS HAVE 

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SEEN THIS VISUAL AND HOPING TO 

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GET FEEDBACK FROM ALL OF YOU 

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HERE TODAY.

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I'LL PAUSE SO YOU CAN TAKE A 

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LOOK AT THE VISUAL AND WALK 

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THROUGH THE STEPS IN THE VISUAL.

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>> I LOVE THE
REPRESENTATION.

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THE ONLY THING IS THAT IN ALL OF

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THE THINGS IF WE'RE LOOKING AT 

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ABLISM, THEY ALL HAVE LIMBS SO 

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IF YOU'RE THINKING OF PEOPLE 

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THAT MAY NOT HAVE ALL OF THEIR 

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LIMDZ I WOULD MAKE -- LIMBS WE 

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WANT TO BE INCLUSIVE OF THOSE 

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WHO DON'T HAVE FULL ABILITIES IN

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TERMS OF MAY NOT BE BORN WITH 

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ALL THEIR LIMBS, MAY NOT HAVE 

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ACCESS TO ALL THEIR LIMBS SO 

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EVEN IN THE PERSON NOT BODIED SO

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IN A WHEELCHAIR HERE STILL HAVE 

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ALL THEIR LIMBS SO I WANT TO 

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INCLUDE THOSE INDIVIDUALS FROM 

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DIVERSE BODIES.

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>> I'LL WALK YOU THROUGH
THE 

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STEPS.

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THIS ONE TALKS ABOUT THE HEALTH 

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EQUITY LENS AND THE FACT WE'RE 

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MAKING SURE EACH OF OUR 

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DELIBERATIONS IS ENSURING THE 

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HEALTH EQUITY IS APPLIED ACROSS 

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EVERY STEP AND THE OTHER TALKS 

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ABOUT THE THREE APPROACHES THIS 

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COMMITTEE IS TAKING TO REVIEW 

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THE EVIDENCE.

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 THIS INCLUDES THE SYSTEMATIC 

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REVIEWS, FOOD PATTERN MODELLING 

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AND DATA ANALYSIS.

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ALL THESE THREE APPROACHES ARE 

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INFORMED BY NUTRITIONAL RESEARCH

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AS WELL AS SURVEILLANCE AND 

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MONITORING REPRESENTED ON THE 

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BOTTOM.

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AND TO GIVE AN EXAMPLE IN 

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SYSTEMATIC REVIEWS WE ARE MAKING

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SURE WE ARE CONSISTENTLY 

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EVALUATING SOCIO ECONOMIC 

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POSITION WHEN RATE BEING THE 

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STRENGTH OF EVIDENCE FOR SYS

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SYSTEMATIC REVIEW AND MAKING 

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SURE HEALTH EQUITY IS BEING 

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CONSIDERED IS LOOKING AT THE 

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DATA BASED ON DIFFERENT 

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DEMOGRAPHICS SPECIFIED FROM THE 

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BEGINNING OF THE PROCESS.

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AND WE LOOK AT NUTRIENT EXAMPLES

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AND ANOTHER SLIDES DISCUSSES 

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MORE IN DETAIL WHAT STEPS EACH 

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PILLARS OR APPROACHES HAVE 

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00:11:28,837 --> 00:11:30,172
MAKING SURE HEALTH EQUITY IS 

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BEING ADDRESSED IN 

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CONSIDERATION.

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THE THIRD VISUAL YOU SEE IS 

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MAKING SURE OR HELPING THE 

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READER UNDERSTAND THAT WE ARE 

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GOING AND LOOKING AT THE 

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RELATIONSHIP BETWEEN DIET AND 

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HEALTH THROUGH THE LIFE SPAN.

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IT IS MAKING SURE THAT IT'S 

228
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TELLING THE READER IT'S NOT JUST

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ONE AGE BRACKET BUT ACROSS THE 

230
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ENTIRE LIFE SPAN.

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THE FOURTH ACTUALLY DISCUSSES 

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THOUGHTS ABOUT THE NEXT STEPS WE

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ARE TAKING WHICH IS MAKING SURE 

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WE ARE DISCUSSING OUR FINDINGS.

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WE ARE INTEGRATING THE EVIDENCE 

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FROM WHAT WE'RE FINDING WITH 

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CONSIDERATION OF PUBLIC COMMENTS

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AND THEN MAKING SURE WE TAKE ALL

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OF THIS INTO CONSIDERATION WHEN 

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WE DEVELOP THE FINAL OR THE 

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DRAFT DIETARY PATTERNS AROUND 

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UPDATES.

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THE LAST STEP WHICH IS ACTUALLY 

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PART OF THE FOOD PATTERN 

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MODELLING BUT REPRESENTING HERE 

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BECAUSE IN OUR PROCESS IT DOES 

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COME TOWARDS THE END IS THE 

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SIMULATION PROCESS WHATEVER 

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DRAFT PATTERNS WE TRY TO INFORM 

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THE DIET SIMULATIONS PROCESS TO 

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TEST WHETHER THESE PROPOSED 

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PATTERNS ARE REPRESENTATIVE.

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AS WE HAD MENTIO MENTIONED IN M4

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WE HAVE THE ALASKAN NATIVE AND 

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00:13:07,536 --> 00:13:09,004
INDIAN AND THE REPORT THEN TO BE

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00:13:09,004 --> 00:13:09,971
CONSIDERED TO THE DEPARTMENT OF 

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HEALTH AND HUMAN SERVICES AND 

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AGRICULTURE.

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SO THIS IS OUR VISUAL AND ANY 

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SUGGESTIONS ARE WELCOME.

261
00:13:29,157 --> 00:13:32,227
WOULD OU LIKE ME TO PAUSE FOR 

262
00:13:32,227 --> 00:13:32,928
DISCUSSION?

263
00:13:32,928 --> 00:13:35,163
>> MAKING SURE YOU HAVE 

264
00:13:35,163 --> 00:13:38,033
REPRESENTATION OF THOSE HEARING 

265
00:13:38,033 --> 00:13:39,634
AND/OR VISION WHY IMPAIRED.

266
00:13:39,634 --> 00:13:41,837
NOT SURE HOW YOU COMPLETELY 

267
00:13:41,837 --> 00:13:52,247
REPRESENT THAT BUT -- 

268
00:13:52,247 --> 00:13:55,951
>> SO IF THERE ARE NO
FURTHER 

269
00:13:55,951 --> 00:13:57,018
DISCUSSION ON THE VISUAL WE'D 

270
00:13:57,018 --> 00:13:58,253
LIKE TO CONTINUE OUR WORK AND 

271
00:13:58,253 --> 00:13:59,788
ARE MAKING SURE TO INTEGRATE AND

272
00:13:59,788 --> 00:14:01,790
YOU'LL SEE THIS IN ALL OUR 

273
00:14:01,790 --> 00:14:03,024
PRESENTATION THAT HEALTH EQUITY 

274
00:14:03,024 --> 00:14:04,025
HAS BEEN ADDRESSED IN ALL OF OUR

275
00:14:04,025 --> 00:14:06,561
THREE APPROACHES.

276
00:14:06,561 --> 00:14:09,030
WE ARE DEFINITELY READING ALL 

277
00:14:09,030 --> 00:14:09,798
THE PUBLIC COMMENTS AND 

278
00:14:09,798 --> 00:14:11,166
CONTINUING TO WORK ON OUR 

279
00:14:11,166 --> 00:14:12,734
SCIENTIFIC REPORT.

280
00:14:12,734 --> 00:14:17,172
WE HAVE A BIT OF THAT CHAPTER IN

281
00:14:17,172 --> 00:14:20,342
THE SCIENTIFIC REPORT.

282
00:14:20,342 --> 00:14:23,278
>> IT SORRY, I WAS TOO
LATE WHEN

283
00:14:23,278 --> 00:14:25,847
YOU PAUSED FOR BUT I THINK THIS 

284
00:14:25,847 --> 00:14:27,449
MAY BE WELL REPRESENTED IN THE 

285
00:14:27,449 --> 00:14:31,253
VISUAL THERE HAS BEEN A LOT OF 

286
00:14:31,253 --> 00:14:33,021
FEEDBACK LOOPS IN THIS FIRST AND

287
00:14:33,021 --> 00:14:39,060
SECOND BOX THAT HAVE BEEN SO 

288
00:14:39,060 --> 00:14:41,863
HELPFUL AND IT'S MORE THAN 

289
00:14:41,863 --> 00:14:44,132
CHECKING A BOX TO MAKE SURE WHAT

290
00:14:44,132 --> 00:14:48,170
OTHER GROUPS ARE DOING ADD  

291
00:14:48,170 --> 00:14:53,341
ADHERE TO WHAT YOU SET FORTH BUT

292
00:14:53,341 --> 00:14:54,709
HAVE BEEN AN INFLUENTIAL 

293
00:14:54,709 --> 00:14:56,244
INFLUENCE IN MAKING DECISIONS 

294
00:14:56,244 --> 00:14:59,147
AND SETTING THE DATA WITH THIS 

295
00:14:59,147 --> 00:15:02,017
LENS IN A MORE TANGIBLE WAY THAN

296
00:15:02,017 --> 00:15:03,084
THE LANGUAGE CAN CONVEY.

297
00:15:03,084 --> 00:15:04,953
I DON'T KNOW IT'S A DIRECT EDIT 

298
00:15:04,953 --> 00:15:08,757
BUT I WANTED TO POINT OUT I 

299
00:15:08,757 --> 00:15:10,725
THINK IT'S BEEN MORE IMPACTFUL 

300
00:15:10,725 --> 00:15:12,360
THAN ONE INFO GRAPHIC CAN 

301
00:15:12,360 --> 00:15:13,562
SUMMARIZE SO THANK YOU.

302
00:15:13,562 --> 00:15:14,763
>> THANK YOU.

303
00:15:14,763 --> 00:15:18,233
I HAVE A COMMENT LIKE DIDI 

304
00:15:18,233 --> 00:15:20,502
THERE'S SO MANY TIMES IN OUR 

305
00:15:20,502 --> 00:15:21,670
COMMITTEE DELIBERATIONS WE SAY 

306
00:15:21,670 --> 00:15:24,873
WE BETTER CONSULT WITH A HEALTH 

307
00:15:24,873 --> 00:15:30,846
EQUITY GROUP AND THOSE INFORMAL 

308
00:15:30,846 --> 00:15:32,547
BUT FREQUENT IN THE ACTIONS MAY 

309
00:15:32,547 --> 00:15:38,987
NOT COME OFF AS STRONG AS IT'S 

310
00:15:38,987 --> 00:15:39,621
SHOWING IN THE GRAPHIC BUT 

311
00:15:39,621 --> 00:15:41,156
THERE'S A LOT OF INTERACTIONS 

312
00:15:41,156 --> 00:15:42,457
BETWEEN THE COMMITTEES AND YOU 

313
00:15:42,457 --> 00:15:43,425
FOLKS.

314
00:15:43,425 --> 00:15:53,969
I WANT TO MAKE SURE IT SHOWS UP.

315
00:15:59,741 --> 00:16:09,351
>> THERE'S A SORT AND ALL
HAVE A

316
00:16:09,351 --> 00:16:11,887
DISCUSSION IN REGARD TO HEALTH 

317
00:16:11,887 --> 00:16:12,120
EQUITY.

318
00:16:12,120 --> 00:16:12,988
WITH NUMBER ONE THERE'S THE 

319
00:16:12,988 --> 00:16:13,788
REVIEWING OF THE EVIDENCE AND 

320
00:16:13,788 --> 00:16:16,625
THE THINKING OF HOW YOU 

321
00:16:16,625 --> 00:16:18,126
SYNTHESIZE IT ALL BRA THAT 

322
00:16:18,126 --> 00:16:18,894
DOCUMENT GETS FINALIZED.

323
00:16:18,894 --> 00:16:21,296
MAYBE IT'S SOMEWHERE IN THERE 

324
00:16:21,296 --> 00:16:23,698
AND ALONG THE SAME LINES I WAS 

325
00:16:23,698 --> 00:16:27,335
THINKING ABOUT THE MORE EXPLICIT

326
00:16:27,335 --> 00:16:27,535
WORK.

327
00:16:27,535 --> 00:16:30,438
THERE'S THE MAYBE UNDER 

328
00:16:30,438 --> 00:16:31,640
CELEBRATED DAY TO DAY WORK BUT 

329
00:16:31,640 --> 00:16:35,577
THERE'S THE CULTURALLY TAILORED 

330
00:16:35,577 --> 00:16:36,177
INTERVENTIONS APPROACH THIS 

331
00:16:36,177 --> 00:16:36,378
TIME.

332
00:16:36,378 --> 00:16:39,681
IT DOESN'T REALLY COME OUT AS 

333
00:16:39,681 --> 00:16:41,650
WELL HERE SO MAYBE IT'S BETWEEN 

334
00:16:41,650 --> 00:16:47,022
FIVE AND SIX WE ADD A LITTLE 

335
00:16:47,022 --> 00:16:50,725
SLIVER ORE A NOD TO THE WORK 

336
00:16:50,725 --> 00:16:53,795
DIDI AND TERESA MENTIONED PLUS 

337
00:16:53,795 --> 00:16:56,164
THE CULTURALLY TAILORED WORK.

338
00:16:56,164 --> 00:16:57,632
>> AND THERE'S MORE
EXAMPLES.

339
00:16:57,632 --> 00:17:00,001
IT'S NOT PART OF THIS IT COMES 

340
00:17:00,001 --> 00:17:05,040
IN THE TEXT IT WILL BE BELOW BUT

341
00:17:05,040 --> 00:17:09,811
YOU'RE RIGHT MAYBE IT SHOULD BE 

342
00:17:09,811 --> 00:17:18,453
IN THE VISUAL ITSELF.

343
00:17:18,453 --> 00:17:19,788
ANY OTHER SUGGESTIONS?

344
00:17:19,788 --> 00:17:21,790
WELL, THAT WAS ALL I HAD.

345
00:17:21,790 --> 00:17:31,166
THANK YOU.

346
00:17:31,166 --> 00:17:33,568
>> HI, EVERYONE.

347
00:17:33,568 --> 00:17:36,538
I'LL BE PRESENTING ON BEHALF OF 

348
00:17:36,538 --> 00:17:41,276
SUBCOMMITTEE 4 WHICH IS NICE NOT

349
00:17:41,276 --> 00:17:43,511
TO BE LAST FOR FOOD-BASED 

350
00:17:43,511 --> 00:17:44,446
STRATEGIES TO HELP AMERICANS TO 

351
00:17:44,446 --> 00:17:46,348
INCLUDE IN THEIR DIET AND 

352
00:17:46,348 --> 00:17:47,248
ULTIMATELY THEIR HEALTH BY 

353
00:17:47,248 --> 00:17:53,655
IMPROVING WEIGHT.

354
00:17:53,655 --> 00:17:56,191
AS A REMINDER ALL THE TOPICS 

355
00:17:56,191 --> 00:17:57,792
WE'RE PRESENTING ARE NEW TO THE 

356
00:17:57,792 --> 00:18:06,267
COMMITTEE.

357
00:18:06,267 --> 00:18:14,843
I'LL BE PRESENTING.

358
00:18:14,843 --> 00:18:15,977
THE SLIDE KNOWS SEVERAL 

359
00:18:15,977 --> 00:18:17,612
COMMITTEE MEMBERS PART OF HEALTH

360
00:18:17,612 --> 00:18:18,046
EQUITY.

361
00:18:18,046 --> 00:18:20,315
WE HAVE THAT CROSS-COLLABORATION

362
00:18:20,315 --> 00:18:24,786
BETWEEN COMMITTEES.

363
00:18:24,786 --> 00:18:29,290
AND THIS IS OUR GROUP OF AMAZING

364
00:18:29,290 --> 00:18:30,959
STAFF THAT HELP KEEP US UP TO 

365
00:18:30,959 --> 00:18:34,529
DATE IN EVERYTHING AND HU  THANK

366
00:18:34,529 --> 00:18:36,664
YOU FOR PRESENTING THE DATA IN 

367
00:18:36,664 --> 00:18:38,867
SO MANY WAYS TO HELP DRAW OUR 

368
00:18:38,867 --> 00:18:40,668
CONCLUSIONS WELL SHOW TODAY.

369
00:18:40,668 --> 00:18:41,736
THIS SLIDE SHOWS THE PROGRESS 

370
00:18:41,736 --> 00:18:42,570
SINCE THE LAST MEETING.

371
00:18:42,570 --> 00:18:44,939
THE LAST MEETING WE PRESENTED 

372
00:18:44,939 --> 00:18:46,608
THE FIRST GROUP OF SYSTEMATIC 

373
00:18:46,608 --> 00:18:49,778
REVIEWS WHICH WERE RELATED TO 

374
00:18:49,778 --> 00:18:53,181
THE FREQUENCY OF NEWS WITH DIET 

375
00:18:53,181 --> 00:18:55,016
POLICIES AND THESE ARE UNDER 

376
00:18:55,016 --> 00:18:55,450
PEER REVIEW.

377
00:18:55,450 --> 00:18:56,985
TODAY WE'RE GOING TO PRESENT THE

378
00:18:56,985 --> 00:18:58,553
NEXT GROUP WHICH IS THE 

379
00:18:58,553 --> 00:19:01,256
FREQUENCY OF MEALS AND/OR 

380
00:19:01,256 --> 00:19:02,991
SNACKING AND GROWTH BODY 

381
00:19:02,991 --> 00:19:05,193
COMPOSITION AND RISK OF OBESITY 

382
00:19:05,193 --> 00:19:07,862
IN THE PORTION SIZE AND GROWTH 

383
00:19:07,862 --> 00:19:10,231
BODY COMPOSITION AND RISK OF 

384
00:19:10,231 --> 00:19:10,465
OBESITY.

385
00:19:10,465 --> 00:19:12,333
THERE ARE OTHER TWO REVIEWS THAT

386
00:19:12,333 --> 00:19:17,172
ARE UNDERWAY AND HOPEFULLY WILL 

387
00:19:17,172 --> 00:19:17,705
BE PRESENTING THOSE NEXT 

388
00:19:17,705 --> 00:19:20,608
MEETING.

389
00:19:20,608 --> 00:19:23,678
SO I JUST WANTED TO REMIND 

390
00:19:23,678 --> 00:19:27,348
EVERYONE THAT ALL THE DETAILS 

391
00:19:27,348 --> 00:19:28,817
ARE POSTED IN THE DGA WEBSITES 

392
00:19:28,817 --> 00:19:32,187
IF YOU'D LIKE TO SEE MORE 

393
00:19:32,187 --> 00:19:36,691
DETAILS FOR THOSE CONNECTING NEW

394
00:19:36,691 --> 00:19:37,625
TO THE PROCESS.

395
00:19:37,625 --> 00:19:42,297
SO WE'LL START WITH THE EVIDENCE

396
00:19:42,297 --> 00:19:43,298
REVIEW.

397
00:19:43,298 --> 00:19:44,632
THE FREQUENCY OF MEALS AND/OR 

398
00:19:44,632 --> 00:19:44,899
SNACKING.

399
00:19:44,899 --> 00:19:48,203
WE'LL START WITH THE ANALYTIC 

400
00:19:48,203 --> 00:19:48,703
FRAMEWORK.

401
00:19:48,703 --> 00:19:51,706
I'M GOING TO SPEND SOME TIME 

402
00:19:51,706 --> 00:19:52,440
DESCRIBING THIS FOR THOSE WHO 

403
00:19:52,440 --> 00:19:57,779
ARE -- THIS IS THE FIRST TIME 

404
00:19:57,779 --> 00:19:58,813
THEY'RE CONNECTING.

405
00:19:58,813 --> 00:20:02,650
FOR EACH QUESTION WE HAVE 

406
00:20:02,650 --> 00:20:04,853
OUTCOMES AND KEY CONFOUNDERS.

407
00:20:04,853 --> 00:20:07,021
THE PARTICULAR QUESTION WE'RE 

408
00:20:07,021 --> 00:20:14,896
ANSWERING IS THE RELATIONSHIP 

409
00:20:14,896 --> 00:20:16,464
BETWEEN SNACKING AND RISK OF 

410
00:20:16,464 --> 00:20:16,865
OBESITY.

411
00:20:16,865 --> 00:20:19,300
WE ONLY INCLUDED TRIALS AND 

412
00:20:19,300 --> 00:20:20,935
PROSPECTIVE COHORT STUDIES.

413
00:20:20,935 --> 00:20:23,171
SO THAT WILL MAKE SENSE WHEN YOU

414
00:20:23,171 --> 00:20:29,611
SEE THE RESULTS.

415
00:20:29,611 --> 00:20:33,481
FOR THE POPULATION WE INCLUDED 

416
00:20:33,481 --> 00:20:36,684
1-YEAR-OLD AND INDIVIDUALS FOR 

417
00:20:36,684 --> 00:20:37,819
PREGNANCY AND POSTPARTUM.

418
00:20:37,819 --> 00:20:39,821
THE FREQUENCY OF IS EXPOSURE IS 

419
00:20:39,821 --> 00:20:41,055
FREQUENCY OF MEALS AND/OR 

420
00:20:41,055 --> 00:20:43,458
SNACKING AND DID NOT APPLY 

421
00:20:43,458 --> 00:20:44,125
PREDETERMINED SUBMISSION.

422
00:20:44,125 --> 00:20:49,764
WE JUST REVIEW EVERYTHING THAT 

423
00:20:49,764 --> 00:20:51,666
WAS IN THE EVIDENCE.

424
00:20:51,666 --> 00:20:53,201
HOWEVER, THANK YOU AUTHORS OR 

425
00:20:53,201 --> 00:20:53,902
RESEARCHERS DEFINE SNACKING AND 

426
00:20:53,902 --> 00:20:58,306
THE DIFFERENT MEALS.

427
00:20:58,306 --> 00:21:00,074
IT WAS VERY OPEN.

428
00:21:00,074 --> 00:21:05,747
THE COMPARER WAS A DIFFERENT 

429
00:21:05,747 --> 00:21:14,889
TYPE OF EXPOSURE AND CONSUMPTION

430
00:21:14,889 --> 00:21:19,561
AND FREQUENCY OF MEALS.

431
00:21:19,561 --> 00:21:25,300
FOR CHILDREN WE HAVE OUTCOMES 

432
00:21:25,300 --> 00:21:28,970
RELATE

433
00:21:28,970 --> 00:21:31,306
RELATED GROWTH AND BODY 

434
00:21:31,306 --> 00:21:32,941
COMPOSITION AND FOR PREGNANT 

435
00:21:32,941 --> 00:21:36,544
INDIVIDUALS WE HAVE WEIGHT 

436
00:21:36,544 --> 00:21:41,216
CHANGE DURING THIS TIME THE KEY 

437
00:21:41,216 --> 00:21:47,488
CONFOUNDERS ON THE RIGHT SIDE.

438
00:21:47,488 --> 00:21:49,624
THIS IS A SUMMARY OF THE 

439
00:21:49,624 --> 00:21:50,191
CONCLUSION STATEMENTS.

440
00:21:50,191 --> 00:21:53,261
BASED ON THE EVIDENCE WE CAME UP

441
00:21:53,261 --> 00:21:56,664
WITH THESE FOUR GROUPS.

442
00:21:56,664 --> 00:21:59,167
BREAKFAST CONSUMPTION OR 

443
00:21:59,167 --> 00:22:00,635
BREAKFAST SKIPPING, SNACKING, 

444
00:22:00,635 --> 00:22:02,804
NUMBER OF EATING OCCASIONS AND 

445
00:22:02,804 --> 00:22:03,204
MEAL FREQUENCY.

446
00:22:03,204 --> 00:22:05,840
IT'S IMPORTANT TO NOTE WE DID 

447
00:22:05,840 --> 00:22:08,142
NOT LOOK AT THE FOODS CONSUMED 

448
00:22:08,142 --> 00:22:10,245
JUST IF THEY WERE CONSUMED OR 

449
00:22:10,245 --> 00:22:10,445
NOT.

450
00:22:10,445 --> 00:22:15,283
WE DID NOT LOOK AT THE QUALITY 

451
00:22:15,283 --> 00:22:19,587
OF THE SNACKS OR NUTRIENT 

452
00:22:19,587 --> 00:22:23,224
COMPOSITION OR CALORIES OR 

453
00:22:23,224 --> 00:22:23,491
BREAKFAST.

454
00:22:23,491 --> 00:22:26,094
THE BEHAVIOR IF THIS WAS DONE OR

455
00:22:26,094 --> 00:22:26,461
NOT.

456
00:22:26,461 --> 00:22:30,798
THE X REPRESENTS IF WE HAVE A 

457
00:22:30,798 --> 00:22:31,432
CONCLUSION STATEMENT FOR CERTAIN

458
00:22:31,432 --> 00:22:32,834
AGE GROUPS.

459
00:22:32,834 --> 00:22:35,236
WE DID NOT HAVE ENOUGH EVIDENCE 

460
00:22:35,236 --> 00:22:36,437
TO GRADE THAT AND I'LL EXPLAIN 

461
00:22:36,437 --> 00:22:42,243
THAT IN THE NEXT SLIDE.

462
00:22:42,243 --> 00:22:48,283
FOR SNACKING AND LOOKING AT 

463
00:22:48,283 --> 00:22:51,853
SNACKING IN GROWTH BODY 

464
00:22:51,853 --> 00:22:53,221
COMPOSITION WE DID NOT HAVE 

465
00:22:53,221 --> 00:22:56,491
ENOUGH STUDIES TO LOOK AT OLDER 

466
00:22:56,491 --> 00:22:59,761
ADULTS AND SAME WITH NUMBER OF 

467
00:22:59,761 --> 00:23:00,361
EATING OCCASIONS AND MEAL 

468
00:23:00,361 --> 00:23:04,132
FREQUENCY AND FOR PREGNANCY AND 

469
00:23:04,132 --> 00:23:06,234
POSTPARTUM WE HAD VERY FEW 

470
00:23:06,234 --> 00:23:07,735
SUDDENIES BUT I'LL GIVE MORE 

471
00:23:07,735 --> 00:23:11,205
DETAILS IN THE NEXT SLIDE.

472
00:23:11,205 --> 00:23:13,808
THE NEXT SLIDE SHOWS FOR EACH 

473
00:23:13,808 --> 00:23:14,709
PARTICULAR QUESTION WHY WE DID 

474
00:23:14,709 --> 00:23:25,053
NOT ASSIGN A GRADE.

475
00:23:25,253 --> 00:23:28,489
FOR FREQUENCY OF MEALS THERE WAS

476
00:23:28,489 --> 00:23:30,058
PREGNANCY OR POSTPARTUM AND 

477
00:23:30,058 --> 00:23:31,659
WEIGHT GAIN IN THE PERIOD.

478
00:23:31,659 --> 00:23:33,795
THERE WAS NOT EVIDENCE TO DRAW A

479
00:23:33,795 --> 00:23:34,562
CONCLUSION.

480
00:23:34,562 --> 00:23:36,297
THERE WERE ONLY ZERO TO ONE 

481
00:23:36,297 --> 00:23:38,666
STUDY LOOKING AT SNACKING AND 

482
00:23:38,666 --> 00:23:39,500
NUMBER OF EATING OCCASIONS IN 

483
00:23:39,500 --> 00:23:43,104
OLDER ADULTS.

484
00:23:43,104 --> 00:23:45,606
ALSO LOOKING AT BODY COMPOSITION

485
00:23:45,606 --> 00:23:46,607
AND RISK OF OBESITY.

486
00:23:46,607 --> 00:23:49,344
WE COULD NOT DRAW A CONCLUSION 

487
00:23:49,344 --> 00:23:49,844
STATEMENT.

488
00:23:49,844 --> 00:23:52,046
FOR MEAL FREQUENCY THE LAST 

489
00:23:52,046 --> 00:23:53,915
BOTTOM ROWS OR SKIPPING IN 

490
00:23:53,915 --> 00:23:55,783
CHILDREN, ADOLESCENTS AND LOOK 

491
00:23:55,783 --> 00:23:57,452
AT GROWTH AND BODY COMPOSITION 

492
00:23:57,452 --> 00:24:00,154
THERE WERE FIVE STUDIES BUT A 

493
00:24:00,154 --> 00:24:04,692
LOT OF VARIABILITY IN THE 

494
00:24:04,692 --> 00:24:06,461
EXPOSURES AND OUTCOMES AND 

495
00:24:06,461 --> 00:24:07,528
YOU'LL THE STUDY WERE SO 

496
00:24:07,528 --> 00:24:08,963
DIFFERENT THERE WAS NO WAY TO 

497
00:24:08,963 --> 00:24:11,566
DRAW A CONCLUSION WITH DATA 

498
00:24:11,566 --> 00:24:11,933
AVAILABLE.

499
00:24:11,933 --> 00:24:13,968
FOR LUNCH AND DINNER FREQUENCY 

500
00:24:13,968 --> 00:24:15,403
AND RISK OF OBESITY IN ADULTS 

501
00:24:15,403 --> 00:24:19,407
AND OLDER ADULTS, SIMILAR, ONLY 

502
00:24:19,407 --> 00:24:22,243
FIVE STUDIES BUT SEVERAL 

503
00:24:22,243 --> 00:24:23,211
LIMITATIONS RELATED TO 

504
00:24:23,211 --> 00:24:23,945
GENERALIZABILITY AND THE 

505
00:24:23,945 --> 00:24:27,081
EXPOSURES WERE VERY DIFFERENT.

506
00:24:27,081 --> 00:24:29,217
IT WAS VERY HARD TO LOOK AT THE 

507
00:24:29,217 --> 00:24:29,851
EVIDENCE AND DRAW A CONCLUSION 

508
00:24:29,851 --> 00:24:33,287
ABOUT THAT.

509
00:24:33,287 --> 00:24:35,857
SO NEXT DEANNA WILL CONTINUE.

510
00:24:35,857 --> 00:24:37,024
>> THANKS, CHRISTINA.

511
00:24:37,024 --> 00:24:39,127
SO NOW WE'RE GOING TO PRESENT TO

512
00:24:39,127 --> 00:24:41,829
THE CONCLUSION STATEMENTS THAT 

513
00:24:41,829 --> 00:24:43,798
WERE SYNTHESIZED IN THE CATEGORY

514
00:24:43,798 --> 00:24:45,500
OF BREAKFAST AND WE'LL START OUT

515
00:24:45,500 --> 00:24:47,702
WITH CHILDREN AND ADOLESCENTS.

516
00:24:47,702 --> 00:24:54,442
SO THE CONCLUSION STATEMENT IS 

517
00:24:54,442 --> 00:25:02,517
MODERATE MODERATE EVIDENCE 

518
00:25:02,517 --> 00:25:03,785
SUGGESTED REGULAR BREAKFAST 

519
00:25:03,785 --> 00:25:04,919
CONSUMPTION MAY BE ASSOCIATED 

520
00:25:04,919 --> 00:25:06,721
WITH FAVORABLE OUTCOMES RELATED 

521
00:25:06,721 --> 00:25:09,824
TO GROWTH BODY COMPOSITION 

522
00:25:09,824 --> 00:25:15,096
AND/OR LOWER RISK OF OBESITY.

523
00:25:15,096 --> 00:25:16,964
THIS BODY OF EVIDENCE INCLUDED 

524
00:25:16,964 --> 00:25:18,499
50 ARTICLES.

525
00:25:18,499 --> 00:25:21,803
ONE TRIAL AND 49 OBSERVATIONAL 

526
00:25:21,803 --> 00:25:24,205
ARTICLES DERIVED FROM 32 UNIQUE 

527
00:25:24,205 --> 00:25:25,273
COHORTS OF PARTICIPANTS.

528
00:25:25,273 --> 00:25:26,307
WHILE THERE WERE SOME CONCERNS 

529
00:25:26,307 --> 00:25:29,010
WITH THE CONSISTENCY OF THE 

530
00:25:29,010 --> 00:25:31,646
SIGNIFICANCE OF THE RESULTS, THE

531
00:25:31,646 --> 00:25:33,514
DIRECTIONS AND THE FINDINGS WERE

532
00:25:33,514 --> 00:25:35,550
CONSISTENT IN THE MAJORITY OF 

533
00:25:35,550 --> 00:25:45,993
THE ARTICLES REVIEWED ONE 

534
00:25:46,928 --> 00:25:50,798
INCONSISTENCY WAS REPRESENTED BY

535
00:25:50,798 --> 00:25:54,435
CATEGORIES AND YES, NO AND A 

536
00:25:54,435 --> 00:25:55,102
CONTINUOUS VARIABLE.

537
00:25:55,102 --> 00:26:03,578
HOWEVER, THIS HETEROGENEITY OF 

538
00:26:03,578 --> 00:26:08,649
COMPARATORS DID GO TO THE 

539
00:26:08,649 --> 00:26:11,552
SIGNIFICANCE OF RESULTS.

540
00:26:11,552 --> 00:26:14,222
THIS WAS MADE OF ONE TRIAL AND 

541
00:26:14,222 --> 00:26:15,022
TO THE SUBCOMMITTEE HAD SERIOUS 

542
00:26:15,022 --> 00:26:16,958
CONCERNS WITH THE RISK OF BIAS 

543
00:26:16,958 --> 00:26:22,196
WITH MANY OF TO THE 

544
00:26:22,196 --> 00:26:29,604
OBSERVATIONAL STUDIES THERE WAS 

545
00:26:29,604 --> 00:26:32,139
THE BREAKFAST VARIABLE AND 

546
00:26:32,139 --> 00:26:32,807
COMPOUNDING MISSING DATA AND THE

547
00:26:32,807 --> 00:26:43,251
AWARD OF REPORTED RESULTS.

548
00:26:46,721 --> 00:26:51,125
WE RECOGNIZED IT'S DIFFICULT TO 

549
00:26:51,125 --> 00:26:53,594
DO TRIALS WITH CONCERNS WITH 

550
00:26:53,594 --> 00:26:59,300
ACCESS TO BREAKFAST FOR CHILDREN

551
00:26:59,300 --> 00:26:59,834
AND ADOLESCENTS.

552
00:26:59,834 --> 00:27:01,802
THE NEXT CONCLUSION STATEMENT IS

553
00:27:01,802 --> 00:27:05,006
FOR ADULTS.

554
00:27:05,006 --> 00:27:07,975
AND THIS SHOWS WE FOUND LIMITED 

555
00:27:07,975 --> 00:27:08,843
EVIDENCE SUGGESTED BREAKFAST 

556
00:27:08,843 --> 00:27:11,112
SKIPPING IN ADULT AND OLDER 

557
00:27:11,112 --> 00:27:12,980
ADULTS IS NOT ASSOCIATED WITH 

558
00:27:12,980 --> 00:27:15,650
FAVORABLE OUTCOMES RELATED TO 

559
00:27:15,650 --> 00:27:17,585
BODY WEIGHT AND COMPOSITION AND 

560
00:27:17,585 --> 00:27:19,887
RISK OF OBESITY.

561
00:27:19,887 --> 00:27:23,057
SO WITH THIS STATEMENT THERE 

562
00:27:23,057 --> 00:27:26,661
WERE 24 ARTICLES, TWO TRIALS AND

563
00:27:26,661 --> 00:27:29,597
THEN 22 OBSERVATIONAL STUDIES.

564
00:27:29,597 --> 00:27:30,965
THE BODY OF EVIDENCE DIRECTLY 

565
00:27:30,965 --> 00:27:33,801
ANSWERED THE QUESTION AND WAS 

566
00:27:33,801 --> 00:27:34,368
MOSTLY GENERALIZABLE TO THE 

567
00:27:34,368 --> 00:27:38,940
U.S. POPULATION.

568
00:27:38,940 --> 00:27:41,142
WE HAD A FEW CONCERNS WITH THE 

569
00:27:41,142 --> 00:27:44,178
DIRECTNESS OF THE INTERVENTIONS.

570
00:27:44,178 --> 00:27:45,813
THERE WERE CONCERNS DUE TO 

571
00:27:45,813 --> 00:27:48,482
CONFOUNDING AND THE DEFINITION 

572
00:27:48,482 --> 00:27:51,319
AND MEASUREMENT OF THE EXPOSURE 

573
00:27:51,319 --> 00:27:53,621
SO ONCE AGAIN BREAKFAST SKIPPING

574
00:27:53,621 --> 00:27:56,691
WAS DEFINED AS SKIP BREAKFAST OR

575
00:27:56,691 --> 00:27:59,160
NOT AND THEN THE NUMBER OF DAYS.

576
00:27:59,160 --> 00:28:03,798
SO WE DEFINE IT IN HERE AS THEY 

577
00:28:03,798 --> 00:28:06,300
HAD NO BREAKFAST OR IT WAS LESS 

578
00:28:06,300 --> 00:28:09,804
THAN 7 DAYS OUT OF THE WEEK AS 

579
00:28:09,804 --> 00:28:11,238
BREAKFAST GIVING.

580
00:28:11,238 --> 00:28:17,511
BOTH TRIAL INTERVENTIONS WERE 

581
00:28:17,511 --> 00:28:20,314
INTERPRETED AS HAVING S AND 

582
00:28:20,314 --> 00:28:23,484
THERE WAS A MIXTURE OF BREAKFAST

583
00:28:23,484 --> 00:28:24,619
SKIPPING ASSOCIATED WITH 

584
00:28:24,619 --> 00:28:26,721
UNFAVORABLE OUTCOMES THAT WAS 

585
00:28:26,721 --> 00:28:29,590
MOST STUDIES, FAVORABLE OUTCOMES

586
00:28:29,590 --> 00:28:31,592
AND NUL RESULTS.

587
00:28:31,592 --> 00:28:35,963
SO THE MEAN AGE RANGE WAS 30 TO 

588
00:28:35,963 --> 00:28:36,130
68.

589
00:28:36,130 --> 00:28:38,132
BOTH THE TRIALS AND ABOUT EIGHT 

590
00:28:38,132 --> 00:28:41,636
OBSERVATIONAL STUDIES WERE 

591
00:28:41,636 --> 00:28:47,408
CONDUCTED IN THE U.S.

592
00:28:47,408 --> 00:28:49,777
THIS REVIEWS WHAT I SAID WITH 

593
00:28:49,777 --> 00:28:52,079
CHILDREN AND ADOLESCENCE WITH 

594
00:28:52,079 --> 00:28:53,280
THE MODERATE GRADE AND WITH 

595
00:28:53,280 --> 00:28:57,084
ADULTS AND OLDER ADULTS AS THE 

596
00:28:57,084 --> 00:28:57,818
LIMITED GRADE.

597
00:28:57,818 --> 00:29:03,624
AND SO ON TO SNACKING AND HOLLY.

598
00:29:03,624 --> 00:29:05,993
>> OKAY.

599
00:29:05,993 --> 00:29:08,095
I JUST WANT TO GIVE A REMINDER 

600
00:29:08,095 --> 00:29:10,498
TO EVERYONE FOR SNACKING, THIS 

601
00:29:10,498 --> 00:29:11,599
IS EATING OCCURRING BETWEEN 

602
00:29:11,599 --> 00:29:13,834
MEALS AND IS NOT SPECIFIC TO A 

603
00:29:13,834 --> 00:29:18,439
TYPE OF FOOD CONSUMED.

604
00:29:18,439 --> 00:29:21,175
SO OUR CONCLUSION STATEMENT FOR 

605
00:29:21,175 --> 00:29:24,712
CHILDREN IN ADOLESCENTS IS 

606
00:29:24,712 --> 00:29:25,413
LIMITED EVIDENCE SUGGESTS 

607
00:29:25,413 --> 00:29:27,648
FREQUENCY OF DAILY SNACKING MAY 

608
00:29:27,648 --> 00:29:30,251
NOT BE ASSOCIATED WITH OUTCOMES 

609
00:29:30,251 --> 00:29:33,387
RELATED TO GROWTH, BODY 

610
00:29:33,387 --> 00:29:38,292
COMPOSITION OR RISK OF OBESITY.

611
00:29:38,292 --> 00:29:39,894
THE BODY OF EVIDENCE INCLUDED 

612
00:29:39,894 --> 00:29:41,595
SEVEN OBSERVATIONAL STUDIES.

613
00:29:41,595 --> 00:29:44,498
THE RESULTS WERE CONSISTENTLY 

614
00:29:44,498 --> 00:29:47,468
NULL WITH CONCERNS AROUND RISK 

615
00:29:47,468 --> 00:29:49,704
OF BIAS AND GENERALIZABILITY AND

616
00:29:49,704 --> 00:29:50,271
DIRECTNESS.

617
00:29:50,271 --> 00:29:51,572
CONCERNS WITH RISK OF BIAS WERE 

618
00:29:51,572 --> 00:29:53,140
PARTICULAR TO CONFOUNDING AS 

619
00:29:53,140 --> 00:29:55,910
WELL AS THE CATEGORIZATION AND 

620
00:29:55,910 --> 00:29:58,646
MISCLASSIFICATION OF EXPOSURES.

621
00:29:58,646 --> 00:30:00,614
WE HAD CONCERNS WITH THE 

622
00:30:00,614 --> 00:30:03,718
GENERALIZABILITY OF THE EVIDENCE

623
00:30:03,718 --> 00:30:04,785
WITH ONLY THREE ARTICLES FROM 

624
00:30:04,785 --> 00:30:05,920
THE U.S. AND THREE CONDUCTED IN 

625
00:30:05,920 --> 00:30:09,790
SOUTH KOREA.

626
00:30:09,790 --> 00:30:11,025
AND ONE IN THE U.K.

627
00:30:11,025 --> 00:30:12,560
WE ALSO HAD CONCERNS WITH THE 

628
00:30:12,560 --> 00:30:14,762
VARIATION OF EXPOSURES AND HOW 

629
00:30:14,762 --> 00:30:16,731
DIRECTLY THESE MAY BE ANSWERING 

630
00:30:16,731 --> 00:30:17,832
THE SYSTEMATIC REVIEW QUESTION.

631
00:30:17,832 --> 00:30:21,302
SOME STUDIES REPORTED THE 

632
00:30:21,302 --> 00:30:21,902
EXPOSURE CONTINUOUSLY.

633
00:30:21,902 --> 00:30:24,205
SOME CATEGORICALLY.

634
00:30:24,205 --> 00:30:27,274
AND SOME DICHOTOMOUSLY AND IN 

635
00:30:27,274 --> 00:30:29,210
PARTICULAR FOR THE DICHOTOMOUS 

636
00:30:29,210 --> 00:30:31,779
WHICH WOULD BE SNACKING YES OR 

637
00:30:31,779 --> 00:30:34,615
NO, ONE ARTICLE REPORTED ALL 

638
00:30:34,615 --> 00:30:36,250
SNACKING, ONE REPORTED SNACKING 

639
00:30:36,250 --> 00:30:40,187
IN THE MORNING, AFTERNOON AND 

640
00:30:40,187 --> 00:30:42,490
EVENING AND ONE WAS ABOUT 

641
00:30:42,490 --> 00:30:45,092
FREQUENT NIGHT SNACKING.

642
00:30:45,092 --> 00:30:47,027
AND WE -- WE DIDN'T HAVE ANY 

643
00:30:47,027 --> 00:30:48,395
INFORMATION ON THE TYPES OF THE 

644
00:30:48,395 --> 00:30:57,805
QUALITY OF THE SNACKS.

645
00:30:57,805 --> 00:30:59,940
FOR ADULTS OUR CONCLUSION 

646
00:30:59,940 --> 00:31:01,542
STATEMENT IS LIMITED EVIDENCE 

647
00:31:01,542 --> 00:31:02,877
SUGGESTED SNACK IN ADULTS MAY 

648
00:31:02,877 --> 00:31:05,446
NOT BE ASSOCIATED WITH OUTCOMES 

649
00:31:05,446 --> 00:31:08,149
RELATED TO BODY COMPOSITION AND 

650
00:31:08,149 --> 00:31:11,585
RISK OF OBESITY HOWEVER, LIMITED

651
00:31:11,585 --> 00:31:13,454
EVIDENCE SUGGESTS AFTER DINNER 

652
00:31:13,454 --> 00:31:15,289
OR EVENING SNACKING IN ADULTS 

653
00:31:15,289 --> 00:31:18,159
MAY BE ASSOCIATED WITH LESS 

654
00:31:18,159 --> 00:31:20,494
FAVORABLE OUTCOMES RELATED TO 

655
00:31:20,494 --> 00:31:22,763
BODY COMPOSITION AND RISK OF 

656
00:31:22,763 --> 00:31:23,164
OBESITY.

657
00:31:23,164 --> 00:31:24,865
FOR THIS BODY OF EVIDENCE THERE 

658
00:31:24,865 --> 00:31:27,601
WERE 12 ARTICLES.

659
00:31:27,601 --> 00:31:31,472
ONE TRIAL AND 11 OBSERVATIONAL 

660
00:31:31,472 --> 00:31:31,739
STUDIES.

661
00:31:31,739 --> 00:31:33,808
WHILE THERE WAS SOME 

662
00:31:33,808 --> 00:31:35,309
INCONSISTENCY AND THE 

663
00:31:35,309 --> 00:31:37,978
SIGNIFICANCE OF EFFECTS WHEN 

664
00:31:37,978 --> 00:31:41,615
LOOKING AT OVER ALL SNACKING 

665
00:31:41,615 --> 00:31:43,884
ALONE ASSESSED IN SEVEN ARTICLES

666
00:31:43,884 --> 00:31:45,686
THERE WERE NULL FINDINGS FOR 

667
00:31:45,686 --> 00:31:47,555
SNACKING THROUGHOUT THE DAY AND 

668
00:31:47,555 --> 00:31:50,090
BODY COMPOSITION AND RISK OF 

669
00:31:50,090 --> 00:31:52,092
OBESITY, HOWEVER, WHEN ISOLATED 

670
00:31:52,092 --> 00:31:53,227
THE SIX ARTICLES THAT ONLY 

671
00:31:53,227 --> 00:31:54,929
LOOKED AT SNACKING AFTER DINNER 

672
00:31:54,929 --> 00:31:57,665
AND THE EVENING THERE WAS MUCH 

673
00:31:57,665 --> 00:31:59,600
MORE CONSISTENT ASSOCIATION 

674
00:31:59,600 --> 00:32:01,001
BETWEEN SNACKING AT THIS TIME 

675
00:32:01,001 --> 00:32:06,674
AND LESS FAVORABLE OUTCOMES.

676
00:32:06,674 --> 00:32:08,909
AGAIN, IT'S IMPORTANT TO NOTE 

677
00:32:08,909 --> 00:32:11,779
THE TYPES AND QUALITY CONSUMED 

678
00:32:11,779 --> 00:32:13,814
WAS NOT CONSIDERED IN THE 

679
00:32:13,814 --> 00:32:15,316
SYNTHESIS AND THERE'S POTENTIAL 

680
00:32:15,316 --> 00:32:17,218
THAT THIS DIFFERENCE IN TIMING 

681
00:32:17,218 --> 00:32:19,854
OF SNACKING MAY BE DRIVEN BY A 

682
00:32:19,854 --> 00:32:20,521
DIFFERENCE IN THE QUALITY OF THE

683
00:32:20,521 --> 00:32:25,793
SNACKS BEING CONSUMED AT THIS 

684
00:32:25,793 --> 00:32:33,133
TIME COMPARED TO OTHER TIMES BUT

685
00:32:33,133 --> 00:32:36,637
NOT ABLE TO INCLUDE THIS IN THE 

686
00:32:36,637 --> 00:32:37,805
STATEMENT.

687
00:32:37,805 --> 00:32:40,941
THERE WERE CONCERNS WITH SIZE OF

688
00:32:40,941 --> 00:32:42,943
STUDIES AND FEW STUDIES AND RISK

689
00:32:42,943 --> 00:32:45,546
OF BIAS WITH CONFOUNDING 

690
00:32:45,546 --> 00:32:46,747
EXPOSURE MISCLASSIFICATION AND 

691
00:32:46,747 --> 00:32:53,254
AWARD OF REPORTED RESULTS.

692
00:32:53,254 --> 00:32:58,125
THIS IS THE OVER ALL SUMMARY BY 

693
00:32:58,125 --> 00:32:58,659
LIFE STAGE.

694
00:32:58,659 --> 00:33:04,498
YOU SEE LIMITED EVIDENCE FOR 

695
00:33:04,498 --> 00:33:06,200
CHILDREN AND LIMITED NO 

696
00:33:06,200 --> 00:33:06,834
CONCLUSION STATEMENT FOR OLDER 

697
00:33:06,834 --> 00:33:11,605
ADULTS.

698
00:33:11,605 --> 00:33:14,408
NOW WE ARE MOVING TO EATING 

699
00:33:14,408 --> 00:33:14,675
OCCASIONS.

700
00:33:14,675 --> 00:33:17,478
AND FOR CHILDREN AND ADOLESCENTS

701
00:33:17,478 --> 00:33:19,947
OUR CONCLUSION STATEMENT IS 

702
00:33:19,947 --> 00:33:21,448
LIMITED EVIDENCE SUGGESTS HIGHER

703
00:33:21,448 --> 00:33:23,117
NUMBER OF EATING OCCASIONS PER 

704
00:33:23,117 --> 00:33:25,386
DAY DURING CHILDHOOD MAY BE 

705
00:33:25,386 --> 00:33:27,321
ASSOCIATED WITH FAVORABLE 

706
00:33:27,321 --> 00:33:30,157
OUTCOMES RELATED TO GROWTH, BODY

707
00:33:30,157 --> 00:33:33,160
COMPOSITION AND/OR LOWER RISK OF

708
00:33:33,160 --> 00:33:33,394
OBESITY.

709
00:33:33,394 --> 00:33:34,495
THERE WERE EIGHT OBSERVATIONAL 

710
00:33:34,495 --> 00:33:35,596
STUDIES OR ARTICLES THAT 

711
00:33:35,596 --> 00:33:39,300
CONTRIBUTED TO THIS CONCLUSION 

712
00:33:39,300 --> 00:33:39,566
STATEMENT.

713
00:33:39,566 --> 00:33:40,868
THERE WERE CONCERNS OF 

714
00:33:40,868 --> 00:33:41,602
GENERALIZABILITY OF THE EVIDENCE

715
00:33:41,602 --> 00:33:42,770
DUE TO THE MAJORITY OF THE 

716
00:33:42,770 --> 00:33:45,506
STUDIES BEING CONDUCTED OUTSIDE 

717
00:33:45,506 --> 00:33:47,441
OF THE U.S. AS WELL AS RISK OF 

718
00:33:47,441 --> 00:33:49,810
BIAS CONCERNS PARTICULARLY TO 

719
00:33:49,810 --> 00:33:52,012
CONFOUNDING EXPOSURE MEASUREMENT

720
00:33:52,012 --> 00:33:53,614
AND THE DATA.

721
00:33:53,614 --> 00:33:55,849
THERE WERE ALSO SOME CONCERNS 

722
00:33:55,849 --> 00:33:57,818
WITH VARIED COMPARATORS ACROSS 

723
00:33:57,818 --> 00:33:59,853
THE EVIDENCE SO WHILE ALL THE 

724
00:33:59,853 --> 00:34:00,454
ARTICLES MEASURE NUMBER OF 

725
00:34:00,454 --> 00:34:07,494
EATING OCCASIONS PER DAY AS THE 

726
00:34:07,494 --> 00:34:09,630
EXPOSURE, FOUR ANALYZED 

727
00:34:09,630 --> 00:34:10,197
CONTINUOUSLY AND FIVE USED 

728
00:34:10,197 --> 00:34:20,441
DIFFERENT COMPARISONS.

729
00:34:20,441 --> 00:34:22,443
LOOKING AT EATING COMPOSITION 

730
00:34:22,443 --> 00:34:26,680
AND RISK OF OBESITY IN ADULTS 

731
00:34:26,680 --> 00:34:27,915
MODERATE EVIDENCE SUGGESTS 

732
00:34:27,915 --> 00:34:29,249
NUMBER OF EATING OCCASIONS IS 

733
00:34:29,249 --> 00:34:31,185
NOT ASSOCIATE WITH OUTCOMES 

734
00:34:31,185 --> 00:34:33,787
RELATED TO CHANGE IN BODY 

735
00:34:33,787 --> 00:34:34,922
COMPOSITION AND WEIGHT.

736
00:34:34,922 --> 00:34:36,457
THERE WERE 13 ARTICLES THAT 

737
00:34:36,457 --> 00:34:39,026
CONTRIBUTED TO THIS BODY OF 

738
00:34:39,026 --> 00:34:40,561
EVIDENCE WITH FIVE TRIALS AND 

739
00:34:40,561 --> 00:34:43,063
EIGHT OBSERVATIONAL STUDIES.

740
00:34:43,063 --> 00:34:45,799
FOUR THE FIVE TRIALS, ALL 

741
00:34:45,799 --> 00:34:47,334
COMPARED SIX VERSUS THREE EATING

742
00:34:47,334 --> 00:34:49,703
OCCASIONS PER DAY WITH A SIXTH 

743
00:34:49,703 --> 00:34:53,607
EATING OCCASION GENERALLY BEING 

744
00:34:53,607 --> 00:34:54,108
THREE MEALS AND SNACKS.

745
00:34:54,108 --> 00:34:55,909
THREE MEALS AND THREE SNACKS PER

746
00:34:55,909 --> 00:34:56,276
DAY.

747
00:34:56,276 --> 00:34:58,479
IT'S IMPORTANT TO NOTE THAT ALL 

748
00:34:58,479 --> 00:35:02,716
OF THESE TRIALS WERE WITHIN THE 

749
00:35:02,716 --> 00:35:05,619
CONTEXT OF WEIGHT LOSS TRIALS IN

750
00:35:05,619 --> 00:35:09,156
PARTICIPANTS WITH OVERWEIGHT OR 

751
00:35:09,156 --> 00:35:09,790
OBESITY AT BASELINE.

752
00:35:09,790 --> 00:35:13,193
YOU'LL THE INTERVENTIONS WERE 

753
00:35:13,193 --> 00:35:15,529
HYPERCALORIC DIETS WHERE ENERGY 

754
00:35:15,529 --> 00:35:17,631
WAS CONTROLLED ACROSS ALL TRIAL 

755
00:35:17,631 --> 00:35:18,532
ARMS.

756
00:35:18,532 --> 00:35:20,134
THE TRIALS GENERALLY RECORDED NO

757
00:35:20,134 --> 00:35:21,235
DIFFERENCE IN OUTCOMES BETWEEN 

758
00:35:21,235 --> 00:35:22,269
THE TWO TRIAL ARMS.

759
00:35:22,269 --> 00:35:26,807
IN ADDITION TO THE TRIALS, THERE

760
00:35:26,807 --> 00:35:30,477
WERE EIGHT OBSERVATIONAL 

761
00:35:30,477 --> 00:35:31,779
ANALYSES AND THE SUBCOMMITTEE 

762
00:35:31,779 --> 00:35:32,713
FELT SUPPORTED CONCLUSIONS FROM 

763
00:35:32,713 --> 00:35:35,082
THE TRIALS AND MADE THE 

764
00:35:35,082 --> 00:35:36,850
CONCLUSIONS GENERALIZABLE TO 

765
00:35:36,850 --> 00:35:39,686
ADULTS IN THE U.S. POPULATION 

766
00:35:39,686 --> 00:35:42,256
MORE THAN JUST IN POPULATIONS 

767
00:35:42,256 --> 00:35:44,224
INTENDING FOR WEIGHT LOSS AND 

768
00:35:44,224 --> 00:35:45,059
THERE WAS ADEQUATE 

769
00:35:45,059 --> 00:35:45,793
REPRESENTATION IN THE 

770
00:35:45,793 --> 00:35:47,628
PARTICIPANTS IN TERMS OF RACE 

771
00:35:47,628 --> 00:35:49,830
AND/OR ETHNICITY AND SOCIO 

772
00:35:49,830 --> 00:35:50,931
ECONOMIC POSITION.

773
00:35:50,931 --> 00:35:52,633
THE CONCLUSION STATEMENT IS 

774
00:35:52,633 --> 00:35:53,834
DEVELOPED ONLY FOR ADULTS AND 

775
00:35:53,834 --> 00:35:55,969
NOT OLDER ADULTS BECAUSE THERE 

776
00:35:55,969 --> 00:35:58,472
WAS ONLY ONE STUDY THAT INCLUDED

777
00:35:58,472 --> 00:36:00,307
AN OLDER ADULT POPULATION.

778
00:36:00,307 --> 00:36:01,809
LASTLY, THERE WERE CONCERNS AND 

779
00:36:01,809 --> 00:36:03,877
THE RISK OF BIAS OF THE 

780
00:36:03,877 --> 00:36:04,912
OBSERVATIONAL STUDIES 

781
00:36:04,912 --> 00:36:06,713
PARTICULARLY WITH CONFOUNDING 

782
00:36:06,713 --> 00:36:09,850
MISSING DATA AND AWARD OF 

783
00:36:09,850 --> 00:36:13,087
REPORTED RESULTS.

784
00:36:13,087 --> 00:36:15,322
THIS IS OUR SUMMARY SLIDE OF 

785
00:36:15,322 --> 00:36:17,624
NUMBER OF EATING OCCASIONS.

786
00:36:17,624 --> 00:36:19,693
YOU CAN SEE LIMITED EVIDENCE 

787
00:36:19,693 --> 00:36:21,261
SUGGESTS HIGHER NUMBER OF EATING

788
00:36:21,261 --> 00:36:22,596
OCCASIONS PER DAY DURING 

789
00:36:22,596 --> 00:36:25,099
CHILDHOOD IS ASSOCIATED WITH 

790
00:36:25,099 --> 00:36:28,168
FAVORABLE OUTCOMES AND MODERATE 

791
00:36:28,168 --> 00:36:29,336
EVIDENCE SUGGESTS THAT NUMBER OF

792
00:36:29,336 --> 00:36:31,004
EATING OCCASIONS PER DAY IN 

793
00:36:31,004 --> 00:36:33,040
ADULTS IS NOT ASSOCIATED WITH 

794
00:36:33,040 --> 00:36:33,307
OUTCOMES.

795
00:36:33,307 --> 00:36:36,110
AND FOR OLDER ADULTS A 

796
00:36:36,110 --> 00:36:36,743
CONCLUSION STATEMENT CANNOT BE 

797
00:36:36,743 --> 00:36:46,854
DRAWN.

798
00:36:48,589 --> 00:36:51,291
MOVING ON TO MEAL FREQUENCY 

799
00:36:51,291 --> 00:36:53,527
LIMITED DATA SHOWS MEAL SKIPPING

800
00:36:53,527 --> 00:36:56,330
BY CHILDREN AND ADOLESCENCE MAY 

801
00:36:56,330 --> 00:36:59,867
NOT BE RELATED TO RISK OF 

802
00:36:59,867 --> 00:37:00,968
OVERWEIGHT OR OBESITY.

803
00:37:00,968 --> 00:37:01,802
11 OBSERVATIONAL ARTICLES 

804
00:37:01,802 --> 00:37:05,606
CONTRIBUTED TO THIS BODY OF 

805
00:37:05,606 --> 00:37:05,873
EVIDENCE.

806
00:37:05,873 --> 00:37:10,711
WHILE ALL 11 ARTICLES CONTR

807
00:37:10,711 --> 00:37:13,147
CONTRIBUTED UNIQUE DATA WITH 

808
00:37:13,147 --> 00:37:14,882
DIFFERENT OUTCOMES OR 

809
00:37:14,882 --> 00:37:16,750
CATEGORIZATION OF EXPOSURE THERE

810
00:37:16,750 --> 00:37:18,085
WERE ONLY EIGHT COHORTS OF 

811
00:37:18,085 --> 00:37:21,788
PARTICIPANTS AND TWO ARTICLES 

812
00:37:21,788 --> 00:37:24,591
FROM THE NHLBI GROWTH STUDY AND 

813
00:37:24,591 --> 00:37:27,127
WE TO FROM PROJECT BEAT.

814
00:37:27,127 --> 00:37:30,063
WHILE THERE WERE SOME 

815
00:37:30,063 --> 00:37:32,065
INCONSISTENCIES IN DIRECTION AND

816
00:37:32,065 --> 00:37:33,400
SIGNIFICANCE OF FINDINGS THEY 

817
00:37:33,400 --> 00:37:35,135
WERE ALL FROM THE SAME COHORT 

818
00:37:35,135 --> 00:37:38,138
REPORTING CONFLICTING RESULTS 

819
00:37:38,138 --> 00:37:43,277
LEADING TO CONCERNS WITH RISK OF

820
00:37:43,277 --> 00:37:48,916
BIAS WITH THE EXPOSURE 

821
00:37:48,916 --> 00:37:49,583
MISCLASSIFICATION AND CONCERNS 

822
00:37:49,583 --> 00:37:51,718
WITH DIRECTNESS OF THE 

823
00:37:51,718 --> 00:37:53,487
HETEROGENEITY OF EXPOSURES.

824
00:37:53,487 --> 00:37:55,322
THE EVIDENCE THAT LOOKED AT MEAL

825
00:37:55,322 --> 00:38:02,062
FREQUENCY OR SKIPPING OR JUST 

826
00:38:02,062 --> 00:38:05,632
LUNCH FREQUENCY OR SKIPPING OR 

827
00:38:05,632 --> 00:38:07,401
DINNER FREQUENCY AND WHILE SIX 

828
00:38:07,401 --> 00:38:09,803
OF THE 11 ARTICLES WERE 

829
00:38:09,803 --> 00:38:13,640
CONDUCTED IN THE U.S. THEY WERE 

830
00:38:13,640 --> 00:38:21,782
FROM THREE UNIQUE COHORTS 

831
00:38:21,782 --> 00:38:28,222
PARTICIPANTS.

832
00:38:28,222 --> 00:38:31,925
NEXT WE'RE MOVING ON TO THE 

833
00:38:31,925 --> 00:38:34,761
EVIDENCE REVIEW FOR PORTION SIZE

834
00:38:34,761 --> 00:38:36,363
IN REGARDS TO GROWTH BODY 

835
00:38:36,363 --> 00:38:37,998
COMPOSITION AND RISK OF OBESITY.

836
00:38:37,998 --> 00:38:41,568
SO HERE IS OUR ANALYTIC 

837
00:38:41,568 --> 00:38:44,037
FRAMEWORK WHICH CHRISTINA 

838
00:38:44,037 --> 00:38:44,805
DESCRIBED PREVIOUSLY.

839
00:38:44,805 --> 00:38:47,608
I JUST WANT TO CALL ATTENTION TO

840
00:38:47,608 --> 00:38:49,576
THE INTERVENTION EXPOSURE AND 

841
00:38:49,576 --> 00:38:51,311
COMPARATOR AREA.

842
00:38:51,311 --> 00:38:54,481
SO THE INTERVENTION EXPOSURE WAS

843
00:38:54,481 --> 00:38:55,249
PORTION SIZED.

844
00:38:55,249 --> 00:38:56,683
IT CONSIDERS ENERGY DENSITY, 

845
00:38:56,683 --> 00:38:58,986
NUTRIENT DENSITY AND/OR THE 

846
00:38:58,986 --> 00:39:01,822
QUALITY OR TYPE OF FOOD SERVED 

847
00:39:01,822 --> 00:39:04,558
OR CONSUMED.

848
00:39:04,558 --> 00:39:06,226
AS WELL AS PREPORTIONED FOODS 

849
00:39:06,226 --> 00:39:07,894
AND THE COMPARATOR WAS DIFFERENT

850
00:39:07,894 --> 00:39:17,404
PORTION SIZE SERVED OR CONSUMED.

851
00:39:17,404 --> 00:39:18,639
FOR PORTION SIZE AND RISK OF 

852
00:39:18,639 --> 00:39:21,074
OBESITY IN CHILDREN, OUR 

853
00:39:21,074 --> 00:39:22,743
CONCLUSION STATEMENT WAS THAT A 

854
00:39:22,743 --> 00:39:24,544
CONCLUSION COULD NOT BE DRAWN 

855
00:39:24,544 --> 00:39:26,780
ABOUT THE RELATIONSHIP BETWEEN 

856
00:39:26,780 --> 00:39:28,248
PORTION SIZES CONSUMED BY 

857
00:39:28,248 --> 00:39:32,386
CHILDREN AND ADOLESCENTS AND 

858
00:39:32,386 --> 00:39:33,654
GROWTH, BODY COMPOSITION AND 

859
00:39:33,654 --> 00:39:35,155
RISK MUCH OBESITY BECAUSE 

860
00:39:35,155 --> 00:39:36,223
THERE'S NO ENOUGH EVIDENCE.

861
00:39:36,223 --> 00:39:42,696
A TRIAL WAS IDENTIFIED IN ONE 

862
00:39:42,696 --> 00:39:45,799
OCCASION.

863
00:39:45,799 --> 00:39:47,634
THE CONCLUSION STATEMENT WAS A 

864
00:39:47,634 --> 00:39:49,136
CONCLUSION CANNOT BE DRAWN 

865
00:39:49,136 --> 00:39:52,239
BETWEEN PORTION SIZES CONSUMED 

866
00:39:52,239 --> 00:39:54,007
BY ADULTS AND BODY COMPOSITION 

867
00:39:54,007 --> 00:39:59,179
AND RISK OF OBESITY BECAUSE OF 

868
00:39:59,179 --> 00:40:01,548
INCONSISTENCIES AND THE BODY OF 

869
00:40:01,548 --> 00:40:03,517
EVIDENCE INCLUDED 11 ARTICLES 

870
00:40:03,517 --> 00:40:08,221
INCLUDING 10 TRIALS AND ONE 

871
00:40:08,221 --> 00:40:09,423
OBSERVATIONAL STUDY.

872
00:40:09,423 --> 00:40:14,661
BUT THE BODY OF EVIDENCE WAS 

873
00:40:14,661 --> 00:40:16,930
INCONSISTENT AND INTERVENTION 

874
00:40:16,930 --> 00:40:18,665
COMPARATORS AND OUTCOMES.

875
00:40:18,665 --> 00:40:21,335
ALL INCLUDED ARTICLES WERE PART 

876
00:40:21,335 --> 00:40:22,536
OF WEIGHT LOSS TRIALS AND SIX OF

877
00:40:22,536 --> 00:40:24,838
THE TRIALS TESTED PRE-PORTIONED 

878
00:40:24,838 --> 00:40:28,709
FOODS AS THE INTERVENTION OR 

879
00:40:28,709 --> 00:40:30,711
EXPOSURE, FIVE TRIALS, EDUCATED 

880
00:40:30,711 --> 00:40:32,212
PARTICIPANTS ON PORTION CONTROL 

881
00:40:32,212 --> 00:40:32,913
BEHAVIORS AS PART OF THE WEIGHT 

882
00:40:32,913 --> 00:40:34,815
LOSS INTERVENTION AND THE TRIALS

883
00:40:34,815 --> 00:40:36,416
VARIED IN TRIAL DURATION AND 

884
00:40:36,416 --> 00:40:38,352
WHAT MEAL OR FOOD GROUP WAS 

885
00:40:38,352 --> 00:40:39,753
TARGETED FOR PORTION CONTROL SO 

886
00:40:39,753 --> 00:40:41,621
THAT COULD HAVE BEEN LUNCH AND 

887
00:40:41,621 --> 00:40:44,191
DINNER OR LUNCH ONLY, VEGETABLES

888
00:40:44,191 --> 00:40:49,029
ONLY OR ENERGY DENSE FOODS ONLY.

889
00:40:49,029 --> 00:40:50,597
NINE TRIALS MEASURED WEIGHT LOSS

890
00:40:50,597 --> 00:40:51,965
OR MEASUREMENTS AS THE OUTCOME 

891
00:40:51,965 --> 00:40:57,838
OF BODY COMPOSITION AND OBESITY 

892
00:40:57,838 --> 00:41:00,841
MEASURED LESS OFTEN.

893
00:41:00,841 --> 00:41:01,808
AND THEN OUR CONDITION COLLUSION

894
00:41:01,808 --> 00:41:04,044
STATEMENT DURING PREGNANCY AND 

895
00:41:04,044 --> 00:41:05,278
POSTPARTUM WAS A CONCLUSION 

896
00:41:05,278 --> 00:41:06,780
STATEMENT CANNOT BE DRAWN ABOUT 

897
00:41:06,780 --> 00:41:09,683
THE RELATIONSHIP BETWEEN PORTION

898
00:41:09,683 --> 00:41:13,620
SIZES CONSUMED DURING PREGNANCY 

899
00:41:13,620 --> 00:41:15,555
AND GESTATIONAL WEIGHT GAIN 

900
00:41:15,555 --> 00:41:16,523
BECAUSE THERE'S NOT ENOUGH 

901
00:41:16,523 --> 00:41:17,958
EVIDENCE AVAILABLE ONLY ONE 

902
00:41:17,958 --> 00:41:20,060
ARTICLE WAS IDENTIFIED AND A 

903
00:41:20,060 --> 00:41:21,194
CONCLUSION STATEMENT CANNOT BE 

904
00:41:21,194 --> 00:41:22,596
DRAWN ABOUT THE RELATIONSHIP 

905
00:41:22,596 --> 00:41:25,298
BETWEEN PORTION SIZES CONSUMED 

906
00:41:25,298 --> 00:41:27,267
DURING POSTPARTUM AND POSTPARTUM

907
00:41:27,267 --> 00:41:28,368
WEIGHT CHANGE BECAUSE THERE'S NO

908
00:41:28,368 --> 00:41:29,403
EVIDENCE AVAILABLE AS NO 

909
00:41:29,403 --> 00:41:33,106
ARTICLES WERE IDENTIFIED.

910
00:41:33,106 --> 00:41:33,874
AND I'LL TURN IT OVER TO 

911
00:41:33,874 --> 00:41:44,050
CHRISTINA.

912
00:41:46,953 --> 00:41:47,687
>> THANK YOU.

913
00:41:47,687 --> 00:41:50,857
THIS IS REALLY INTERESTING.

914
00:41:50,857 --> 00:41:52,392
SO LISTENING TO THE PRESENTATION

915
00:41:52,392 --> 00:41:55,195
OF DATA AND I'M SURE THE GROUP 

916
00:41:55,195 --> 00:41:55,662
DISCUSSED IT.

917
00:41:55,662 --> 00:42:01,001
I JUST LOVE TO HAVE THE PUNCH 

918
00:42:01,001 --> 00:42:01,735
LINE.

919
00:42:01,735 --> 00:42:04,104
I'M ASSUMING YOU'RE WORKING OFF 

920
00:42:04,104 --> 00:42:06,339
THE PREMISE THAT A PATTERN OR 

921
00:42:06,339 --> 00:42:10,944
HOW PEOPLE EAT IS THREE MEALS A 

922
00:42:10,944 --> 00:42:13,814
DAY BUT A LOT OF POPULATIONS 

923
00:42:13,814 --> 00:42:16,783
DON'T EAT THREE MEALS A DAY OR 

924
00:42:16,783 --> 00:42:20,287
THEY HAVE DIFFERENCES AS TO WHEN

925
00:42:20,287 --> 00:42:23,557
THE PRIMARY MEAL IS.

926
00:42:23,557 --> 00:42:25,859
HOW DID YOU RECONCILE THAT IN 

927
00:42:25,859 --> 00:42:28,094
YOUR ANALYSES?

928
00:42:28,094 --> 00:42:30,030
I THINK ALL THE STUDIES WERE 

929
00:42:30,030 --> 00:42:33,700
DIFFERENT AND IT WAS BASED ON 

930
00:42:33,700 --> 00:42:34,267
THE EVIDENCE.

931
00:42:34,267 --> 00:42:37,804
SO IT WAS BASED ON WHAT THEY 

932
00:42:37,804 --> 00:42:39,840
SAID AND SOMETIMES THEY SAID 

933
00:42:39,840 --> 00:42:41,608
THREE MEALS, SOMETIMES THEY SAID

934
00:42:41,608 --> 00:42:43,577
TWO OR HAD DIFFERENT MEALS.

935
00:42:43,577 --> 00:42:44,945
IT WAS VERY INCONSISTENT IN 

936
00:42:44,945 --> 00:42:48,181
TERMS OF HOW THEY DEFINE THAT 

937
00:42:48,181 --> 00:42:49,382
PATTERN AND WHAT WAS THE 

938
00:42:49,382 --> 00:42:52,085
COMPARATOR AND THE INTERVENTION.

939
00:42:52,085 --> 00:42:54,154
SO IT VARIES SO MUCH ACROSS TO 

940
00:42:54,154 --> 00:42:56,256
THE STUDIES I DON'T KNOW IF YOU 

941
00:42:56,256 --> 00:42:58,625
HAVE ANYTHING ELSE TO ADD.

942
00:42:58,625 --> 00:43:00,227
>> IT WAS AN INVESTIGATOR 

943
00:43:00,227 --> 00:43:03,163
DEFINED OR PARTICIPANT DEFINED 

944
00:43:03,163 --> 00:43:05,365
IF FOR EXAMPLE IN TERMS OF HOW 

945
00:43:05,365 --> 00:43:08,368
DIET WAS REPORTED AS TO THE 

946
00:43:08,368 --> 00:43:09,903
PARTICIPANTS SAID YES, I SKIPPED

947
00:43:09,903 --> 00:43:10,203
BREAKFAST.

948
00:43:10,203 --> 00:43:11,805
IT WOULD BE A PARTICIPANT 

949
00:43:11,805 --> 00:43:12,706
DEFINING THAT.

950
00:43:12,706 --> 00:43:16,009
IN TERMS OF OUR EATING 

951
00:43:16,009 --> 00:43:17,110
OCCASIONS, OFTEN TIMES THEY 

952
00:43:17,110 --> 00:43:19,246
ACTUALLY MIGHT NOT HAVE BEEN 

953
00:43:19,246 --> 00:43:21,147
DESCRIBED, FOR EXAMPLE OR TALKED

954
00:43:21,147 --> 00:43:23,016
THROUGH WITH THE PARTICIPANT BUT

955
00:43:23,016 --> 00:43:27,854
WERE GIVEN GUIDANCE IN TERMS OF 

956
00:43:27,854 --> 00:43:28,421
HOW MANY DIFFERENT 

957
00:43:28,421 --> 00:43:29,623
COMMUNICATIONS SHOULD OCCUR.

958
00:43:29,623 --> 00:43:32,058
SOME MAY HAVE BEEN ABOUT SIZE 

959
00:43:32,058 --> 00:43:37,664
ALSO BUT NOT NECESSARILY.

960
00:43:37,664 --> 00:43:43,370
I DON'T THINK WE REALLY 

961
00:43:43,370 --> 00:43:44,604
SYNTHESIZED EVIDENCE OF THE MAIN

962
00:43:44,604 --> 00:43:46,006
MEAL AND DIDN'T LOOK AT ENERGY 

963
00:43:46,006 --> 00:43:47,607
AT THE TYPES OF EATING 

964
00:43:47,607 --> 00:43:57,784
OCCASIONS.

965
00:43:58,585 --> 00:44:00,854
>> CAN I WANT TO GIVE A
SHOUT 

966
00:44:00,854 --> 00:44:04,057
OUT TO THE COMMITTEE AND 

967
00:44:04,057 --> 00:44:09,095
OVERWHELMED WITH THE SUBJECT AND

968
00:44:09,095 --> 00:44:15,702
PUTTING THE GROUPS AND THERE'S 

969
00:44:15,702 --> 00:44:17,137
HUNDREDS OF PUBLICATIONS BUT 

970
00:44:17,137 --> 00:44:19,039
ONCE YOU DIVVY IT UP IT'S 

971
00:44:19,039 --> 00:44:20,106
DIFFICULT AND THE WORDSMITHING 

972
00:44:20,106 --> 00:44:22,208
PART WAS AMAZING AND FAVORABLE 

973
00:44:22,208 --> 00:44:22,943
OUTCOMES.

974
00:44:22,943 --> 00:44:25,812
HOW DO YOU SAY THIS IS GOOD OR 

975
00:44:25,812 --> 00:44:27,380
HEALTHY WHEN SAYS SHOULD GROW 

976
00:44:27,380 --> 00:44:28,848
BUT NOT TOO MUCH AND ADULTS 

977
00:44:28,848 --> 00:44:30,283
AREN'T GROWING AND WE'D LIKE 

978
00:44:30,283 --> 00:44:31,618
THEM TO LOSE WEIGHT?

979
00:44:31,618 --> 00:44:32,886
ARE THEY GAINING OR LOSING?

980
00:44:32,886 --> 00:44:36,823
AND SO HATS OFF TO THE COMMITTEE

981
00:44:36,823 --> 00:44:38,458
FOR FIGURING THAT ALL OUT AND 

982
00:44:38,458 --> 00:44:41,161
FOR THE PUBLIC THAT DOESN'T 

983
00:44:41,161 --> 00:44:42,028
APPRECIATE THIS I THINK IN THE 

984
00:44:42,028 --> 00:44:43,964
PARTICULAR SET WHAT I THOUGHT 

985
00:44:43,964 --> 00:44:45,799
WAS FASCINATING WAS THE PUBLIC 

986
00:44:45,799 --> 00:44:50,437
REALIZE WE HAVE DO  -- TO COME 

987
00:44:50,437 --> 00:44:53,039
UP WITH A SET OF TRIAL AND 

988
00:44:53,039 --> 00:44:54,975
OBSERVATIONAL AND ONE TRIAL AND 

989
00:44:54,975 --> 00:44:56,643
10 OBSERVATIONAL AND ONE HAD 10 

990
00:44:56,643 --> 00:44:59,045
TRIALS AND ONE OBSERVATIONAL AND

991
00:44:59,045 --> 00:44:59,813
WE WERE RIGHT.

992
00:44:59,813 --> 00:45:00,580
WOE HAVE SEPARATE AND THEN 

993
00:45:00,580 --> 00:45:02,482
COMBINE THE TWO CATEGORIES.

994
00:45:02,482 --> 00:45:04,718
ON TOP OF EVERYTHING ELSE THIS 

995
00:45:04,718 --> 00:45:07,387
IS A UNIQUE DATA SET TO LOOK AT 

996
00:45:07,387 --> 00:45:08,989
AND LOTS MORE STUDIES NIGHTED 

997
00:45:08,989 --> 00:45:11,157
AND I THINK FUTURE DIRECTIONS 

998
00:45:11,157 --> 00:45:13,793
WILL BE REALLY INFORMATIVE BUT 

999
00:45:13,793 --> 00:45:16,196
KUDOS FOR TURNING THESE INTO 

1000
00:45:16,196 --> 00:45:17,664
WELL DEFINED CONCLUSIONS BUT THE

1001
00:45:17,664 --> 00:45:21,334
PUBLIC READING THEM WILL HAVE TO

1002
00:45:21,334 --> 00:45:23,169
LOOK CAREFULLY AT THOSE WORDS OF

1003
00:45:23,169 --> 00:45:24,237
FAVORABLE AND WHAT THE OUTCOMES 

1004
00:45:24,237 --> 00:45:25,805
WERE.

1005
00:45:25,805 --> 00:45:29,476
HATS OFF.

1006
00:45:29,476 --> 00:45:31,011
I WANT TO ADD THE COMMITTEE WAS 

1007
00:45:31,011 --> 00:45:33,279
SURPRISED WHEN LOOKING AT 

1008
00:45:33,279 --> 00:45:35,649
SNACKING AND BREAKFAST OF NOT 

1009
00:45:35,649 --> 00:45:42,756
HAVING THAT MANY STUDIES AND SHE

1010
00:45:42,756 --> 00:45:44,824
HAS DONE THINGS ON BREAKFAST AND

1011
00:45:44,824 --> 00:45:46,459
SNACKING AND I THOUGHT THIS 

1012
00:45:46,459 --> 00:45:48,595
CANNOT BE RIGHT SO WHAT'S GOING 

1013
00:45:48,595 --> 00:45:48,995
ON?

1014
00:45:48,995 --> 00:45:50,597
THE MAJORITY OF THE STUDIES ARE 

1015
00:45:50,597 --> 00:45:51,831
CROSS SECTIONAL.

1016
00:45:51,831 --> 00:45:53,667
WE ENDED UP REMOVING ALL THOSE 

1017
00:45:53,667 --> 00:45:55,301
STUDIES BECAUSE THEY DON'T MEET 

1018
00:45:55,301 --> 00:45:56,369
THE CRITERIA.

1019
00:45:56,369 --> 00:45:59,639
THAT'S VERY IMPORTANT BECAUSE WE

1020
00:45:59,639 --> 00:46:02,976
WERE SURPRISED BY THE LIMITED 

1021
00:46:02,976 --> 00:46:03,810
NUMBER OF STUDIES.

1022
00:46:03,810 --> 00:46:08,081
I ALSO WOULD LIKE TO THANK THE 

1023
00:46:08,081 --> 00:46:11,017
CO-LEADERS OF HOLLY AND DEANNA 

1024
00:46:11,017 --> 00:46:13,787
FOR THE AMAZE BEING WORK BECAUSE

1025
00:46:13,787 --> 00:46:14,921
REVIEWING ALL THE ARTICLES IS 

1026
00:46:14,921 --> 00:46:15,822
QUITE A CHALLENGE.

1027
00:46:15,822 --> 00:46:21,528
>> WHAT IS THE PREVALENCE
OF THE

1028
00:46:21,528 --> 00:46:22,862
BEHAVIORS IN THE 

1029
00:46:22,862 --> 00:46:24,064
U.S. POPULATION?

1030
00:46:24,064 --> 00:46:25,098
IS THAT SOMETHING THAT WOULD BE 

1031
00:46:25,098 --> 00:46:27,000
INCLUDED IN THE BACKGROUND OF 

1032
00:46:27,000 --> 00:46:28,702
THE REPORT?

1033
00:46:28,702 --> 00:46:32,906
DO WE HAVE A SNACKING/BREAKFAST 

1034
00:46:32,906 --> 00:46:33,339
SKIPPING PROBLEM?

1035
00:46:33,339 --> 00:46:43,883
WHAT'S THE PREVALENCE OF THESE?

1036
00:46:52,692 --> 00:46:56,196
>> SNACKING IS HIGH IN THE

1037
00:46:56,196 --> 00:46:59,632
U.S. AND AMONG COLLEGE STUDENTS 

1038
00:46:59,632 --> 00:47:03,603
BREAKFAST SKIPPING IS PREVALENT.

1039
00:47:03,603 --> 00:47:08,274
>> IT GOES UP WITH AGE AND
I'M 

1040
00:47:08,274 --> 00:47:09,743
MORE FAMILIAR WITH THE ADULT 

1041
00:47:09,743 --> 00:47:12,078
THAN CHILD LITERATURE AND THE 

1042
00:47:12,078 --> 00:47:13,747
DEFINITION OF BREAKFAST SKIPPING

1043
00:47:13,747 --> 00:47:16,616
A LOT OF TIMES THE ADOLESCENT 

1044
00:47:16,616 --> 00:47:18,418
WILL SKIP BREAKFAST BUT MAYBE 

1045
00:47:18,418 --> 00:47:20,386
WAKE UP AT 10:00.

1046
00:47:20,386 --> 00:47:22,655
TRYING TO NAIL DOWN THAT 

1047
00:47:22,655 --> 00:47:24,691
BEHAVIOR CAN BE DIFFICULT BUT 

1048
00:47:24,691 --> 00:47:28,862
CAN BE UP TO 20%, 25% IN THE 

1049
00:47:28,862 --> 00:47:33,833
ADOLESCENTS DEPENDING ON WHICH 

1050
00:47:33,833 --> 00:47:40,774
POPULATION YOU LOOK AT WE JUST 

1051
00:47:40,774 --> 00:47:41,808
GOT EPI-DATA FROM TEXAS AND 

1052
00:47:41,808 --> 00:47:43,877
SNACKING IS VERY HIGH, THREE OR 

1053
00:47:43,877 --> 00:47:46,813
MORE SNACKS A DAY FOR A LOT OF 

1054
00:47:46,813 --> 00:47:47,013
KIDS.

1055
00:47:47,013 --> 00:47:48,815
>> IT MAY BE INTERESTING
TO 

1056
00:47:48,815 --> 00:47:51,184
UNDERSTAND NOT JUST HOW MANY 

1057
00:47:51,184 --> 00:47:54,788
INDIVIDUALS LIKE SKIP A MEAL OR 

1058
00:47:54,788 --> 00:47:59,559
SNACK, YES, NO BUT WHAT PERCENT 

1059
00:47:59,559 --> 00:48:01,761
OF DIET COMES FROM THESE 

1060
00:48:01,761 --> 00:48:02,762
INDIVIDUAL OCCASIONS OR OVER 

1061
00:48:02,762 --> 00:48:03,163
ALL?

1062
00:48:03,163 --> 00:48:06,032
>> I THINK IT VARIES BY
AGE 

1063
00:48:06,032 --> 00:48:06,533
GROUP.

1064
00:48:06,533 --> 00:48:09,803
IT COULD SNACKS HIGHER IN 

1065
00:48:09,803 --> 00:48:13,807
ADOLESCENTS AND COLLEGE STUDENTS

1066
00:48:13,807 --> 00:48:21,881
AND SO MAYBE HEATHER CAN TALK 

1067
00:48:21,881 --> 00:48:32,225
ABOUT THESE THINGS.

1068
00:48:42,902 --> 00:48:44,237
IT'S IN OUR DATA FOR TOMORROW IN

1069
00:48:44,237 --> 00:48:45,238
DATA ANALYSIS.

1070
00:48:45,238 --> 00:48:46,372
STAY POSTED.

1071
00:48:46,372 --> 00:48:49,442
>> IT WAS INTERESTING AND
ON MY 

1072
00:48:49,442 --> 00:48:50,910
CLINICAL HAT HERE, WHEN WE LOOK 

1073
00:48:50,910 --> 00:48:53,546
AT THE CLINICAL DATA THERE WAS A

1074
00:48:53,546 --> 00:48:56,883
MAJOR SHIFT ON THE CLINICAL SIDE

1075
00:48:56,883 --> 00:48:59,652
TO MOVE PERSONS WITH CERTAIN 

1076
00:48:59,652 --> 00:49:01,521
CHRONIC DISEASES I KNOW WE'LL 

1077
00:49:01,521 --> 00:49:04,424
TALK ABOUT TYPE II DIABETES 

1078
00:49:04,424 --> 00:49:06,693
TOMORROW SO MOVING TOWARDS MANY 

1079
00:49:06,693 --> 00:49:08,194
NILS AND MORE OF A SNACK STYLE 

1080
00:49:08,194 --> 00:49:12,232
BEHAVIOR IN TERMS OF LOOKING AT 

1081
00:49:12,232 --> 00:49:12,966
CHRONIC DISEASES.

1082
00:49:12,966 --> 00:49:14,667
SO HAVING PERSONS CONSUME SIX 

1083
00:49:14,667 --> 00:49:17,270
MINI MEALS IN THE CLINICAL REALM

1084
00:49:17,270 --> 00:49:18,938
INSTEAD OF ACTUAL MEALS.

1085
00:49:18,938 --> 00:49:21,507
LIKE WHAT WE THINK OF AS A 

1086
00:49:21,507 --> 00:49:24,210
STANDARD DIET WHICH IS MORE OF 

1087
00:49:24,210 --> 00:49:26,779
BREAKFAST, LUNCH, DINNER.

1088
00:49:26,779 --> 00:49:28,715
THAT SHIFT HAPPENED ABOUT 2000 

1089
00:49:28,715 --> 00:49:32,652
ON THE CLINICAL SIDE AND MOVING 

1090
00:49:32,652 --> 00:49:34,354
TOWARDS MINI MEALS OPPOSED TO 

1091
00:49:34,354 --> 00:49:37,790
FULL MEALS TO KEEP THEIR GLUCOSE

1092
00:49:37,790 --> 00:49:39,559
MORE STABLE ACROSS THE DAY.

1093
00:49:39,559 --> 00:49:41,327
SO THERE'S BEEN THAT SHIFT ON 

1094
00:49:41,327 --> 00:49:42,962
THE CLINICAL SIDE WHICH I KNOW 

1095
00:49:42,962 --> 00:49:46,933
THESE ARE CLINICAL GUIDELINES 

1096
00:49:46,933 --> 00:49:50,737
BUT HAVE TO THINK IN THE CONTEXT

1097
00:49:50,737 --> 00:49:53,006
OF MINI MEALS WE EQUATE TO A 

1098
00:49:53,006 --> 00:49:56,376
SNACK SO THERE'S THAT SHIFT IN 

1099
00:49:56,376 --> 00:49:57,777
THE GENERAL PUBLIC.

1100
00:49:57,777 --> 00:50:01,781
SOMETHING TO THINK ABOUT THERE.

1101
00:50:01,781 --> 00:50:04,083
>> I ALSO WANT TO BRING UP

1102
00:50:04,083 --> 00:50:06,653
SOMETHING MY TEAM WAS TALKING 

1103
00:50:06,653 --> 00:50:09,789
ABOUT, EVEN THOUGH WE HAVE 10 

1104
00:50:09,789 --> 00:50:14,193
TRIALS LOOKING AT PORTION SIZE, 

1105
00:50:14,193 --> 00:50:16,963
THEY ARE WERE SO DIFFERENT, ALL 

1106
00:50:16,963 --> 00:50:20,600
OF THEM AND SO DIFFICULT TO WORK

1107
00:50:20,600 --> 00:50:24,871
WITH THAT DATA BUT I MEAN I ALSO

1108
00:50:24,871 --> 00:50:26,239
WAS FRUSTRATED AND DISAPPOINTED 

1109
00:50:26,239 --> 00:50:29,075
OF NOT BEING ABLE TO DO A 

1110
00:50:29,075 --> 00:50:30,843
STATEMENT WITH 10 TRAILS.

1111
00:50:30,843 --> 00:50:34,280
THAT COULD BE QUITE ENOUGH BUT 

1112
00:50:34,280 --> 00:50:35,815
THEY WERE ALL SO DIFFERENT AND 

1113
00:50:35,815 --> 00:50:37,650
SO SO DIFFERENT WE COULDN'T COME

1114
00:50:37,650 --> 00:50:42,055
UP WITH SOMETHING.

1115
00:50:42,055 --> 00:50:43,389
MAYBE HAVING SOME IN THE FUTURE 

1116
00:50:43,389 --> 00:50:48,528
MAYBE WITH MORE TRIALS WIRE ABLE

1117
00:50:48,528 --> 00:50:52,532
TO COME UP WITH SOMETHING.

1118
00:50:52,532 --> 00:50:55,001
MAYBE OTHERS WOULD LIKE TO 

1119
00:50:55,001 --> 00:50:55,668
COMMENT.

1120
00:50:55,668 --> 00:50:59,138
>> I WAS GOING TO COMMENT
ON 

1121
00:50:59,138 --> 00:51:03,409
THAT AND ALSO WHAT THE TEAM 

1122
00:51:03,409 --> 00:51:04,744
MENTIONED BECAUSE IT'S IMPORTANT

1123
00:51:04,744 --> 00:51:09,482
TO THROUGHOUT AS WE HEAR THE 

1124
00:51:09,482 --> 00:51:10,516
DIFFERENT PRESENTATIONS 

1125
00:51:10,516 --> 00:51:17,023
SOMETIMES IT'S NOT AMOUNT BUT 

1126
00:51:17,023 --> 00:51:21,527
CONSISTENCY AND INTERESTING 

1127
00:51:21,527 --> 00:51:23,629
BEING IN THIS SUBCOMMITTEE THAT 

1128
00:51:23,629 --> 00:51:27,467
THERE MAY BE ASSUMPTIONS THAT 

1129
00:51:27,467 --> 00:51:28,968
WE'VE MADE WITH WHAT THE 

1130
00:51:28,968 --> 00:51:29,769
EVIDENCE IS.

1131
00:51:29,769 --> 00:51:31,571
YOU MENTION CROSS SECTIONAL.

1132
00:51:31,571 --> 00:51:34,574
WE HAVE SO MUCH CROSS-SECTIONAL 

1133
00:51:34,574 --> 00:51:38,745
EVIDENCE THAT IS NOT A PART OF 

1134
00:51:38,745 --> 00:51:41,647
THIS REVIEW THAT IT DOESN'T MEET

1135
00:51:41,647 --> 00:51:44,283
THE STANDARD OF THE REVIEW AS 

1136
00:51:44,283 --> 00:51:45,785
PROSPECTIVE COHORT STUDIES AND 

1137
00:51:45,785 --> 00:51:51,524
ECTs BUT WHEN YOU HAVE A LOT OF 

1138
00:51:51,524 --> 00:51:55,762
RCTs AND TRIALS THAT DON'T 

1139
00:51:55,762 --> 00:51:59,899
MEASURE OR ARE INCONSISTENT AND 

1140
00:51:59,899 --> 00:52:01,434
THAT'S IMPORTANT AS WE LOOK AT 

1141
00:52:01,434 --> 00:52:03,036
EACH OF THE GROUPS.

1142
00:52:03,036 --> 00:52:04,070
IT'S IMPORTANT BECAUSE WE TALK 

1143
00:52:04,070 --> 00:52:06,773
ABOUT THE AMOUNT OF STUDIES BUT 

1144
00:52:06,773 --> 00:52:11,077
WE COULD HAVE A LOT OF STUDIES 

1145
00:52:11,077 --> 00:52:12,845
BUT WITH CONSISTENCY AND RISK OF

1146
00:52:12,845 --> 00:52:18,751
BIAS AND OTHER FACTORS COME INTO

1147
00:52:18,751 --> 00:52:19,552
PLAY.

1148
00:52:19,552 --> 00:52:20,887
IT'S INTERESTING WHAT PEOPLE -- 

1149
00:52:20,887 --> 00:52:25,992
WHAT WE ALL EVEN THINK WITH THE 

1150
00:52:25,992 --> 00:52:27,560
BODY OF EVIDENCE BUT WHEN YOU 

1151
00:52:27,560 --> 00:52:30,296
GET INTO IT AND DIG DEEPER YOU 

1152
00:52:30,296 --> 00:52:33,533
REALIZE THE STANDARD OF EVIDENCE

1153
00:52:33,533 --> 00:52:36,702
THAT MEETS THE STANDARD OR 

1154
00:52:36,702 --> 00:52:37,837
DESIGNS MAY NOT BE APPROPRIATE 

1155
00:52:37,837 --> 00:52:40,940
WITHIN THE REVIEW.

1156
00:52:40,940 --> 00:52:44,444
>> I JUST WANTED TO ADD I
THINK 

1157
00:52:44,444 --> 00:52:45,611
DIDI'S COMMENT WAS GOOD TO 

1158
00:52:45,611 --> 00:52:46,779
PROVIDE MORE CONTEXT.

1159
00:52:46,779 --> 00:52:49,148
I THINK THAT WILL BE GOOD TO 

1160
00:52:49,148 --> 00:52:53,653
INCORPORATE WITHIN OUR FINAL 

1161
00:52:53,653 --> 00:53:03,563
REPORT SO THANKS.

1162
00:53:03,563 --> 00:53:05,331
>> I'M NOT DONE.

1163
00:53:05,331 --> 00:53:07,967
NEXT STEP, MAYBE WE MAY SEE 

1164
00:53:07,967 --> 00:53:10,570
SOMETHING DIFFERENT WITH ENERGY 

1165
00:53:10,570 --> 00:53:11,637
INTAKE.

1166
00:53:11,637 --> 00:53:13,773
MAYBE PORTION SIZE.

1167
00:53:13,773 --> 00:53:15,775
WE COULDN'T CONCLUDE WITH THE 

1168
00:53:15,775 --> 00:53:17,777
BODY COMPOSITION BUT MAYBE WE DO

1169
00:53:17,777 --> 00:53:19,612
SEE SOME EFFECTS ON ENERGY 

1170
00:53:19,612 --> 00:53:21,681
INTAKE WHEN YOU CONTROL THE 

1171
00:53:21,681 --> 00:53:23,549
PORTION SIZE SO THAT'S COMING 

1172
00:53:23,549 --> 00:53:25,785
AND HOPEFULLY WE'LL PRESENT THAT

1173
00:53:25,785 --> 00:53:28,354
NEXT SEPTEMBER AND JUST WANT TO 

1174
00:53:28,354 --> 00:53:33,192
REMIND EVERYBODY THAT WE ARE 

1175
00:53:33,192 --> 00:53:35,661
ALSO WORK ON THE EVIDENCE ON 

1176
00:53:35,661 --> 00:53:45,037
CULTURALLY TAILORED DIETARY 

1177
00:53:45,037 --> 00:53:45,404
RECOMMENDATIONS.

1178
00:53:45,404 --> 00:53:47,640
THIS IS A NEW GUIDELINE IN THE 

1179
00:53:47,640 --> 00:53:51,277
COMMITTEE TIME REPORT AND ONLY 

1180
00:53:51,277 --> 00:53:52,044
BE AN EVIDENCE TO UNDERSTAND 

1181
00:53:52,044 --> 00:53:56,015
WHAT'S OUT THERE AND YOU'LL BE 

1182
00:53:56,015 --> 00:53:57,517
THE NEXT COMMITTEE GROUP TO 

1183
00:53:57,517 --> 00:53:59,218
DEFINE THE QUESTIONS.

1184
00:53:59,218 --> 00:53:59,785
THAT WILL BE PRESENTED NEXT 

1185
00:53:59,785 --> 00:54:00,920
TIME.

1186
00:54:00,920 --> 00:54:11,264
I THINK WE'RE DONE.

1187
00:54:18,871 --> 00:54:20,907
>> OKAY.

1188
00:54:20,907 --> 00:54:23,843
I'M GOING TO START PRESENTING ON

1189
00:54:23,843 --> 00:54:26,712
THE FOOD MODELLING ANALYSIS AND 

1190
00:54:26,712 --> 00:54:27,547
DATA SUBCOMMITTEE.

1191
00:54:27,547 --> 00:54:30,116
GET READY FOR AN ABRIDGED 

1192
00:54:30,116 --> 00:54:31,083
VERSION OF WAR AND PEACE AS FAR 

1193
00:54:31,083 --> 00:54:37,423
AS THE AMOUNT OF DATA WE'VE GOT 

1194
00:54:37,423 --> 00:54:42,962
FOR TODAY THE VOLUME IS 

1195
00:54:42,962 --> 00:54:45,831
TREMENDOUS AND WE'LL TALK ABOUT 

1196
00:54:45,831 --> 00:54:46,866
THE HIGHLIGHTS TODAY.

1197
00:54:46,866 --> 00:54:49,202
HERE'S THE LIST OF OUR 

1198
00:54:49,202 --> 00:54:51,604
SUBCOMMITTEE MEMBERS THAT HAVE 

1199
00:54:51,604 --> 00:54:54,707
TAKEN ON THE MASSIVE TASK 

1200
00:54:54,707 --> 00:54:56,309
BETWEEN FOOD PATTERN MODELLING 

1201
00:54:56,309 --> 00:54:58,010
WE'LL TALK ABOUT NOW AND DATA 

1202
00:54:58,010 --> 00:55:05,818
ANALYSIS TOMORROW.

1203
00:55:05,818 --> 00:55:09,121
DIVIDING UP OR WORK AND 

1204
00:55:09,121 --> 00:55:10,223
INDICATING THE MEMBERS OF THE 

1205
00:55:10,223 --> 00:55:15,595
WORK EQUITY GROUP IS PART OF 

1206
00:55:15,595 --> 00:55:18,864
THIS GROUP SO HOW IT'S ENGRAINED

1207
00:55:18,864 --> 00:55:23,669
IN THE ANALYSIS WE'RE DOING 

1208
00:55:23,669 --> 00:55:25,771
THROUGHOUT THE PROCESS.

1209
00:55:25,771 --> 00:55:33,412
ALSO TODAY, SARAH, CAROL AND 

1210
00:55:33,412 --> 00:55:40,519
DIDI AND SAMEERA WILL PRESENT 

1211
00:55:40,519 --> 00:55:43,823
AND ONCE AGAIN WE WOULD NEVER BE

1212
00:55:43,823 --> 00:55:47,660
ABLE TO GET THROUGH THE DATA 

1213
00:55:47,660 --> 00:55:57,270
WITHOUT OUR TREMENDOUS STAFF AND

1214
00:55:57,270 --> 00:55:59,672
WE NEEDED THE SUPPORT AND 

1215
00:55:59,672 --> 00:56:01,207
GUIDANCE IN THE PROCESS AND 

1216
00:56:01,207 --> 00:56:01,874
CAN'T BE UNDER STATED AS FAR AS 

1217
00:56:01,874 --> 00:56:07,913
THE PROCESS GOES.

1218
00:56:07,913 --> 00:56:10,716
THE SIMPLE TASK AT HAND IS THE 

1219
00:56:10,716 --> 00:56:12,351
COMMITTEE PRIORITIZED SEVERAL 

1220
00:56:12,351 --> 00:56:14,520
ANALYSES TO INFORM ADVICE ON 

1221
00:56:14,520 --> 00:56:15,755
DIETARY PATTERNS AND THE 

1222
00:56:15,755 --> 00:56:16,489
COMMITTEE'S CHARGED WITH 

1223
00:56:16,489 --> 00:56:19,925
ANSWERING THE SINGLE OVERARCHING

1224
00:56:19,925 --> 00:56:20,526
QUESTION.

1225
00:56:20,526 --> 00:56:22,762
THAT IS SHOWN IN THE BLUE BOX 

1226
00:56:22,762 --> 00:56:24,430
CONSIDERING EACH LIFE STAGE 

1227
00:56:24,430 --> 00:56:33,773
SHOULD CHANGES BE MADE TO THE 

1228
00:56:33,773 --> 00:56:43,549
USDA STANDARDS FOR MEDITERRANEAN

1229
00:56:43,549 --> 00:56:49,088
STYLES AND OTHER STYLES AND FOOD

1230
00:56:49,088 --> 00:56:50,323
MODELLING AND CULTURAL FOOD 

1231
00:56:50,323 --> 00:56:51,824
NORMS AND FOOD WASTE.

1232
00:56:51,824 --> 00:56:54,260
A MINOR TASK WE'RE TAKING ON AND

1233
00:56:54,260 --> 00:56:55,561
PRESENTING DATA AND THE CHANGES 

1234
00:56:55,561 --> 00:56:58,664
WE MIGHT MAKE TO THE DIETARY 

1235
00:56:58,664 --> 00:57:04,236
PATTERNS MAY INCLUDE INCREASES 

1236
00:57:04,236 --> 00:57:08,307
IN THE AMOUNTS OF FOOD GROUPS OR

1237
00:57:08,307 --> 00:57:17,650
SUB GROUPS, RECATEGORIZITIETION

1238
00:57:17,650 --> 00:57:22,221
RECATEGORIZETIONATION OF FOODS 

1239
00:57:22,221 --> 00:57:23,889
AND EVALUATE THE DIETARY 

1240
00:57:23,889 --> 00:57:27,393
PATTERNS BEING RECOMMENDS AS A 

1241
00:57:27,393 --> 00:57:28,828
HEALTHY U.S. STYLE PATTERN TO 

1242
00:57:28,828 --> 00:57:29,695
GENERATE THERE THESE ANALYSES.

1243
00:57:29,695 --> 00:57:35,668
A REMINDER THAT THIS IS GOING TO

1244
00:57:35,668 --> 00:57:39,472
BE SETTING UP THE DIETARY 

1245
00:57:39,472 --> 00:57:40,506
PATTERN BASED ON A SERIES OF 

1246
00:57:40,506 --> 00:57:44,343
STEPS WE'LL MAKE FOR MAKING THE 

1247
00:57:44,343 --> 00:57:46,145
NUTRIENT PROFILES, ETCETERA.

1248
00:57:46,145 --> 00:57:47,646
THEY DON'T NECESSARILY MAKE 

1249
00:57:47,646 --> 00:57:53,486
INTAKES OF KEY NUTRIENTS OR NOT 

1250
00:57:53,486 --> 00:57:59,658
MEETING CERTAIN NUTRIENTS IN THE

1251
00:57:59,658 --> 00:58:09,301
U.S. POPULATION.

1252
00:58:09,301 --> 00:58:12,571
AND WE LOOK AT THE PATTERN UP 

1253
00:58:12,571 --> 00:58:14,173
FOR THE REPRESENTATIVE FOODS.

1254
00:58:14,173 --> 00:58:18,210
WILL BE INFORMED BY CURRENT 

1255
00:58:18,210 --> 00:58:20,746
CONSUMPTION TO LOOK AT WHAT THE 

1256
00:58:20,746 --> 00:58:21,514
PATTERNS REPRESENTATION BUT 

1257
00:58:21,514 --> 00:58:23,182
THEY'RE NOT NECESSARILY INTAKES 

1258
00:58:23,182 --> 00:58:26,218
AS THEY ARE MODELLING OUT THE 

1259
00:58:26,218 --> 00:58:28,387
NUTRITIONAL COMPOSITION BASED ON

1260
00:58:28,387 --> 00:58:38,898
THE PATTERN WE'RE LOOKING AT.

1261
00:58:43,436 --> 00:58:48,607
SINCE MEETING 4 WE'VE EXAMINED 7

1262
00:58:48,607 --> 00:58:51,110
OF THE 10 PROTOCOLS SHOWN IN 

1263
00:58:51,110 --> 00:58:51,577
PURPLE.

1264
00:58:51,577 --> 00:58:53,245
SO WE'LL BE PRESENTING A SUMMARY

1265
00:58:53,245 --> 00:58:56,382
OF THE RESULTS SHORTLY AND WILL 

1266
00:58:56,382 --> 00:58:57,817
HAVE A DISCUSSION TO HELP INFORM

1267
00:58:57,817 --> 00:59:00,553
THE SYNTHESIS PLAN AS WE MOVE 

1268
00:59:00,553 --> 00:59:03,856
FORWARD BUT WHAT WE WILL ALSO 

1269
00:59:03,856 --> 00:59:05,658
SHOW IS SINCE MEETING 4 WE 

1270
00:59:05,658 --> 00:59:08,561
DRAFTED THE LAST FOOD PATTERN 

1271
00:59:08,561 --> 00:59:09,094
MODELLING PROTOCOL.

1272
00:59:09,094 --> 00:59:12,031
IT WILL BE POSTED ON DIETARY 

1273
00:59:12,031 --> 00:59:13,399
GUIDELINES.gov NEXT MONTH AND 

1274
00:59:13,399 --> 00:59:16,469
THE DRAFT NAME FOR THE PROTOCOL 

1275
00:59:16,469 --> 00:59:18,304
IS REMOVING CARBOHYDRATE 

1276
00:59:18,304 --> 00:59:18,804
CONTAINING FOODS.

1277
00:59:18,804 --> 00:59:21,807
IN EARLIER MEETINGS WE REFERRED 

1278
00:59:21,807 --> 00:59:26,545
TO THAT AS THE LOW CARBOHYDRATE 

1279
00:59:26,545 --> 00:59:27,213
PROTOCOL AND PRESENT THE 

1280
00:59:27,213 --> 00:59:29,081
ANALYSIS FOR INPUT TOWARDS THE 

1281
00:59:29,081 --> 00:59:31,484
END OF THE PRESENTATION.

1282
00:59:31,484 --> 00:59:32,918
AND THEN FINALLY SINCE MEETING 

1283
00:59:32,918 --> 00:59:34,487
4, WE'VE BEEN DISCUSSING A 

1284
00:59:34,487 --> 00:59:37,289
PROPOSED REVISION TO A PROTOCOL 

1285
00:59:37,289 --> 00:59:41,660
PREVIOUSLY POSTED ON DIETARY 

1286
00:59:41,660 --> 00:59:44,029
GUIDELINES.gov.

1287
00:59:44,029 --> 00:59:47,666
THIS PROTOCOL DRAFT NAME CHANGE 

1288
00:59:47,666 --> 00:59:50,936
TO REMOVING ANIMAL-BASED FOODS 

1289
00:59:50,936 --> 00:59:52,571
PREVIOUSLY REFERRED TO AS THE 

1290
00:59:52,571 --> 00:59:53,672
VEGAN PROTOCOL AND PLANNING 

1291
00:59:53,672 --> 00:59:58,043
REVISIONS TOWARDS THE END OF THE

1292
00:59:58,043 --> 01:00:07,152
PRESENTATION AS WELL.

1293
01:00:07,152 --> 01:00:08,254
WE'LL GO THROUGH THE MODELLING 

1294
01:00:08,254 --> 01:00:08,921
PRESENTATION JUST A LITTLE BIT 

1295
01:00:08,921 --> 01:00:09,788
OF DATA.

1296
01:00:09,788 --> 01:00:19,865
WE'LL LOOK AT THE NEWT REPRESENT

1297
01:00:19,865 --> 01:00:21,433
AROUND TRANSITION INTO THE FOOD 

1298
01:00:21,433 --> 01:00:23,068
GROUP AND SUB GROUP RESULTS 

1299
01:00:23,068 --> 01:00:24,403
ACROSS THE SPECIFIC PROTOCOLS 

1300
01:00:24,403 --> 01:00:27,573
EXPLORING THE MODIFICATIONS TO 

1301
01:00:27,573 --> 01:00:29,808
THE HEALTHY DIETARY PATTERN OR 

1302
01:00:29,808 --> 01:00:33,812
WITH FLEXIBILITIES AND STILL 

1303
01:00:33,812 --> 01:00:39,919
MEETING NUTRIENT GOALS.

1304
01:00:39,919 --> 01:00:42,955
WE'LL HAVE A BREAK BETWEEN EACH 

1305
01:00:42,955 --> 01:00:44,490
ONE TO HAVE DISCUSSION.

1306
01:00:44,490 --> 01:00:49,828
THE ONE THING I WANT TO REALLY 

1307
01:00:49,828 --> 01:01:00,306
SAY AD NOSIUM ME SUPPORTING 

1308
01:01:06,979 --> 01:01:09,348
PROFILES WILL BE ON DIETARY 

1309
01:01:09,348 --> 01:01:10,082
GUIDELINES.gov AND THE COMMITTEE

1310
01:01:10,082 --> 01:01:19,258
REPORT.

1311
01:01:19,258 --> 01:01:21,794
AND -- AD NAUSEAM AND WE'LL 

1312
01:01:21,794 --> 01:01:25,097
HIGHLIGHT THE KEY RESULTS THAT 

1313
01:01:25,097 --> 01:01:26,966
REALLY SHAPE THE SUMMARY REPORT 

1314
01:01:26,966 --> 01:01:29,668
WE HAVE FROM EACH OF THE 

1315
01:01:29,668 --> 01:01:30,536
PROTOCOLS.

1316
01:01:30,536 --> 01:01:35,608
AGAIN, THIS IS A PIECE OF THAT 

1317
01:01:35,608 --> 01:01:36,241
LARGER PUZZLE WE'VE BEEN WORKING

1318
01:01:36,241 --> 01:01:43,616
THROUGH.

1319
01:01:43,616 --> 01:01:46,051
AFTER WE LOOK AT INTAKES FROM 

1320
01:01:46,051 --> 01:01:47,686
THE TOTAL POPULATION WE'LL 

1321
01:01:47,686 --> 01:01:49,088
EXAMINE DIFFERENCES IN NUTRIENT 

1322
01:01:49,088 --> 01:01:50,589
PROFILES BASED ON POPULATION 

1323
01:01:50,589 --> 01:01:53,692
GROUPS.

1324
01:01:53,692 --> 01:01:56,261
SO WE'LL START WITH THE BASIS 

1325
01:01:56,261 --> 01:01:58,731
PATTERN AND THE GOAL IS TO SEE 

1326
01:01:58,731 --> 01:02:02,234
WHETHER THE NUTRIENT PROFILES 

1327
01:02:02,234 --> 01:02:03,669
WERE DIFFERENT BASED ON THE 

1328
01:02:03,669 --> 01:02:06,505
INTAKES OF DIFFERENT POPULATION 

1329
01:02:06,505 --> 01:02:06,739
GROUPS.

1330
01:02:06,739 --> 01:02:10,342
SO FIRST WE'LL PRESENT THE 

1331
01:02:10,342 --> 01:02:11,310
NUTRIENT FILE DEVELOPMENT FROM 

1332
01:02:11,310 --> 01:02:14,279
THE BASIS AND HOW IT PLAYS OUT 

1333
01:02:14,279 --> 01:02:15,080
WITHIN OUR DIFFERENT POPULATION 

1334
01:02:15,080 --> 01:02:18,951
GROUPS THAT ARE DEFINED BY 

1335
01:02:18,951 --> 01:02:21,787
NHANES WITH RACE AND HISPANIC 

1336
01:02:21,787 --> 01:02:31,630
ORIGIN AND BY POVERTY LEVEL.

1337
01:02:31,630 --> 01:02:37,770
OUR FIRST BIG LAYER OF RESULTS 

1338
01:02:37,770 --> 01:02:41,273
IN THE NUTRIENT PROFILE FOR THE 

1339
01:02:41,273 --> 01:02:41,607
BASIS PROFILE.

1340
01:02:41,607 --> 01:02:44,576
THE NUTRIENT PROFILES WE'RE 

1341
01:02:44,576 --> 01:02:46,845
USING ARE ESSENTIALLY A WEIGHTED

1342
01:02:46,845 --> 01:02:48,647
AVERAGE OF THE NUTRIENTS AND THE

1343
01:02:48,647 --> 01:02:50,916
FOODS AND BEVERAGES OF A FOOD 

1344
01:02:50,916 --> 01:02:53,719
GROUP BASED ON THE PROPORTIONAL 

1345
01:02:53,719 --> 01:02:54,219
CONSUMPTION WITHIN THE 

1346
01:02:54,219 --> 01:02:57,489
POPULATION.

1347
01:02:57,489 --> 01:02:59,692
OF ALL THE FOODS THAT ARE FRUIT 

1348
01:02:59,692 --> 01:03:04,396
OR VEGETABLE OR DAIRY AND SOY OR

1349
01:03:04,396 --> 01:03:07,433
PROTEIN FOODS, ALL THE DIFFERENT

1350
01:03:07,433 --> 01:03:11,470
FOODS THAT MAKE UP THAT FOOD 

1351
01:03:11,470 --> 01:03:14,540
CATEGORY, FOOD GROUP, WHAT'S THE

1352
01:03:14,540 --> 01:03:15,974
PROPORTIONAL CONSUMPTION OF THE 

1353
01:03:15,974 --> 01:03:17,076
DIFFERENCE SOURCES THAT ARE 

1354
01:03:17,076 --> 01:03:22,614
CONSUMED AND HOW IS THAT USED TO

1355
01:03:22,614 --> 01:03:25,684
THEN CONSTRUCT PROFILE OF THAT 

1356
01:03:25,684 --> 01:03:26,618
FOOD GROUP THAT'S THEN USED IN 

1357
01:03:26,618 --> 01:03:27,820
THE MODELLING ANALYSES THAT 

1358
01:03:27,820 --> 01:03:36,462
WE'RE GOING TO DO.

1359
01:03:36,462 --> 01:03:39,298
SHOULD FOODS AND BEVERAGES WITH 

1360
01:03:39,298 --> 01:03:41,633
LOWER NUTRIENT DENSITY, ADDED 

1361
01:03:41,633 --> 01:03:45,304
SUGAR, FAT AND SODIUM CONTRIBUTE

1362
01:03:45,304 --> 01:03:49,575
TO ITEM CLUSTERS AND FOOD GROUP 

1363
01:03:49,575 --> 01:03:51,510
AND SUB GROUP WITHIN THE 

1364
01:03:51,510 --> 01:03:52,010
PATTERN?

1365
01:03:52,010 --> 01:03:54,279
SO FOR EACH ONE OF THESE FOODS 

1366
01:03:54,279 --> 01:03:58,917
THAT EXISTS, WE CHOOSE A 

1367
01:03:58,917 --> 01:04:01,286
REPRESENTATIVE FOOD THAT IS THE 

1368
01:04:01,286 --> 01:04:02,221
MOST NEWT RINT DENSE WITH THE 

1369
01:04:02,221 --> 01:04:05,691
LOWEST AMOUNT OF ADDED SUGAR AND

1370
01:04:05,691 --> 01:04:07,159
SATURATED FAT AND SODIUM.

1371
01:04:07,159 --> 01:04:10,062
AS A COMPONENT OF FOOD PATTERN 

1372
01:04:10,062 --> 01:04:11,497
MODELLING IT ADDRESSES SOME OF 

1373
01:04:11,497 --> 01:04:13,766
THE CONCERNS AROUND TRYING TO 

1374
01:04:13,766 --> 01:04:15,968
MINIMIZE ADDED SUGAR AND 

1375
01:04:15,968 --> 01:04:17,669
SATURATED FAT AND SODIUM.

1376
01:04:17,669 --> 01:04:19,304
THERE'S ALSO ALSO A VARIETY OF 

1377
01:04:19,304 --> 01:04:21,774
FOODS WITHIN THE CATEGORY THE 

1378
01:04:21,774 --> 01:04:24,309
REPRESENTATIVE FOOD THAT 

1379
01:04:24,309 --> 01:04:27,146
REPRESENTS THAT LOWEST AMOUNT OF

1380
01:04:27,146 --> 01:04:29,715
ADDED SUGAR AND SATURATED FAT 

1381
01:04:29,715 --> 01:04:34,353
STILL CONTAINS LOADED SUGAR AND 

1382
01:04:34,353 --> 01:04:35,988
SATURATED FAT AND SODIUM AND 

1383
01:04:35,988 --> 01:04:38,757
LOOKING IF THERE'S EVIDENCE IN 

1384
01:04:38,757 --> 01:04:42,861
THE DATA REMOVING THE FOODS TO 

1385
01:04:42,861 --> 01:04:47,432
GET AT THOSE KEY FOOD GROUPS.

1386
01:04:47,432 --> 01:04:48,767
IT'S NOT ABOUT ADDRESSING 

1387
01:04:48,767 --> 01:04:51,236
WHETHER SOME FOODS ARE NUTRIENT 

1388
01:04:51,236 --> 01:04:53,672
DENSE CONTRIBUTORS TO THE 

1389
01:04:53,672 --> 01:04:55,240
WEIGHTED AVERAGE AND NUTRIENT 

1390
01:04:55,240 --> 01:04:58,377
DENSE FAT-FREE MILK SHOULD A 

1391
01:04:58,377 --> 01:05:03,949
DESSERT WITH MILK ADDED AS AN 

1392
01:05:03,949 --> 01:05:05,684
INGREDIENT PROPORTION TO THE 

1393
01:05:05,684 --> 01:05:07,019
FLUID MILK BEING CALCULATED?

1394
01:05:07,019 --> 01:05:08,387
THIS IS THE CONCEPT WE'RE 

1395
01:05:08,387 --> 01:05:09,788
LOOKING AT IN TERMS OF THE 

1396
01:05:09,788 --> 01:05:11,690
SOURCES OF THE FOODS WHEN YOU 

1397
01:05:11,690 --> 01:05:14,193
SEPARATE OUT EACH ONE OF THE 

1398
01:05:14,193 --> 01:05:16,261
FOODS THAT ARE INTO THEIR 

1399
01:05:16,261 --> 01:05:26,538
COMPONENT ITEMS.

1400
01:05:26,939 --> 01:05:31,610
AT THE EXISTING METHODS YOU TAKE

1401
01:05:31,610 --> 01:05:34,513
A LOOK LIKE LASAGNA AND SEPARATE

1402
01:05:34,513 --> 01:05:37,783
IT INTO THE NOODLES AND PEPPER 

1403
01:05:37,783 --> 01:05:40,118
AND SAUCE AND MEAT AND GOES INTO

1404
01:05:40,118 --> 01:05:42,521
INDIVIDUAL GROUPS AND ALL THOSE 

1405
01:05:42,521 --> 01:05:43,789
ITEMS WITHIN THE CHEESE ALL 

1406
01:05:43,789 --> 01:05:46,491
THOSE ITEMS WOULD BE SEPARATED 

1407
01:05:46,491 --> 01:05:49,761
OUT INTO THEIR OWN ITEMS TO 

1408
01:05:49,761 --> 01:05:55,067
CREATE THE NUTRIENT PROFILE.

1409
01:05:55,067 --> 01:05:56,134
CURRENTLY ALL FOODS ARE 

1410
01:05:56,134 --> 01:05:57,469
SEPARATED OUT AND MATCHED TO A 

1411
01:05:57,469 --> 01:05:59,671
REPRESENTATIVE FOOD AND HOW YOU 

1412
01:05:59,671 --> 01:06:01,506
CREATE THE PROFILE.

1413
01:06:01,506 --> 01:06:06,345
THE QUESTION WAS THEN SHOULD 

1414
01:06:06,345 --> 01:06:09,648
SOME ITEMS BE REMOVED FROM 

1415
01:06:09,648 --> 01:06:12,751
CONTRIBUTING TO THE DEVELOPMENT 

1416
01:06:12,751 --> 01:06:14,019
OF THE NUTRIENT PROFILE UP 

1417
01:06:14,019 --> 01:06:21,793
HIGHER IN SATURATED FAT AND SHUG

1418
01:06:21,793 --> 01:06:32,004
AND SODIUM.

1419
01:06:51,623 --> 01:06:53,692
THE NUTRITIONAL COMPOSITION MAY 

1420
01:06:53,692 --> 01:06:55,727
DIFFERENT AND THE SUBCOMMITTEE 

1421
01:06:55,727 --> 01:06:57,195
CONSIDERED QUANTITATIVE METHODS 

1422
01:06:57,195 --> 01:07:01,867
FOR OBJECTIVELY DETERMINING 

1423
01:07:01,867 --> 01:07:04,803
WHICH FOODS TO EXCLUDE AND SOME 

1424
01:07:04,803 --> 01:07:05,671
WERE NOT IDEAL.

1425
01:07:05,671 --> 01:07:07,673
WE DID NOT WANT TO BE LEFT WITH 

1426
01:07:07,673 --> 01:07:11,610
ONLY A LIST OF INGREDIENTS AND 

1427
01:07:11,610 --> 01:07:13,612
MISSED THE OPPORTUNITY FOR HOW 

1428
01:07:13,612 --> 01:07:15,814
INGREDIENTS ARE CONSUMED WITHIN 

1429
01:07:15,814 --> 01:07:17,282
VARIOUS FOOD WASTE.

1430
01:07:17,282 --> 01:07:20,185
SO WHAT WE ULTIMATELY CAME TO 

1431
01:07:20,185 --> 01:07:23,689
WAS TO CHOOSE FOODS CATEGORIZED 

1432
01:07:23,689 --> 01:07:26,191
AS DESSERTS AND SNACKS AND 

1433
01:07:26,191 --> 01:07:29,661
SWEETS AND DAIRY DESSERTS BECAME

1434
01:07:29,661 --> 01:07:31,997
THE DIFFERENTIATING FACTOR 

1435
01:07:31,997 --> 01:07:32,698
WITHIN THE FOOD GROUPS.

1436
01:07:32,698 --> 01:07:35,033
SO WE LOOKED AT THOSE FROM THE 

1437
01:07:35,033 --> 01:07:37,235
WHAT WE EAT IN AMERICA FOOD 

1438
01:07:37,235 --> 01:07:38,537
CATEGORIES AND THEY'RE ITEM 

1439
01:07:38,537 --> 01:07:41,707
CLUSTERS AND USED THAT FOR THE 

1440
01:07:41,707 --> 01:07:48,647
REVISED NUTRIENT PROFILE.

1441
01:07:48,647 --> 01:07:50,649
TO CONDUCT THE WORK WE USED THE 

1442
01:07:50,649 --> 01:07:56,888
WHAT WE EAT IN AMERICA NHANES 

1443
01:07:56,888 --> 01:08:00,058
DATA FOR INDIVIDUALS OVER 1 YEAR

1444
01:08:00,058 --> 01:08:05,697
AND PRODUCE ESTIMATES AND THE 

1445
01:08:05,697 --> 01:08:08,433
DATABASES WHAT WE EAT IN AMERICA

1446
01:08:08,433 --> 01:08:11,670
FOOD CATEGORIES AND THE SR DATA 

1447
01:08:11,670 --> 01:08:18,744
FOR THE NUTRIENT COMPOSITION.

1448
01:08:18,744 --> 01:08:21,346
WHAT THIS PRESENTS IS NOT A LIST

1449
01:08:21,346 --> 01:08:23,148
OF ALL FOOD AND BEVERAGES LOW IN

1450
01:08:23,148 --> 01:08:25,751
DENSITY BUT THE LIST OF WHAT WE 

1451
01:08:25,751 --> 01:08:29,588
EAT IN AMERICA FOOD CATEGORIES 

1452
01:08:29,588 --> 01:08:32,457
WE EXCLUDED FROM THE ANALYSIS 

1453
01:08:32,457 --> 01:08:34,226
FOR THE MODIFIED NUTRIENT 

1454
01:08:34,226 --> 01:08:34,793
PROFILE.

1455
01:08:34,793 --> 01:08:37,763
AS NOTED PREVIOUSLY WE'RE TRYING

1456
01:08:37,763 --> 01:08:40,432
TO DEFINE ALL FRUITS AND 

1457
01:08:40,432 --> 01:08:41,500
BEVERAGES FOR THE PURPOSE OF 

1458
01:08:41,500 --> 01:08:43,702
EXCLUSION HAD SEVERAL 

1459
01:08:43,702 --> 01:08:45,771
CHALLENGES.

1460
01:08:45,771 --> 01:08:47,506
SO TRYING TO IDENTIFY VARIATIONS

1461
01:08:47,506 --> 01:08:49,074
OF DIFFERENT TYPES AND SIMILAR 

1462
01:08:49,074 --> 01:08:52,744
FOODS THAT MAY HAVE DIFFERENT 

1463
01:08:52,744 --> 01:08:53,345
NUTRIENT COMPOSITIONS.

1464
01:08:53,345 --> 01:08:55,013
CREATED A LOT OF CHALLENGES AND 

1465
01:08:55,013 --> 01:08:58,583
IN SOME PLACES A HIGHER NATURAL 

1466
01:08:58,583 --> 01:09:00,519
SODIUM INTAKE WOULD MAKE 

1467
01:09:00,519 --> 01:09:05,057
SOMETHING LESS DESIRABLE THAT 

1468
01:09:05,057 --> 01:09:06,658
MAY BE OTHERWISE CONSIDERED 

1469
01:09:06,658 --> 01:09:06,925
DESIRABLE.

1470
01:09:06,925 --> 01:09:09,694
SO SODIUM KIND OF CREATED A 

1471
01:09:09,694 --> 01:09:11,663
CHALLENGE SOMEWHAT WITHIN 

1472
01:09:11,663 --> 01:09:14,933
LOOKING AT THE FOODS.

1473
01:09:14,933 --> 01:09:18,336
THE UBIQUITOUS NATURE OF IT.

1474
01:09:18,336 --> 01:09:20,639
WITHIN THIS THE SUBCOMMITTEE WAS

1475
01:09:20,639 --> 01:09:22,174
IN AGREEMENT THE CATEGORIES ARE 

1476
01:09:22,174 --> 01:09:24,943
LOWER IN NUTRIENT DENSITY AND 

1477
01:09:24,943 --> 01:09:27,446
SOURCES OF ADDED SUGAR AND 

1478
01:09:27,446 --> 01:09:29,314
SATURATED FAT AND BECAME THE 

1479
01:09:29,314 --> 01:09:33,885
FOODS WE CHOSE TO EXCLUDE FROM 

1480
01:09:33,885 --> 01:09:38,356
THE NUTRIENT PROFILE.

1481
01:09:38,356 --> 01:09:40,025
THERE ARE TWO FOOD GROUP WHERE 

1482
01:09:40,025 --> 01:09:42,394
THE EXCLUSIONS MADE A DIFFERENCE

1483
01:09:42,394 --> 01:09:44,029
IN THE FOOD GROUP NUTRIENT 

1484
01:09:44,029 --> 01:09:45,130
PROFILE.

1485
01:09:45,130 --> 01:09:45,964
THE DAIRY AND FORTIFIED SOY 

1486
01:09:45,964 --> 01:09:50,969
GROUP AND THE REFINED GRAINS 

1487
01:09:50,969 --> 01:09:52,537
WERE THE TWO MAJOR AREAS WHERE 

1488
01:09:52,537 --> 01:09:56,007
WE SAW THE COLLUSIONS FROM 

1489
01:09:56,007 --> 01:09:58,243
DESERTS, SWEETS AND MILK SHAKES.

1490
01:09:58,243 --> 01:10:03,648
SO WHEN WE REMOVED MILK SHAKES, 

1491
01:10:03,648 --> 01:10:05,884
THE FLUID MILL AND THE REDUCTION

1492
01:10:05,884 --> 01:10:08,253
OF FLUID MILK WITHIN THE PROFILE

1493
01:10:08,253 --> 01:10:11,690
MEANS A GREATER PROPORTIONAL 

1494
01:10:11,690 --> 01:10:13,925
INCREASE IN CHEESE IN THE DAIRY 

1495
01:10:13,925 --> 01:10:14,392
GROUP.

1496
01:10:14,392 --> 01:10:17,696
SO CHEESE HAD A SLIGHTLY HIGHER 

1497
01:10:17,696 --> 01:10:19,164
CONTRIBUTION OF COUNTING TOWARDS

1498
01:10:19,164 --> 01:10:23,001
THE TOTAL CUP EQUIVALENCE BUT 

1499
01:10:23,001 --> 01:10:24,903
SLIGHTLY LOWER CALORIE LEVEL 

1500
01:10:24,903 --> 01:10:26,404
WITH REPRESENTATIVE FOOD.

1501
01:10:26,404 --> 01:10:28,673
THERE WAS A 17 CALORIE DECREASE 

1502
01:10:28,673 --> 01:10:30,775
IN THE CUP EQUIVALENCE FOR MILK.

1503
01:10:30,775 --> 01:10:33,778
THE QUOTE, UNQUOTE, IF YOU HAD A

1504
01:10:33,778 --> 01:10:37,782
MILK OR DAIRY OR FORTIFIED SOY 

1505
01:10:37,782 --> 01:10:39,251
SERVING OR OUNCE EQUIVALENT.

1506
01:10:39,251 --> 01:10:42,220
THIS HAS IMPLICATIONS FOR 

1507
01:10:42,220 --> 01:10:44,422
CALCIUM, VITAMIN A AND D AND 

1508
01:10:44,422 --> 01:10:47,092
SODIUM RELATED TO THE REDUCTION 

1509
01:10:47,092 --> 01:10:51,029
IN THE PROPORTION OF FLUID MILK 

1510
01:10:51,029 --> 01:10:52,931
COUNTING TOWARDS THE FOOD GROUP.

1511
01:10:52,931 --> 01:10:57,102
SIMILARLY WITHIN REFINED GRAINS 

1512
01:10:57,102 --> 01:11:00,138
THE IMPLICATIONS FOR NUTRIENTS 

1513
01:11:00,138 --> 01:11:00,906
WERE SMALL.

1514
01:11:00,906 --> 01:11:02,874
DIFFERENCES DUE TO DECREASE IN 

1515
01:11:02,874 --> 01:11:05,677
SUGAR AND THE SHIFT TO CHEESE AS

1516
01:11:05,677 --> 01:11:07,679
FEWER CALORIES PER CUP 

1517
01:11:07,679 --> 01:11:08,180
EQUIVALENT.

1518
01:11:08,180 --> 01:11:09,614
THIS WOULD BE PART OF OUR 

1519
01:11:09,614 --> 01:11:13,385
CONVERSATIONS THROUGHOUT THE DAY

1520
01:11:13,385 --> 01:11:14,819
IN TERMS OF WHAT HAPPENS WHEN 

1521
01:11:14,819 --> 01:11:16,755
SMALL CHANGES ARE MADE BUT WITH 

1522
01:11:16,755 --> 01:11:18,557
LESS FLUID MILK AND MORE CHEESE 

1523
01:11:18,557 --> 01:11:27,432
AND SLIGHTLY FEW IR ADDED SHUCK 

1524
01:11:27,432 --> 01:11:29,668
SUGARS AND THE CALORIE LEVELS 

1525
01:11:29,668 --> 01:11:30,468
DROPPED.

1526
01:11:30,468 --> 01:11:32,737
THE SUMMARY STATEMENT WAS THAT 

1527
01:11:32,737 --> 01:11:35,640
WE DID NOTE DIFFERENCES IN THE 

1528
01:11:35,640 --> 01:11:37,142
NUTRIENT PROFILE WITHIN THE 

1529
01:11:37,142 --> 01:11:40,679
EXCLUSION OF SOME FOODS LOWER IN

1530
01:11:40,679 --> 01:11:41,546
NUTRIENT DENSITY.

1531
01:11:41,546 --> 01:11:45,717
FOR THE REMAINDER OF THE FOOD 

1532
01:11:45,717 --> 01:11:47,385
PATTERN MODELLING ANALYSES WE 

1533
01:11:47,385 --> 01:11:50,488
USED THIS REVISED BASIS NUTRIENT

1534
01:11:50,488 --> 01:11:57,862
PROFILE FOR THE REST OF THE 

1535
01:11:57,862 --> 01:12:01,766
ANALYSES.

1536
01:12:01,766 --> 01:12:05,437
ONCE WE HAD THE REVISED PROFILE 

1537
01:12:05,437 --> 01:12:09,407
WE LOOKED AT HOW THIS WOULD BE 

1538
01:12:09,407 --> 01:12:10,875
IMPLEMENTED BASED ON DIFFERENT 

1539
01:12:10,875 --> 01:12:12,277
POPULATION GROUPS IN THE INTAKES

1540
01:12:12,277 --> 01:12:14,546
THAT WERE REPORTED IN WHAT WE 

1541
01:12:14,546 --> 01:12:21,820
EAT IN AMERICA 2017, 2018 BASED 

1542
01:12:21,820 --> 01:12:24,389
ON DIFFERENT POPULATION GROUPS.

1543
01:12:24,389 --> 01:12:27,492
WHAT ARE DIFFERENCES IN THE 

1544
01:12:27,492 --> 01:12:28,827
NUTRIENT PROFILES WHEN 

1545
01:12:28,827 --> 01:12:30,562
CALCULATING USING DIETARY 

1546
01:12:30,562 --> 01:12:32,731
INTAKES FROM U.S. POPULATION AND

1547
01:12:32,731 --> 01:12:33,531
POPULATION SUBGROUPS?

1548
01:12:33,531 --> 01:12:39,804
SO THE GROUPS THAT WE LOOKED AT 

1549
01:12:39,804 --> 01:12:40,872
EARLIER HISPANIC ORIGIN AND 

1550
01:12:40,872 --> 01:12:41,706
INCOME INTEREST THE ANALYSES 

1551
01:12:41,706 --> 01:12:49,514
WE'LL LOOK AT HERE.

1552
01:12:49,514 --> 01:12:53,685
THERE WERE ONLY A FEW PARTICULAR

1553
01:12:53,685 --> 01:12:56,288
AREAS WHERE THE POPULATION GROUP

1554
01:12:56,288 --> 01:12:58,056
INTAKES SHOWED DIFFERENCES IN 

1555
01:12:58,056 --> 01:13:01,760
HOW THE NUTRIENT PROFILES WOULD 

1556
01:13:01,760 --> 01:13:02,227
CALCULATE.

1557
01:13:02,227 --> 01:13:07,565
IN FLUID MILK OR IN DAIRY AND 

1558
01:13:07,565 --> 01:13:10,101
FORTIFIED SOY WE NOTICED A 

1559
01:13:10,101 --> 01:13:13,772
DIFFERENCE IN NON-HISPANIC ASIAN

1560
01:13:13,772 --> 01:13:20,045
AS A HIGHER PROPORTION OF THEIR 

1561
01:13:20,045 --> 01:13:21,780
SOY PRODUCTS COMING FROM FLUID 

1562
01:13:21,780 --> 01:13:32,223
MILK AND LESS FROM CHEESE.

1563
01:13:49,374 --> 01:13:51,509
AND THE PROPORTION OF CHEESE WAS

1564
01:13:51,509 --> 01:13:57,449
HIGHEST IN THE PROFILE FOR THE 

1565
01:13:57,449 --> 01:14:05,890
NON-HISPANIC BLACK POPULATION 

1566
01:14:05,890 --> 01:14:07,392
AND THE PROPORTION OF CHEESE 

1567
01:14:07,392 --> 01:14:12,163
INCREASES AS THE PERCENT OF 

1568
01:14:12,163 --> 01:14:15,400
MAKING UP THE DAIRY AND 

1569
01:14:15,400 --> 01:14:25,810
FORTIFIED SOY CATEGORY.

1570
01:14:35,754 --> 01:14:44,863
THERE'S DAIRY AND SOY AND THE 

1571
01:14:44,863 --> 01:14:46,798
NON-HISPANIC ENERGY INTAKE WILL 

1572
01:14:46,798 --> 01:14:49,067
BE SLIGHTLY HIGHER BECAUSE THE 

1573
01:14:49,067 --> 01:14:50,869
LOWER PROPORTION OF CHEESE AND 

1574
01:14:50,869 --> 01:14:53,671
HIGHER PERCENT OF FLUID MILK AND

1575
01:14:53,671 --> 01:15:03,815
VITAMIN A WOULD BE HIGHER.

1576
01:15:03,815 --> 01:15:07,752
MILK HAS HIGHER PERCENTAGES OF 

1577
01:15:07,752 --> 01:15:18,229
VITAMINS COMPARED TO CHEESE.

1578
01:15:28,306 --> 01:15:30,775
THE ITEM CLUSTERS ARE NOTABLY 

1579
01:15:30,775 --> 01:15:32,177
DIFFERENT AMONG THOSE CLASSIFIED

1580
01:15:32,177 --> 01:15:35,613
AS NON-HISPANIC ASIAN WHERE 

1581
01:15:35,613 --> 01:15:37,382
WHITE RICE CONTRIBUTES A LARGER 

1582
01:15:37,382 --> 01:15:38,316
PROPORTION TO THE NUTRIENT 

1583
01:15:38,316 --> 01:15:41,686
PROFILE THAN IT DOES FOR OTHER 

1584
01:15:41,686 --> 01:15:45,790
POPULATION GROUPS.

1585
01:15:45,790 --> 01:15:49,194
THE MAIN DIFFERENCES ARE FOR 

1586
01:15:49,194 --> 01:15:53,064
VITAMIN A AND FOLATE AND CALCIUM

1587
01:15:53,064 --> 01:15:54,732
AND MORE RICE AND LESS BREAD 

1588
01:15:54,732 --> 01:16:00,805
PRODUCTS THAT ARE ENRICHED OR 

1589
01:16:00,805 --> 01:16:01,206
FORTIFIED.

1590
01:16:01,206 --> 01:16:06,845
WE'LL SEE THAT IN THE DATA BY 

1591
01:16:06,845 --> 01:16:09,781
WHOLE GRAINS BY POPULATION 

1592
01:16:09,781 --> 01:16:10,515
GROUP.

1593
01:16:10,515 --> 01:16:11,916
SIMILARLY THE PROFILE FOR WHOLE 

1594
01:16:11,916 --> 01:16:13,485
GRAIN STANDS OUT THE PROPORTION 

1595
01:16:13,485 --> 01:16:17,155
FOR NON-HISPANIC ASIAN.

1596
01:16:17,155 --> 01:16:18,890
THE PROFILE FOR NON HISPANIC 

1597
01:16:18,890 --> 01:16:22,560
ASIAN HAD A HIGHER AMOUNT OF 

1598
01:16:22,560 --> 01:16:25,763
BROWN RICE AND WHOLE WHEAT PETA 

1599
01:16:25,763 --> 01:16:31,870
AND TORTILLAS AND READY TO EAT 

1600
01:16:31,870 --> 01:16:34,405
CEREAL BARS THAT MAY HAVE MORE 

1601
01:16:34,405 --> 01:16:34,806
FORTIFICATION.

1602
01:16:34,806 --> 01:16:35,740
SEEING THOSE DIFFERENCES PLAY 

1603
01:16:35,740 --> 01:16:37,809
OUT WITHIN EACH OF THE NUTRIENT 

1604
01:16:37,809 --> 01:16:47,785
PROFILES THEMSELVES.

1605
01:16:47,785 --> 01:16:49,020
WE'LL TAKE THE BASIS PROTOCOL 

1606
01:16:49,020 --> 01:16:52,257
AND MOVE THAT FORWARD AND LOOK 

1607
01:16:52,257 --> 01:16:57,762
AT THE POPULATION LEVEL PROTOCOL

1608
01:16:57,762 --> 01:17:04,936
AND THEN CALCULATE THE A  

1609
01:17:04,936 --> 01:17:08,206
PATTERNS USING THE POPULATION 

1610
01:17:08,206 --> 01:17:09,974
SPECIFIC GROUP PROFILE TO SEE IF

1611
01:17:09,974 --> 01:17:11,576
WE SEE DIFFERENCES IN THE 

1612
01:17:11,576 --> 01:17:17,315
NUTRIENT OUTCOMES OF THE PATTERN

1613
01:17:17,315 --> 01:17:17,949
BASED ON THE DIFFERENT 

1614
01:17:17,949 --> 01:17:27,559
POPULATION GROUPS.

1615
01:17:27,559 --> 01:17:33,131
WE HAVE POPULATIONS 1 AND OLDER 

1616
01:17:33,131 --> 01:17:38,269
AND INTEGRATED IN THE ANALYSES 

1617
01:17:38,269 --> 01:17:39,170
IN THE CENTER COLUMN AND THOSE 

1618
01:17:39,170 --> 01:17:40,838
YET TO BE COMPLETED.

1619
01:17:40,838 --> 01:17:42,240
WE USED THE GROUP SPECIFIC 

1620
01:17:42,240 --> 01:17:45,810
NUTRIENT PROFILES DURING THE 

1621
01:17:45,810 --> 01:17:48,446
FINAL SYNTHESIS PHASE IN THAT 

1622
01:17:48,446 --> 01:17:49,781
YELLOW HIGHLIGHTED SECTION TO 

1623
01:17:49,781 --> 01:17:53,718
TEST THE PROPOSED PATTERNS 

1624
01:17:53,718 --> 01:17:56,654
AGAINST NUTRITIONAL GOALS WHILE 

1625
01:17:56,654 --> 01:17:57,889
CONSIDERATION VARIATIONS IN 

1626
01:17:57,889 --> 01:18:07,098
DIETARY INTAKES.

1627
01:18:07,098 --> 01:18:13,671
SO, WE HAVE MORE GROUND TO COVER

1628
01:18:13,671 --> 01:18:15,974
BUT SOME HAVE BEEN HOLDING 

1629
01:18:15,974 --> 01:18:17,909
QUESTIONS OR A LONG TIME MAYBE.

1630
01:18:17,909 --> 01:18:18,910
GO AHEAD.

1631
01:18:18,910 --> 01:18:28,086
>> WHEN THINKING ABOUT THE

1632
01:18:28,086 --> 01:18:29,621
NUTRIENT PROFILE DEVELOPMENT AND

1633
01:18:29,621 --> 01:18:31,823
LOOKING AT MILK AND SOY 

1634
01:18:31,823 --> 01:18:34,892
FORTIFIED PRODUCTS, WHAT WAS THE

1635
01:18:34,892 --> 01:18:35,727
SUBCOMMITTEE'S DISCUSSION ABOUT 

1636
01:18:35,727 --> 01:18:41,165
PERHAPS INTOLERANCES ACROSS SOME

1637
01:18:41,165 --> 01:18:45,503
OF THE POPULATION GROUPS AND WAS

1638
01:18:45,503 --> 01:18:46,871
IT DISCUSSED WHETHER TO SEPARATE

1639
01:18:46,871 --> 01:18:53,011
OUT THE NON-DAIRY BASED OPTIONS 

1640
01:18:53,011 --> 01:18:57,815
VERSUS OTHER MILKS, 

1641
01:18:57,815 --> 01:18:58,149
ALTERNATIVES.

1642
01:18:58,149 --> 01:19:00,485
>> SO WITHIN THE DATA
THEY'LL BE

1643
01:19:00,485 --> 01:19:03,621
CODED BASED ON AND TAKING OUT 

1644
01:19:03,621 --> 01:19:05,189
THE FOODS THROUGHOUT FROM THE 

1645
01:19:05,189 --> 01:19:06,858
CONSUMPTION AROUND LOOKING AT 

1646
01:19:06,858 --> 01:19:08,793
THE DISTRIBUTION.

1647
01:19:08,793 --> 01:19:11,362
BUT I'M GOING TO PUT A PAUSE 

1648
01:19:11,362 --> 01:19:13,398
BUTTON ON THE MILK ALTERNATIVES 

1649
01:19:13,398 --> 01:19:15,733
BECAUSE THAT FALLS IN OUR 

1650
01:19:15,733 --> 01:19:19,637
PROTOCOLS WE'RE LOOKING AT 

1651
01:19:19,637 --> 01:19:26,377
BECAUSE IN THE '17, '18 DATA 

1652
01:19:26,377 --> 01:19:28,079
ONLY SOY FORTIFIED BEVERAGES 

1653
01:19:28,079 --> 01:19:29,547
COUNTED IN THE MILK ALTERNATIVES

1654
01:19:29,547 --> 01:19:33,818
BUT MOVING FORWARD WE HAVE MORE 

1655
01:19:33,818 --> 01:19:35,753
TO COME.

1656
01:19:35,753 --> 01:19:38,389
SO IT WILL BE BASED ON THE 

1657
01:19:38,389 --> 01:19:40,358
PATTERN AND DEVELOPING THE 

1658
01:19:40,358 --> 01:19:41,859
NUTRIENT PROFILE WITH THE 

1659
01:19:41,859 --> 01:19:46,531
PROPORTION OF CONTRIBUTION AS IT

1660
01:19:46,531 --> 01:19:48,199
COMES FROM THE GROUP FOLLOWING 

1661
01:19:48,199 --> 01:19:50,468
THE HEALTHY U.S. STYLE PATTERN 

1662
01:19:50,468 --> 01:19:52,870
AND GETTING TO THE FORTIFIED SOY

1663
01:19:52,870 --> 01:19:54,005
CONVERSATION WE CAN INSERT THAT 

1664
01:19:54,005 --> 01:19:57,608
BACK IN GETTING BACK IN OUR 

1665
01:19:57,608 --> 01:19:58,276
SYNTHESIS STATEMENT OR SYNTHESIS

1666
01:19:58,276 --> 01:20:01,679
ASPECTS LATER.

1667
01:20:01,679 --> 01:20:06,851
>> I'M TRYING TO
UNDERSTAND THE 

1668
01:20:06,851 --> 01:20:07,185
IMPLICATIONS.

1669
01:20:07,185 --> 01:20:11,756
WOULD THAT THEN ALLOW FOR A 

1670
01:20:11,756 --> 01:20:13,825
SUBPOPULATION FOR ALLERGIES OR 

1671
01:20:13,825 --> 01:20:17,562
INTOLERANCES MORE LIKELY TO 

1672
01:20:17,562 --> 01:20:23,634
OCCUR TO NOT HAVE GUIDANCE THAT 

1673
01:20:23,634 --> 01:20:25,903
SUGGESTS FOODS TRADITIONALLY 

1674
01:20:25,903 --> 01:20:27,872
MILK BASED WOULD BE INCLUDED?

1675
01:20:27,872 --> 01:20:30,108
>> YES, THAT IS WHAT'S
COMING 

1676
01:20:30,108 --> 01:20:34,078
SOON AFTER WE GET THROUGH A FEW 

1677
01:20:34,078 --> 01:20:35,246
MORE.

1678
01:20:35,246 --> 01:20:36,280
>> IT SEEMS LIKE YOU CAN 

1679
01:20:36,280 --> 01:20:37,815
CALCULATE IT.

1680
01:20:37,815 --> 01:20:40,284
THE LIST OF LOW NUTRIENT DENSE 

1681
01:20:40,284 --> 01:20:42,320
FOODS YOU DECIDED TO REMOVE FOR 

1682
01:20:42,320 --> 01:20:45,056
THE SAKE OF THE EXERCISE, THAT 

1683
01:20:45,056 --> 01:20:47,225
WAS A COMPLETE LIST NOT AN 

1684
01:20:47,225 --> 01:20:47,759
EXAMPLE LIST.

1685
01:20:47,759 --> 01:20:48,526
IS THAT TRUE?

1686
01:20:48,526 --> 01:20:49,494
>> CORRECT.

1687
01:20:49,494 --> 01:20:51,629
>> AS A COMPLETE LIST DID
YOU 

1688
01:20:51,629 --> 01:20:53,631
EVER CALCULATE THE PROPORTION OF

1689
01:20:53,631 --> 01:20:54,499
U.S. CALORIES THAT COME FROM 

1690
01:20:54,499 --> 01:20:56,667
THAT LIST?

1691
01:20:56,667 --> 01:21:01,806
IS IT 5%, 10% OR 20% OF THE 

1692
01:21:01,806 --> 01:21:02,507
U.S. DIET?

1693
01:21:02,507 --> 01:21:04,809
IT WOULD BE INTERESTING TO KNOW 

1694
01:21:04,809 --> 01:21:07,645
WHAT YOU HAD TO EXCLUDE TO MAKE 

1695
01:21:07,645 --> 01:21:09,814
THE REVISED LIST?

1696
01:21:09,814 --> 01:21:13,284
>> THIS IS LIKE DEFENDING
YOUR 

1697
01:21:13,284 --> 01:21:14,452
CANDIDACY EXAM.

1698
01:21:14,452 --> 01:21:15,753
THERE ARE SO MANY DATA POINTS 

1699
01:21:15,753 --> 01:21:19,390
AND I KNOW WHERE WE ULTIMATELY 

1700
01:21:19,390 --> 01:21:21,025
LOOKED AT WHAT THE NUTRIENT 

1701
01:21:21,025 --> 01:21:23,127
PROFILE LOOKED LIKE IF YOU TOOK 

1702
01:21:23,127 --> 01:21:25,797
THIS OUT AND THIS OUT AND THIS 

1703
01:21:25,797 --> 01:21:29,767
OUT.

1704
01:21:29,767 --> 01:21:32,904
ULTIMATELY WHEN YOU DIRECT FOOD 

1705
01:21:32,904 --> 01:21:34,405
PIECE ACCOUNTS FOR A LOT OF WHAT

1706
01:21:34,405 --> 01:21:35,740
HAPPENS IN THE DATA.

1707
01:21:35,740 --> 01:21:39,911
YOU'LL HAVE A WIDE VARIETY OF 

1708
01:21:39,911 --> 01:21:41,045
SATURATED FOOT AND SAY PROTEIN 

1709
01:21:41,045 --> 01:21:43,714
FOODS BUT WHEN YOU TAKE IT TO 

1710
01:21:43,714 --> 01:21:45,449
THE REPRESENT FOOD IT HELPS 

1711
01:21:45,449 --> 01:21:47,752
CONSTRAIN THAT A LITTLE BIT.

1712
01:21:47,752 --> 01:21:51,923
THEN WHEN YOU LOOK AT HOW DOES 

1713
01:21:51,923 --> 01:21:56,194
THE PROFILE CHANGE?

1714
01:21:56,194 --> 01:21:59,664
THESE WERE I'D SAY INCREMENTAL 

1715
01:21:59,664 --> 01:22:01,666
SMALL DIFFERENCES BUT ENOUGH TO 

1716
01:22:01,666 --> 01:22:05,770
SHOW NUTRITIONAL IMPLICATIONS OF

1717
01:22:05,770 --> 01:22:06,971
THE PREVIOUS COMMENT AND WHY YOU

1718
01:22:06,971 --> 01:22:08,573
INCLUDE THESE OR THAT.

1719
01:22:08,573 --> 01:22:13,778
THERE'S AN EXERCISE TO TEST TO 

1720
01:22:13,778 --> 01:22:15,680
SEE IF IT'S NECESSARY AND SAW 

1721
01:22:15,680 --> 01:22:19,951
TWO CATEGORIES WHERE IT HAD A 

1722
01:22:19,951 --> 01:22:21,819
CONSIDERABLE DIFFERENCE TO COME 

1723
01:22:21,819 --> 01:22:28,659
FORWARD WITH THE CHANGE.

1724
01:22:28,659 --> 01:22:32,330
>> THIS IS REALLY
EXCELLENT WORK

1725
01:22:32,330 --> 01:22:33,798
AND HARD WORK.

1726
01:22:33,798 --> 01:22:36,801
SO KUDOS JUST TO START.

1727
01:22:36,801 --> 01:22:38,469
I HAVE TWO QUESTIONS AND ONE IS 

1728
01:22:38,469 --> 01:22:39,070
A CLARIFYING QUESTION.

1729
01:22:39,070 --> 01:22:41,505
I WANT TO MAKE SURE THAT I 

1730
01:22:41,505 --> 01:22:45,743
UNDERSTAND WHEN YOU LOOK AT THE 

1731
01:22:45,743 --> 01:22:49,814
PERCENTAGES ACROSS RACIAL AND 

1732
01:22:49,814 --> 01:22:52,717
ETHNIC GROUPS OR ETHNIC 

1733
01:22:52,717 --> 01:22:53,918
CLASSIFICATION AND INCOME AS FAR

1734
01:22:53,918 --> 01:22:55,987
AS PERCENTAGES IT'S THE DAIRY 

1735
01:22:55,987 --> 01:22:58,890
AND FLUID MILK AS A PERCENTAGE 

1736
01:22:58,890 --> 01:23:01,592
OF THE OVER ALL CONSUMPTION OF 

1737
01:23:01,592 --> 01:23:07,164
DAIRY THAT TAKES OUT THE IDEA OF

1738
01:23:07,164 --> 01:23:07,531
[INDISCERNIBLE] 

1739
01:23:07,531 --> 01:23:10,434
>> SAYING OF HOW MUCH OF
THE 

1740
01:23:10,434 --> 01:23:13,271
MILK -- HOW MUCH OF THE DAIRY 

1741
01:23:13,271 --> 01:23:14,505
AND FORTIFIED SOY CATEGORIES 

1742
01:23:14,505 --> 01:23:16,574
BEING CONSUMED HOW MUCH COMES 

1743
01:23:16,574 --> 01:23:21,379
FROM EACH OF THOSE SUBGROUPS.

1744
01:23:21,379 --> 01:23:22,880
IT'S NOT SO MUCH ONE GLASS AND 

1745
01:23:22,880 --> 01:23:25,816
TWO SLICES BUT IT LOOKS AT THE 

1746
01:23:25,816 --> 01:23:27,652
PROPORTIONAL CONTRIBUTION OF 

1747
01:23:27,652 --> 01:23:29,754
THAT BUT THEN LOOKING AT HOW 

1748
01:23:29,754 --> 01:23:31,989
MUCH IS COMING FROM THE 

1749
01:23:31,989 --> 01:23:34,425
CONSUMPTION DATA WE HAVE FROM 

1750
01:23:34,425 --> 01:23:36,894
THE LIMITATION.

1751
01:23:36,894 --> 01:23:39,430
IS THERE MORE CHEESE 

1752
01:23:39,430 --> 01:23:39,764
COMPARATIVELY?

1753
01:23:39,764 --> 01:23:45,803
LESS CHEESE, MORE YOGURT, LESS 

1754
01:23:45,803 --> 01:23:46,337
YOGURT?

1755
01:23:46,337 --> 01:23:50,574
THAT HELPS CONSTRUCT SO IF IT'S 

1756
01:23:50,574 --> 01:23:53,744
45% CHEESE AND THE NUTRIENT 

1757
01:23:53,744 --> 01:23:56,547
PROFILE WILL BE BASED ON CHEESE 

1758
01:23:56,547 --> 01:23:58,316
THAT HELPS GET AT MORE SPECIFIC 

1759
01:23:58,316 --> 01:24:03,721
TO THE REPORTED FOODS THAT ARE 

1760
01:24:03,721 --> 01:24:06,824
REPORTED WITHIN NHANES 2017, 

1761
01:24:06,824 --> 01:24:09,794
2018 FOR THOSE POPULATION 

1762
01:24:09,794 --> 01:24:12,096
GROUPS.

1763
01:24:12,096 --> 01:24:17,268
>> THAT'S HELPFUL.

1764
01:24:17,268 --> 01:24:19,170
I KNOW WE DISCUSSED AGE BUT WE 

1765
01:24:19,170 --> 01:24:23,040
HAVE RACE AND ETHNICITY AND 

1766
01:24:23,040 --> 01:24:23,774
ETHNIC CLASSIFICATION AND THE 

1767
01:24:23,774 --> 01:24:25,109
CLASSIFICATION WE HAVE AND WE 

1768
01:24:25,109 --> 01:24:33,818
DON'T HAVE AGE AND I'M ASSUME 

1769
01:24:33,818 --> 01:24:34,919
I

1770
01:24:34,919 --> 01:24:39,123
ING -- ASSUMING LOOKING AT 

1771
01:24:39,123 --> 01:24:45,029
ADULTS AND YOUNG CHILDREN AND 

1772
01:24:45,029 --> 01:24:50,768
ARE THERE CONSIDERATION OF AGE 

1773
01:24:50,768 --> 01:24:53,104
WITHIN THE CONSTRUCTION?

1774
01:24:53,104 --> 01:24:56,107
>> SO AGE -- OUR ANALYSES
WE'LL 

1775
01:24:56,107 --> 01:24:59,043
CARRY FORWARD WILL ALL BE BASED 

1776
01:24:59,043 --> 01:25:05,449
ON AGE, SEX GROUPS FOR THE WHOLE

1777
01:25:05,449 --> 01:25:07,251
CADRE OF ANALYSIS.

1778
01:25:07,251 --> 01:25:09,687
THE PREVIOUS COMMITTEE LOOKED AT

1779
01:25:09,687 --> 01:25:12,490
THE FOOD PATTERNS CARRY FORWARD 

1780
01:25:12,490 --> 01:25:15,926
AND NOT AT ME OR SAY THAT'S NOT 

1781
01:25:15,926 --> 01:25:17,294
WHERE WE ARE.

1782
01:25:17,294 --> 01:25:18,162
THOSE WERE CONVERSATIONS MANY 

1783
01:25:18,162 --> 01:25:21,766
SLEEPS AGO.

1784
01:25:21,766 --> 01:25:23,734
SO THERE WILL BE SOME OF THAT 

1785
01:25:23,734 --> 01:25:27,405
FACTORED IN BUT THE POPULATION 

1786
01:25:27,405 --> 01:25:28,739
WEIGHTED PROPORTIONALITY HELPS 

1787
01:25:28,739 --> 01:25:30,374
ADDRESS SOME OF THAT AS WELL IN 

1788
01:25:30,374 --> 01:25:35,780
TERMS OF HOW THIS PLAYS FOR THE 

1789
01:25:35,780 --> 01:25:39,550
NATIONAL REPRESENTATIVE DATA.

1790
01:25:39,550 --> 01:25:40,017
>> THANK YOU.

1791
01:25:40,017 --> 01:25:43,721
GREAT WORK.

1792
01:25:43,721 --> 01:25:46,223
THINKING ABOUT THE DATA YOU'RE 

1793
01:25:46,223 --> 01:25:47,425
WORKING WITH HOW ARE YOU 

1794
01:25:47,425 --> 01:25:49,693
CONSIDERING THE GROUPS THAT MAY 

1795
01:25:49,693 --> 01:25:53,764
NOT BE REPRESENTED AND WHAT YOU 

1796
01:25:53,764 --> 01:25:55,332
SHOWED TODAY?

1797
01:25:55,332 --> 01:25:56,901
>> THE GROUPS NOT
REPRESENTED, 

1798
01:25:56,901 --> 01:25:59,070
THAT'S THE LIMITATION WE HAVE 

1799
01:25:59,070 --> 01:26:00,404
FROM THE NHANES DATA.

1800
01:26:00,404 --> 01:26:01,839
WE'RE ABLE TO LOOK AT IT FROM 

1801
01:26:01,839 --> 01:26:02,706
THIS PIECE.

1802
01:26:02,706 --> 01:26:07,011
I THINK THIS IS WHERE THE DIET 

1803
01:26:07,011 --> 01:26:08,112
SIMULATIONS BECOMES A REALLY 

1804
01:26:08,112 --> 01:26:12,283
COOL AND INNOVATIVE WAY TO LOOK 

1805
01:26:12,283 --> 01:26:13,851
AT FOOD WAYS OUTSIDE WHAT WE'RE 

1806
01:26:13,851 --> 01:26:17,188
ABLE TO QUANTIFY BASED ON THE 

1807
01:26:17,188 --> 01:26:17,788
POPULATION DISTRIBUTION.

1808
01:26:17,788 --> 01:26:19,523
THAT BECOMES.

1809
01:26:19,523 --> 01:26:22,259
IT'S SOMEWHAT THE THEME WE HAVE 

1810
01:26:22,259 --> 01:26:23,761
THROUGH THE FOOD PATTERN 

1811
01:26:23,761 --> 01:26:24,028
MODELLING.

1812
01:26:24,028 --> 01:26:26,797
WE HAVE GREAT DATA WE CAN LOOK 

1813
01:26:26,797 --> 01:26:29,433
AT TO LOOK AT THE NATIONAL 

1814
01:26:29,433 --> 01:26:30,734
REPRESENTATIVE SET OF INTAKES 

1815
01:26:30,734 --> 01:26:34,371
NOT PERFECT AND NOT FULLY 

1816
01:26:34,371 --> 01:26:35,606
REPRESENTATIVE BUT IT ALSO SHOWS

1817
01:26:35,606 --> 01:26:37,041
WHERE WE HAVE GAPS WHERE WE 

1818
01:26:37,041 --> 01:26:38,609
WOULD HAVE TO MAKE ASSUMPTIONS 

1819
01:26:38,609 --> 01:26:41,779
AROUND I THINK THE CHALLENGE 

1820
01:26:41,779 --> 01:26:44,148
WE'VE HAD IS TAKING AN EMPIRICAL

1821
01:26:44,148 --> 01:26:45,349
APPROACH IF WE CAN'T HAVE THE 

1822
01:26:45,349 --> 01:26:48,819
DATA, WE CAN'T MAKE THE 

1823
01:26:48,819 --> 01:26:49,120
CONCLUSION.

1824
01:26:49,120 --> 01:26:51,388
SO FROM THIS WE'RE ABLE TO LOOK 

1825
01:26:51,388 --> 01:26:54,725
AT THE SPECIFIC GROUPS THAT WE 

1826
01:26:54,725 --> 01:26:57,528
HAVE AVAILABLE BUT IT CAN INFORM

1827
01:26:57,528 --> 01:26:58,896
WHAT CAN BE DONE INDICT 

1828
01:26:58,896 --> 01:27:04,168
SIMULATIONS AND IN OTHER SPACES 

1829
01:27:04,168 --> 01:27:11,976
TO HELP INCREASE THAT.

1830
01:27:11,976 --> 01:27:14,478
>> CHRIS, DO WE WANT TO
TAKE A 

1831
01:27:14,478 --> 01:27:16,280
BREAK NOW TO LET PEOPLE DIGEST 

1832
01:27:16,280 --> 01:27:17,781
BEFORE WE DIVE IN OR HOW DOES 

1833
01:27:17,781 --> 01:27:19,917
THE COMMITTEE FEEL?

1834
01:27:19,917 --> 01:27:23,654
ARE WE READY TO KEEP GOING?

1835
01:27:23,654 --> 01:27:24,021
>> WE HAVE TIME.

1836
01:27:24,021 --> 01:27:27,658
>> OKAY.

1837
01:27:27,658 --> 01:27:29,994
>> I IT WILL BE GREAT
BECAUSE WE

1838
01:27:29,994 --> 01:27:33,364
HAVE HAD GREAT PRESENTATIONS.

1839
01:27:33,364 --> 01:27:35,599
WE HEARD ABOUT HEALTH EQUITY AND

1840
01:27:35,599 --> 01:27:37,801
WORKING GROUP AND WE HEARD THE 

1841
01:27:37,801 --> 01:27:40,104
PREQUEL TO EVERYTHING WE'LL HEAR

1842
01:27:40,104 --> 01:27:41,739
MORE ON WAR AND PEACE AND SO 

1843
01:27:41,739 --> 01:27:44,575
LET'S TAKE A BREAK.

1844
01:27:44,575 --> 01:27:45,809
SO THANK YOU VERY MUCH.

1845
01:27:45,809 --> 01:27:55,920
FIVE.

1846
01:27:54,096 --> 01:27:56,999
SESSION FROM WORKING GROUP 3 AND

1847
01:27:56,999 --> 01:28:05,140
CHRIS, I THINK YOU'RE BACK ON.

1848
01:28:05,140 --> 01:28:06,742
>> ONCE AGAIN WE'LL LEVEL
SET 

1849
01:28:06,742 --> 01:28:07,943
WITH THIS VERY SIMPLE QUESTION 

1850
01:28:07,943 --> 01:28:11,847
THAT WE HAVE TO ANSWER AROUND 

1851
01:28:11,847 --> 01:28:15,851
THE LIFE STAGE APPROACH AND 

1852
01:28:15,851 --> 01:28:19,154
SHOULD CHANGES BE MADE TO THE 

1853
01:28:19,154 --> 01:28:19,888
U.S. DIETARY PATTERNS.

1854
01:28:19,888 --> 01:28:23,859
SO WHAT I'M GOING TO DO IS WALK 

1855
01:28:23,859 --> 01:28:25,961
THROUGH THE HEALTHY U.S. STYLE 

1856
01:28:25,961 --> 01:28:28,831
PATTERN THAT'S GOING TO BE THE 

1857
01:28:28,831 --> 01:28:30,766
FOUNDATION OF THE PROTOCOLS WE 

1858
01:28:30,766 --> 01:28:35,871
HAD THAT WE'RE GOING TO PRESENT 

1859
01:28:35,871 --> 01:28:36,205
TODAY.

1860
01:28:36,205 --> 01:28:41,343
DOING LEVEL SETTING AROUND 

1861
01:28:41,343 --> 01:28:44,413
WHAT'S HAPPENING WHEN WE'RE 

1862
01:28:44,413 --> 01:28:46,915
WORKING WITH THE LEVERS WITHIS 

1863
01:28:46,915 --> 01:28:49,184
THE SYSTEM ITSELF.

1864
01:28:49,184 --> 01:28:51,854
AS GO GO THROUGH THE PROTOCOL 

1865
01:28:51,854 --> 01:28:53,355
IT'S LIKE DRIVING A GOLF CART 

1866
01:28:53,355 --> 01:28:55,391
THERE'S ONE PEDAL, PUSH TO GO OR

1867
01:28:55,391 --> 01:28:56,925
LET GO TO STOP.

1868
01:28:56,925 --> 01:28:59,395
AND IT OME HAPPENS WITH THAT AND

1869
01:28:59,395 --> 01:29:01,430
EVERYTHING ELSE STAYS THE SAME 

1870
01:29:01,430 --> 01:29:03,866
AND OUR SYNTHESIS IS GOING TO BE

1871
01:29:03,866 --> 01:29:07,302
FLYING THE PLANE WITH ALL THE 

1872
01:29:07,302 --> 01:29:09,772
MULTIPLE LEVERS AND SWITCHES AND

1873
01:29:09,772 --> 01:29:10,406
BUTTONS EVERY.

1874
01:29:10,406 --> 01:29:14,543
SO WHAT WE HAVE TO CONSIDER IS 

1875
01:29:14,543 --> 01:29:19,615
WHEN WE'RE LOOKING AT THIS, 

1876
01:29:19,615 --> 01:29:21,383
WE'RE MAKING CHANGES WITHIN 

1877
01:29:21,383 --> 01:29:23,585
FOODS AND WHEN YOU TEST THE 

1878
01:29:23,585 --> 01:29:27,189
VARIATIONS WHERE YOU REDUCE OR 

1879
01:29:27,189 --> 01:29:28,424
INCREASE GROUPS OR SUB GROUPS IT

1880
01:29:28,424 --> 01:29:31,160
CHANGES THE NUTRIENTS THEY 

1881
01:29:31,160 --> 01:29:31,860
PROVIDE.

1882
01:29:31,860 --> 01:29:33,862
ALL THESE DIETARY CHANGES WHEN 

1883
01:29:33,862 --> 01:29:36,632
YOU TAKE OUT THE FOODS YOU'LL 

1884
01:29:36,632 --> 01:29:38,967
TAKE OUT THE NUTRIENTS WITH 

1885
01:29:38,967 --> 01:29:39,168
THEM.

1886
01:29:39,168 --> 01:29:44,173
WE'LL LOOK AT HOW THESE CHANGES 

1887
01:29:44,173 --> 01:29:44,873
HAPPEN.

1888
01:29:44,873 --> 01:29:49,078
WHAT'S IT DO TO THE NUTRIENT 

1889
01:29:49,078 --> 01:29:50,012
CONTENT AND MEET OUR NUTRIENT 

1890
01:29:50,012 --> 01:29:54,950
GOAL FOR THAT PATTERN.

1891
01:29:54,950 --> 01:29:56,952
IT GETS US IN THE MIND FRAME OF 

1892
01:29:56,952 --> 01:29:58,020
WHERE WE'LL GO WITH THE 

1893
01:29:58,020 --> 01:30:07,096
ANALYSES.

1894
01:30:07,096 --> 01:30:09,865
SO THIS IS THE HEALTHY 

1895
01:30:09,865 --> 01:30:14,002
U.S. STYLE PATTERN FOR AGES 2+ 

1896
01:30:14,002 --> 01:30:17,072
AND LOOKS AT THE QUANTITY OF THE

1897
01:30:17,072 --> 01:30:19,341
DIFFERENT FOOD GROUPS.

1898
01:30:19,341 --> 01:30:24,379
FOR THE VEGETABLE GROUPS FOR A 

1899
01:30:24,379 --> 01:30:25,914
DIETARY PATTERN CONSUMED DAILY 

1900
01:30:25,914 --> 01:30:30,252
AND THEN OUR SUBGROUPS WE HAVE 

1901
01:30:30,252 --> 01:30:31,019
WITHIN VEGETABLES PERFECT 

1902
01:30:31,019 --> 01:30:35,023
PRESENTED IN WEEKLY AMOUNTS.

1903
01:30:35,023 --> 01:30:38,260
SO DAILY CONSUMPTION OF 

1904
01:30:38,260 --> 01:30:41,430
VEGETABLES BUT THE SUBGROUPS 

1905
01:30:41,430 --> 01:30:45,000
DIVIDED AMONG THE WEEK TO GET TO

1906
01:30:45,000 --> 01:30:46,401
DIETARY VARIETY.

1907
01:30:46,401 --> 01:30:48,771
THE FOOD GROUP THAT HAS NO SUB 

1908
01:30:48,771 --> 01:30:51,406
GROUPS AND THE GRAINS IS DIVIDED

1909
01:30:51,406 --> 01:30:54,610
UP AS WHOLE GRAINS INTO TWO SUB 

1910
01:30:54,610 --> 01:30:55,878
GROUPS, DAIRY AND FORTIFIED SOY 

1911
01:30:55,878 --> 01:30:59,014
AND THE PROTEIN FOODS HAVE THREE

1912
01:30:59,014 --> 01:31:01,917
SUB GROUPS AS WELL.

1913
01:31:01,917 --> 01:31:05,020
SO WHEN WE DO OUR ANALYSIS IT 

1914
01:31:05,020 --> 01:31:07,456
WILL BE TAKE THE NUTRIENT 

1915
01:31:07,456 --> 01:31:11,693
PROFILE FOR VEGETABLES, ADD TWO 

1916
01:31:11,693 --> 01:31:14,329
HALF CUP EQUIVALENTS AND GIVES 

1917
01:31:14,329 --> 01:31:15,364
THE NUTRIENT FOR EACH INDIVIDUAL

1918
01:31:15,364 --> 01:31:16,532
NUTRIENT WITHIN THE PATTERN.

1919
01:31:16,532 --> 01:31:19,868
YOU SUM THAT UP FOR THE DAY AND 

1920
01:31:19,868 --> 01:31:24,706
THAT GIVES US THE QUANTITY OF 

1921
01:31:24,706 --> 01:31:27,309
ENERGY OF CARBOHYDRATE AND 

1922
01:31:27,309 --> 01:31:31,847
VITAMIN C FROM THE PATTERN BASED

1923
01:31:31,847 --> 01:31:38,854
ON THESE DISTRIBUTIONS.

1924
01:31:38,854 --> 01:31:40,389
WHAT IS IT THEY'RE CONTRIBUTING 

1925
01:31:40,389 --> 01:31:45,861
TO THE TOTAL INTAKE FOR THE DAY?

1926
01:31:45,861 --> 01:31:50,432
WHEN WE LOOK AT INTAKE FOLLOWING

1927
01:31:50,432 --> 01:31:52,401
THESE PATTERNS AND WE HAVE 

1928
01:31:52,401 --> 01:31:54,970
CERTAIN THINGS WE THINK ABOUT 

1929
01:31:54,970 --> 01:31:55,871
WITH CERTAIN FOOD GROUPS AS FAR 

1930
01:31:55,871 --> 01:31:58,607
AS NUTRIENTS GO BUT OUR TOTAL 

1931
01:31:58,607 --> 01:32:00,175
DIETARY INTAKE IS THE CUMULATIVE

1932
01:32:00,175 --> 01:32:03,846
SUM OF THE PARTS.

1933
01:32:03,846 --> 01:32:06,014
THE SYNERGISTIC PART TOWARDS THE

1934
01:32:06,014 --> 01:32:06,982
TOTAL INTAKES.

1935
01:32:06,982 --> 01:32:08,383
SO WHAT YOU'LL SEE THE 

1936
01:32:08,383 --> 01:32:10,552
CONTRIBUTION OF EACH ONE OF 

1937
01:32:10,552 --> 01:32:14,823
THESE INDIVIDUAL FOOD GROUPS 

1938
01:32:14,823 --> 01:32:19,862
CONTRIBUTING TO A RANGE WITHIN 

1939
01:32:19,862 --> 01:32:22,164
THE CALORIE LEVEL FOR THE LOWER 

1940
01:32:22,164 --> 01:32:26,969
CALORIE 1,000 PROFILE UP TO THE 

1941
01:32:26,969 --> 01:32:28,237
HIGHER PROFILE.

1942
01:32:28,237 --> 01:32:30,472
VITAMIN K VEGETABLES CONTRIBUTE 

1943
01:32:30,472 --> 01:32:33,876
61% TO 74% OF THE VITAMIN K IN 

1944
01:32:33,876 --> 01:32:39,915
THE DIETARY PATTERN FROM 

1945
01:32:39,915 --> 01:32:40,282
VEGETABLES.

1946
01:32:40,282 --> 01:32:43,118
41% TO 54% FROM VITAMIN C.

1947
01:32:43,118 --> 01:32:44,386
THE SEE CUMULATIVE CONTRIBUTION 

1948
01:32:44,386 --> 01:32:47,556
OF EACH OF THE UNIQUE NUTRIENTS 

1949
01:32:47,556 --> 01:32:51,860
COMING FROM THE VEGETABLE 

1950
01:32:51,860 --> 01:33:02,004
PROFILE.

1951
01:33:03,171 --> 01:33:08,477
WE CAN THINK REINA FOR THE 

1952
01:33:08,477 --> 01:33:10,379
LOVELY GRAPHIC AND AS A QUICK 

1953
01:33:10,379 --> 01:33:11,480
ORIENTING AND I'LL HAVE TO ZOOM 

1954
01:33:11,480 --> 01:33:13,515
IN ON MY OWN SCREEN TO SEE.

1955
01:33:13,515 --> 01:33:18,520
ON THE BOTTOM BLUE IS DAIRY, 

1956
01:33:18,520 --> 01:33:20,756
DARKER BLUISH GREEN THE BLUE ARE

1957
01:33:20,756 --> 01:33:23,859
THE PROTEIN FOODS, THE NEXT UP 

1958
01:33:23,859 --> 01:33:25,294
HIGHER IS GRAINS, THE ORANGE 

1959
01:33:25,294 --> 01:33:27,829
COLOR IS VEGETABLES AND THEN YOU

1960
01:33:27,829 --> 01:33:30,999
HAVE FRUITS AND THEN OILS AT THE

1961
01:33:30,999 --> 01:33:33,869
TOP AS CREATING THIS DIETARY 

1962
01:33:33,869 --> 01:33:40,309
PATTERN.

1963
01:33:40,309 --> 01:33:43,111
SO WE'RE LOOKING AT THE DIETARY 

1964
01:33:43,111 --> 01:33:44,947
PATTERN AN WHAT'S THE 

1965
01:33:44,947 --> 01:33:47,182
CONTRIBUTION OF VITAMIN A ACROSS

1966
01:33:47,182 --> 01:33:48,517
EACH OF THE FOOD GROUPS?

1967
01:33:48,517 --> 01:33:50,585
THE LINES ACROSS THERE ARE THE 

1968
01:33:50,585 --> 01:33:51,920
DIFFERENT RDA THRESHOLDS FOR THE

1969
01:33:51,920 --> 01:33:53,922
AGE SEX GROUPS.

1970
01:33:53,922 --> 01:33:57,392
SO YOU'RE GOING TO HAVE A LOWER 

1971
01:33:57,392 --> 01:33:59,428
RDA CUT POINT FOR THE YOUNG 

1972
01:33:59,428 --> 01:34:01,096
CHILDREN THAT MIGHT BE IN THE 

1973
01:34:01,096 --> 01:34:03,732
1,000 CALORIE RANGE BUT WHAT YOU

1974
01:34:03,732 --> 01:34:05,334
SEE HERE IS VITAMIN A WHEN YOU 

1975
01:34:05,334 --> 01:34:07,636
ADD THEM UP ACROSS ALL THE 

1976
01:34:07,636 --> 01:34:10,572
GROUPS IS NEEDING OR EXCEEDING 

1977
01:34:10,572 --> 01:34:16,011
THE RDA FOR THAT LOWEST AGED SEX

1978
01:34:16,011 --> 01:34:26,121
GROUP.

1979
01:34:26,688 --> 01:34:27,756
WE SEE THE PROPORTIONAL 

1980
01:34:27,756 --> 01:34:28,757
CONTRIBUTION AND WHAT HAPPENS 

1981
01:34:28,757 --> 01:34:32,127
WHEN YOU TAKE VEGETABLES OUT?

1982
01:34:32,127 --> 01:34:37,366
SO THE SIMPLE MATTER OF 

1983
01:34:37,366 --> 01:34:39,201
SUBTRACTION TELLS US VEGETABLES 

1984
01:34:39,201 --> 01:34:41,370
ARE CONTRIBUTING A KEY AMOUNT OF

1985
01:34:41,370 --> 01:34:42,637
VITAMIN A IN TERMS OF MEETING 

1986
01:34:42,637 --> 01:34:46,341
THE NUTRIENT GOALS WITHIN THE 

1987
01:34:46,341 --> 01:34:46,875
PATTE

1988
01:34:46,875 --> 01:34:47,142
PATTERNS.

1989
01:34:47,142 --> 01:34:49,077
SO HOLDING EVERYTHING ELSE THE 

1990
01:34:49,077 --> 01:34:51,146
SAME, WHEN WE TAKE VEGETABLES 

1991
01:34:51,146 --> 01:34:55,150
OUT, WE NOW HAVE A PATTERN THAT 

1992
01:34:55,150 --> 01:34:57,853
DOESN'T MEET MOST THE NUTRIENT 

1993
01:34:57,853 --> 01:35:01,990
GOALS FOR VITAMIN A AND IN THE 

1994
01:35:01,990 --> 01:35:04,026
HIGHER VALUES THAT WE NEED WE'RE

1995
01:35:04,026 --> 01:35:06,895
NOT EVEN HALF THE AMOUNT.

1996
01:35:06,895 --> 01:35:08,263
IT'S ALL THE TWEAKING WITHIN 

1997
01:35:08,263 --> 01:35:09,564
EACH ONE OF THESE GROUPS AND 

1998
01:35:09,564 --> 01:35:11,366
UNDERSTANDING WHAT THE 

1999
01:35:11,366 --> 01:35:12,801
CONTRIBUTIONS OF EACH OF THESE 

2000
01:35:12,801 --> 01:35:13,668
FOOD GROUPS ARE.

2001
01:35:13,668 --> 01:35:15,871
I TOLD YOU THIS WOULD BE THE FUN

2002
01:35:15,871 --> 01:35:21,710
PART.

2003
01:35:21,710 --> 01:35:23,311
NEXT FOR FRUITS THE LIST THEY 

2004
01:35:23,311 --> 01:35:25,580
CONTRIBUTE MORE IS SMALLER IN 

2005
01:35:25,580 --> 01:35:29,718
TERMS OF VITAMIN C, FIBER AND 

2006
01:35:29,718 --> 01:35:32,054
POTASSIUM ARE MORE OF OUR 

2007
01:35:32,054 --> 01:35:32,687
SYNERGISTIC CONTRIBUTORS HERE 

2008
01:35:32,687 --> 01:35:37,492
AND ONE OF THE OTHER ASPECTS 

2009
01:35:37,492 --> 01:35:38,560
THAT WE AREN'T ASSESSING HERE 

2010
01:35:38,560 --> 01:35:41,096
ESPECIALLY WITHIN THE DATA 

2011
01:35:41,096 --> 01:35:43,131
ITSELF AND THERE'S EVIDENCE 

2012
01:35:43,131 --> 01:35:50,639
AROUND THE PHYTO CHEMICAL 

2013
01:35:50,639 --> 01:35:51,873
BENEFIT OF FRUITS SO WE LOOK AT 

2014
01:35:51,873 --> 01:35:55,510
OUR PATTERN AND SEE HOW VITAMIN 

2015
01:35:55,510 --> 01:35:57,879
C IS BEING CONTRIBUTED AND FOR 

2016
01:35:57,879 --> 01:36:00,715
THE MOST PART IT'S PREDOMINANTLY

2017
01:36:00,715 --> 01:36:04,419
FRUITS AND VEGETABLES ARE 

2018
01:36:04,419 --> 01:36:06,788
PRIMARY CONTRIBUTORS.

2019
01:36:06,788 --> 01:36:09,558
IF WE REDUCE OTHER FOOD GROUPS 

2020
01:36:09,558 --> 01:36:10,725
WON'T HAVE AS MUCH AS AN IMPACT 

2021
01:36:10,725 --> 01:36:13,895
ON VITAMIN C.

2022
01:36:13,895 --> 01:36:15,797
IF YOU TAKE FRUITS OUT VITAMIN C

2023
01:36:15,797 --> 01:36:19,000
BECOMES MUCH LOWER AND NOT 

2024
01:36:19,000 --> 01:36:21,870
MEETING A LOT OF OUR DRI 

2025
01:36:21,870 --> 01:36:25,173
NUTRIENT GOALS.

2026
01:36:25,173 --> 01:36:32,714
SO THEN HOLOOKING AT GRAINS, WHE

2027
01:36:32,714 --> 01:36:37,219
GRAINS AND REFINED GRAINS 

2028
01:36:37,219 --> 01:36:40,288
ACCOUNTING FOR THE FOLATE AND 

2029
01:36:40,288 --> 01:36:41,790
62% OF IRON IN THE DIET.

2030
01:36:41,790 --> 01:36:43,859
SEE THE RANGE OF CONTRIBUTIONS 

2031
01:36:43,859 --> 01:36:45,427
WE'RE GETTING COMING FROM EACH 

2032
01:36:45,427 --> 01:36:47,863
OF THE FOOD GROUP INTO OUR TOTAL

2033
01:36:47,863 --> 01:36:51,032
NUTRIENTS.

2034
01:36:51,032 --> 01:36:53,635
SO AN EXAMPLE OF LOOKING AT IRON

2035
01:36:53,635 --> 01:36:55,670
WITHIN THE DIET WE CAN SEE THE 

2036
01:36:55,670 --> 01:36:58,974
PROTEIN FOODS THAT ARE THERE IN 

2037
01:36:58,974 --> 01:37:02,377
BLUE AND THE CONCENTRATION OF 

2038
01:37:02,377 --> 01:37:07,382
GRAINS IN THE LIGHT TANNISH 

2039
01:37:07,382 --> 01:37:10,919
WHATEVER THAT COLOR IS.

2040
01:37:10,919 --> 01:37:12,587
YOU CAN SEE WITH THE REMOVAL OF 

2041
01:37:12,587 --> 01:37:15,123
GRAINS IN THE DIETARY PATTERN 

2042
01:37:15,123 --> 01:37:20,162
THE IMPLICATIONS WE HAVE ON 

2043
01:37:20,162 --> 01:37:24,733
MEETING IRON GOALS ACROSS THE 

2044
01:37:24,733 --> 01:37:24,966
LEVELS.

2045
01:37:24,966 --> 01:37:29,204
AND DAIRY AND FORTIFIED SOY 

2046
01:37:29,204 --> 01:37:29,538
ALTERNATIVES?

2047
01:37:29,538 --> 01:37:31,206
THE CONTRIBUTIONS THAT COME FROM

2048
01:37:31,206 --> 01:37:34,376
EACH OF THESE, VITAMIN D, 

2049
01:37:34,376 --> 01:37:38,046
CALCIUM, B12, PHOSPHORUS, 

2050
01:37:38,046 --> 01:37:38,313
ETCETERA.

2051
01:37:38,313 --> 01:37:39,848
YOU SEE THE RANGE OF NUTRIENTS 

2052
01:37:39,848 --> 01:37:46,087
COMING FROM DAIRY AND FORTIFIED 

2053
01:37:46,087 --> 01:37:46,421
ALTERNATIVES.

2054
01:37:46,421 --> 01:37:48,023
LOOK AT THE FOOD GROUPS AND HOW 

2055
01:37:48,023 --> 01:37:53,628
THEY CONTRIBUTE.

2056
01:37:53,628 --> 01:37:55,697
IF WE REMOVE DAIRY FROM THE 

2057
01:37:55,697 --> 01:37:57,766
DIETARY PATTERN ALL THE DIETARY 

2058
01:37:57,766 --> 01:38:01,069
PATTERNS ARE BELOW THE LOWEST 

2059
01:38:01,069 --> 01:38:11,580
CALCIUM RDA WITHIN THE GROUP.

2060
01:38:17,385 --> 01:38:19,487
THERE'S CERTAIN NUTRIENTS AND 

2061
01:38:19,487 --> 01:38:20,055
OTHERS OBTAINED FOR PROTEIN 

2062
01:38:20,055 --> 01:38:24,993
FOODS.

2063
01:38:24,993 --> 01:38:28,063
AND THIS ONE IS PROBABLY ONE 

2064
01:38:28,063 --> 01:38:31,233
THAT'S NOT BEEN AN OVERARCHING 

2065
01:38:31,233 --> 01:38:32,968
PUBLIC COMMENT.

2066
01:38:32,968 --> 01:38:39,007
PLEASE DON'T TAKE AWAY PROTEIN 

2067
01:38:39,007 --> 01:38:43,278
FOODS BECAUSE CHOLINE MAY DROP 

2068
01:38:43,278 --> 01:38:45,313
AND WE HAVE TO CONSIDER THAT IN 

2069
01:38:45,313 --> 01:38:46,681
THE INTERPRETATION OF THE DATA 

2070
01:38:46,681 --> 01:38:49,117
AND WHAT THE IMPLICATIONS ARE 

2071
01:38:49,117 --> 01:38:50,785
AROUND MEETING AND NOT MEETING 

2072
01:38:50,785 --> 01:38:52,053
AND HOW THE A.I. IS SET BUT 

2073
01:38:52,053 --> 01:38:53,388
BECOMES ONE OF THOSE PLACES 

2074
01:38:53,388 --> 01:38:55,056
WHERE IT MIGHT NOT BE THE FIRST 

2075
01:38:55,056 --> 01:38:56,758
NUTRIENT THAT WE THINK ABOUT IN 

2076
01:38:56,758 --> 01:39:06,268
TERMS OF MAKING A MODIFICATION.

2077
01:39:06,268 --> 01:39:07,869
IF WE REMOVE PROTEIN FOODS THIS 

2078
01:39:07,869 --> 01:39:09,904
IS THE IMPLICATION OF CHOLINE.

2079
01:39:09,904 --> 01:39:12,007
WE LOOK AT VARIATIONS OF IF IT'S

2080
01:39:12,007 --> 01:39:14,109
REMOVED WHAT ARE THE 

2081
01:39:14,109 --> 01:39:15,744
IMPLICATIONS AND WHAT HAPPENS IF

2082
01:39:15,744 --> 01:39:18,246
WE REDUCE AND HOW DO THE STEP 

2083
01:39:18,246 --> 01:39:19,981
WISE FEATURES HAPPEN AS WE MAKE 

2084
01:39:19,981 --> 01:39:27,856
THESE CHANGES?

2085
01:39:27,856 --> 01:39:31,026
SO I ASK THE QUESTION -- I'D 

2086
01:39:31,026 --> 01:39:31,860
LIKE TO BE ABLE TO SAY ABOUT HOW

2087
01:39:31,860 --> 01:39:34,429
MANY DATA POINTS WE LOOKED AT 

2088
01:39:34,429 --> 01:39:37,532
WITH FOOD PATTERN MODELLING.

2089
01:39:37,532 --> 01:39:40,268
SO FOR EVERY ONE OF THE 

2090
01:39:40,268 --> 01:39:44,205
PROTOCOLS WE DID, WE HAD THE 

2091
01:39:44,205 --> 01:39:46,441
ANALYSES BASED ON THE AGE SEX 

2092
01:39:46,441 --> 01:39:49,210
GROUPS, THE QUANTITY OF THE 

2093
01:39:49,210 --> 01:39:51,846
ITEMS IN THE PATTERN, THE 

2094
01:39:51,846 --> 01:39:54,649
NUTRIENTS ASSOCIATED WITH THE 

2095
01:39:54,649 --> 01:39:55,483
PATTERN AND THAT CHANGE AND 

2096
01:39:55,483 --> 01:39:59,721
EVERY TIME WE DID A REDUCTION WE

2097
01:39:59,721 --> 01:40:01,323
DID AN INCREMENTAL REDUCTION AND

2098
01:40:01,323 --> 01:40:03,258
LOOKED AT THE NUTRIENT IF YOU 

2099
01:40:03,258 --> 01:40:06,027
TOOK OUT ONE OR TWO OR THREE 

2100
01:40:06,027 --> 01:40:09,030
OUNCES OF GRAIN AND THEN THE 

2101
01:40:09,030 --> 01:40:10,665
NUTRIENT, THE DRI AND PERCENT OF

2102
01:40:10,665 --> 01:40:14,903
THE DRI TO HELP US REALLY LOOK 

2103
01:40:14,903 --> 01:40:17,005
AT EVERYONE ONE OF THESE 

2104
01:40:17,005 --> 01:40:18,373
INCREMENTAL STEPS.

2105
01:40:18,373 --> 01:40:19,841
IF YOU TAKE SOMETHING OUT, 

2106
01:40:19,841 --> 01:40:23,445
WHAT'S THE NUTRIENT OF THE 

2107
01:40:23,445 --> 01:40:23,845
PATTERN.

2108
01:40:23,845 --> 01:40:27,148
AND IF WE'RE WORKING WITHIN THE 

2109
01:40:27,148 --> 01:40:28,249
PROTEIN FOODS, ALL THE OTHERS 

2110
01:40:28,249 --> 01:40:29,484
ARE STAYING THE SAME WORKING 

2111
01:40:29,484 --> 01:40:32,187
WITH GRAINS AND EVERYTHING ELSE 

2112
01:40:32,187 --> 01:40:35,056
IS STAYING THE SAME UNLESS THE 

2113
01:40:35,056 --> 01:40:38,727
QUESTION LOOKS AT SHIFTS BUT THE

2114
01:40:38,727 --> 01:40:45,166
VOLUME OF DATA POINTS OVER 

2115
01:40:45,166 --> 01:40:48,403
350,000 THAT'S ROUGHLY 38,000 

2116
01:40:48,403 --> 01:40:53,875
POINTS PER COMMITTEE MEMBER.

2117
01:40:53,875 --> 01:40:55,477
SO, WHEN YOU ASK EXACTLY WHAT 

2118
01:40:55,477 --> 01:40:56,911
THE AMOUNT OF VITAMIN C FROM 

2119
01:40:56,911 --> 01:40:58,880
THAT ONE IS I WON'T BE ABLE TO 

2120
01:40:58,880 --> 01:41:00,682
ANSWER THAT QUESTION BUT BECAUSE

2121
01:41:00,682 --> 01:41:02,150
WE HAVE AN IMMENSE AMOUNT OF 

2122
01:41:02,150 --> 01:41:03,251
DATA WE'RE LOOKING AT.

2123
01:41:03,251 --> 01:41:05,487
SO ONCE AGAIN WE'RE GOING TO 

2124
01:41:05,487 --> 01:41:08,156
REALLY TALK ABOUT WHAT THOSE KEY

2125
01:41:08,156 --> 01:41:09,624
SYNTHESIS DATA POINTS ARE AND 

2126
01:41:09,624 --> 01:41:11,559
HOW THEY INFORM THE DECISIONS 

2127
01:41:11,559 --> 01:41:12,894
THAT WE MADE WITHIN THIS BECAUSE

2128
01:41:12,894 --> 01:41:16,131
WE'D ALL LIKE TO GO HOME AT SOME

2129
01:41:16,131 --> 01:41:22,470
POINT.

2130
01:41:22,470 --> 01:41:22,871
OKAY.

2131
01:41:22,871 --> 01:41:25,540
SO THEN COMING BACK TO WHAT 

2132
01:41:25,540 --> 01:41:27,842
WE'LL BE DOING WITHIN ALL OF 

2133
01:41:27,842 --> 01:41:33,815
THESE ANALYSES ONCE WE'RE DONE 

2134
01:41:33,815 --> 01:41:38,420
TODAY WE'LL TALK ABOUT FRUITS, 

2135
01:41:38,420 --> 01:41:41,956
VEGETABLES, SOY, PROTEINS AND 

2136
01:41:41,956 --> 01:41:45,794
ALTERNATIVES AND COULDN'T GET TO

2137
01:41:45,794 --> 01:41:49,364
THE SYNTHESIS DATA FOR EVERY 

2138
01:41:49,364 --> 01:41:50,932
SCENARIO ACROSS EVERY AGE GROUP.

2139
01:41:50,932 --> 01:41:55,804
ALL THE DATA WILL BE AVAILABLE 

2140
01:41:55,804 --> 01:41:56,838
FOR PUBLIC USE.

2141
01:41:56,838 --> 01:41:59,841
IF YOU REALLY LIKE SPREAD SHEETS

2142
01:41:59,841 --> 01:42:03,144
YOU'LL REALLY HAVE FUN.

2143
01:42:03,144 --> 01:42:04,512
TODAY WE'LL FOCUS SPECIFIC ON 

2144
01:42:04,512 --> 01:42:06,114
THE DATA THAT ARE DIRECTLY 

2145
01:42:06,114 --> 01:42:08,550
RELATED TO THE OBJECTIVES OF 

2146
01:42:08,550 --> 01:42:09,951
THAT OVER ARCHING QUESTION 

2147
01:42:09,951 --> 01:42:13,588
AROUND THE MODIFICATIONS, 

2148
01:42:13,588 --> 01:42:16,090
FLEXIBILITIES OR VARIATION IN 

2149
01:42:16,090 --> 01:42:18,393
THE PATTERN.

2150
01:42:18,393 --> 01:42:23,164
AND WE'LL TAKE ALL THIS DATA 

2151
01:42:23,164 --> 01:42:25,500
TOGETHER AND OUR SYNTHESIS IS 

2152
01:42:25,500 --> 01:42:29,270
GOING TO BE TAKING ALL OF OUR 

2153
01:42:29,270 --> 01:42:33,908
CONCEPTS THAT WE'VE TAKE -- 

2154
01:42:33,908 --> 01:42:35,109
CHANGES TO FRUIT OR NOT AND 

2155
01:42:35,109 --> 01:42:37,579
GRAIN OR NOT WE DID 

2156
01:42:37,579 --> 01:42:38,980
INDEPENDENTLY AND NOW WE'RE 

2157
01:42:38,980 --> 01:42:40,849
GOING TO PUT THEM TOGETHER IN 

2158
01:42:40,849 --> 01:42:41,549
ONE LARGE BUCKET TO DO THEM ALL 

2159
01:42:41,549 --> 01:42:43,485
AT ONCE.

2160
01:42:43,485 --> 01:42:44,986
AND SEE WHAT THE IMPLICATIONS 

2161
01:42:44,986 --> 01:42:47,422
ARE BECAUSE YOU CAN PULL ONE 

2162
01:42:47,422 --> 01:42:50,258
LEVER AND SEE WHAT HAPPENS AND 

2163
01:42:50,258 --> 01:42:55,864
PULL ANOTHER LEVER AND SEE BUT 

2164
01:42:55,864 --> 01:42:59,667
WHAT HAPPENS WITH THE CARTOON AS

2165
01:42:59,667 --> 01:43:04,906
A KID WITH 15 LEVERS AND YOU 

2166
01:43:04,906 --> 01:43:09,911
PULL ALL AT ONCE?

2167
01:43:09,911 --> 01:43:13,381
THE SYNTHESIZE WILL GET THERE 

2168
01:43:13,381 --> 01:43:20,455
BUT THE UTONIAN PROCESS IS WHEN 

2169
01:43:20,455 --> 01:43:21,623
YOU REDUCE SOMETHING DO WE HAVE 

2170
01:43:21,623 --> 01:43:30,064
ROOM IN THE PATTERN TO REDUCE IN

2171
01:43:30,064 --> 01:43:31,633
SOME PLACES DO WE HAVE TO BRING 

2172
01:43:31,633 --> 01:43:33,668
OTHERS BACK UP?

2173
01:43:33,668 --> 01:43:35,270
IT'S A BIG JIGSAW PUZZLE IN 

2174
01:43:35,270 --> 01:43:35,870
TERMS OF HOW PIECES FIT 

2175
01:43:35,870 --> 01:43:46,047
TOGETHER.

2176
01:43:47,782 --> 01:43:54,489
AND WE'LL TAKE 350,000 DATA 

2177
01:43:54,489 --> 01:44:00,595
POINTS AND LAYERING ACROSS THE 

2178
01:44:00,595 --> 01:44:04,032
SYSTEMATIC REVIEWS AND DATA 

2179
01:44:04,032 --> 01:44:14,108
ANALYSIS AS WELL.

2180
01:44:14,108 --> 01:44:15,843
AND SHOULD CHANGES BE MADE TO 

2181
01:44:15,843 --> 01:44:26,521
THE U.S. DIETARY PATTERNS WE'LL 

2182
01:44:26,521 --> 01:44:28,289
WORK OUR WAY THROUGH THE 

2183
01:44:28,289 --> 01:44:29,290
PROTOCOLS BUT WHAT I WANT TO 

2184
01:44:29,290 --> 01:44:35,863
HIGHLIGHT BEFORE WE GET STARTED 

2185
01:44:35,863 --> 01:44:43,605
IS WE WATCH THE TO SEE IF 

2186
01:44:43,605 --> 01:44:45,239
THERE'S -- WANT TO SEE IF 

2187
01:44:45,239 --> 01:44:46,874
THERE'S MODIFICATIONS TO THE 

2188
01:44:46,874 --> 01:44:51,279
PATTERN WE'D RECOMMEND?

2189
01:44:51,279 --> 01:45:01,823
ONE OF THE THINGS WE WANT THEM 

2190
01:45:06,227 --> 01:45:08,296
TO MEET THE NUTRIENT GOALS.

2191
01:45:08,296 --> 01:45:09,897
IN SOME CASES THEY HAVE PLENTY 

2192
01:45:09,897 --> 01:45:11,633
OF WIGGLE ROOM.

2193
01:45:11,633 --> 01:45:13,201
IN SOME PLACES WE'RE TIGHT 

2194
01:45:13,201 --> 01:45:16,371
AROUND CERTAIN NUTRIENTS.

2195
01:45:16,371 --> 01:45:19,841
BUT WITH ALL OF THAT TAKING THE 

2196
01:45:19,841 --> 01:45:21,476
CALORIES OR ENERGY OF THE 

2197
01:45:21,476 --> 01:45:24,679
PATTERN BASED ON THE WAY THE 

2198
01:45:24,679 --> 01:45:25,980
CURRENT NUMBER OF QUANTITIES ARE

2199
01:45:25,980 --> 01:45:27,849
WITHIN THE PATTERNS MEAN WE HAVE

2200
01:45:27,849 --> 01:45:38,326
A TIGHT WINDOW UNLESS WE'RE 

2201
01:45:39,160 --> 01:45:40,528
CONSUMING THE RIGHT FOODS WE 

2202
01:45:40,528 --> 01:45:42,263
HAVE A HARDER TIME WITH ENERGY.

2203
01:45:42,263 --> 01:45:45,900
HOW DO WE OPTIMIZE THE PATTERN 

2204
01:45:45,900 --> 01:45:47,835
TO MEET NUTRIENT NEEDS BUT OFFER

2205
01:45:47,835 --> 01:45:49,470
FLEXIBILITIES FOR HOW PEOPLE 

2206
01:45:49,470 --> 01:45:51,839
CONSUME FOODS WITHIN THE FOOD 

2207
01:45:51,839 --> 01:45:53,441
GROUPS?

2208
01:45:53,441 --> 01:45:56,177
SO OUR MODIFICATIONS MEAN ARE WE

2209
01:45:56,177 --> 01:46:00,314
GOING TO INCREASE OR DECREASE 

2210
01:46:00,314 --> 01:46:02,750
THE NUMBER OF THE QUANTITY OF 

2211
01:46:02,750 --> 01:46:04,585
THE FOOD GROUPS OR SUBGROUPS?

2212
01:46:04,585 --> 01:46:08,456
SO ON THAT TABLE WE HAD OF THE 

2213
01:46:08,456 --> 01:46:11,259
HUSS PATTERN ARE WE GOING TO 

2214
01:46:11,259 --> 01:46:15,830
REDUCE THE NUMBER OF OUNCE 

2215
01:46:15,830 --> 01:46:16,698
EQUIVALENTS OR INCREASE?

2216
01:46:16,698 --> 01:46:19,867
WHAT HAPPENS WHEN WE CHANGE THE 

2217
01:46:19,867 --> 01:46:20,134
AMOUNTS?

2218
01:46:20,134 --> 01:46:21,903
MODIFICATIONS WOULD CHANGE THE 

2219
01:46:21,903 --> 01:46:30,178
WHOLE HUSS PATTERN TO SAY THE 

2220
01:46:30,178 --> 01:46:31,746
QUANTITIES CONSUMED AND THE 

2221
01:46:31,746 --> 01:46:33,281
FLEXIBILITIES ARE NOT CHANGES TO

2222
01:46:33,281 --> 01:46:35,216
THE PATTERN BUT THIS GOES TO 

2223
01:46:35,216 --> 01:46:38,619
CHERYL'S QUESTION EARLIER IN 

2224
01:46:38,619 --> 01:46:40,922
TERMS OF IF YOU'RE NOT GOING TO 

2225
01:46:40,922 --> 01:46:47,361
CONSUME FLUID MILK AND THERE'S A

2226
01:46:47,361 --> 01:46:50,865
FLEXIBILITY FOR IF YOU CHOOSE 

2227
01:46:50,865 --> 01:46:53,134
CHOOSE OR UNABLE TO CONSUME 

2228
01:46:53,134 --> 01:46:54,902
CERTAIN ITEMS WHAT'S THE IMPACT 

2229
01:46:54,902 --> 01:46:56,237
ON MEETING NUTRITIONAL GOALS AND

2230
01:46:56,237 --> 01:46:57,939
WHAT ARE THE CONSIDERATIONS TO 

2231
01:46:57,939 --> 01:47:01,242
MAKE THAT HAPPEN?

2232
01:47:01,242 --> 01:47:03,845
SO, FLEXIBILITY ARE THE OUNCE 

2233
01:47:03,845 --> 01:47:05,413
EQUIVALENTS OF WHATEVER AND THEN

2234
01:47:05,413 --> 01:47:08,015
IF YOU CHOOSE NOT TO EAT THEM OR

2235
01:47:08,015 --> 01:47:10,852
IF WE HAVE ALTERNATIVE 

2236
01:47:10,852 --> 01:47:11,719
FLEXIBILITIES, WHAT ARE THE 

2237
01:47:11,719 --> 01:47:13,621
POTENTIAL NUTRIENT IMPLICATIONS 

2238
01:47:13,621 --> 01:47:15,857
AND HOW DO WE ADDRESS THOSE 

2239
01:47:15,857 --> 01:47:16,557
GAPS?

2240
01:47:16,557 --> 01:47:19,861
AND THEN THE THIRD IS CREATING A

2241
01:47:19,861 --> 01:47:21,896
WHOLE SEPARATE PATTERN.

2242
01:47:21,896 --> 01:47:24,332
WE HAVE THE HEALTHY U.S. STYLE 

2243
01:47:24,332 --> 01:47:26,834
AND HEALTHY MEDITERRANEAN AND 

2244
01:47:26,834 --> 01:47:30,138
HEALTHY VEGETARIAN PATTERN.

2245
01:47:30,138 --> 01:47:35,209
MAYBE WE DECIDE WE NEED A WHOLE 

2246
01:47:35,209 --> 01:47:37,078
SEPARATE PATTERN THAT IS X.

2247
01:47:37,078 --> 01:47:38,679
CREATE BEING A SEPARATE PATTERN 

2248
01:47:38,679 --> 01:47:40,081
IS DIFFERENT THAN A MODIFICATION

2249
01:47:40,081 --> 01:47:41,916
WHICH IS HEALTHY U.S. STYLE AND 

2250
01:47:41,916 --> 01:47:43,684
HOW MUCH IS FLEXIBILITIES WHICH 

2251
01:47:43,684 --> 01:47:47,855
IS THIS IS HOW MUCH IS IN A FOOD

2252
01:47:47,855 --> 01:47:50,925
GROUP BUT IF YOU CHOOSE TO DO 

2253
01:47:50,925 --> 01:47:53,327
THIS WHAT ARE THE CONSIDERATIONS

2254
01:47:53,327 --> 01:47:55,830
AND THEN A WHOLE DIFFERENT 

2255
01:47:55,830 --> 01:48:05,540
PATTERN.

2256
01:48:05,540 --> 01:48:07,275
WE'LL LOOK AT SOME 

2257
01:48:07,275 --> 01:48:09,443
MODIFICATIONS, SOME 

2258
01:48:09,443 --> 01:48:10,378
FLEXIBILITIES AND THEN WHEN WE 

2259
01:48:10,378 --> 01:48:15,850
LOOK AT THAT CONCEPT OF THE 

2260
01:48:15,850 --> 01:48:19,854
VEGAN PATTERN WOULD BE AN 

2261
01:48:19,854 --> 01:48:21,489
ALTERNATIVE PATTERN IF WE HAD 

2262
01:48:21,489 --> 01:48:23,558
GONE DOWN THAT ROUTE IN TERMS OF

2263
01:48:23,558 --> 01:48:26,894
THEN IT WOULD BE WHAT WE WOULD 

2264
01:48:26,894 --> 01:48:29,530
BE RECOMMENDING AS FAR AS THOSE 

2265
01:48:29,530 --> 01:48:30,031
QUANTITIES.

2266
01:48:30,031 --> 01:48:31,833
THAT'S AN EXAMPLE OF A DIFFERENT

2267
01:48:31,833 --> 01:48:33,935
PATTERN INDEPENDENT OF THE 

2268
01:48:33,935 --> 01:48:44,278
HEALTHY U.S. STYLE.

2269
01:48:52,186 --> 01:48:55,289
>> WHAT YOU DISCUSSED IN
YOUR 

2270
01:48:55,289 --> 01:48:55,890
PRIOR PRESENTATION IS 

2271
01:48:55,890 --> 01:48:57,825
INFORMATIVE AND I CAN THINK OF 

2272
01:48:57,825 --> 01:48:59,193
THE CONVERSATIONS WE'VE BEEN 

2273
01:48:59,193 --> 01:49:00,962
HAVING IN SUBCOMMITTEE 1 WHERE 

2274
01:49:00,962 --> 01:49:02,964
NOW WE'LL SEE THE PRESENTATION 

2275
01:49:02,964 --> 01:49:05,800
OF THOSE DATA SHOWING WHAT 

2276
01:49:05,800 --> 01:49:09,904
DIETARY PATTERNS ARE RELATED TO 

2277
01:49:09,904 --> 01:49:12,273
VARIOUS OUTCOMES AND BECAUSE OF 

2278
01:49:12,273 --> 01:49:15,843
CRPA AND THE TEAMS' ELEGANT 

2279
01:49:15,843 --> 01:49:18,512
EXPOSÉ ON THOSE DATA, WE CAN 

2280
01:49:18,512 --> 01:49:19,780
ACTUALLY SEE WHAT FOODS AND FOOD

2281
01:49:19,780 --> 01:49:23,284
GROUPS ARE DRIVING THOSE 

2282
01:49:23,284 --> 01:49:24,552
PATTERNS AND THE SUBCOMMITTEE 

2283
01:49:24,552 --> 01:49:26,721
HAS DONE THE WORK OF CALLING OUT

2284
01:49:26,721 --> 01:49:28,789
SOME OF THOSE THINGS.

2285
01:49:28,789 --> 01:49:33,895
WHAT HAS OCCURRED TO ME IN OUR 

2286
01:49:33,895 --> 01:49:37,265
DELIBERATIONS IS WE COULD HAVE 

2287
01:49:37,265 --> 01:49:38,366
SOME DIFFICULTIES WITH MEETING 

2288
01:49:38,366 --> 01:49:42,637
THE RDA FOR CERTAIN NUTRIENTS.

2289
01:49:42,637 --> 01:49:44,972
PARTICULARLY CALCIUM AND WHAT 

2290
01:49:44,972 --> 01:49:46,974
BECAME OBVIOUS WHEN YOU SHOWED 

2291
01:49:46,974 --> 01:49:47,842
THAT MODIFICATION OF WHAT 

2292
01:49:47,842 --> 01:49:52,146
HAPPENS WHEN YOU ARE MOVE DAIRY 

2293
01:49:52,146 --> 01:49:56,984
FOR EXAMPLE, TO THE RDA FOR 

2294
01:49:56,984 --> 01:49:58,920
CALCIUM, IT CLICKED.

2295
01:49:58,920 --> 01:50:00,955
MAYBE IT'S TIME TO HAND THOSE 

2296
01:50:00,955 --> 01:50:05,126
DATA OVER TO THE FOOD PATTERN 

2297
01:50:05,126 --> 01:50:09,463
MODELLING GROUPS SO THAT THE 

2298
01:50:09,463 --> 01:50:10,965
MODIFICATIONS ARE DRIVEN BY THE 

2299
01:50:10,965 --> 01:50:12,500
CONTEMPORARY LITERATURE AND HAVE

2300
01:50:12,500 --> 01:50:14,001
A CONCERN ABOUT PROTEIN FOODS 

2301
01:50:14,001 --> 01:50:16,804
DRIVEN BY PEOPLE WHO CONSUME A 

2302
01:50:16,804 --> 01:50:18,739
LOT OF MEAT AND RIGHT NOW THE 

2303
01:50:18,739 --> 01:50:19,874
LITERATURE IS SUGGESTING AS 

2304
01:50:19,874 --> 01:50:21,842
YOU'LL SEE IN THE LATER 

2305
01:50:21,842 --> 01:50:22,944
PRESENTATIONS IT DOESN'T HAVE TO

2306
01:50:22,944 --> 01:50:26,280
BE THAT WAY FOR HEALTH OUTCOMES.

2307
01:50:26,280 --> 01:50:31,686
YET WHEN IT COMES TO WHERE THE 

2308
01:50:31,686 --> 01:50:33,054
RDAs ARE AND HOW PEOPLE GET 

2309
01:50:33,054 --> 01:50:37,325
THERE YOU MAY WANT TO USE IT TO 

2310
01:50:37,325 --> 01:50:39,260
INFORM HOW THE MODIFICATIONS GO.

2311
01:50:39,260 --> 01:50:42,396
>> TWO COMMENTS TO THAT.

2312
01:50:42,396 --> 01:50:43,097
ONE, WITH THE REPRESENTATIVE 

2313
01:50:43,097 --> 01:50:45,900
FOODS THAT ARE USED FOR THE FOOD

2314
01:50:45,900 --> 01:50:47,702
PATTERN MODELLING IT DOES 

2315
01:50:47,702 --> 01:50:49,470
ADDRESS SO IF WE'RE TALKING 

2316
01:50:49,470 --> 01:50:52,673
ABOUT SAY ANIMAL PROTEIN FOODS 

2317
01:50:52,673 --> 01:50:55,843
FROM YOUR EXAMPLE THEY MAY BE HY

2318
01:50:55,843 --> 01:50:57,378
IN SATURATED FAT AND THE 

2319
01:50:57,378 --> 01:50:58,012
REPRESENTATIVE FOOD MAY HELP 

2320
01:50:58,012 --> 01:51:00,247
ADDRESS THE AMOUNT OF SATURATED 

2321
01:51:00,247 --> 01:51:02,350
FAT IN TERMS OF MODELLING THE 

2322
01:51:02,350 --> 01:51:02,583
PATTERN.

2323
01:51:02,583 --> 01:51:05,186
I THINK WHAT IS ALSO STRIKINGLY 

2324
01:51:05,186 --> 01:51:07,488
DIFFERENT BETWEEN DOING THE FOOD

2325
01:51:07,488 --> 01:51:09,991
PATTERN MODELLING WHICH IS 

2326
01:51:09,991 --> 01:51:12,526
TAKING THE PROFILE AND PUTTING 

2327
01:51:12,526 --> 01:51:15,863
IT OUT INTO WHAT THE 

2328
01:51:15,863 --> 01:51:18,799
RECOMMENDATIONS ARE FOR THE 

2329
01:51:18,799 --> 01:51:21,402
AMOUNTS YOU CAN HOLD ON THE 

2330
01:51:21,402 --> 01:51:23,838
CALCIUM THOUGHT BECAUSE THOSE 

2331
01:51:23,838 --> 01:51:34,281
NUTRIENTS ARE COMING SOON.

2332
01:51:35,916 --> 01:51:42,556
THREES  -- THERE'S INTAKES THAT 

2333
01:51:42,556 --> 01:51:43,858
SAY IT'S BELOW CONSUMPTION BUT 

2334
01:51:43,858 --> 01:51:45,626
DOESN'T ALIGN WITH THE DIETARY 

2335
01:51:45,626 --> 01:51:45,926
GUIDELINES.

2336
01:51:45,926 --> 01:51:47,862
IN THIS CASE YOU'RE TAKING THE 

2337
01:51:47,862 --> 01:51:51,532
PATTERN AND SAYING IF YOU 

2338
01:51:51,532 --> 01:51:55,836
CONSUME THE DIETARY GUIDELINES 

2339
01:51:55,836 --> 01:51:57,838
PATTERN WITH NUTRIENT-DENSE 

2340
01:51:57,838 --> 01:52:00,307
FOODS LOWER IN SATURATED FAT AND

2341
01:52:00,307 --> 01:52:01,375
ADDED SUGARS AND REPRESENTATIVE 

2342
01:52:01,375 --> 01:52:03,978
FOODS NOW WE CAN QUANTIFY THE 

2343
01:52:03,978 --> 01:52:05,713
NUTRITIONAL IMPLICATIONS.

2344
01:52:05,713 --> 01:52:08,315
SO IT GOES BEYOND THE WELL, IF 

2345
01:52:08,315 --> 01:52:11,385
YOU HAVE MORE -- IT'S A 

2346
01:52:11,385 --> 01:52:13,020
QUANTITATIVE, IF YOU REMOVE THIS

2347
01:52:13,020 --> 01:52:14,555
THESE ARE THE TRADITIONAL 

2348
01:52:14,555 --> 01:52:14,922
IMPLICATIONS.

2349
01:52:14,922 --> 01:52:18,259
WE HAVE THE QUANTITATIVE DATA TO

2350
01:52:18,259 --> 01:52:19,794
SAY THESE ARE ALSO GOING TO BE 

2351
01:52:19,794 --> 01:52:21,896
BASED ON ESTIMATES BUT AT THE 

2352
01:52:21,896 --> 01:52:23,297
SAME TIME IT'S STILL MEETING 

2353
01:52:23,297 --> 01:52:24,532
PEOPLE WHERE THEY ARE BECAUSE 

2354
01:52:24,532 --> 01:52:27,735
THE NUTRIENT PROFILE IS BASED ON

2355
01:52:27,735 --> 01:52:30,871
THE CONSUMPTION OF FOODS WITHIN 

2356
01:52:30,871 --> 01:52:32,840
THAT VEGETABLES AND FRUITS AND 

2357
01:52:32,840 --> 01:52:37,945
DAIRY AND FORTIFIED SOY.

2358
01:52:37,945 --> 01:52:39,847
SO IT'S NOT TAKING QUOTE, 

2359
01:52:39,847 --> 01:52:41,215
UNQUOTE, ALL THE OPTIONS WITHIN 

2360
01:52:41,215 --> 01:52:44,852
EACH BUT LOOKING AT THE 

2361
01:52:44,852 --> 01:52:46,987
CONSUMPTION CURRENTLY, PUT THAT 

2362
01:52:46,987 --> 01:52:48,856
IN THE REP FOOD THAT MAKES IT 

2363
01:52:48,856 --> 01:52:51,859
THE MOST NUTRIENT-DENSE AND THEN

2364
01:52:51,859 --> 01:52:55,362
CREATING THAT AND TESTING THE 

2365
01:52:55,362 --> 01:52:57,731
PATTERN OUT WHICH GETS OUT OF 

2366
01:52:57,731 --> 01:52:58,899
THE WELL, IF YOU AREN'T 

2367
01:52:58,899 --> 01:53:06,173
FOLLOWING THE DATE  RY -- DIETA 

2368
01:53:06,173 --> 01:53:07,174
GUIDELINES AND DO A LITTLE BIT 

2369
01:53:07,174 --> 01:53:08,309
BETTER IN THE EVIDENCE VERSUS 

2370
01:53:08,309 --> 01:53:14,381
HOW DOES THE PATTERN MEET THE 

2371
01:53:14,381 --> 01:53:24,925
NUTRIENT GOALS AS THE PATTERNS 

2372
01:53:25,326 --> 01:53:27,228
UP FOR THOSE.

2373
01:53:27,228 --> 01:53:31,165
>> ANY ISSUE IS WITH THE
RDA BUT

2374
01:53:31,165 --> 01:53:35,569
THE RDA FOR FEMALES STARTED AT 

2375
01:53:35,569 --> 01:53:37,638
14 WHICH MUST BE CORRELATING 

2376
01:53:37,638 --> 01:53:45,913
WITH THE ONSET OF MENSES WHICH 

2377
01:53:45,913 --> 01:53:48,916
HAS SHIFTED FORWARD AND THIS 

2378
01:53:48,916 --> 01:53:50,251
DATA HAS BEEN SHOWN FOR 15 YEARS

2379
01:53:50,251 --> 01:53:52,653
I DON'T KNOW IF YOU HAVE SHOWN 

2380
01:53:52,653 --> 01:53:55,856
THE AGE OF MENSES FOR THOSE OF 

2381
01:53:55,856 --> 01:53:59,927
RACIAL AND ETHNIC MINORITIES 

2382
01:53:59,927 --> 01:54:03,097
HAVE SHIFTED SIGNIFICANTLY 

2383
01:54:03,097 --> 01:54:04,965
FORWARD FOR OVER 15 PLUS YEARS 

2384
01:54:04,965 --> 01:54:06,567
AROUND TAKING THAT INTO 

2385
01:54:06,567 --> 01:54:07,835
CONSIDERATION WHEN LOOKING AT 

2386
01:54:07,835 --> 01:54:11,739
THIS PARTICULAR DATA EVEN FOR 

2387
01:54:11,739 --> 01:54:20,214
THOSE WHO ARE NOT OF 

2388
01:54:20,214 --> 01:54:23,784
NON-HISPANIC WHITES AND OTHER 

2389
01:54:23,784 --> 01:54:30,090
MINORITIES SHOWS A SHIFT IN 

2390
01:54:30,090 --> 01:54:31,859
MENARCHE IN THE U.S. TODAY AND 

2391
01:54:31,859 --> 01:54:34,128
WANT TO BRING THAT UP FOR 

2392
01:54:34,128 --> 01:54:41,368
CONSIDERATION.

2393
01:54:41,368 --> 01:54:43,470
>> THERE'S LOTS OF
EXAMPLES IN 

2394
01:54:43,470 --> 01:54:45,105
TERMS OF THE EVIDENCE THAT'S 

2395
01:54:45,105 --> 01:54:46,473
EVOLVED SINCE THE DEVELOPMENT OF

2396
01:54:46,473 --> 01:54:50,444
THE DRIs.

2397
01:54:50,444 --> 01:54:51,245
AND SOME THINGS WE'VE BEEN 

2398
01:54:51,245 --> 01:54:53,414
HEARING OF OTHER THINGS 

2399
01:54:53,414 --> 01:54:59,853
HAPPENING ARE UPDATES WITHIN THE

2400
01:54:59,853 --> 01:55:02,323
DRI AND THE UPDATE OF THE EER 

2401
01:55:02,323 --> 01:55:03,724
WAS USED IN THE UPDATES OF WHAT 

2402
01:55:03,724 --> 01:55:09,263
IS USED FOR ENERGY AND 

2403
01:55:09,263 --> 01:55:10,264
CALCULATING THE ENERGY LEVELS 

2404
01:55:10,264 --> 01:55:12,533
FOR THE AGE SEX GROUPS AND AS 

2405
01:55:12,533 --> 01:55:15,102
THE ERIs HAVE EVOLVED, WE'RE 

2406
01:55:15,102 --> 01:55:19,106
ABLE CARRY THAT FORWARD BUT 

2407
01:55:19,106 --> 01:55:21,909
RIGHT NOW WE HAD THE ESTABLISHED

2408
01:55:21,909 --> 01:55:22,876
RDA WITHIN THAT.

2409
01:55:22,876 --> 01:55:26,580
WE CAN CONSIDER THAT WHEN WE GET

2410
01:55:26,580 --> 01:55:29,483
TO SYNTHESIS AND HOW IT MIGHT 

2411
01:55:29,483 --> 01:55:32,286
IMPACT YOUNGER AGE GROUPS WHEN 

2412
01:55:32,286 --> 01:55:35,856
THAT MAY BE AT EARLIER ONSET OF 

2413
01:55:35,856 --> 01:55:38,158
MENARCHE THAT MAY HAVE 

2414
01:55:38,158 --> 01:55:48,402
IMPLICATIONS.

2415
01:55:58,812 --> 01:56:00,214
>> FOODS FORTIFIED OR
ENRICHED 

2416
01:56:00,214 --> 01:56:03,917
IN TERMS OF THE CONTRIBUTIONS OF

2417
01:56:03,917 --> 01:56:07,254
THE NUTRIENTS.

2418
01:56:07,254 --> 01:56:09,857
>> SO, ALL THE DATA WILL
BE 

2419
01:56:09,857 --> 01:56:16,997
BASED ON FNDDS AND THE SR DATA 

2420
01:56:16,997 --> 01:56:20,100
CODES BEHIND THAT WHICH WILL -- 

2421
01:56:20,100 --> 01:56:21,902
ET CREATES OUR WEST POINT 

2422
01:56:21,902 --> 01:56:23,437
ESTIMATE FOR THE VALUE AND WE 

2423
01:56:23,437 --> 01:56:27,775
HAVE TO REMEMBER ITEMS WITHIN FN

2424
01:56:29,109 --> 01:56:30,511
DS ARE A REPRESENTATION OF THE 

2425
01:56:30,511 --> 01:56:31,712
FOOD SUPPLY AS WELL.

2426
01:56:31,712 --> 01:56:33,347
THERE'S ALSO A RANGE OF ERROR 

2427
01:56:33,347 --> 01:56:36,317
AROUND WHAT A SINGLE FOOD CODE 

2428
01:56:36,317 --> 01:56:41,722
DOES TO REPRESENT A COLLECTION 

2429
01:56:41,722 --> 01:56:43,857
OF FOODS.

2430
01:56:43,857 --> 01:56:48,162
SO AND WHERE A VEGETABLE IS 

2431
01:56:48,162 --> 01:56:50,397
GROWN AND THERE'S VARIATIONS 

2432
01:56:50,397 --> 01:56:51,665
WITHIN FORTIFICATION AND 

2433
01:56:51,665 --> 01:56:53,133
DIFFERENT PRODUCTS AND HOW WELL 

2434
01:56:53,133 --> 01:56:54,234
OR BASICALLY WE'RE TRYING TO GET

2435
01:56:54,234 --> 01:56:57,905
A POINT ESTIMATE AT A 

2436
01:56:57,905 --> 01:57:03,844
POPULATION-BASED ON SOME VERY 

2437
01:57:03,844 --> 01:57:06,613
HIGHLY VARIABLE ITEMS AND HAVE 

2438
01:57:06,613 --> 01:57:11,719
TO FIRST QUARTER THAT IN WITHIN 

2439
01:57:11,719 --> 01:57:19,193
THE GRAND SCHEME DON'T KNOW 

2440
01:57:19,193 --> 01:57:21,395
ABOUT THE DATA OF CEREALS AND 

2441
01:57:21,395 --> 01:57:22,529
THERE'S FOOD CODES WITHIN THAT 

2442
01:57:22,529 --> 01:57:24,064
AND IT WILL BE BASED ON THE 

2443
01:57:24,064 --> 01:57:25,833
ABILITY TO CAPTURE THAT 

2444
01:57:25,833 --> 01:57:27,935
INFORMATION AND QUANTIFY IT INTO

2445
01:57:27,935 --> 01:57:34,274
A FOOD CODE.

2446
01:57:34,274 --> 01:57:36,410
>> IT CAN YOU COMMENT ON
THE SUB

2447
01:57:36,410 --> 01:57:39,780
GROUP FOR VEGETABLES AND 

2448
01:57:39,780 --> 01:57:42,082
PARTICULARLY THE BEANS, PEAS, 

2449
01:57:42,082 --> 01:57:45,252
LENTILS AND THEIR BELONGINGS?

2450
01:57:45,252 --> 01:57:48,055
>> IF YOU HAVE THAT
QUESTION 

2451
01:57:48,055 --> 01:57:48,856
YOU'LL LOVE WHAT WE HAVE COMING 

2452
01:57:48,856 --> 01:57:54,628
FORWARD.

2453
01:57:54,628 --> 01:57:59,833
>> I'M GOING TO HOLD ON
THAT 

2454
01:57:59,833 --> 01:58:04,505
BECAUSE I BELIEVE THAT'S 

2455
01:58:04,505 --> 01:58:05,572
SAMEERA, SORRY.

2456
01:58:05,572 --> 01:58:06,206
DON'T WORRY.

2457
01:58:06,206 --> 01:58:09,510
LET'S JUST SAY THERE'S A LOT OF 

2458
01:58:09,510 --> 01:58:12,780
PROTOCOLS, A LOT OF DATA AND A 

2459
01:58:12,780 --> 01:58:15,616
LOT OF MOVING PARTS AND MY 

2460
01:58:15,616 --> 01:58:18,719
APOLOGIES, SAMEERA, FOR GIVING 

2461
01:58:18,719 --> 01:58:19,787
YOU A HEART ATTACK.

2462
01:58:19,787 --> 01:58:23,090
SOMEONE ELSE WILL DO THAT PART.

2463
01:58:23,090 --> 01:58:27,861
>> IN LOOKING AT
INADEQUACY WHEN

2464
01:58:27,861 --> 01:58:32,866
YOU REMOVE DIFFERENT CATEGORIES,

2465
01:58:32,866 --> 01:58:33,901
HAVE YOU THOUGHT ABOUT AND AGAIN

2466
01:58:33,901 --> 01:58:37,004
IT MAY BE HARD TO ESTIMATE BUT 

2467
01:58:37,004 --> 01:58:39,840
THE IDEA OF EXCESSES.

2468
01:58:39,840 --> 01:58:42,676
I GUESS I'M CURIOUS ON IF 

2469
01:58:42,676 --> 01:58:45,913
THERE'S LOOKING AT CHANGES IN 

2470
01:58:45,913 --> 01:58:49,616
INADEQUACY BUT ESSENTIALLY YOU 

2471
01:58:49,616 --> 01:58:51,852
WOULD THINK IF ONE IF THERE IS 

2472
01:58:51,852 --> 01:58:54,588
SOMETHING TAKEN AWAY THERE IS 

2473
01:58:54,588 --> 01:58:55,889
SOMETHING IN EXCESS AND THAT IT 

2474
01:58:55,889 --> 01:58:58,025
MIGHT DRIVE THE NUTRIENTS OVER 

2475
01:58:58,025 --> 01:59:02,830
VERSUS UNDER.

2476
01:59:02,830 --> 01:59:05,265
THE SECOND QUESTION AND I THINK 

2477
01:59:05,265 --> 01:59:07,401
WE TALKED ABOUT THIS BEFORE, BUT

2478
01:59:07,401 --> 01:59:10,070
THESE ARE INDIVIDUAL GUIDELINES 

2479
01:59:10,070 --> 01:59:11,839
WITH POPULATION HEALTH 

2480
01:59:11,839 --> 01:59:12,573
IMPLICATIONS.

2481
01:59:12,573 --> 01:59:15,843
AND I KNOW YOU'RE NOT 

2482
01:59:15,843 --> 01:59:19,446
CALCULATING THE PERCENTAGE OF 

2483
01:59:19,446 --> 01:59:20,280
INADEQUACY FROM A POPULATION 

2484
01:59:20,280 --> 01:59:23,584
STANDPOINT OR IN A SENSE IT'S AN

2485
01:59:23,584 --> 01:59:27,221
INDIVIDUAL BUT I WAS CURIOUS ON 

2486
01:59:27,221 --> 01:59:29,456
AND THINKING ABOUT BOTH OF THESE

2487
01:59:29,456 --> 01:59:31,859
INADEQUACY COMPARED TO EXCESS.

2488
01:59:31,859 --> 01:59:33,927
HOW IS THAT BEING CONSIDERED 

2489
01:59:33,927 --> 01:59:37,064
SORT OF ACROSS THE BOARD?

2490
01:59:37,064 --> 01:59:39,900
>> THE ONE ANSWER TO THAT
IS 

2491
01:59:39,900 --> 01:59:40,167
SYNTHESIS.

2492
01:59:40,167 --> 01:59:42,736
AS WE LOOK AT EACH ONE AND WE 

2493
01:59:42,736 --> 01:59:45,539
MAKE CONCLUSIONS BASED ON EACH 

2494
01:59:45,539 --> 01:59:49,610
OF OUR PROTOCOLS, WE'RE LOOKING 

2495
01:59:49,610 --> 01:59:50,511
AT WHAT HAPPENS WING THE 

2496
01:59:50,511 --> 01:59:51,712
NUTRIENTS WITHIN THEM AND IF WE 

2497
01:59:51,712 --> 01:59:54,715
MAKE A CHANGE ARE WE CREATING A 

2498
01:59:54,715 --> 01:59:55,582
GAP?

2499
01:59:55,582 --> 01:59:58,952
SOME START WELL ABOVE THE RDA, 

2500
01:59:58,952 --> 02:00:01,688
TWO TO THREE TIMES THE RDA AND 

2501
02:00:01,688 --> 02:00:05,425
IF WE TAKE EXPECT IT MAY GO FROM

2502
02:00:05,425 --> 02:00:08,595
50% TO 248%, AND WE THINK GREAT.

2503
02:00:08,595 --> 02:00:10,898
BUT IF WE TAKE IT AWAY AND 

2504
02:00:10,898 --> 02:00:12,432
CREATE A NUTRIENT GAP IN 

2505
02:00:12,432 --> 02:00:14,067
SOMETHING AS AN UNINTENDED 

2506
02:00:14,067 --> 02:00:18,972
CONSEQUENCE, PART OF WHAT WE 

2507
02:00:18,972 --> 02:00:22,442
HAVE TO DO IS SAY FOUR ADULTS 

2508
02:00:22,442 --> 02:00:25,946
MAGNESIUM IS SENSITIVE AND IF 

2509
02:00:25,946 --> 02:00:27,848
YOU REMOVE CERTAIN THINGS 

2510
02:00:27,848 --> 02:00:31,285
MAGNESIUM BECOMES A CHALLENGE 

2511
02:00:31,285 --> 02:00:33,887
AND HERE'S A FOOD GROUP HAS 

2512
02:00:33,887 --> 02:00:34,988
MAGNESIUM AND IF WE MOVE THE 

2513
02:00:34,988 --> 02:00:38,525
LEVERS WE'RE ABLE TO LOOK AT HOW

2514
02:00:38,525 --> 02:00:40,327
THE PATTERN MIGHT -- BECAUSE IT 

2515
02:00:40,327 --> 02:00:41,662
MIGHT BE I THINK GAIN SOMETHING 

2516
02:00:41,662 --> 02:00:43,530
THAT WE STRUGGLE WITH HERE BUT 

2517
02:00:43,530 --> 02:00:44,831
I'M GOING TO LOSE A LITTLE BIT 

2518
02:00:44,831 --> 02:00:46,199
HERE BUT IF I'M GOING TO LOSE A 

2519
02:00:46,199 --> 02:00:48,068
LITTLE BIT HERE I CAN GET THAT 

2520
02:00:48,068 --> 02:00:49,036
HERE.

2521
02:00:49,036 --> 02:00:55,208
AND THIS PLAYS WITH THIS 

2522
02:00:55,208 --> 02:01:05,652
MODIFICATION OR AWARD -- 

2523
02:01:06,920 --> 02:01:09,890
SELLECTION AND HOW DO WE USE TO 

2524
02:01:09,890 --> 02:01:12,059
TO MEET AS MANY NUTRIENTS AS 

2525
02:01:12,059 --> 02:01:22,235
POSSIBLE.

2526
02:01:25,739 --> 02:01:29,209
-- SELECTION OR HOW DO WE MEET 

2527
02:01:29,209 --> 02:01:31,845
THAT NUTRIENTS AND IT'S NOT LIKE

2528
02:01:31,845 --> 02:01:33,513
ZERO VEGETABLES.

2529
02:01:33,513 --> 02:01:35,015
>> WE TESTED IT SO WE KNOW
WHAT 

2530
02:01:35,015 --> 02:01:39,252
THE IMPLICATIONS ARE WITHIN 

2531
02:01:39,252 --> 02:01:40,320
BECAUSE THERE'S COMMENTS THAT 

2532
02:01:40,320 --> 02:01:41,221
HAVE BEEN FROM THIS GROUP OR 

2533
02:01:41,221 --> 02:01:42,589
THIS GROUP AND WE'RE ABLE TO 

2534
02:01:42,589 --> 02:01:45,492
LOOK AT THAT FROM A NUTRIENT 

2535
02:01:45,492 --> 02:01:46,526
STANDPOINT TO SAY SO WE'RE ABLE 

2536
02:01:46,526 --> 02:01:50,230
TO BUILD A PATTERN AND SAY WE 

2537
02:01:50,230 --> 02:01:51,999
NEED TO MEET THESE NUTRIENT 

2538
02:01:51,999 --> 02:01:54,434
GOALS AND THESE FOOD GROUPS WILL

2539
02:01:54,434 --> 02:01:55,902
CONTRIBUTE TO THAT BUT IT ALSO 

2540
02:01:55,902 --> 02:01:57,270
HELPS US SEE HOW MUCH IN WE WERE

2541
02:01:57,270 --> 02:02:01,475
TO SEE A MODIFICATION, A 

2542
02:02:01,475 --> 02:02:02,509
REDUCTION, HOW MUCH OF A 

2543
02:02:02,509 --> 02:02:03,877
REDUCTION IN A FOOD GROUP BEFORE

2544
02:02:03,877 --> 02:02:06,246
YOU SEE A NUTRIENT GAP.

2545
02:02:06,246 --> 02:02:10,517
>> AND ANGELA TO YOUR
QUESTION 

2546
02:02:10,517 --> 02:02:12,419
ABOUT EXCEEDING, WE LOOKED AT 

2547
02:02:12,419 --> 02:02:14,588
THAT AND AS YOU MAY GUESS WITH 

2548
02:02:14,588 --> 02:02:19,893
SODIUM IS WHERE WE RUN INTO THAT

2549
02:02:19,893 --> 02:02:25,298
A LOT IN THE PATTERN.

2550
02:02:25,298 --> 02:02:28,135
>> CHRISTOPHER, CAN THIS
BEING 

2551
02:02:28,135 --> 02:02:29,836
THE LAST QUESTION AND WE WANT TO

2552
02:02:29,836 --> 02:02:32,939
HEAR YOUR VOICE BUT WONDERING IF

2553
02:02:32,939 --> 02:02:34,875
EVERYONE CAN HOLD THEIR 

2554
02:02:34,875 --> 02:02:35,575
QUESTIONS BECAUSE WE HAVE A LOT 

2555
02:02:35,575 --> 02:02:36,877
OF SLIDES TO GO THROUGH.

2556
02:02:36,877 --> 02:02:39,146
>> MY HEAD IS EXPLODING
WITH ALL

2557
02:02:39,146 --> 02:02:39,846
THE POSSIBILITIES.

2558
02:02:39,846 --> 02:02:42,049
PART OF THE LAST SEGMENT THE 

2559
02:02:42,049 --> 02:02:43,483
POSSIBILITY OF LOOKING FOR 

2560
02:02:43,483 --> 02:02:45,252
ANOTHER HEALTHY DIETARY PATTERN 

2561
02:02:45,252 --> 02:02:53,927
IS THAT WHAT YOU SAID BEYOND THE

2562
02:02:53,927 --> 02:02:55,862
VEGETARIAN AND MEDITERRANEAN AND

2563
02:02:55,862 --> 02:02:57,364
U.S.

2564
02:02:57,364 --> 02:02:59,232
>> ONE OF THE THREE
POTENTIAL 

2565
02:02:59,232 --> 02:03:01,068
MODELLING OUTCOME FROM FOOD 

2566
02:03:01,068 --> 02:03:02,869
PATTERNING ANALYSES.

2567
02:03:02,869 --> 02:03:04,404
>> IT SEEMS LIKE YOU COULD

2568
02:03:04,404 --> 02:03:05,138
DISCOURAGE THAT.

2569
02:03:05,138 --> 02:03:07,908
I THINK THE THREE WE HAVE 

2570
02:03:07,908 --> 02:03:11,511
OVERLAP TREMENDOUSLY.

2571
02:03:11,511 --> 02:03:13,480
I DON'T KNOW HOW MANY HEARD OF 

2572
02:03:13,480 --> 02:03:14,648
THE ATLANTIC DIET THE HOT NEW 

2573
02:03:14,648 --> 02:03:17,084
THING SIMILAR TO THOSE THREE.

2574
02:03:17,084 --> 02:03:21,154
I'M STRUCK BY WE HAVE AN 

2575
02:03:21,154 --> 02:03:23,256
ACCEPTABLE MACRO NUTRIENT RANGE 

2576
02:03:23,256 --> 02:03:25,158
AND VEGAN AND KETO ARE CLEARLY 

2577
02:03:25,158 --> 02:03:26,293
OUTSIDE THOSE.

2578
02:03:26,293 --> 02:03:28,628
IF YOU WERE GOING TO PICK THAT 

2579
02:03:28,628 --> 02:03:30,864
MAYBE YOU CAN GO IMMEDIATELY TO 

2580
02:03:30,864 --> 02:03:31,665
A POPULAR CONTROVERSIAL DIETS 

2581
02:03:31,665 --> 02:03:36,403
LIKE THAT AND IF YOU DID, I 

2582
02:03:36,403 --> 02:03:39,906
ASSUME YOU'D STILL GO AFTER A 

2583
02:03:39,906 --> 02:03:42,375
HEALTHY VEGAN AND KETO DIET 

2584
02:03:42,375 --> 02:03:43,877
BECAUSE THERE'S HEALTHY WAYS TO 

2585
02:03:43,877 --> 02:03:45,746
FOLLOW THOSE PATTERNS.

2586
02:03:45,746 --> 02:03:47,214
HOW DO YOU GET A GROUP OF PEOPLE

2587
02:03:47,214 --> 02:03:49,216
TO SAY HERE'S THE BEST VEGAN AND

2588
02:03:49,216 --> 02:03:54,121
BEST KETO AND HOW'S IT WORK?

2589
02:03:54,121 --> 02:03:55,856
>> PLEASE HOLD UNTIL THE 

2590
02:03:55,856 --> 02:03:56,189
PROTOCOL -- 

2591
02:03:56,189 --> 02:03:57,624
>> STARK QUESTION.

2592
02:03:57,624 --> 02:04:00,961
>> I CAN SEE THE BEANS,
PEAS AND

2593
02:04:00,961 --> 02:04:01,895
LENTILS EXPLODING OUT OF HIS 

2594
02:04:01,895 --> 02:04:07,868
HEAD AS HE GETS EXCITED.

2595
02:04:07,868 --> 02:04:08,535
OKAY.

2596
02:04:08,535 --> 02:04:13,507
SO, AGAIN WE'RE LEVEL SETTING 

2597
02:04:13,507 --> 02:04:14,841
AROUND THE QUESTIONS AND WORK 

2598
02:04:14,841 --> 02:04:15,709
OUR WAY THROUGH THE DIFFERENT 

2599
02:04:15,709 --> 02:04:16,610
FOOD GROUPS.

2600
02:04:16,610 --> 02:04:17,978
WE'RE GOING TO START WITH FRUIT 

2601
02:04:17,978 --> 02:04:18,779
AND I'M GOING IT PASS IT OVER TO

2602
02:04:18,779 --> 02:04:28,889
CAROL.

2603
02:04:42,068 --> 02:04:44,037
>> FOR FRUITS WE USED FOOD

2604
02:04:44,037 --> 02:04:45,839
PATTERN ANALYSIS TO EXAMINE THE 

2605
02:04:45,839 --> 02:04:47,874
IMPLICATIONS MUCH REDUCING THE 

2606
02:04:47,874 --> 02:04:49,776
RECOMMENDED QUANTITY OF FRUIT IN

2607
02:04:49,776 --> 02:04:53,346
THE U.S. HEALTHY DIET PATTERN AS

2608
02:04:53,346 --> 02:04:53,914
WELL AS MODIFYING THE 

2609
02:04:53,914 --> 02:04:57,918
RECOMMENDED RATIO OF WHOLE FRUIT

2610
02:04:57,918 --> 02:05:01,922
TO 100% FRUIT JUICE.

2611
02:05:01,922 --> 02:05:05,125
FOOD PATTERN MODELS RESULTS 

2612
02:05:05,125 --> 02:05:13,466
SUPPORT THE QUANTITIES OF FOODS 

2613
02:05:13,466 --> 02:05:15,435
AND NO MODIFICATION IN THE FOOD 

2614
02:05:15,435 --> 02:05:16,570
GROUP IN THE DIETARY 

2615
02:05:16,570 --> 02:05:19,873
U.S. PATTERN ARE PROPOSED.

2616
02:05:19,873 --> 02:05:21,942
THE NEXT SLIDE SUMMARIZES THE 

2617
02:05:21,942 --> 02:05:27,147
EVIDENCE AND CONSIDERATIONS FOR 

2618
02:05:27,147 --> 02:05:29,416
THE FRUIT SYNTHESIS STATEMENT.

2619
02:05:29,416 --> 02:05:32,085
IN REDUCE THE FOOD GROUP DOWN TO

2620
02:05:32,085 --> 02:05:33,954
ZERO AND SEVERAL IMPLICATIONS 

2621
02:05:33,954 --> 02:05:37,791
WERE NOTED.

2622
02:05:37,791 --> 02:05:38,291
VITA

2623
02:05:38,291 --> 02:05:41,695
VITAMIN C, FIBER AND POTASSIUM 

2624
02:05:41,695 --> 02:05:45,599
FELL BELOW AND OTHER NUTRIENTS 

2625
02:05:45,599 --> 02:05:49,202
FELL FURTHER BELOW THE 50% 

2626
02:05:49,202 --> 02:05:51,872
INCLUDING FOLATE AND CHOLINE.

2627
02:05:51,872 --> 02:05:55,108
FOOD PATTERN MODELS RESULTS DOES

2628
02:05:55,108 --> 02:05:55,909
NOT SUPPORT FOOD SUB GROUPS 

2629
02:05:55,909 --> 02:06:01,147
BASED ON NUTRIENTS.

2630
02:06:01,147 --> 02:06:02,816
THE SUBCOMMITTEE EXPLORED 

2631
02:06:02,816 --> 02:06:05,952
SPECIAL SUBGROUPS BASED ON TYPE 

2632
02:06:05,952 --> 02:06:07,854
AND THEY SHOWED VARIABILITY 

2633
02:06:07,854 --> 02:06:11,858
ACROSS THE FOOD TYPES AND NOT AN

2634
02:06:11,858 --> 02:06:14,494
A PATTERNIZATION OF FOOD TYPES 

2635
02:06:14,494 --> 02:06:14,794
TESTED.

2636
02:06:14,794 --> 02:06:16,196
ANALYSIS LOOKED AT VARYING 

2637
02:06:16,196 --> 02:06:18,198
PROPORTIONS OF WHOLE FRUITS AND 

2638
02:06:18,198 --> 02:06:21,434
FRUIT JUICE AND THE MODIFICATION

2639
02:06:21,434 --> 02:06:24,437
TO INCLUDE MORE OR ALL WHOLE 

2640
02:06:24,437 --> 02:06:31,111
FRUITS VERSUS LESS OR NO 100% 

2641
02:06:31,111 --> 02:06:34,147
FRUIT JUICE RESULTS SHOWED 

2642
02:06:34,147 --> 02:06:35,682
HIGHER FIBER BUT THE 

2643
02:06:35,682 --> 02:06:38,485
RECOMMENDATIONS TO MAKE HALF 

2644
02:06:38,485 --> 02:06:41,354
YOUR FRUIT WHOLE SUPPORTS SHOW 

2645
02:06:41,354 --> 02:06:43,490
NO NEGATIVE NUTRIENT 

2646
02:06:43,490 --> 02:06:44,858
IMPLICATIONS WERE NOTED AT THOSE

2647
02:06:44,858 --> 02:06:47,093
LEVELS AND SINCE THERE WERE NO 

2648
02:06:47,093 --> 02:06:51,531
RDAs OR DRIs FOR PHYTO NUTRIENTS

2649
02:06:51,531 --> 02:06:53,433
IT DID NOT INCLUDE THOSE VALUES 

2650
02:06:53,433 --> 02:06:54,200
BUT THE SUBCOMMITTEE DISCUSSED 

2651
02:06:54,200 --> 02:06:55,869
THE POTENTIAL AS A FUTURE 

2652
02:06:55,869 --> 02:06:59,873
DIRECTION.

2653
02:06:59,873 --> 02:07:10,283
WITH THAT OVER TO SARAH.

2654
02:07:15,956 --> 02:07:17,624
IT DID NOT INCLUDE THO

2655
02:07:17,624 --> 02:07:20,193
>> THIS FOOD PATTERN
MODELLING 

2656
02:07:20,193 --> 02:07:23,863
EXAMINED THE IMPLICATIONS FOR 

2657
02:07:23,863 --> 02:07:25,598
MODIFYING QUANTITIES AND 

2658
02:07:25,598 --> 02:07:26,466
PROPORTIONS OF THE VEGETABLE 

2659
02:07:26,466 --> 02:07:33,940
FOOD GROUP AND THE SUBGROUPS.

2660
02:07:33,940 --> 02:07:38,244
TO THAT RECOMMENDED IN THE 

2661
02:07:38,244 --> 02:07:38,645
HEALTH PATTERNS.

2662
02:07:38,645 --> 02:07:41,581
WE LOOKED AT QUANTITIES OF THE 

2663
02:07:41,581 --> 02:07:43,683
TOTAL VEGETABLE FOOD GROUP 

2664
02:07:43,683 --> 02:07:45,518
MODIFIED FROM A RANGE OF TO 

2665
02:07:45,518 --> 02:07:48,355
ANSWER YOUR QUESTION, ZERO.

2666
02:07:48,355 --> 02:07:50,323
TO THE CURRENT QUANTITIES 

2667
02:07:50,323 --> 02:07:52,525
RECOMMENDED IN THE HEALTHY 

2668
02:07:52,525 --> 02:07:55,829
U.S. STYLE DIETARY PATTERN 

2669
02:07:55,829 --> 02:07:57,630
RANGING FROM ONE HALF TO FOUR 

2670
02:07:57,630 --> 02:08:02,635
CUPS EQUIVALENT PER DAY.

2671
02:08:02,635 --> 02:08:08,808
WE ALSO LOOKED AT SUBGROUPS 

2672
02:08:08,808 --> 02:08:14,514
MODIFIED WITHIN THE RECOMMENDED 

2673
02:08:14,514 --> 02:08:15,115
TOTAL AMOUNT.

2674
02:08:15,115 --> 02:08:15,882
NEXT SLIDE.

2675
02:08:15,882 --> 02:08:19,386
SO SIMILAR TO THAT OF THE 

2676
02:08:19,386 --> 02:08:24,657
FRUITS, THE CONCLUSION WAS THERE

2677
02:08:24,657 --> 02:08:26,893
WAS NO POTENTIAL MODIFICATIONS 

2678
02:08:26,893 --> 02:08:28,762
TO THE HEALTHY DIETARY PATTERN 

2679
02:08:28,762 --> 02:08:30,797
BECAUSE THE FOOD PATTERN 

2680
02:08:30,797 --> 02:08:33,833
MODELLING RESULTS SUPPORTED THE 

2681
02:08:33,833 --> 02:08:37,904
EXISTING QUANTITIES OF TOTAL 

2682
02:08:37,904 --> 02:08:39,773
VEGETABLES IN THE OVER ALL 

2683
02:08:39,773 --> 02:08:41,708
SYNTHESIS THAT INTEGRATES THE 

2684
02:08:41,708 --> 02:08:44,577
FOOD GROUPS IN A HEALTHY DIETARY

2685
02:08:44,577 --> 02:08:44,978
PATTERN.

2686
02:08:44,978 --> 02:08:48,848
WE HAD SUPPORT WILL EVIDENT AND 

2687
02:08:48,848 --> 02:08:50,984
COMMENTS TO THAT -- EVIDENCE AND

2688
02:08:50,984 --> 02:08:53,386
COMMENTS IN THE NEXT SLIDE.

2689
02:08:53,386 --> 02:08:55,822
IN CHRIS'S EARLIER STATEMENT 

2690
02:08:55,822 --> 02:08:56,956
ABOUT VEGETABLES, VEGETABLES 

2691
02:08:56,956 --> 02:08:59,692
CONTRIBUTE MORE THAN 15% OF 

2692
02:08:59,692 --> 02:09:04,531
MULTIPLE NUTRIENTS TO THE 

2693
02:09:04,531 --> 02:09:07,000
HEALTHY U.S. STYLE DIETARY 

2694
02:09:07,000 --> 02:09:07,867
PATTERN.

2695
02:09:07,867 --> 02:09:11,071
WHEN REDUCE TOTAL VEGETABLES OR 

2696
02:09:11,071 --> 02:09:13,706
REMOVE THEM FROM THE DIETARY 

2697
02:09:13,706 --> 02:09:14,340
PATTERN THERE'S NEGATIVE 

2698
02:09:14,340 --> 02:09:17,510
NUTRIENT IMPLICATIONS.

2699
02:09:17,510 --> 02:09:20,747
WITHIN SOME AGE SEX GROUPS THE 

2700
02:09:20,747 --> 02:09:21,981
NEGATIVE NUTRIENT IMPLICATIONS 

2701
02:09:21,981 --> 02:09:25,218
WERE NOTED EVEN WITH SMALL 

2702
02:09:25,218 --> 02:09:26,553
REDUCTIONS LIKE .5 CUP 

2703
02:09:26,553 --> 02:09:29,589
EQUIVALENT REDUCTION PER DAY.

2704
02:09:29,589 --> 02:09:32,692
AND THE PRIMARY NUTRIENTS ARE 

2705
02:09:32,692 --> 02:09:39,899
LISTED HERE INCLUDING FIBER AND 

2706
02:09:39,899 --> 02:09:43,870
VIT VITAMIN A SHOWED IN THE BAR 

2707
02:09:43,870 --> 02:09:45,839
GRAPHS.

2708
02:09:45,839 --> 02:09:50,877
WE FOUND THERE WERE CERTAIN AGE 

2709
02:09:50,877 --> 02:09:53,179
GROUPS AND THERE WERE VERY 

2710
02:09:53,179 --> 02:09:54,848
NEGATIVE NUTRIENT IMPLICATIONS 

2711
02:09:54,848 --> 02:09:56,716
NOTED HENCE THE CONCLUSION WE 

2712
02:09:56,716 --> 02:10:01,087
WOULD NOT REMOVE TOTAL 

2713
02:10:01,087 --> 02:10:03,289
VEGETABLES FROM THE HEALTHY 

2714
02:10:03,289 --> 02:10:05,091
U.S. STYLE DIETARY PATTERN.

2715
02:10:05,091 --> 02:10:07,861
I'M STILL THINKING ABOUT THE 

2716
02:10:07,861 --> 02:10:18,004
SLIDES.

2717
02:10:27,347 --> 02:10:29,883
AND THE NEXT LOOKED AT DARK 

2718
02:10:29,883 --> 02:10:33,953
GREEN VEGETABLE AND LENTILS AND 

2719
02:10:33,953 --> 02:10:37,190
THE SYNTHESIS THAT INTEGRATES 

2720
02:10:37,190 --> 02:10:39,159
THIS FOOD GROUP IN A HEALTHY 

2721
02:10:39,159 --> 02:10:43,463
DIETARY INTAKE.

2722
02:10:43,463 --> 02:10:47,634
WE NOTED THAT WHEN YOU REDUCE 

2723
02:10:47,634 --> 02:10:50,370
THE BEANS, PEAS AND LENTILS SUB 

2724
02:10:50,370 --> 02:10:52,772
GROUP OR REMOVE THEM TOTALLY, 

2725
02:10:52,772 --> 02:10:56,576
THE FIBER FELL BELOW 90% OF THE 

2726
02:10:56,576 --> 02:11:01,281
GOAL FOR MOST AGE SEX GROUPS AND

2727
02:11:01,281 --> 02:11:03,883
THE MAGNITUDE OF DECLINE OF 

2728
02:11:03,883 --> 02:11:05,618
SEVERAL ADDITIONAL NUTRIENTS 

2729
02:11:05,618 --> 02:11:08,288
ACROSS LIFE STAGES WERE ALSO OF 

2730
02:11:08,288 --> 02:11:10,857
CONCERN FOR EXAMPLE, FOLATE 

2731
02:11:10,857 --> 02:11:13,293
DURING PREGNANCY.

2732
02:11:13,293 --> 02:11:18,698
IN THE SPIRIT OF FULL DISCLOSURE

2733
02:11:18,698 --> 02:11:25,638
WE DID REVIEWS OF DIFFERENT 

2734
02:11:25,638 --> 02:11:26,573
NUTRIENTS AND THEY'RE AVAILABLE.

2735
02:11:26,573 --> 02:11:28,408
WE HAVE TOO REMEMBER AND THIS 

2736
02:11:28,408 --> 02:11:33,379
WAS DISCUSSED EARLIER WHEN QUE 

2737
02:11:33,379 --> 02:11:34,847
DO THIS, THERE'S LARGE VARIABLE 

2738
02:11:34,847 --> 02:11:37,884
ACROSS THE NUTRIENTS ACROSS 

2739
02:11:37,884 --> 02:11:39,319
VEGETABLES.

2740
02:11:39,319 --> 02:11:41,888
SO THE OVER ALL GIST IS THERE 

2741
02:11:41,888 --> 02:11:42,455
ARE DECLINES.

2742
02:11:42,455 --> 02:11:48,761
WHEN WE REMOVE THE DARK GREEN 

2743
02:11:48,761 --> 02:11:52,532
VEGETABLE SUB GROUP FROM THE 

2744
02:11:52,532 --> 02:11:57,937
DIETARY PATTERN FIBER FELL BELOW

2745
02:11:57,937 --> 02:12:08,481
THE GOAL FOR SEVERAL SEX GROUPS.

2746
02:12:11,918 --> 02:12:14,721
I DON'T THINK WE APPRECIATED 

2747
02:12:14,721 --> 02:12:16,556
IT'S .5 CUPS PER WEEK AND I 

2748
02:12:16,556 --> 02:12:19,392
THINK YOU POINTED THAT OUT, 

2749
02:12:19,392 --> 02:12:24,964
CHRIS, THAT IT'S NOT PER DAY.

2750
02:12:24,964 --> 02:12:27,867
IT'S PER GROUP.

2751
02:12:27,867 --> 02:12:31,904
SO THIS GROUP HAS FLEXIBILITY 

2752
02:12:31,904 --> 02:12:42,181
FOR BEING ADDED.

2753
02:12:51,924 --> 02:12:54,794
IF YOU HAD EACH OF THE TOTAL 

2754
02:12:54,794 --> 02:12:59,866
AMOUNT AND EVERY GROUP WAS 

2755
02:12:59,866 --> 02:13:05,905
EQUAL, WHEN THE PEAS, BEANS AND 

2756
02:13:05,905 --> 02:13:08,508
LENTILS AND THE DARK GREENS WERE

2757
02:13:08,508 --> 02:13:09,909
POSITIVE NUTRIENT IMPLICATIONS 

2758
02:13:09,909 --> 02:13:13,680
AND IN THAT CONTEXT THE RED AND 

2759
02:13:13,680 --> 02:13:16,883
ORANGE STARCHY VEGETABLES WOULD 

2760
02:13:16,883 --> 02:13:17,183
DECREASE.

2761
02:13:17,183 --> 02:13:19,686
AND WE ALSO NOTICED WHEN YOU 

2762
02:13:19,686 --> 02:13:23,222
MADE ALL THE VEGETABLES COME TO 

2763
02:13:23,222 --> 02:13:26,793
ONE VEGETABLE SUBGROUP IF THEY 

2764
02:13:26,793 --> 02:13:28,695
ALL CAME FROM BEANS, PEAS AND 

2765
02:13:28,695 --> 02:13:31,864
LENTILS YOU COULDN'T ACHIEVE 

2766
02:13:31,864 --> 02:13:39,572
YOUR VITAMIN A OR IF YOU ONLY 

2767
02:13:39,572 --> 02:13:42,175
ATE ONE SPECIFIC THING THE FIBER

2768
02:13:42,175 --> 02:13:44,510
COULDN'T BE ACHIEVED AND 

2769
02:13:44,510 --> 02:13:47,613
SUPPORTS FURTHER ANALYSIS TO 

2770
02:13:47,613 --> 02:13:50,616
DETERMINE THE OPTIMUM QUANTITIES

2771
02:13:50,616 --> 02:13:56,789
WITHIN THE TOTAL AMOUNT.

2772
02:13:56,789 --> 02:14:05,998
I DO BELIEVE THE NEXT GROUP IS 

2773
02:14:05,998 --> 02:14:08,167
THERESA TO TALK ABOUT THE BEANS,

2774
02:14:08,167 --> 02:14:09,602
PEAS AND LENTILS.

2775
02:14:09,602 --> 02:14:11,671
>> SO THE TWO MAJOR
QUESTIONS 

2776
02:14:11,671 --> 02:14:15,308
THAT WE ARE GOING TO ANSWER 

2777
02:14:15,308 --> 02:14:16,776
WITHIN THE GRAINS GROUP IS WHAT 

2778
02:14:16,776 --> 02:14:20,279
ARE THE IMPLICATIONS WHEN THE 

2779
02:14:20,279 --> 02:14:21,814
QUANTITIES CHANGE IN THE HEALTHY

2780
02:14:21,814 --> 02:14:23,850
U.S. DIETARY PATTERN AND THE 

2781
02:14:23,850 --> 02:14:29,555
SECOND QUESTION IS WHAT IS THE 

2782
02:14:29,555 --> 02:14:30,823
DIFFERENT GROUPS OF GRAINS BEING

2783
02:14:30,823 --> 02:14:32,458
REPLACED BY EACH OTHER.

2784
02:14:32,458 --> 02:14:36,929
IT'S GOING TO TO BE GRAINS 

2785
02:14:36,929 --> 02:14:39,499
REPLACED WITH BEANS, PEAS AND 

2786
02:14:39,499 --> 02:14:44,570
LENTILS OR GRAINS REPLACED WITH 

2787
02:14:44,570 --> 02:14:44,971
OTHER VEGETABLES.

2788
02:14:44,971 --> 02:14:49,742
THOSE ARE THE MAIN TWO QUESTIONS

2789
02:14:49,742 --> 02:14:50,843
THE PARTICULAR SECTION IS GOING 

2790
02:14:50,843 --> 02:14:59,585
TO SHOW NUTRIENT CHANGES.

2791
02:14:59,585 --> 02:15:01,621
THE RESULTS FOUND IT PROVIDES 

2792
02:15:01,621 --> 02:15:05,792
EXPLORING THE MODIFICATION THAT 

2793
02:15:05,792 --> 02:15:06,826
REDUCED TOTAL GRAINS.

2794
02:15:06,826 --> 02:15:11,130
WHEN WE FEED THESE INFORMATION 

2795
02:15:11,130 --> 02:15:12,732
INTO THE MIXED STAGE OF 

2796
02:15:12,732 --> 02:15:15,868
SYNTHESIS WHERE THE CHANGES OF 

2797
02:15:15,868 --> 02:15:18,304
VEGETABLES AND GRAINS CHANGES 

2798
02:15:18,304 --> 02:15:23,309
AND COMING UP IN DAIRY AND OTHER

2799
02:15:23,309 --> 02:15:24,977
CHANGES AND DOES SUPPORT MAYBE A

2800
02:15:24,977 --> 02:15:35,488
CHANGE IN QUANTITY MIGHT WORK.

2801
02:15:36,255 --> 02:15:38,724
IN TERMS OF TOTAL QUANTITIES 

2802
02:15:38,724 --> 02:15:42,161
CHANGE AND THE GOALS CAN BE 

2803
02:15:42,161 --> 02:15:45,765
ACHIEVED IF THE REDUCTION IS UP 

2804
02:15:45,765 --> 02:15:50,169
TO ABOUT ONE OUNCE EQUIVALENT IN

2805
02:15:50,169 --> 02:15:52,038
TOTAL GRAIN WHILE THE REMAINING 

2806
02:15:52,038 --> 02:15:54,707
GRAINS STILL THERE IS STILL 50% 

2807
02:15:54,707 --> 02:15:55,408
OF WHOLE GRAINS.

2808
02:15:55,408 --> 02:16:00,546
HOWEVER, IF THE REDUCTION IS 

2809
02:16:00,546 --> 02:16:02,048
EXCEEDING THAT AMOUNT TO ONE AND

2810
02:16:02,048 --> 02:16:03,950
A HALF OUNCE EQUIVALENTS THEN 

2811
02:16:03,950 --> 02:16:07,854
THERE'S IMPLICATIONS OF FIBER 

2812
02:16:07,854 --> 02:16:17,029
AND MAGNESIUM BUT THERE'S ALSO 

2813
02:16:17,029 --> 02:16:21,968
POSSIBLE IMPLICATIONS AND A 

2814
02:16:21,968 --> 02:16:24,670
MAJORITY SHOWS QUANTITIES BELOW 

2815
02:16:24,670 --> 02:16:26,806
THE MAXIMUM OF RECOMMENDATIONS 

2816
02:16:26,806 --> 02:16:29,242
WHEN GRAINS ARE THE A THIS 

2817
02:16:29,242 --> 02:16:32,545
CURRENT LEVEL BUT IN SOME CASES 

2818
02:16:32,545 --> 02:16:34,847
MEANING SOME EXPERTS THE SODIUM 

2819
02:16:34,847 --> 02:16:37,984
LEVEL MIGHT EXCEED THAT.

2820
02:16:37,984 --> 02:16:39,852
THAT'S ONE ONCE REDUCTION OF THE

2821
02:16:39,852 --> 02:16:49,929
TOTAL GRAINS.

2822
02:16:49,929 --> 02:16:51,864
FOR CERTAIN AGE GROUPS AGE 14 TO

2823
02:16:51,864 --> 02:16:58,571
50 AND THOSE PREGNANT, THEN THE 

2824
02:16:58,571 --> 02:17:02,508
REDUCTION HAVE SOME NEGATIVE 

2825
02:17:02,508 --> 02:17:03,709
IMPLICATIONS.

2826
02:17:03,709 --> 02:17:06,846
SO IRON CAN DROP IN BELOW THE 

2827
02:17:06,846 --> 02:17:11,651
90% OF THE RD LEVEL AND ALSO 

2828
02:17:11,651 --> 02:17:14,487
FOLATE DOESN'T ACHIEVE THE 

2829
02:17:14,487 --> 02:17:17,590
LEVELS FOR THE OTHER PREGNANT 

2830
02:17:17,590 --> 02:17:18,324
WOMEN.

2831
02:17:18,324 --> 02:17:21,294
IT IS BECAUSE FOLATE IS 

2832
02:17:21,294 --> 02:17:23,863
FORTIFIED IN GRAINS.

2833
02:17:23,863 --> 02:17:27,867
THAT'S EFFECTED.

2834
02:17:27,867 --> 02:17:31,871
ALL RIGHT.

2835
02:17:31,871 --> 02:17:35,875
SO THE SECOND THING IS IN 

2836
02:17:35,875 --> 02:17:36,375
FLEXIBILITY.

2837
02:17:36,375 --> 02:17:39,278
IF WE INCREASE BEANS, PEAS AND 

2838
02:17:39,278 --> 02:17:40,813
LENTILS AND TOTAL GRAINS WHAT 

2839
02:17:40,813 --> 02:17:42,515
HAPPENS TO THE NUTRIENT PROFILE 

2840
02:17:42,515 --> 02:17:47,553
OF THE MELT THE U.S. DIETARY 

2841
02:17:47,553 --> 02:17:47,820
PATTERNS?

2842
02:17:47,820 --> 02:17:51,857
AND IN THIS CASE IT IS THE ONE 

2843
02:17:51,857 --> 02:17:53,793
IS INCREASED THEMES IS BECAUSE 

2844
02:17:53,793 --> 02:17:55,394
EARLIER THE BEANS, PEAS AND 

2845
02:17:55,394 --> 02:17:56,729
LENTILS ARE IN THE VEGETABLE 

2846
02:17:56,729 --> 02:17:59,365
GROUP AND WE'RE NOT IN THIS 

2847
02:17:59,365 --> 02:18:02,134
PARTICULAR MODELLING IT IS NOT 

2848
02:18:02,134 --> 02:18:04,370
TAKING AWAY FROM THE VEGETABLE 

2849
02:18:04,370 --> 02:18:04,904
GROUPS.

2850
02:18:04,904 --> 02:18:07,540
IT'S THAT RECOMMENDATION TO STAY

2851
02:18:07,540 --> 02:18:09,942
THERE AND WE ARE INCREASING THE 

2852
02:18:09,942 --> 02:18:14,513
BEANS, ADDING MORE BEANS IN THE 

2853
02:18:14,513 --> 02:18:15,881
TOTAL GRAINS GROUP AND WHILE 

2854
02:18:15,881 --> 02:18:19,852
TAKING AWAY SOME OF THE WHOLE 

2855
02:18:19,852 --> 02:18:20,086
GRAINS.

2856
02:18:20,086 --> 02:18:23,122
ALL RIGHT.

2857
02:18:23,122 --> 02:18:28,027
WHEN WE HAVE MORE BEANS, LESS 

2858
02:18:28,027 --> 02:18:30,296
GRAINS AND TOTAL GRAINS ARE 

2859
02:18:30,296 --> 02:18:33,733
REDUCED BY ONE OUNCE A WEEK AND 

2860
02:18:33,733 --> 02:18:35,735
BEANS, PEAS AND LENTILS 

2861
02:18:35,735 --> 02:18:38,337
INCREASED BY HALF A CUP OF WEEK,

2862
02:18:38,337 --> 02:18:45,478
VERY SMALL AMOUNTS AND FOR MOST 

2863
02:18:45,478 --> 02:18:47,747
AGE AND SEX GROUPS THE MODEL 

2864
02:18:47,747 --> 02:18:51,183
RESULTS SHOWS THERE'S POSITIVE 

2865
02:18:51,183 --> 02:18:51,951
IMPLICATIONS FOR CHOLINE AND 

2866
02:18:51,951 --> 02:18:58,691
POTASSIUM FOR AGE 1 AND OLDER.

2867
02:18:58,691 --> 02:18:59,725
WE'RE NOW REDUCING GRAINS AND 

2868
02:18:59,725 --> 02:19:10,202
LESS THAN HALF A COUPLE AND 

2869
02:19:10,436 --> 02:19:12,772
INCREASING BEANS AND PEAS AND 

2870
02:19:12,772 --> 02:19:15,541
THE FIBER ARE ALREADY ABOUT 90% 

2871
02:19:15,541 --> 02:19:20,279
OF THE RDA BUT BY INCREASING 

2872
02:19:20,279 --> 02:19:22,248
MORE GRAINS AND -- INCREASING 

2873
02:19:22,248 --> 02:19:24,917
BEANS AND PEAS AND LENTILS AND 

2874
02:19:24,917 --> 02:19:25,484
GRAINS THE LEVEL GOES UP A 

2875
02:19:25,484 --> 02:19:35,027
LITTLE BIT MORE.

2876
02:19:35,027 --> 02:19:39,799
WHEN IT COMES TO CHOLINE AND 

2877
02:19:39,799 --> 02:19:44,136
FRUITS AND VEGETABLES IN GENERAL

2878
02:19:44,136 --> 02:19:45,938
AND BEANS, PEAS AND LENTILS WILL

2879
02:19:45,938 --> 02:19:50,743
BE NEEDED TO UP THE CHOLINE 

2880
02:19:50,743 --> 02:19:51,877
CONTRIBUTION OF THE HEALTHY 

2881
02:19:51,877 --> 02:19:55,881
U.S. PATTERN TO ABOUT 90% OF THE

2882
02:19:55,881 --> 02:20:04,690
ADEQUATE INTAKE.

2883
02:20:04,690 --> 02:20:07,727
IRON IS REDUCED WHEN FORTIFIED 

2884
02:20:07,727 --> 02:20:09,028
WITH IRON AND SUBSTITUTION TO 

2885
02:20:09,028 --> 02:20:11,731
THE WHOLE GRAIN IS THE IRON 

2886
02:20:11,731 --> 02:20:14,066
IMPLICATION WHEN THE RESULTS 

2887
02:20:14,066 --> 02:20:17,636
FEED INTO THE MIXTURE OF WHEN 

2888
02:20:17,636 --> 02:20:21,941
THE 10,000 LEVERS ARE BEING 

2889
02:20:21,941 --> 02:20:23,876
MOVED AROUND.

2890
02:20:23,876 --> 02:20:27,980
SO THE NEXT STATEMENT IS ABOUT 

2891
02:20:27,980 --> 02:20:31,650
REDUCING TOTAL GRAINS AND THE 

2892
02:20:31,650 --> 02:20:33,953
SAME TIME INCREASING THE STARCHY

2893
02:20:33,953 --> 02:20:34,353
VEGETABLES.

2894
02:20:34,353 --> 02:20:36,555
SO THAT IS A FLEXIBILITY.

2895
02:20:36,555 --> 02:20:41,827
A TOTAL QUANTITY IS NOT BEING 

2896
02:20:41,827 --> 02:20:51,771
CHANGED BUT SWAPPED OUT.

2897
02:20:51,771 --> 02:20:53,372
QUICK THAT MORE STARCHY 

2898
02:20:53,372 --> 02:20:55,875
VEGETABLES AN GRAINS AND ONE 

2899
02:20:55,875 --> 02:20:57,977
OUNCE REDUCTION OF THE TOTAL 

2900
02:20:57,977 --> 02:21:00,746
GRAINS BE IT WHOLE GRAINS OR 

2901
02:21:00,746 --> 02:21:03,849
REFINED GRAINS INCREASED BY HALF

2902
02:21:03,849 --> 02:21:06,418
A CUP OF STARCHY VEGETABLES PER 

2903
02:21:06,418 --> 02:21:07,853
WEEK.

2904
02:21:07,853 --> 02:21:11,857
TINY AMOUNTS OF CHANGES.

2905
02:21:11,857 --> 02:21:14,794
AS THE NOT MUCH NUTRIENT 

2906
02:21:14,794 --> 02:21:20,933
IMPLICATIONS FOR NUTRIENT GOALS.

2907
02:21:20,933 --> 02:21:23,035
POSSIBLE AND YOU CAN HAVE MORE 

2908
02:21:23,035 --> 02:21:25,938
STARCHY AND ORANGE VEGETABLES BY

2909
02:21:25,938 --> 02:21:31,010
HALF CUP EQUIVALENT PER WEEK.

2910
02:21:31,010 --> 02:21:33,345
IT INCREASES VITAMIN A 

2911
02:21:33,345 --> 02:21:35,881
COMPOSITION IN THE PATTERN FOR 

2912
02:21:35,881 --> 02:21:43,856
OLDER MALES, 51 TO 70 AND ONE 

2913
02:21:43,856 --> 02:21:45,758
CUP INCREASES FOR RDA 4 IS MET 

2914
02:21:45,758 --> 02:21:50,062
FOR DURING LACTATION.

2915
02:21:50,062 --> 02:21:51,864
HOWEVER, AGAIN BECAUSE BRAINS 

2916
02:21:51,864 --> 02:21:54,066
ARE FORTIFIED WITH IRON AND 

2917
02:21:54,066 --> 02:21:55,401
FOLATE AND YOU REDUCED GRAINS 

2918
02:21:55,401 --> 02:21:57,336
EVEN IF THE VITAMIN A IS 

2919
02:21:57,336 --> 02:22:00,940
INCREASED BECAUSE OF THE STARCHY

2920
02:22:00,940 --> 02:22:03,809
VEGETABLES THERE'S IMPLICATIONS 

2921
02:22:03,809 --> 02:22:06,445
FOR LOWER LEVELS OF IRON AND 

2922
02:22:06,445 --> 02:22:08,180
FOLATE IN THE TEST COMPOSITION 

2923
02:22:08,180 --> 02:22:15,855
FOR THAT.

2924
02:22:15,855 --> 02:22:19,959
THAT'S THE END OF GRAINS.

2925
02:22:19,959 --> 02:22:22,728
AND BEANS, PEAS AND LENTILS 

2926
02:22:22,728 --> 02:22:23,562
WON'T SHOW UP AGAIN.

2927
02:22:23,562 --> 02:22:24,163
WHAT ARE YOU TRYING TO DO IN 

2928
02:22:24,163 --> 02:22:30,669
HERE.

2929
02:22:30,669 --> 02:22:33,939
THESE ARE THE TWO PATTERNS OR 

2930
02:22:33,939 --> 02:22:35,107
QUESTIONS.

2931
02:22:35,107 --> 02:22:39,879
FIRST, WHAT HAPPENS IF WE CHANGE

2932
02:22:39,879 --> 02:22:42,248
THE QUANTITY TO THE NUTRIENT 

2933
02:22:42,248 --> 02:22:47,887
PROFILE AND WHAT IF WE START 

2934
02:22:47,887 --> 02:22:51,857
SUBBING THINGS OUT.

2935
02:22:51,857 --> 02:22:53,225
EXPLORE MODIFICATION OF THE 

2936
02:22:53,225 --> 02:22:55,261
HEALTHY U.S. PATTERN.

2937
02:22:55,261 --> 02:22:57,963
THAT REDUCED TOTAL PROTEIN FOODS

2938
02:22:57,963 --> 02:23:08,240
IN THAT PATTERN.

2939
02:23:10,009 --> 02:23:16,482
THE MODELS FOUND MEAT, POULTRY 

2940
02:23:16,482 --> 02:23:19,285
EGGS CAN BE REDUCED BY FOUR 

2941
02:23:19,285 --> 02:23:21,820
OUNCES EQUIVALENTS OR MORE PER 

2942
02:23:21,820 --> 02:23:25,691
WEEK IS NOT DRASTIC BUT MOST THE

2943
02:23:25,691 --> 02:23:27,326
NUTRIENTS ARE OKAY BUT FOR SOME 

2944
02:23:27,326 --> 02:23:31,864
AGE AND SEX GROUP, POTASSIUM, 

2945
02:23:31,864 --> 02:23:38,337
MAGNESIUM AND ZINC MAY FALL PLOE

2946
02:23:38,337 --> 02:23:40,839
THE GOAL AND THIS IS ABOUT THE 

2947
02:23:40,839 --> 02:23:43,876
U.S. HEALTHY PATTERNS OF GROUPS 

2948
02:23:43,876 --> 02:23:51,717
IN WHICH THE PROTEINS AND BEANS,

2949
02:23:51,717 --> 02:23:55,854
PEAS AND LENTILS GENERATE THE 

2950
02:23:55,854 --> 02:23:58,857
PATTERN.

2951
02:23:58,857 --> 02:24:00,659
AND BEANS, POULTRY AND FISH AND 

2952
02:24:00,659 --> 02:24:03,429
WE'RE IN THE SWAPPING THINGS 

2953
02:24:03,429 --> 02:24:03,629
HERE.

2954
02:24:03,629 --> 02:24:05,798
BY DECREASING THAT ANY REDUCTION

2955
02:24:05,798 --> 02:24:11,103
IS GOING TO REDUCE CHOLINE 

2956
02:24:11,103 --> 02:24:14,373
FOLATE AND MAGNESIUM.

2957
02:24:14,373 --> 02:24:18,877
MOST OF THEM WASN'T EVEN AT THE 

2958
02:24:18,877 --> 02:24:20,846
REGULAR PATTERN.

2959
02:24:20,846 --> 02:24:27,886
THEY WERE NOT AT NUTRIENT GOALS 

2960
02:24:27,886 --> 02:24:38,297
ANYWAY THE FOOD PATTERN 

2961
02:24:39,932 --> 02:24:40,432
MODELLING RESULTS WERE 

2962
02:24:40,432 --> 02:24:43,902
SUPPORTIVE OF FLEXIBILITY THAT 

2963
02:24:43,902 --> 02:24:48,273
INCREASES BEANS, PEAS AND 

2964
02:24:48,273 --> 02:24:49,975
LENTILS AND SOY PRODUCTS 

2965
02:24:49,975 --> 02:24:51,276
REDUCING MEAT, POULTRY AND EGGS 

2966
02:24:51,276 --> 02:24:59,385
AND THIS IS WHAT IS GOING TO SEE

2967
02:24:59,385 --> 02:25:03,856
IN TERMS OF THE NUTRIENT PROFILE

2968
02:25:03,856 --> 02:25:05,024
CHANGE.

2969
02:25:05,024 --> 02:25:08,293
WITH HIGHER BEANS, PEAS LEN TELL

2970
02:25:08,293 --> 02:25:11,330
US AND LESS MEAT, PROTEINS AN 

2971
02:25:11,330 --> 02:25:14,566
EGGS THERE'S SOME NUTRIENT 

2972
02:25:14,566 --> 02:25:18,437
INCREASES FOR THE 12 THROUGH 23 

2973
02:25:18,437 --> 02:25:19,905
MONTHS HIGH FIBER AND HIGH 

2974
02:25:19,905 --> 02:25:22,441
VITAMIN E AND FOLATE AND CHOLINE

2975
02:25:22,441 --> 02:25:27,846
AND CALCIUM AND POE TRAS YUM AND

2976
02:25:27,846 --> 02:25:29,648
SODIUM AND FOR YEARS AND OLDER 

2977
02:25:29,648 --> 02:25:33,552
HIGHER FIBER, VITAMIN E AND 

2978
02:25:33,552 --> 02:25:37,589
FOLATE AND MAGNESIUM AND 

2979
02:25:37,589 --> 02:25:43,162
REDUCTION IN VITAMIN D AND 

2980
02:25:43,162 --> 02:25:44,596
CHOLINE FOR 2 YEARS AND HIGHER 

2981
02:25:44,596 --> 02:25:47,633
AND LESS MEAT, POULTRY AND EGGS 

2982
02:25:47,633 --> 02:25:51,537
THE IRON PROFILE COMES MORE FROM

2983
02:25:51,537 --> 02:25:54,907
THE NON-HEME IRON AND THEREFORE 

2984
02:25:54,907 --> 02:25:56,208
THE ABSORPTION BECOMES AN ISSUE 

2985
02:25:56,208 --> 02:25:57,142
AND THAT NEEDS TO BE CONSIDERED 

2986
02:25:57,142 --> 02:26:07,619
WHEN IT COMES TO THE FINAL 

2987
02:26:07,920 --> 02:26:17,830
SYNTHESIS.

2988
02:26:17,830 --> 02:26:20,766
AND WE SWAP WITH BEANS, PEAS AND

2989
02:26:20,766 --> 02:26:23,802
THE FINAL SECTION IS ABOUT THE 

2990
02:26:23,802 --> 02:26:25,170
HEALTHY VEGETARIAN SO FAR I'VE 

2991
02:26:25,170 --> 02:26:27,873
TALKED ABOUT THE HEALTHY 

2992
02:26:27,873 --> 02:26:30,142
U.S. PATTERN.

2993
02:26:30,142 --> 02:26:31,877
THIS IS WHEN THEY HAVE EXTRA 

2994
02:26:31,877 --> 02:26:34,780
SEAFOOD ADDED WHAT WILL CHANGE 

2995
02:26:34,780 --> 02:26:35,481
TO THE NUTRIENT PROFILE.

2996
02:26:35,481 --> 02:26:39,284
LET'S TAKE A LOOK AT THE 

2997
02:26:39,284 --> 02:26:39,685
RESULTS.

2998
02:26:39,685 --> 02:26:42,154
SEAFOOD GIVEN SOME SEAFOOD ARE 

2999
02:26:42,154 --> 02:26:45,924
HIGH IN VITAMIN D WE CAN SEE 

3000
02:26:45,924 --> 02:26:51,897
THAT AS AN IMPLICATIONS FOR 

3001
02:26:51,897 --> 02:26:57,136
SAGE SEX GROUPS AND LOOKING AT 

3002
02:26:57,136 --> 02:27:03,876
THE NUTRIENT GOALS FOR AGE 2 AND

3003
02:27:03,876 --> 02:27:05,444
ABOVE.

3004
02:27:05,444 --> 02:27:07,880
WHEN PLANT-BASED PROTEINS ARE 

3005
02:27:07,880 --> 02:27:11,884
DECREASED AND REPLACED FOR 

3006
02:27:11,884 --> 02:27:14,987
YOUNGER AGE 12 TO 23 MONTHS.

3007
02:27:14,987 --> 02:27:19,892
SO I THINK THIS IS DEPENDING ON 

3008
02:27:19,892 --> 02:27:25,364
THE PROTEIN SOURCE.

3009
02:27:25,364 --> 02:27:27,966
>> TERESA, YOU ARE ONE
HARD ACT 

3010
02:27:27,966 --> 02:27:29,334
TO FOL SCRO.

3011
02:27:29,334 --> 02:27:29,935
 FOLLOW.

3012
02:27:29,935 --> 02:27:30,435
OKAY.

3013
02:27:30,435 --> 02:27:33,972
SO I AM GOING TO TALK ABOUT THE 

3014
02:27:33,972 --> 02:27:36,875
DAIRY FORTIFIED SOY ALTERNATIVES

3015
02:27:36,875 --> 02:27:37,543
AND HOPEFULLY CHERYL THIS WILL 

3016
02:27:37,543 --> 02:27:43,849
BE ADDRESSING SOME OF YOUR 

3017
02:27:43,849 --> 02:27:44,116
QUESTIONS.

3018
02:27:44,116 --> 02:27:48,020
AROUND I'M LOOKING TO INTERACT 

3019
02:27:48,020 --> 02:27:54,393
WHEN I MAKE A MISTAKE.

3020
02:27:54,393 --> 02:27:57,329
THESE FOOD PATTERN ANALYSES 

3021
02:27:57,329 --> 02:27:58,730
EXAMINE THE HYPOTHETICAL 

3022
02:27:58,730 --> 02:28:01,567
MODIFICATIONS AND IMPLICATIONS 

3023
02:28:01,567 --> 02:28:06,438
FOR MEETING THE NUTRIENT GOALS 

3024
02:28:06,438 --> 02:28:08,907
USING THE HEALTHY U.S. STYLE 

3025
02:28:08,907 --> 02:28:11,843
DIETARY PATTERN WHEN WE MODIFIED

3026
02:28:11,843 --> 02:28:15,247
THE QUANTITIES OF THE DAIRY AND 

3027
02:28:15,247 --> 02:28:19,184
FORTIFIED SOY ALTERNATIVE FOOD 

3028
02:28:19,184 --> 02:28:24,456
GROUPS AS RECOMMENDED IN THE 

3029
02:28:24,456 --> 02:28:26,892
HEALTHY STYLE U.S. DIETARY 

3030
02:28:26,892 --> 02:28:27,859
PATTERN AND LOOKED AT WHAT 

3031
02:28:27,859 --> 02:28:29,094
HAPPENS WHEN THE FOODS WITHIN 

3032
02:28:29,094 --> 02:28:31,230
THE FOOD GROUPS ARE REPLACED 

3033
02:28:31,230 --> 02:28:39,705
WITH NON-DAIRY ALTERNATIVES.

3034
02:28:39,705 --> 02:28:42,007
THE RESULTS PROVIDE SUPPORT TO 

3035
02:28:42,007 --> 02:28:43,709
FURTHER EXPLORE A MODIFICATION 

3036
02:28:43,709 --> 02:28:51,850
IN WHICH DAIRY AND FORTIFIED SOY

3037
02:28:51,850 --> 02:28:54,553
ALTERNATIVES ARE DECREASED.

3038
02:28:54,553 --> 02:28:58,123
AS PART OF THIS PROPOSED 

3039
02:28:58,123 --> 02:28:59,725
MODIFICATION AND OTHER ANALYSIS 

3040
02:28:59,725 --> 02:29:02,127
RELATED TO FOOD LOWER IN DENSITY

3041
02:29:02,127 --> 02:29:04,229
THAT CHRIS DESCRIBED EARLIER IN 

3042
02:29:04,229 --> 02:29:06,265
HIS PRESENTATION, THE COMMITTEE 

3043
02:29:06,265 --> 02:29:10,535
IS GOING TO CONTINUE TO EXPLORE 

3044
02:29:10,535 --> 02:29:11,470
FLEXIBILITIES WHICH WE TALKED 

3045
02:29:11,470 --> 02:29:15,007
ABOUT OPTIONS FOR MEETING 

3046
02:29:15,007 --> 02:29:17,542
NUTRIENT NEED OUTSIDE OF 

3047
02:29:17,542 --> 02:29:18,777
QUANTITATIVE PATTERN 

3048
02:29:18,777 --> 02:29:19,144
RECOMMENDATIONS.

3049
02:29:19,144 --> 02:29:22,381
YOU CAN TELL THAT I STRUGGLED 

3050
02:29:22,381 --> 02:29:24,416
WITH THESE DEFINITIONS WHICH IS 

3051
02:29:24,416 --> 02:29:28,520
WHY I HAVE TO REPEAT, MY 

3052
02:29:28,520 --> 02:29:28,787
APOLOGIES.

3053
02:29:28,787 --> 02:29:29,588
WE'LL CONTINUE TO EXPLORE 

3054
02:29:29,588 --> 02:29:31,356
FLEXIBILITIES RELATED TO THE SUB

3055
02:29:31,356 --> 02:29:33,258
GROUPS FOR MILK, YOGURT AND 

3056
02:29:33,258 --> 02:29:35,861
CHEESE AND THEIR CONTRIBUTIONS 

3057
02:29:35,861 --> 02:29:38,297
TO SATURATED FAT AND SODIUM 

3058
02:29:38,297 --> 02:29:41,066
DEPENDING ON THE RANGE OF FAT 

3059
02:29:41,066 --> 02:29:41,433
LEVELS.

3060
02:29:41,433 --> 02:29:46,405
SO FOR EXAMPLE WE HAVE HAD A LOT

3061
02:29:46,405 --> 02:29:50,609
OF DISCUSSION IN THE GROUP THAT 

3062
02:29:50,609 --> 02:29:51,910
OUR REPRESENTED FOOD FOR CHEESE 

3063
02:29:51,910 --> 02:29:54,579
IS FAT FREE AND THERE'S BEEN 

3064
02:29:54,579 --> 02:29:58,617
DISCUSSION WHO EATS FAT FREE 

3065
02:29:58,617 --> 02:29:58,850
CHEESE.

3066
02:29:58,850 --> 02:30:00,519
LET'S LOOK AT WHAT WILL BE THE 

3067
02:30:00,519 --> 02:30:02,487
IMPLICATIONS IF FOR EXAMPLE IT 

3068
02:30:02,487 --> 02:30:07,259
WAS FULL FAT CHEESE, ETCETERA.

3069
02:30:07,259 --> 02:30:08,794
AND THIS MODIFICATION IS 

3070
02:30:08,794 --> 02:30:09,895
PRESENTED HERE IS CONSIDERED 

3071
02:30:09,895 --> 02:30:12,864
PART OF A COLLECTION OF PROPOSED

3072
02:30:12,864 --> 02:30:15,367
MODIFICATIONS THAT UNDERSTAND 

3073
02:30:15,367 --> 02:30:19,871
THE IMPLICATIONS FOR MEETING 

3074
02:30:19,871 --> 02:30:27,846
NUTRITIONAL NEEDS.

3075
02:30:27,846 --> 02:30:31,116
THE SUPPORTING EVIDENCE AND 

3076
02:30:31,116 --> 02:30:32,351
CONSIDERATIONS, DEPENDING ON THE

3077
02:30:32,351 --> 02:30:35,954
AGE, SEX OR LIFE STAGE GROUP, 

3078
02:30:35,954 --> 02:30:40,492
DAIRY AND FORTIFIED SOY CAN BE 

3079
02:30:40,492 --> 02:30:44,296
REDUCED BY .25 TO 1.5 CUP 

3080
02:30:44,296 --> 02:30:45,964
EQUIVALENTS BELOW THE 

3081
02:30:45,964 --> 02:30:49,668
RECOMMENDATIONS DEPENDING ON THE

3082
02:30:49,668 --> 02:30:50,535
AGE SEX GROUP BEFORE YOU SEE 

3083
02:30:50,535 --> 02:30:51,570
ADDITIONAL GAPS.

3084
02:30:51,570 --> 02:30:53,105
I WANT TO EMPHASIZE THE 

3085
02:30:53,105 --> 02:30:53,405
ADDITIONAL.

3086
02:30:53,405 --> 02:30:59,177
THIS IS ABOVE AND BEYOND WHAT IS

3087
02:30:59,177 --> 02:31:02,013
NOT BEING MET.

3088
02:31:02,013 --> 02:31:05,884
SO WHAT WE MEAN BY THE NEW GAPS 

3089
02:31:05,884 --> 02:31:08,854
IS WE KNOW THE EXISTING HEALTHY 

3090
02:31:08,854 --> 02:31:13,291
U.S. STYLE DIETARY PATTERN DOES 

3091
02:31:13,291 --> 02:31:15,994
NOT ACHIEVE GOALS FOR NUTRIENTS 

3092
02:31:15,994 --> 02:31:19,131
FOUND IN DAIRY FORTIFIED SOY.

3093
02:31:19,131 --> 02:31:23,402
FOR EXAMPLE, VITAMINS D AND E 

3094
02:31:23,402 --> 02:31:27,105
ARE BELOW THE RDA FOR ALL AGE 

3095
02:31:27,105 --> 02:31:29,207
SEX GROUPS AND LIFE STAGES.

3096
02:31:29,207 --> 02:31:31,676
WE KNOW VITAMIN A IN THE CURRENT

3097
02:31:31,676 --> 02:31:33,578
DIETARY PATTERN FALLS BELOW THE 

3098
02:31:33,578 --> 02:31:34,112
RDA FOR FEMALES WHO ARE 

3099
02:31:34,112 --> 02:31:37,883
LACTATING.

3100
02:31:37,883 --> 02:31:39,718
WHEN WE TALK ABOUT DAIRY AND I 

3101
02:31:39,718 --> 02:31:42,120
THINK CHERYL YOU RAISED IT, WE 

3102
02:31:42,120 --> 02:31:43,855
OFTEN THINK OF THE CONTRIBUTION 

3103
02:31:43,855 --> 02:31:47,159
TO CALCIUM AND A HEALTHY DIETARY

3104
02:31:47,159 --> 02:31:50,462
PATTERN AND WHEN YOU REDUCE 

3105
02:31:50,462 --> 02:31:55,100
DAIRY AND FORTIFIED SOY THE 

3106
02:31:55,100 --> 02:31:59,871
NUTRIENT THAT IS GOING TO BE 

3107
02:31:59,871 --> 02:32:04,342
BELOW THE 90% IS CALCIUM FOR 

3108
02:32:04,342 --> 02:32:07,179
CHILDREN AND ADOLESCENTS AND 

3109
02:32:07,179 --> 02:32:09,948
FEMALES AND FOR MALES 30 TO 50 

3110
02:32:09,948 --> 02:32:12,150
THE FIRST NUTRIENT YOU SEE 

3111
02:32:12,150 --> 02:32:14,653
FALLING BELOW THE 90th 

3112
02:32:14,653 --> 02:32:18,557
PERCENTILE WHEN REDUCE THE DAIRY

3113
02:32:18,557 --> 02:32:21,660
AND SOY IS MAGNESIUM AND FOR 

3114
02:32:21,660 --> 02:32:22,928
OLDER IS VITAMIN A.

3115
02:32:22,928 --> 02:32:23,929
THERE'S NUANCES THE GROUP IS 

3116
02:32:23,929 --> 02:32:29,801
WORKING WITH.

3117
02:32:29,801 --> 02:32:33,939
ACROSS ALL AGE SEX GROUPS 

3118
02:32:33,939 --> 02:32:37,476
VITAMIN D FALLS BELOW THE 

3119
02:32:37,476 --> 02:32:38,977
ALREADY LOW NUTRIENT GAP AS DOES

3120
02:32:38,977 --> 02:32:40,445
VITAMIN A.

3121
02:32:40,445 --> 02:32:43,315
ONE THING WE DID NOTE IS THERE'S

3122
02:32:43,315 --> 02:32:44,916
ALREADY A PRECEDENT FOR LOOKING 

3123
02:32:44,916 --> 02:32:50,889
AT LOWER DAIRY AND FORTIFIED SOY

3124
02:32:50,889 --> 02:32:51,723
AND THE EXISTING MEDITERRANEAN 

3125
02:32:51,723 --> 02:32:55,060
STYLE FOR AGES 2 YEARS AND OLDER

3126
02:32:55,060 --> 02:32:59,898
HAVE A QUANTITY OF DAIRY AND 

3127
02:32:59,898 --> 02:33:01,199
FORTIFIED SOY GENERALLY LESS 

3128
02:33:01,199 --> 02:33:03,869
THAN THE CURRENT HEALTHY 

3129
02:33:03,869 --> 02:33:05,537
U.S.-STYLE PATTERN.

3130
02:33:05,537 --> 02:33:08,373
IT'S 2 TO 2.5 CUPS EQUIVALENT 

3131
02:33:08,373 --> 02:33:11,843
COMPARED TO THE THREE-CUP 

3132
02:33:11,843 --> 02:33:16,815
EQUIVALENT IN THE HEALTHY U.S.

3133
02:33:16,815 --> 02:33:23,855
THE FOOD PATTERN MODELLING 

3134
02:33:23,855 --> 02:33:26,091
RESULTS PROVIDED SUPPORT FOR A 

3135
02:33:26,091 --> 02:33:27,859
FLEXIBILITY WHERE PLANT-BASED 

3136
02:33:27,859 --> 02:33:30,228
MILK ALTERNATIVES ARE 

3137
02:33:30,228 --> 02:33:33,231
SUBSTITUTED FOR THE SOY FOOD 

3138
02:33:33,231 --> 02:33:33,765
GROUPS.

3139
02:33:33,765 --> 02:33:34,366
THIS ADDRESSES YOUR QUESTION, 

3140
02:33:34,366 --> 02:33:39,871
CHERYL.

3141
02:33:39,871 --> 02:33:43,542
SO BASED ON THE STRENGTH FOOD 

3142
02:33:43,542 --> 02:33:45,176
COMPOSITION DATA AND THE 

3143
02:33:45,176 --> 02:33:47,846
POPULARITY OF PRODUCTS THE 

3144
02:33:47,846 --> 02:33:56,855
COMMITTEE DECIDED TO FOCUS ON XA

3145
02:33:56,855 --> 02:33:59,691
COMPARISON OF SKILL MANY MILK 

3146
02:33:59,691 --> 02:34:01,893
AND NUTRIENT DENSE SOY, ALMOND 

3147
02:34:01,893 --> 02:34:04,429
AND OAT MILK ALTERNATIVES.

3148
02:34:04,429 --> 02:34:06,398
WE RECOGNIZE THE DATA PRESENTED 

3149
02:34:06,398 --> 02:34:11,002
HERE REFLECT EXISTING FOOD 

3150
02:34:11,002 --> 02:34:12,771
COMPOSITION DATA THOR THESE 

3151
02:34:12,771 --> 02:34:14,306
PRODUCTS BUT ALSO HAD A LOT OF 

3152
02:34:14,306 --> 02:34:15,874
DISCUSSION AROUND THE FACT IT'S 

3153
02:34:15,874 --> 02:34:19,844
A RAPIDLY EVOLVING FOOD MARKET 

3154
02:34:19,844 --> 02:34:23,148
AND THE FOOD COMPOSITION DATA WE

3155
02:34:23,148 --> 02:34:25,517
HAVE TO RECOGNIZE IT MAY NOT YET

3156
02:34:25,517 --> 02:34:31,957
BE EXCEPT UP TO PACE WITH THE 

3157
02:34:31,957 --> 02:34:35,293
ACTUAL FOOD MARKET.

3158
02:34:35,293 --> 02:34:39,497
THE TABLE HERE ILLUSTRATES SOME 

3159
02:34:39,497 --> 02:34:40,832
SIMILARITIES AND DIFFERENCES 

3160
02:34:40,832 --> 02:34:43,868
BETWEEN THE DAIRY MILK AND PLANT

3161
02:34:43,868 --> 02:34:48,573
BASED ALTERNATIVES.

3162
02:34:48,573 --> 02:34:51,876
THE PLANT-BASED ALTERNATIVES 

3163
02:34:51,876 --> 02:34:53,445
HAVE SIMILAR OR HIGHER 

3164
02:34:53,445 --> 02:34:56,114
QUANTITIES OF CALCIUM AND 

3165
02:34:56,114 --> 02:34:57,482
VITAMIN D.

3166
02:34:57,482 --> 02:35:00,852
SO FOR EXAMPLE IF WE LOOK AT 

3167
02:35:00,852 --> 02:35:11,396
ALMOND MILK COMPARED TO SOY MILK

3168
02:35:15,934 --> 02:35:19,838
AND ALMOND MILK STAND OUT FOR 

3169
02:35:19,838 --> 02:35:23,842
MORE VITAMIN A AND VITAMIN D AND

3170
02:35:23,842 --> 02:35:34,352
OAT MILK FOR MORE FAT AND AND 

3171
02:35:39,024 --> 02:35:41,159
ALMOND MILK AND OAT MILK 

3172
02:35:41,159 --> 02:35:43,628
ALTERNATIVES HAVE ALMOST NO 

3173
02:35:43,628 --> 02:35:47,866
PROTEIN, LESS MAGNESIUM AND THE 

3174
02:35:47,866 --> 02:35:52,170
ALMOND MILK HAS LESS POTASSIUM.

3175
02:35:52,170 --> 02:35:58,476
THIS IS THE DATA AND WE NEED TO 

3176
02:35:58,476 --> 02:36:01,913
HAVE TALK ABOUT THE BIO 

3177
02:36:01,913 --> 02:36:04,249
AVAILABILITY AND CALCIUM AND FOS

3178
02:36:04,249 --> 02:36:07,252
FORUM AND PROTEIN FOR YOUNG 

3179
02:36:07,252 --> 02:36:09,287
CHILDREN AND WITH THIS I'LL HAND

3180
02:36:09,287 --> 02:36:10,188
IT OVER TO STEVE.

3181
02:36:10,188 --> 02:36:13,291
>> THE COMPARISON IS MIXED
IN 

3182
02:36:13,291 --> 02:36:15,860
THAT WE'RE COMPARING FOR 

3183
02:36:15,860 --> 02:36:19,698
FORTIFIED SOY MILK ONE 

3184
02:36:19,698 --> 02:36:21,900
UNFORTIFIED ALMOND AND OAT MILK.

3185
02:36:21,900 --> 02:36:27,272
IN THE STORE OFTEN THEALTHE ALM 

3186
02:36:27,272 --> 02:36:31,843
MILKS ARE NOT FORTIFIED.

3187
02:36:31,843 --> 02:36:35,680
SOMETIMES WE CAN OVER FOCUS ON 

3188
02:36:35,680 --> 02:36:37,782
CALCIUM WHEN YOU'RE A CHILD YOU 

3189
02:36:37,782 --> 02:36:42,520
NEED THIS FOR BONES AND IN SOME 

3190
02:36:42,520 --> 02:36:45,957
POPULATIONS CAN HAVE EXCESS OF 

3191
02:36:45,957 --> 02:36:50,061
PHOSPHORUS BUT YOU CAN RUN WELL 

3192
02:36:50,061 --> 02:36:51,863
ON PHOSPHORUS INTAKE.

3193
02:36:51,863 --> 02:36:55,867
A SOURCE WITH AN ABNORMAL RATIO 

3194
02:36:55,867 --> 02:37:06,377
OF PHOSPHORUS AND CALCIUM AN

3195
02:37:11,916 --> 02:37:17,989
ANDC -- AND THE CALCIUM AND M

3196
02:37:17,989 --> 02:37:24,662
MAG -- MAGNESIUM.

3197
02:37:24,662 --> 02:37:25,296
WE DON'T HAVE AS MUCH 

3198
02:37:25,296 --> 02:37:27,832
INFORMATION ABOUT THE OTHERS BUT

3199
02:37:27,832 --> 02:37:29,934
I DO WANT TO POINT OUT SOMETIMES

3200
02:37:29,934 --> 02:37:32,437
WE GET OVERLY FOCUSSED ON THE 

3201
02:37:32,437 --> 02:37:33,938
SINGLE NUTRIENT OF CALCIUM AND 

3202
02:37:33,938 --> 02:37:37,275
FORGET BONES ARE A COMBINATION 

3203
02:37:37,275 --> 02:37:39,744
OF CALCIUM, PHOSPHORUS, 

3204
02:37:39,744 --> 02:37:43,848
MAGNESIUM AND ZINC AND WE HAVE 

3205
02:37:43,848 --> 02:37:53,358
TO KEEP THAT IN MIND.

3206
02:37:53,358 --> 02:37:55,860
>> THANK YOU, STEVE.

3207
02:37:55,860 --> 02:38:02,801
I HAND IT BACK TO YOU.

3208
02:38:02,801 --> 02:38:05,036
>> I'VE BEEN TRYING TO ASK
THIS 

3209
02:38:05,036 --> 02:38:06,004
QUESTION FOR SOME TIME AND 

3210
02:38:06,004 --> 02:38:07,839
THOUGHT IT WAS SILLY BUT STILL 

3211
02:38:07,839 --> 02:38:08,573
GOING TO ASK.

3212
02:38:08,573 --> 02:38:13,812
WHEN YOU DO MODIFICATIONS AND 

3213
02:38:13,812 --> 02:38:15,213
FOOD PATTERNING THAT ARE 

3214
02:38:15,213 --> 02:38:17,182
COMPLICATED ARE YOU TAKING INTO 

3215
02:38:17,182 --> 02:38:18,550
ACCOUNT TO THE DIFFERENCE IN THE

3216
02:38:18,550 --> 02:38:21,519
FOOD MATRIX?

3217
02:38:21,519 --> 02:38:24,656
IF THEY'RE COMING FROM CANNED OR

3218
02:38:24,656 --> 02:38:27,859
FROZEN FOODS OR FRESH?

3219
02:38:27,859 --> 02:38:29,594
THERE'S PROBABLY A LOT OF 

3220
02:38:29,594 --> 02:38:31,296
VARIABILITY.

3221
02:38:31,296 --> 02:38:33,698
WHEN YOU ADDING AND REMOVING IN 

3222
02:38:33,698 --> 02:38:39,737
MY MIND I'M NOT QUITE CLEAR.

3223
02:38:39,737 --> 02:38:43,842
ULTIMATELY IT'S TAKING ALL THE 

3224
02:38:43,842 --> 02:38:45,944
REPRESENTATIONS TO THE 

3225
02:38:45,944 --> 02:38:46,711
REPRESENTATIVE FOOD.

3226
02:38:46,711 --> 02:38:49,047
IT REPRESENTS THE MOST NUTRIENT 

3227
02:38:49,047 --> 02:38:51,249
DENSE WITH THE SATURATED FAT AND

3228
02:38:51,249 --> 02:38:56,221
ADDED SUGAR.

3229
02:38:56,221 --> 02:38:57,956
SO IT IS GOING TO TAIC INTO 

3230
02:38:57,956 --> 02:39:02,060
ACCOUNT ALL OF THOSE AND TRY TO 

3231
02:39:02,060 --> 02:39:02,927
COMPILE THEM AS TO WITHIN 

3232
02:39:02,927 --> 02:39:05,530
REFERENCE AND I HEARD A QUESTION

3233
02:39:05,530 --> 02:39:08,800
OF I NEED A FOOD CODE FOR 

3234
02:39:08,800 --> 02:39:14,138
BROCCOLI WITHOUT SODIUM BECAUSE 

3235
02:39:14,138 --> 02:39:17,508
THE RECIPE FOR BROCCOLI FOR THE 

3236
02:39:17,508 --> 02:39:18,810
FOOD CODE THAT HAS SODIUM SO 

3237
02:39:18,810 --> 02:39:20,912
THAT'S BEEN REMOVED FROM THAT.

3238
02:39:20,912 --> 02:39:23,848
SO IT'S GETTING DOWN TO THE 

3239
02:39:23,848 --> 02:39:27,018
BROCCOLI OR TO THE CARROT.

3240
02:39:27,018 --> 02:39:31,856
SO IT ISN'T GOING TO BE A QUOTE,

3241
02:39:31,856 --> 02:39:35,693
UNQUOTE, CANNED CARROT VERSUS 

3242
02:39:35,693 --> 02:39:37,362
FROZEN BUT GET DOWN TO THE RAW 

3243
02:39:37,362 --> 02:39:39,964
CARROT IS THE REPRESENTATION.

3244
02:39:39,964 --> 02:39:42,333
>> THERE'S MORE
VARIABILITY THEN

3245
02:39:42,333 --> 02:39:44,769
BECAUSE PEOPLE EAT FROZEN AND 

3246
02:39:44,769 --> 02:39:47,872
CANNED AND PROBABLY ALL THE 

3247
02:39:47,872 --> 02:39:49,574
NUTRIENT PROFILE IS VERY 

3248
02:39:49,574 --> 02:39:50,608
DIFFERENT.

3249
02:39:50,608 --> 02:39:51,843
YOU'RE LOOKING AT THE BEST 

3250
02:39:51,843 --> 02:39:55,013
SCENARIO, CORRECT?

3251
02:39:55,013 --> 02:39:55,213
OKAY.

3252
02:39:55,213 --> 02:39:57,415
EVEN WITH THAT BEST SCENARIO 

3253
02:39:57,415 --> 02:40:01,853
WE'RE STILL BELOW THE GAP IN 

3254
02:40:01,853 --> 02:40:02,186
SUBSTITUTING?

3255
02:40:02,186 --> 02:40:05,223
IMAGINE IF YOU'RE LOOKING AT THE

3256
02:40:05,223 --> 02:40:11,396
BEST SCENARIO OF WHAT IS FRESH 

3257
02:40:11,396 --> 02:40:11,562
AND 

3258
02:40:11,562 --> 02:40:14,165
>> AND PART OF IT GETS
INTO THE 

3259
02:40:14,165 --> 02:40:17,402
CONVERSATIONS WE'VE HAD AND I 

3260
02:40:17,402 --> 02:40:18,469
MENTIONED BEFORE ABOUT WE'RE 

3261
02:40:18,469 --> 02:40:20,638
ALREADY KIND OF HIGH ON THE 

3262
02:40:20,638 --> 02:40:23,374
CALORIE LEVEL AND THIS IS THE 

3263
02:40:23,374 --> 02:40:25,643
MOST IDEAL SITUATIONS.

3264
02:40:25,643 --> 02:40:27,312
THAT MAKING THE PATTERN HAVE 

3265
02:40:27,312 --> 02:40:33,885
MORE FLEXIBILITY TO BE ABLE TO 

3266
02:40:33,885 --> 02:40:34,886
CONSUME FOODS OUTSIDE THE 

3267
02:40:34,886 --> 02:40:36,587
REPRESENTATIVE FOOD RANGE AND 

3268
02:40:36,587 --> 02:40:39,290
STILL BE ABLE TO MEET THE 

3269
02:40:39,290 --> 02:40:40,058
NUTRIENT GOALS.

3270
02:40:40,058 --> 02:40:41,993
IT'S TRYING TO OPTIMIZE AND 

3271
02:40:41,993 --> 02:40:45,763
TIGHTEN THE PATTERN MORE THAT 

3272
02:40:45,763 --> 02:40:49,834
OFFERS THE FLEXIBILITIES BEYOND 

3273
02:40:49,834 --> 02:40:50,868
THE SINGLE REPRESENTATIVE FOOD 

3274
02:40:50,868 --> 02:40:55,974
AND START TO CAPTURE THE BROADER

3275
02:40:55,974 --> 02:40:58,676
FOOD VARIABILITY.

3276
02:40:58,676 --> 02:41:00,611
>> I HAD A SIMILAR
QUESTION AND 

3277
02:41:00,611 --> 02:41:02,647
CAN'T REMEMBER BUT THE IN THE 

3278
02:41:02,647 --> 02:41:05,016
SODIUM, I CAN'T REMEMBER WHICH 

3279
02:41:05,016 --> 02:41:07,852
WAS THE TRADE-OFF FOR BEANS, 

3280
02:41:07,852 --> 02:41:09,954
PEAS AND LENTILS.

3281
02:41:09,954 --> 02:41:11,456
I WAS WONDERING IF THERE WAS A 

3282
02:41:11,456 --> 02:41:12,690
FORM OF CAN.

3283
02:41:12,690 --> 02:41:14,859
I'M TRYING TO REMIND WHAT IT WAS

3284
02:41:14,859 --> 02:41:16,561
A TRADE-OFF FOR IN MY NOTE.

3285
02:41:16,561 --> 02:41:17,929
PROTEIN FOODS.

3286
02:41:17,929 --> 02:41:19,864
LIKE, WHY WAS THERE AN INCREASE 

3287
02:41:19,864 --> 02:41:24,135
IN WHEN YOU TRADED OFF THE 

3288
02:41:24,135 --> 02:41:27,839
BEANS, PEAS AND LENTILS THE IN 

3289
02:41:27,839 --> 02:41:28,840
SODIUM?

3290
02:41:28,840 --> 02:41:30,875
>> WAS THAT IN THE GRAINS
-- IF 

3291
02:41:30,875 --> 02:41:35,713
YOU ATE LESS GRAINS AND ATE MORE

3292
02:41:35,713 --> 02:41:39,917
BEANS, PEAS AND LENTILS THE 

3293
02:41:39,917 --> 02:41:44,055
SODIUM WENT DOWN BECAUSE OF THE 

3294
02:41:44,055 --> 02:41:45,690
UBIQUITOUS AMOUNT OF SODIUM.

3295
02:41:45,690 --> 02:41:51,763
>> NO, THE SODIUM WENT UP.

3296
02:41:51,763 --> 02:41:55,133
WHEN I TRADED OUT MORE BEANS, 

3297
02:41:55,133 --> 02:41:58,736
PEAS AND LENTILS THERE WAS AN 

3298
02:41:58,736 --> 02:41:59,003
INCREASE.

3299
02:41:59,003 --> 02:42:03,408
>> TERESA DO YOU REMEMBER
IN 

3300
02:42:03,408 --> 02:42:06,277
YOUR PRESENTATION WAS THERE A 

3301
02:42:06,277 --> 02:42:07,311
SCENARIO WHERE YOU INCREASE 

3302
02:42:07,311 --> 02:42:10,048
BEANS, PEAS AND LENTILS AND 

3303
02:42:10,048 --> 02:42:17,588
SODIUM WENT UP?

3304
02:42:17,588 --> 02:42:19,257
>> I'M WONDERING WAS IT
RELATED 

3305
02:42:19,257 --> 02:42:19,857
TO CAN?

3306
02:42:19,857 --> 02:42:23,227
BUT IT'S NOT RELATED TO CAN.

3307
02:42:23,227 --> 02:42:24,996
>> IN.

3308
02:42:24,996 --> 02:42:30,668
THERE WERE SOME AND SODIUM 

3309
02:42:30,668 --> 02:42:32,403
CREEPED UP IN SOME SCENARIOS BUT

3310
02:42:32,403 --> 02:42:35,106
NOT LIKE GOING FROM 100 TO 120.

3311
02:42:35,106 --> 02:42:37,642
IT WAS CREEPING UP ONLY A FEW 

3312
02:42:37,642 --> 02:42:39,010
PERCENTAGE POINTS.

3313
02:42:39,010 --> 02:42:42,513
I REMEMBER FROM LOOKING AT THE 

3314
02:42:42,513 --> 02:42:43,848
MASSIVE AMOUNT OF EXCEL SPREAD 

3315
02:42:43,848 --> 02:42:48,886
SHEETS.

3316
02:42:48,886 --> 02:42:52,723
>> WHEN BEANS, PEAS OR
LENTILS 

3317
02:42:52,723 --> 02:42:58,629
NUTS AND SOY ARE INCREASED AND 

3318
02:42:58,629 --> 02:43:00,898
THERE'S FOR 2 AND OLDER AND IT 

3319
02:43:00,898 --> 02:43:09,907
CAN INCLUDE SODIUM OR INCREASED.

3320
02:43:09,907 --> 02:43:11,409
>> WE CAN LOOK INTO WHAT'S

3321
02:43:11,409 --> 02:43:15,847
DRIVING THAT AND THE MAGNITUDE 

3322
02:43:15,847 --> 02:43:21,486
OF CHANGE.

3323
02:43:21,486 --> 02:43:25,490
>> IF IT'S NOT TAKEN INTO 

3324
02:43:25,490 --> 02:43:31,863
ACCOUNT, CANNED BEANS, WHO EATS 

3325
02:43:31,863 --> 02:43:35,166
CANNED BEANS WITHOUT SODIUM?

3326
02:43:35,166 --> 02:43:37,068
ASIDE FROM CHRISTOPHER.

3327
02:43:37,068 --> 02:43:38,703
WE EAT ALL THESE FOODS WITH 

3328
02:43:38,703 --> 02:43:42,306
SODIUM AND SO JUST GOING TO 

3329
02:43:42,306 --> 02:43:46,611
THE -- IT'S THE ONLY WAY OF 

3330
02:43:46,611 --> 02:43:47,578
DOING THE EXERCISE BUT 

3331
02:43:47,578 --> 02:43:51,215
>> IT'S ABOUT THE
AVAILABLE OF 

3332
02:43:51,215 --> 02:43:59,757
LOW SODIUM CANNED BEANS AS WELL.

3333
02:43:59,757 --> 02:43:59,924
>> 

3334
02:43:59,924 --> 02:44:03,861
>> IN THIS CASE IT'S NOT
TAKING 

3335
02:44:03,861 --> 02:44:09,967
INTO CONSIDERATION THE FORM.

3336
02:44:09,967 --> 02:44:10,501
>> 

3337
02:44:10,501 --> 02:44:12,436
>> YOU CAN CANS VERSUS -- 

3338
02:44:12,436 --> 02:44:15,840
>> NO, THE DIRECT FOOD WE
ARE 

3339
02:44:15,840 --> 02:44:18,643
USING.

3340
02:44:18,643 --> 02:44:21,112
>> WE WOULD HAVE CHOSEN
THE MOST

3341
02:44:21,112 --> 02:44:22,780
NUTRIENT DENSE VERSION OF THAT 

3342
02:44:22,780 --> 02:44:23,614
FOOD.

3343
02:44:23,614 --> 02:44:28,519
IT WOULD HAVE BEEN A LOW SODIUM 

3344
02:44:28,519 --> 02:44:33,891
VERSION IF THAT WAS A 

3345
02:44:33,891 --> 02:44:34,192
POSSIBILITY.

3346
02:44:34,192 --> 02:44:37,361
>> AND THE UBIQUITOUS
NATURE OF 

3347
02:44:37,361 --> 02:44:39,931
SODIUM THROUGH A VARIETY OF 

3348
02:44:39,931 --> 02:44:42,900
FOODS MAKES SODIUM MORE 

3349
02:44:42,900 --> 02:44:45,036
CHALLENGING WITHIN THE PROCESS.

3350
02:44:45,036 --> 02:44:47,071
TO TRY TO OPTIMIZE SODIUM INTAKE

3351
02:44:47,071 --> 02:44:49,740
TO GET TO THAT SPACE BUT IT IS 

3352
02:44:49,740 --> 02:44:52,777
STILL EVEN LOOKING AT THE GRAINS

3353
02:44:52,777 --> 02:44:54,478
DATA, GRAINS DON'T HAVE A LOT OF

3354
02:44:54,478 --> 02:44:57,215
SODIUM IN THEM AND CONSUMING A 

3355
02:44:57,215 --> 02:44:59,617
LARGER QUANTITY THE CONTRIBUTION

3356
02:44:59,617 --> 02:45:00,351
OF SODIUM GETS LARGER.

3357
02:45:00,351 --> 02:45:07,525
SO THE IMPLICATIONS OF HAVING 

3358
02:45:07,525 --> 02:45:09,961
LESS OF GRAIN AND INCREASING 

3359
02:45:09,961 --> 02:45:12,763
YOUR VEGETABLES FROM GREENS, 

3360
02:45:12,763 --> 02:45:14,832
PEAS AND LENTILS AND STARCHY 

3361
02:45:14,832 --> 02:45:19,870
VEGETABLES HAS THE IMPLICATIONS 

3362
02:45:19,870 --> 02:45:24,308
FOR EATING A BIT OF SODIUM IN IT

3363
02:45:24,308 --> 02:45:28,813
AND THERE'S THE CAVEAT AROUND 

3364
02:45:28,813 --> 02:45:33,951
SODIUM DATA AND THE STABILITY TO

3365
02:45:33,951 --> 02:45:37,455
GET PRECISION AROUND THE FOOD 

3366
02:45:37,455 --> 02:45:39,557
CODES KNOWING IT'S THE FOOD 

3367
02:45:39,557 --> 02:45:39,824
ESTIMATE.

3368
02:45:39,824 --> 02:45:40,057
CHERYL.

3369
02:45:40,057 --> 02:45:40,691
>> THANK YOU FOR CLEARING
THAT 

3370
02:45:40,691 --> 02:45:49,200
UP.

3371
02:45:49,200 --> 02:45:52,370
>> I WAS WONDERING ABOUT
THE 

3372
02:45:52,370 --> 02:45:54,138
FOODS DRIVEN BY MEAT, POULTRY 

3373
02:45:54,138 --> 02:45:57,308
AND EGGS.

3374
02:45:57,308 --> 02:45:59,043
IN CONTRAST, WHAT WAS THE 

3375
02:45:59,043 --> 02:46:00,544
DISCUSSION AROUND TOTAL GRAINS 

3376
02:46:00,544 --> 02:46:03,848
VERSUS WHOLE GRAINS AND REFINED 

3377
02:46:03,848 --> 02:46:09,687
GRAINS?

3378
02:46:09,687 --> 02:46:11,355
I'M CURIOUS ABOUT THE SEPARATION

3379
02:46:11,355 --> 02:46:13,391
OF REFINED GRAINS AND IN THE 

3380
02:46:13,391 --> 02:46:18,029
PROTEIN FOODS THE LUMMING OF ALL

3381
02:46:18,029 --> 02:46:28,072
MEATS, ALL EGGS, ALL POULTRY.

3382
02:46:28,072 --> 02:46:33,077
>> WE LOOKED AT TO THE
PROCESS 

3383
02:46:33,077 --> 02:46:35,746
OF REDUCING ALL GRAINS 

3384
02:46:35,746 --> 02:46:36,814
INCREMENTALLY AND REDUCING WHOLE

3385
02:46:36,814 --> 02:46:41,252
OR FINE GRAINS AND ULTIMATELY 

3386
02:46:41,252 --> 02:46:45,222
THEY PROVIDE SOME UNIQUE 

3387
02:46:45,222 --> 02:46:45,556
CONTRIBUTION.

3388
02:46:45,556 --> 02:46:48,025
IF YOU REMOVE ONE YOU REMOVE 

3389
02:46:48,025 --> 02:46:50,394
THAT WILL CONTRIBUTION SO THE 

3390
02:46:50,394 --> 02:46:51,729
IMPACTS OF FORTIFICATION AND 

3391
02:46:51,729 --> 02:46:54,365
ENRICHMENT ON GRAINS HAS AN 

3392
02:46:54,365 --> 02:46:57,368
IMPACT ON THE NUTRIENT PROFILE.

3393
02:46:57,368 --> 02:46:59,837
ULTIMATELY LIKE FRUIT YOU CAN GO

3394
02:46:59,837 --> 02:47:03,274
ONE WAY OR ANOTHER AS FAR AS ALL

3395
02:47:03,274 --> 02:47:09,780
WHOLE GRAINS REPIPEDD -- REFINE 

3396
02:47:09,780 --> 02:47:11,982
SO ULTIMATELY THE 50% STAYED 

3397
02:47:11,982 --> 02:47:16,253
WITHIN THAT.

3398
02:47:16,253 --> 02:47:17,855
WE HAD YOU'LL SORTS OF VARYINGS 

3399
02:47:17,855 --> 02:47:20,691
WITHIN THE PROTEIN FOODS TO 

3400
02:47:20,691 --> 02:47:21,959
REDUCE EVERY POSSIBLE 

3401
02:47:21,959 --> 02:47:22,259
COMBINATION.

3402
02:47:22,259 --> 02:47:32,503
IT'S A VERY LARGE DATA FILE.

3403
02:47:32,503 --> 02:47:38,175
IT WAS DONE AT THE PER WEEK 

3404
02:47:38,175 --> 02:47:43,414
LEVEL AND AS MENTIONED 

3405
02:47:43,414 --> 02:47:48,886
ULTIMATELY YOU GOT FOUR OUNCES A

3406
02:47:48,886 --> 02:47:54,725
WEEK AND BELOW THAT IF IF YOU 

3407
02:47:54,725 --> 02:47:56,127
HAD A DIFFERENT CONTRIBUTION OF 

3408
02:47:56,127 --> 02:47:57,194
CHOLINE BY EGGS IN COMPARISON.

3409
02:47:57,194 --> 02:48:03,000
WE LOOKED AT THAT GAMUT HOW 

3410
02:48:03,000 --> 02:48:08,539
THOSE ARE DISTRIBUTED AROUND THE

3411
02:48:08,539 --> 02:48:09,373
WEEKLY CONSUMPTION PIECE SIMILAR

3412
02:48:09,373 --> 02:48:19,850
TO WHAT THE VEGETABLES DID.

3413
02:48:21,519 --> 02:48:26,624
WE HAVE THE DATA AND THERE WAS 

3414
02:48:26,624 --> 02:48:28,325
ROOM FOR REDUCTION AND KEEPING 

3415
02:48:28,325 --> 02:48:38,869
THE BREADTH OF PROTEIN SOURCES.

3416
02:48:46,010 --> 02:48:47,711
>> OVER THE YEARS THERE'S 

3417
02:48:47,711 --> 02:48:49,647
EMPHASIS ON VITAMIN D INTAKE AND

3418
02:48:49,647 --> 02:48:52,650
IT'S VIRTUALLY IMPOSSIBLE TO GET

3419
02:48:52,650 --> 02:48:53,717
VITAMIN D FROM DIET NO MATTER 

3420
02:48:53,717 --> 02:48:54,385
WHAT YOU DO.

3421
02:48:54,385 --> 02:48:55,719
YOU DECIDE YOU'RE GOING TO TAKE 

3422
02:48:55,719 --> 02:48:57,388
A SUPPLEMENT BECAUSE YOU'RE 

3423
02:48:57,388 --> 02:48:58,923
GOING TO GET THE RDA AND NOT 

3424
02:48:58,923 --> 02:49:01,725
KNOWING THE TARGET OF THE RDA OR

3425
02:49:01,725 --> 02:49:04,395
PERHAPS RECOGNIZE THAT THE 

3426
02:49:04,395 --> 02:49:09,066
LIMITATIONS IN THIS RDA ARE 

3427
02:49:09,066 --> 02:49:11,001
OPPOSED TO THE EXPOSURE AND 

3428
02:49:11,001 --> 02:49:13,170
CLEARLY THERE'S CHALLENGES IN 

3429
02:49:13,170 --> 02:49:19,844
THAT DATA IN IDENTIFYING A TRULY

3430
02:49:19,844 --> 02:49:25,616
OPTIMALOO -- OHD LEVEL AND TO 

3431
02:49:25,616 --> 02:49:27,418
RECOGNIZE THE IMPOCKET OF 

3432
02:49:27,418 --> 02:49:29,286
REACHING RDA WHETHER OR NOT 

3433
02:49:29,286 --> 02:49:33,257
YOU'RE 80% OR 90% DOESN'T 

3434
02:49:33,257 --> 02:49:33,657
MATTER.

3435
02:49:33,657 --> 02:49:36,393
ON THE FLIP SIDE WE MAY BE UNDER

3436
02:49:36,393 --> 02:49:38,629
EMPHASIZING THE IMPORTANCE OF 

3437
02:49:38,629 --> 02:49:41,432
THE CHANGES AND IRON BIO 

3438
02:49:41,432 --> 02:49:41,866
AVAILABILITY.

3439
02:49:41,866 --> 02:49:52,409
SOME PULSES ARE 1% OR 2% AND IT 

3440
02:49:53,477 --> 02:49:55,279
MAY BE FINE IF WE'RE TALKING 

3441
02:49:55,279 --> 02:49:56,347
ABOUT A 2-YEAR-OLD WE MAY LOOK 

3442
02:49:56,347 --> 02:49:57,681
AT CHANGES.

3443
02:49:57,681 --> 02:49:58,682
ALL THIS IS GREAT STUFF.

3444
02:49:58,682 --> 02:49:59,850
I THINK WE INTO HE HAD TO FOCUS 

3445
02:49:59,850 --> 02:50:03,387
IN AS WE PULL OUT OF THE 

3446
02:50:03,387 --> 02:50:04,154
NUTRIENT AND SAY WE'RE NOT 

3447
02:50:04,154 --> 02:50:06,557
REACHING AND NOT HAVE AN REAL 

3448
02:50:06,557 --> 02:50:08,125
CHANGE AND MAKE SURE WE 

3449
02:50:08,125 --> 02:50:08,792
UNDERSTAND THE IMPOSSIBILITIES 

3450
02:50:08,792 --> 02:50:19,003
OF THE SORT.

3451
02:50:34,018 --> 02:50:36,520
>> DID WE LOOK AT
UNSWEETENED 

3452
02:50:36,520 --> 02:50:40,357
SOY AND WHEN THE MEAT WENT DOWN,

3453
02:50:40,357 --> 02:50:41,492
FOLATE WENT DOWN?

3454
02:50:41,492 --> 02:50:43,861
IT'S FROM BEANS, GREENS AND 

3455
02:50:43,861 --> 02:50:45,696
CITRUS AND HOW DID THAT GO DOWN?

3456
02:50:45,696 --> 02:50:47,831
I THOUGHT IT WAS TRIVIAL AND 

3457
02:50:47,831 --> 02:50:48,299
MINOR.

3458
02:50:48,299 --> 02:50:50,601
YOU DON'T HAVE TO FIGURE IT OUT 

3459
02:50:50,601 --> 02:50:52,503
BUT CAN YOU DOUBLE CHECK.

3460
02:50:52,503 --> 02:50:54,171
>> I NOTICED THAT -- 

3461
02:50:54,171 --> 02:50:55,673
>> THAT WAS ODD.

3462
02:50:55,673 --> 02:50:56,707
>> AS WELL.

3463
02:50:56,707 --> 02:51:01,812
>> SO HERE'S MY REAL
QUESTION.

3464
02:51:01,812 --> 02:51:02,346
GRAINS.

3465
02:51:02,346 --> 02:51:03,948
IS THIS WHAT AMERICANS EAT AND I

3466
02:51:03,948 --> 02:51:05,849
DID A PROJECT AND SAW AMERICANS 

3467
02:51:05,849 --> 02:51:07,451
AS A WHOLE EAT 90% WHEAT.

3468
02:51:07,451 --> 02:51:09,920
I KNOW THERE'S RICE, I KNOW 

3469
02:51:09,920 --> 02:51:12,556
THERE'S OATS AND OTHER THINGS.

3470
02:51:12,556 --> 02:51:15,693
AS YOU MODEL IT, ISN'T IT 

3471
02:51:15,693 --> 02:51:17,227
MODELLED ON WHAT AMERICANS ARE 

3472
02:51:17,227 --> 02:51:17,761
EATING.

3473
02:51:17,761 --> 02:51:20,064
SO IS THE GROUP OF GRAINS 90% 

3474
02:51:20,064 --> 02:51:30,174
WHEAT?

3475
02:51:34,545 --> 02:51:35,846
>> THIS IS MEETING PEOPLE
WHERE 

3476
02:51:35,846 --> 02:51:36,680
THEY ARE BASED ON THE FOODS 

3477
02:51:36,680 --> 02:51:43,554
PEOPLE ARE CONSUMING.

3478
02:51:43,554 --> 02:51:49,994
>> WE WITH HE SEE -- WHY
WE SEE 

3479
02:51:49,994 --> 02:51:52,062
THE REDUCTION.

3480
02:51:52,062 --> 02:51:53,897
>> I'D LIKE TO SEE OATS
AND 

3481
02:51:53,897 --> 02:52:00,437
BARLEY FOR KWHEET  -- WHEAT.

3482
02:52:00,437 --> 02:52:00,871
NOT TODAY.

3483
02:52:00,871 --> 02:52:01,672
IT WAS MIND BLOWING QUESTIONS.

3484
02:52:01,672 --> 02:52:07,344
THANK YOU.

3485
02:52:07,344 --> 02:52:11,248
>> I THINK THE DATA CAN
INFORM 

3486
02:52:11,248 --> 02:52:11,515
INVENTION.

3487
02:52:11,515 --> 02:52:13,684
LOOKING AT A SMALL DECREASE IN 

3488
02:52:13,684 --> 02:52:19,623
VEGETABLES HAS A BIG IMPACT OWN 

3489
02:52:19,623 --> 02:52:20,658
NUTRIENTS IN THE DIET.

3490
02:52:20,658 --> 02:52:22,993
IN PLANNING INTERVENTIONS YOU 

3491
02:52:22,993 --> 02:52:27,097
CAN USE THESE DATA TO KIND OF BE

3492
02:52:27,097 --> 02:52:31,835
MORE PRECISE OR TARGET WHERE THE

3493
02:52:31,835 --> 02:52:34,371
POPULATION IS.

3494
02:52:34,371 --> 02:52:35,939
ANYWAY, GREAT WORK.

3495
02:52:35,939 --> 02:52:41,745
>> ONE COMMENT.

3496
02:52:41,745 --> 02:52:43,847
>> THIS IS AMAZING WORK.

3497
02:52:43,847 --> 02:52:46,784
IT'S GREAT TO LOOK AT THE 

3498
02:52:46,784 --> 02:52:48,952
SUBSTITUTION AND HOW FLEXIBLE 

3499
02:52:48,952 --> 02:52:57,394
THE COMMITTEE HAS BEEN SO BRAVO.

3500
02:52:57,394 --> 02:53:00,397
>> MORE FUNDING WILL COME
WHEN 

3501
02:53:00,397 --> 02:53:01,432
WE CAN PUT IT TOGETHER AND SEE 

3502
02:53:01,432 --> 02:53:02,299
WHAT COMES UP.

3503
02:53:02,299 --> 02:53:07,805
>> AT THE SAME TIME I
THINK WE 

3504
02:53:07,805 --> 02:53:13,777
NEED TO DEFLECT TO OUR STAFF.

3505
02:53:13,777 --> 02:53:15,279
THE HOURS TO PREPARE THIS DATA, 

3506
02:53:15,279 --> 02:53:19,083
THE HOURS TO GET IT READY FOR US

3507
02:53:19,083 --> 02:53:21,051
IS ONE THING TO REP IT ALL AND 

3508
02:53:21,051 --> 02:53:23,153
ANOTHER TO GET INTO A PIECE WE 

3509
02:53:23,153 --> 02:53:25,522
CAN LOOK AT 350,000 DATA POINTS 

3510
02:53:25,522 --> 02:53:27,357
TO MAKE INFORMED DECISIONS AND 

3511
02:53:27,357 --> 02:53:28,859
THAT'S NEVER HAPPENING WITHOUT 

3512
02:53:28,859 --> 02:53:32,763
THE WORK OF OUR STAFF AND EVEN 

3513
02:53:32,763 --> 02:53:39,269
GETTING US TO THIS POINT.

3514
02:53:39,269 --> 02:53:41,739
SO, ANY OTHER COMMENTS OR 

3515
02:53:41,739 --> 02:53:45,109
QUESTIONS ABOUT THE FOOD PATTERN

3516
02:53:45,109 --> 02:53:45,375
MODELLING?

3517
02:53:45,375 --> 02:53:49,146
I PROMISED THERE'D BE A LOT.

3518
02:53:49,146 --> 02:53:51,381
>> I KNOW YOU LOOKED AT
MILK 

3519
02:53:51,381 --> 02:53:53,717
BASED DRINK EARLY.

3520
02:53:53,717 --> 02:53:55,853
I WAS WONDERING ABOUT THINGS 

3521
02:53:55,853 --> 02:53:57,621
PEOPLE DRINK IN THE AMERICAN 

3522
02:53:57,621 --> 02:53:59,022
DIET, SMOOTHIES WHICH MAY NOT BE

3523
02:53:59,022 --> 02:53:59,923
MILK BASED.

3524
02:53:59,923 --> 02:54:02,559
I HAD A QUESTION THEY PLAY BE 

3525
02:54:02,559 --> 02:54:03,861
FRUIT-BASED DRINK AND CURIOUS TO

3526
02:54:03,861 --> 02:54:05,896
THAT EARLY ON IN YOUR 

3527
02:54:05,896 --> 02:54:07,164
CONVERSATION, WHERE DOES THAT 

3528
02:54:07,164 --> 02:54:07,331
GO?

3529
02:54:07,331 --> 02:54:10,434
I'M SORRY FOR OPENING UP THAT 

3530
02:54:10,434 --> 02:54:13,904
CAN OF WORMS BUT IN EVERY PLACE 

3531
02:54:13,904 --> 02:54:15,506
YOU GO IN AMERICA THERE'S A 

3532
02:54:15,506 --> 02:54:21,178
MAKMA

3533
02:54:21,178 --> 02:54:21,812
MAKMA

3534
02:54:21,812 --> 02:54:22,446
MAKMA

3535
02:54:22,446 --> 02:54:32,956
MAKIE -- SMOOTHIE BEING MADE.

3536
02:54:36,593 --> 02:54:43,534
THE FRUIT-BASED SMOOTHIE NOTE  

3537
02:54:43,534 --> 02:54:44,101
NOT MILK.

3538
02:54:44,101 --> 02:54:45,469
>> IF WE'RE ABLE TO TELL
FROM 

3539
02:54:45,469 --> 02:54:48,071
THE NEAR LYING DATA OF A 

3540
02:54:48,071 --> 02:54:53,610
SMOOTHIE FOOD CODE IT IS A 

3541
02:54:53,610 --> 02:55:00,317
FRUIT-BASED SMOOTHIE AND 

3542
02:55:00,317 --> 02:55:03,420
STRAWBERRIES AND BANANAS IT WILL

3543
02:55:03,420 --> 02:55:07,858
BE DISAGGREGATED TO STRAWBERRIES

3544
02:55:07,858 --> 02:55:11,195
AND BANANAS BUT ANY FOOD GROUP 

3545
02:55:11,195 --> 02:55:12,763
NOT IN THESE WILL NOT 

3546
02:55:12,763 --> 02:55:13,497
CONTRIBUTE.

3547
02:55:13,497 --> 02:55:15,332
>> AND TO MUCK THINGS UP A
BIT, 

3548
02:55:15,332 --> 02:55:17,134
WHEN THEY ADD ALL THE ADDITIVES 

3549
02:55:17,134 --> 02:55:19,069
THAT WE DON'T KNOW WHAT THEY 

3550
02:55:19,069 --> 02:55:19,970
REALLY ARE, WHAT DO YOU DO WITH 

3551
02:55:19,970 --> 02:55:27,144
THAT?

3552
02:55:27,144 --> 02:55:33,217
>> IT ALSO MEANS ARE
AREN'T 750 

3553
02:55:33,217 --> 02:55:39,756
FOOD CODES FOR FRUIT SMOOTHIE 

3554
02:55:39,756 --> 02:55:42,593
AND THERE'S NOT BANANA, 

3555
02:55:42,593 --> 02:55:45,963
STRAWBERRY AND PEANUT BUTTER.

3556
02:55:45,963 --> 02:55:47,865
>> AND THROW IN A WHEY
POWDER 

3557
02:55:47,865 --> 02:55:48,966
AND THIS AND THAT.

3558
02:55:48,966 --> 02:55:51,401
>> IT CREATES A POINT
ESTIMATE 

3559
02:55:51,401 --> 02:55:52,569
FOR FRUIT SMOOTHIE WITH AN 

3560
02:55:52,569 --> 02:55:55,839
ESTIMATION OF A RECIPE THAT 

3561
02:55:55,839 --> 02:55:57,975
BASED ON ALL THE DIFFERENT 

3562
02:55:57,975 --> 02:55:59,343
PIECES OF DATA IN TERMS OF 

3563
02:55:59,343 --> 02:56:01,111
TRYING TO FIGURE OUT WHAT TO 

3564
02:56:01,111 --> 02:56:02,546
CALL THAT ONE SO WHENEVER THEY 

3565
02:56:02,546 --> 02:56:07,584
DO THE UPDATES FOR FNDDS THEY 

3566
02:56:07,584 --> 02:56:09,019
HAVE TO LOOK AT THE FOODS 

3567
02:56:09,019 --> 02:56:10,654
REPRESENTED AND THE WAYS OF 

3568
02:56:10,654 --> 02:56:11,788
LOOKING AT RECIPES AND OTHER 

3569
02:56:11,788 --> 02:56:14,892
FACTORS THAT ARE GOING TO DRIVE,

3570
02:56:14,892 --> 02:56:17,594
THEY MAY COME UP WITH ONE FRUIT 

3571
02:56:17,594 --> 02:56:19,029
SMOOTHIE CODE.

3572
02:56:19,029 --> 02:56:24,201
THEN THE ASSUMPTION IS FRUIT 

3573
02:56:24,201 --> 02:56:27,271
SMOOTHIE IS PROBABLY THIS RAND 

3574
02:56:27,271 --> 02:56:29,206
IN THE GOING TO CAPTURE ALL THE 

3575
02:56:29,206 --> 02:56:29,439
NUANCES.

3576
02:56:29,439 --> 02:56:33,977
IF THEY PUT IN A PROTEIN POWDER 

3577
02:56:33,977 --> 02:56:39,950
THE FOOD CODE WILL GET REMOVED.

3578
02:56:39,950 --> 02:56:42,986
PROTEIN POWDER IS NOT THE FOOD 

3579
02:56:42,986 --> 02:56:43,186
ITEM.

3580
02:56:43,186 --> 02:56:46,123
IT WOULD NOT WOMAN AN ITEM 

3581
02:56:46,123 --> 02:56:50,527
CLUSTER.

3582
02:56:50,527 --> 02:56:52,429
IT WILL TAKE THE COMPONENTS OUT 

3583
02:56:52,429 --> 02:56:53,864
AND TURN THEM INTO CLUSTERS.

3584
02:56:53,864 --> 02:56:56,767
>> FOR THOSE WHO MIGHT GET
A 

3585
02:56:56,767 --> 02:56:57,834
SMOOTHIE AT THE AIRPORT OR 

3586
02:56:57,834 --> 02:56:59,970
SOMEWHERE ELSE, I SAW PEOPLE 

3587
02:56:59,970 --> 02:57:07,844
WITH STARBUCKS.

3588
02:57:07,844 --> 02:57:10,113
>> CAN I QUESTION A
QUESTION.

3589
02:57:10,113 --> 02:57:12,282
I THINK CHRIS MENTIONED THE 

3590
02:57:12,282 --> 02:57:14,651
PHYTO NUTRIENTS AND 

3591
02:57:14,651 --> 02:57:15,852
ACKNOWLEDGING WE CAN'T REALLY 

3592
02:57:15,852 --> 02:57:17,087
ADDRESS THEM.

3593
02:57:17,087 --> 02:57:19,323
COULD YOU COMMENT MORE AND WHERE

3594
02:57:19,323 --> 02:57:21,959
SHOULD WE GO WITH THAT QUESTION 

3595
02:57:21,959 --> 02:57:27,831
FOR THE NEXT ROUND.

3596
02:57:27,831 --> 02:57:29,633
>> 

3597
02:57:29,633 --> 02:57:30,767
>> THERE'S A LOT OF WORK
BEING 

3598
02:57:30,767 --> 02:57:33,971
DONE IN THAT SPACE IN TERMS OF 

3599
02:57:33,971 --> 02:57:37,774
IDENTIFYING WHAT'S THERE.

3600
02:57:37,774 --> 02:57:39,643
THERE'S ALSO CALLED THE GRAY 

3601
02:57:39,643 --> 02:57:40,877
MATTER OF SPACE ALL THE STUFF IN

3602
02:57:40,877 --> 02:57:47,851
THERE THAT WE DON'T KNOW.

3603
02:57:47,851 --> 02:57:51,188
SO IT'S ADDRESSING THE SCIENCE 

3604
02:57:51,188 --> 02:57:53,123
AND LOOKING AT FOOD GROUPS THAT 

3605
02:57:53,123 --> 02:57:55,859
DON'T COUNT AS NUTRIENTS.

3606
02:57:55,859 --> 02:57:57,327
THERE'S CERTAIN NUTRIENTS WE 

3607
02:57:57,327 --> 02:57:59,229
AREN'T LOOKING AT THAT EXIST 

3608
02:57:59,229 --> 02:58:00,797
THAT HAVE RDAs.

3609
02:58:00,797 --> 02:58:03,367
SO WE'RE LOOKING AT WHAT'S IN 

3610
02:58:03,367 --> 02:58:05,969
THE FNDDS TO THE DATABASES WOULD

3611
02:58:05,969 --> 02:58:07,838
HAVE TO CATCH UP FOR 

3612
02:58:07,838 --> 02:58:09,940
QUANTIFICATION TO BE ABLE TO 

3613
02:58:09,940 --> 02:58:11,241
QUANTIFY THEM HAVING THE SCIENCE

3614
02:58:11,241 --> 02:58:18,615
BEHIND WHY ONES TO EVALUATE, 

3615
02:58:18,615 --> 02:58:18,882
ETCETERA.

3616
02:58:18,882 --> 02:58:19,850
WE'RE SEEING WITHIN CERTAIN FOOD

3617
02:58:19,850 --> 02:58:26,690
GROUPS BECAUSE YOU LOOK AT FOOD 

3618
02:58:26,690 --> 02:58:31,695
GROUPS AND IT'S CONTRIBUTING A 

3619
02:58:31,695 --> 02:58:33,130
SIGNIFICANT AMOUNT OF VITAMIN C 

3620
02:58:33,130 --> 02:58:37,501
AND LOOK AT REVIEWS AS A 

3621
02:58:37,501 --> 02:58:37,768
COMPONENT.

3622
02:58:37,768 --> 02:58:40,937
IT ISN'T IT HELPS SEE WHERE IT 

3623
02:58:40,937 --> 02:58:43,874
FITS WITHIN THE NUTRIENT PROFILE

3624
02:58:43,874 --> 02:58:54,384
AND HOW INCLUSION IS BASED ON 

3625
02:58:55,052 --> 02:58:59,022
FACTORS IN THE SYNTHESIS PHASE.

3626
02:58:59,022 --> 02:59:00,757
>> WE TRIED TO DETERMINE
COULD 

3627
02:59:00,757 --> 02:59:03,727
THERE BE SUBGROUPS LIKE 

3628
02:59:03,727 --> 02:59:05,529
VEGETABLE SUBGROUPS AND MAY BE 

3629
02:59:05,529 --> 02:59:06,730
ABLE TO SET SUBGROUPS.

3630
02:59:06,730 --> 02:59:09,099
BASED ON THE NUTRIENTS WE 

3631
02:59:09,099 --> 02:59:10,801
WEREN'T ABLE TO DO THAT AND 

3632
02:59:10,801 --> 02:59:12,736
COULDN'T CONSIDER THE PHYTO 

3633
02:59:12,736 --> 02:59:14,304
NUTRIENTS BECAUSE WE DON'T HAVE 

3634
02:59:14,304 --> 02:59:14,971
A DATABASE.

3635
02:59:14,971 --> 02:59:15,906
BUT THAT'S SOMETHING IN THE 

3636
02:59:15,906 --> 02:59:17,941
FUTURE HOPEFULLY WE'LL BE ABLE 

3637
02:59:17,941 --> 02:59:19,876
TO DO AND MAYBE FRUITS WILL BE 

3638
02:59:19,876 --> 02:59:25,982
IN GROUPS LIKE VEGETABLES ARE.

3639
02:59:25,982 --> 02:59:27,684
>> I'M GOING TO SUGGEST WE
TAKE 

3640
02:59:27,684 --> 02:59:30,353
A FIVE-MINUTE BREAK BECAUSE WE 

3641
02:59:30,353 --> 02:59:32,589
STILL HAVE TO REVIEW SOME NEW 

3642
02:59:32,589 --> 02:59:35,859
PROTOCOLS AND I THINK THERE'S 

3643
02:59:35,859 --> 02:59:37,160
BEEN A LOT OF INFORMATION.

3644
02:59:37,160 --> 02:59:38,895
LET'S GIVE EVERYONE FIVE MINUTES

3645
02:59:38,895 --> 02:59:39,262
TO DIGEST.

3646
02:59:39,262 --> 02:59:48,506
SEE YOU BACK IN FIVE MINUTES.

3647
02:59:48,506 --> 02:59:49,674
INCREASE BEANS, PEAS AND LENTILS

3648
02:59:49,674 --> 02:59:54,545
AND HAVE A REDUCTION IN TOTAL 

3649
02:59:54,545 --> 02:59:57,148
GRAINS WHAT WOULD BE THE 

3650
02:59:57,148 --> 02:59:59,317
NUTRITIONAL IMPLICATIONS.

3651
02:59:59,317 --> 03:00:02,053
THE LIST OF OUR FLEXIBILITIES 

3652
03:00:02,053 --> 03:00:05,122
FOR BEANS, PEAS AND LENTILS AND 

3653
03:00:05,122 --> 03:00:08,192
STARCHY VEGETABLES WITH A 

3654
03:00:08,192 --> 03:00:09,627
SUBSEQUENT REDUCTION IN TOTAL 

3655
03:00:09,627 --> 03:00:11,529
GRAINS, INCREASING BEANS, PEAS 

3656
03:00:11,529 --> 03:00:12,963
AND LENTILS AND SOY AND 

3657
03:00:12,963 --> 03:00:16,133
REDUCTION IN MEAT, POULTRY AND 

3658
03:00:16,133 --> 03:00:19,236
EGGS AND ADDING SEAFOOD TO THE 

3659
03:00:19,236 --> 03:00:21,305
HEALTHY VEG FOR A MORE 

3660
03:00:21,305 --> 03:00:24,041
PESCATARIAN PATTERN AND EXPLORE 

3661
03:00:24,041 --> 03:00:30,114
OF PLANT-BASED MILK ALTERNATIVES

3662
03:00:30,114 --> 03:00:31,649
FOR DAIRY AND FORTIFIED SOY.

3663
03:00:31,649 --> 03:00:33,851
NOW WE'LL CHANGE GEARS AND LOOK 

3664
03:00:33,851 --> 03:00:39,924
AT ONE NEW PROTOCOL AND ONE 

3665
03:00:39,924 --> 03:00:41,058
REVISED PROTOCOL.

3666
03:00:41,058 --> 03:00:42,893
IN LOOKING AT THESE 

3667
03:00:42,893 --> 03:00:48,666
INDEPENDENT -- WELL, NOT 

3668
03:00:48,666 --> 03:00:50,801
INDEPENDENT OF BUT WITH THE ONE 

3669
03:00:50,801 --> 03:00:54,572
OF THE OTHER OPTIONS CREATING AN

3670
03:00:54,572 --> 03:00:57,141
ALTERNATIVE PATTERN AS OPPOSED 

3671
03:00:57,141 --> 03:00:59,610
TO MAKING A MODIFICATION TO THE 

3672
03:00:59,610 --> 03:01:03,047
CURRENT PATTERN AND AS WE LOOK 

3673
03:01:03,047 --> 03:01:05,483
AT THAT AND WHAT THOSE TYPES OF 

3674
03:01:05,483 --> 03:01:08,052
CHANGES, WHEN WE MAKE REDUCTIONS

3675
03:01:08,052 --> 03:01:11,622
WE COULD HAVE TO REPLACE THOSE 

3676
03:01:11,622 --> 03:01:14,525
FOODS WITH OTHER FOOD GROUPS.

3677
03:01:14,525 --> 03:01:17,495
SO THE ACT OF REPLACEMENT WOULD 

3678
03:01:17,495 --> 03:01:21,232
HAVE TO HAPPEN CONCURRENTLY WITH

3679
03:01:21,232 --> 03:01:23,801
REDUCTIONS.

3680
03:01:23,801 --> 03:01:25,836
THAT WILL SAME THE WAY WE LOOK 

3681
03:01:25,836 --> 03:01:28,906
AT SOME OF THE NEXT PROTOCOLS 

3682
03:01:28,906 --> 03:01:34,578
WITHIN THE REDUCING CARBOHYDRATE

3683
03:01:34,578 --> 03:01:36,247
FOODS AND AN MOOL-BASED FOODS.

3684
03:01:36,247 --> 03:01:39,483
I'LL PASS IT FORWARD.

3685
03:01:39,483 --> 03:01:42,319
START WITH REDUCING CARBOHYDRATE

3686
03:01:42,319 --> 03:01:43,020
RETAINING FOODS WITH DI.

3687
03:01:43,020 --> 03:01:45,122
>> THIS IS A PROTOCOL AND
WE 

3688
03:01:45,122 --> 03:01:49,293
LOOK FORWARD TO ALL OF YOUR 

3689
03:01:49,293 --> 03:01:52,096
FEEDBACK.

3690
03:01:52,096 --> 03:01:55,699
WE ARE PROPOSING THE FOLLOWING 

3691
03:01:55,699 --> 03:01:58,669
QUESTION TO LOOK AT NUTRIENT 

3692
03:01:58,669 --> 03:02:04,375
GOALS AND WHICH CAN OR CANNOT BE

3693
03:02:04,375 --> 03:02:14,885
MET WHEN CARBOHYDRATES ARE 

3694
03:02:17,188 --> 03:02:18,923
REDUCED IN FOOD.

3695
03:02:18,923 --> 03:02:23,994
THE RDA FOR CARBOHYDRATE IS SET 

3696
03:02:23,994 --> 03:02:26,764
AT 130 GRAMS A DAY AND 65% OF 

3697
03:02:26,764 --> 03:02:29,233
TOTAL ENERGY FOR AGES 2 AND 

3698
03:02:29,233 --> 03:02:35,773
OLDER.

3699
03:02:35,773 --> 03:02:40,511
THE MAN TO ADDRESS THE FIRST 

3700
03:02:40,511 --> 03:02:42,947
OBJECTIVE IS TO LOOK AT THE 

3701
03:02:42,947 --> 03:02:45,149
CONSEQUENCES OR EFFECTS OF 

3702
03:02:45,149 --> 03:02:48,085
REDUCING CARBOHYDRATE CONTAIN 

3703
03:02:48,085 --> 03:02:49,453
FOOD GROUPS AND SUB GROUPS AND 

3704
03:02:49,453 --> 03:02:51,522
THE LAST PART OF THE SENTENCE IS

3705
03:02:51,522 --> 03:02:54,058
IMPORTANT BECAUSE WE ARE 

3706
03:02:54,058 --> 03:02:55,092
STARTING FROM THE BASE PATTERN 

3707
03:02:55,092 --> 03:02:59,029
LIKE WE HAVE ALL THE OTHER FOOD 

3708
03:02:59,029 --> 03:02:59,663
PATTERN MODELLING AND 

3709
03:02:59,663 --> 03:03:04,602
MODIFICATION AND FLEXIBILITIES.

3710
03:03:04,602 --> 03:03:07,438
SO THIS IS NOT REDUCING SODA, 

3711
03:03:07,438 --> 03:03:11,976
COOKIE, CAKES, SUGARY SNACKS AND

3712
03:03:11,976 --> 03:03:16,714
THOSE ARE ALREADY OFF THE TABLE 

3713
03:03:16,714 --> 03:03:19,884
AND FURTHER REDUCING 

3714
03:03:19,884 --> 03:03:21,118
CARBOHYDRATE CONTAINING FOODS 

3715
03:03:21,118 --> 03:03:24,154
AND SEPARATE FROM GAINS AND 

3716
03:03:24,154 --> 03:03:26,690
CARBOHYDRATE FOODS ARE FOUND 

3717
03:03:26,690 --> 03:03:28,959
MOST THE FOOD GROUPS.

3718
03:03:28,959 --> 03:03:31,962
FOODS, STARCHY VEGETABLES AND 

3719
03:03:31,962 --> 03:03:33,130
ALTERNATIVES NOT JUST GRAINS IF 

3720
03:03:33,130 --> 03:03:35,766
THAT'S WHERE YOU'RE THINKING 

3721
03:03:35,766 --> 03:03:38,269
WITH CARBOHYDRATE.

3722
03:03:38,269 --> 03:03:39,303
UNLIKE OTHER PROTOCOLS TO 

3723
03:03:39,303 --> 03:03:42,206
UNDERSTAND HOW TO FILL IN GAPS 

3724
03:03:42,206 --> 03:03:43,841
AND SUBSTITUTIONS AS CHRIS WAS 

3725
03:03:43,841 --> 03:03:44,942
MENTIONING, THIS IS NOT GOING TO

3726
03:03:44,942 --> 03:03:49,914
BE USED TO CREATE A NEW PATTERN 

3727
03:03:49,914 --> 03:03:51,282
BUT RATHER TO LOOK AT THE 

3728
03:03:51,282 --> 03:03:53,984
IMPLICATIONS OF REMOVAL OF THE 

3729
03:03:53,984 --> 03:03:56,186
FOODS AND BEVERAGES.

3730
03:03:56,186 --> 03:03:57,288
THE RATIONALE FOR THIS APPROACH 

3731
03:03:57,288 --> 03:04:03,260
AND IT APPLIES TO THE FOLLOWING 

3732
03:04:03,260 --> 03:04:05,529
PROTOCOL REVISIONS FOR THE 

3733
03:04:05,529 --> 03:04:07,331
CARBOHYDRATE REDUCTION THERE'S A

3734
03:04:07,331 --> 03:04:10,000
LACK OF CONSENSUS HOW FAR OR HOW

3735
03:04:10,000 --> 03:04:11,201
LOW TO GO.

3736
03:04:11,201 --> 03:04:14,271
THAT MADE IT VERY DIFFICULT TO 

3737
03:04:14,271 --> 03:04:15,639
DEFINE WHAT CUT POINT OR 

3738
03:04:15,639 --> 03:04:17,508
THRESHOLD TO GET TO SO KEEP THAT

3739
03:04:17,508 --> 03:04:21,145
IN MIND.

3740
03:04:21,145 --> 03:04:24,415
WE'LL BE LOOKING AT THE RANGE 

3741
03:04:24,415 --> 03:04:25,783
BUT THERE'S ALSO IMPORTANTLY 

3742
03:04:25,783 --> 03:04:30,387
LACK OF CON SEN SHES WITHIN THE 

3743
03:04:30,387 --> 03:04:32,890
HEALTHY U.S. PATTERN THERE'S 

3744
03:04:32,890 --> 03:04:35,759
SPECIFIC FOODS TO PRIORITIZE TO 

3745
03:04:35,759 --> 03:04:39,463
LEAVE IN OR REMOVE OR IF ALL 

3746
03:04:39,463 --> 03:04:44,401
CARBOHYDRATE CONTAINING FOODS 

3747
03:04:44,401 --> 03:04:49,740
ARE EQUAL AND THEREFORE SHOULD 

3748
03:04:49,740 --> 03:04:55,913
BE REDUCED TO INFORM WHETHER 

3749
03:04:55,913 --> 03:04:57,114
SOME SHOULD BE REDUCED OVER 

3750
03:04:57,114 --> 03:04:58,048
OTHERS.

3751
03:04:58,048 --> 03:05:00,751
WE'LL LOOK AT THE VARIOUS FOOD 

3752
03:05:00,751 --> 03:05:02,720
GROUPS AND OVER ALL TOTAL 

3753
03:05:02,720 --> 03:05:06,223
CARBOHYDRATE REDUCTION.

3754
03:05:06,223 --> 03:05:11,695
AND IMPORTANTLY WITH RESPECT TO 

3755
03:05:11,695 --> 03:05:12,696
NOT DEVELOPING THE FURTHER 

3756
03:05:12,696 --> 03:05:14,431
PATTERN THERE'S A LACK OF 

3757
03:05:14,431 --> 03:05:15,966
CONSENSUS FOR WHICH FOODS SHOULD

3758
03:05:15,966 --> 03:05:19,703
BE CONSUMED IN PLACE OF 

3759
03:05:19,703 --> 03:05:20,371
CARBOHYDRATE CONTAINING FOOD.

3760
03:05:20,371 --> 03:05:22,339
WE DON'T EAT WHAT WE REMOVE.

3761
03:05:22,339 --> 03:05:23,374
WE EAT WHAT'S LEFT.

3762
03:05:23,374 --> 03:05:26,810
IF THERE'S NO CONSENSUS FOR WHAT

3763
03:05:26,810 --> 03:05:28,045
THAT SHOULD BE IT MADE IT 

3764
03:05:28,045 --> 03:05:33,517
DIFFICULT TO KNOW WHERE TO BEGIN

3765
03:05:33,517 --> 03:05:35,552
GIVEN THAT CARBOHYDRATE CONTAIN 

3766
03:05:35,552 --> 03:05:36,353
FOODS ARE UBIQUITOUS ACROSS THE 

3767
03:05:36,353 --> 03:05:38,288
FOOD GROUPS AND WHAT TO EAT IN 

3768
03:05:38,288 --> 03:05:40,057
PLACE OF THEM WAS NOT SOMETHING 

3769
03:05:40,057 --> 03:05:43,093
THAT WAS READILY AVAILABLE IN 

3770
03:05:43,093 --> 03:05:45,362
THE LITERATURE TO OUT AS A 

3771
03:05:45,362 --> 03:05:55,639
STARTING PLACE.

3772
03:05:57,207 --> 03:06:00,811
I'LL NOW AND IT OVER TO SAMEERA.

3773
03:06:00,811 --> 03:06:03,280
>> I'LL BE PRESENTING VERY

3774
03:06:03,280 --> 03:06:08,819
VISIONS TO THE FORMALLY KNOWN AS

3775
03:06:08,819 --> 03:06:09,687
VEGAN PROTOCOL.

3776
03:06:09,687 --> 03:06:11,622
WE MADE THE CHANGE IN THE NAME 

3777
03:06:11,622 --> 03:06:13,123
TO WIDER REFERENCE TO A SPECIFIC

3778
03:06:13,123 --> 03:06:17,127
DIET.

3779
03:06:17,127 --> 03:06:20,097
WE DECIDED TO KEEP OBJECTIVES 1 

3780
03:06:20,097 --> 03:06:22,966
AND 3.

3781
03:06:22,966 --> 03:06:24,868
OBJECTIVE 1 IS EXAMINE THE 

3782
03:06:24,868 --> 03:06:26,203
NUTRIENT CONTRIBUTIONS OF 

3783
03:06:26,203 --> 03:06:30,974
PLANT-BASED PROTEIN FOODS IN THE

3784
03:06:30,974 --> 03:06:32,376
HEALTHY VEGETARIAN PATTERN AND 

3785
03:06:32,376 --> 03:06:36,814
EXPLORE THE REMOVAL OF EGGS AND 

3786
03:06:36,814 --> 03:06:38,215
DAIRY IN THE VEGETARIAN DIETARY 

3787
03:06:38,215 --> 03:06:39,049
PATTERN.

3788
03:06:39,049 --> 03:06:41,585
WE DECIDED TO MOVE OBJECTIVES 2 

3789
03:06:41,585 --> 03:06:44,722
AND 4 INTERRELATED.

3790
03:06:44,722 --> 03:06:46,523
OBJECTIVE 2 WAS THE PREVIOUS 

3791
03:06:46,523 --> 03:06:48,025
OBJECTIVE WAS BASICALLY LOOKING 

3792
03:06:48,025 --> 03:06:49,993
AT THE AVAILABILITY AND 

3793
03:06:49,993 --> 03:06:52,730
USABILITY OF PLANT-BASED 

3794
03:06:52,730 --> 03:06:57,134
PRODUCTS IN THE USDA'S DATA 

3795
03:06:57,134 --> 03:07:00,370
CENTRAL TO LOOK AT REPLACING THE

3796
03:07:00,370 --> 03:07:02,439
EGGS AND DAIRY WITH THE 

3797
03:07:02,439 --> 03:07:04,308
PLANT-BASED FOODS.

3798
03:07:04,308 --> 03:07:05,843
NOW, THE RATIONALE BEHIND THIS 

3799
03:07:05,843 --> 03:07:09,113
REMOVAL OF OBJECTIVES 2 AND 4 

3800
03:07:09,113 --> 03:07:13,016
WAS THAT THE COMMITTEE HAD HEARD

3801
03:07:13,016 --> 03:07:14,017
DISCUSSION ON WHAT OTHER REASONS

3802
03:07:14,017 --> 03:07:19,757
WHY PEOPLE ARE ACTUALLY REMOVING

3803
03:07:19,757 --> 03:07:24,294
ANIMAL FOODS FROM THEIR DIET.

3804
03:07:24,294 --> 03:07:29,032
IF WE PRIMARILY PUT IN TO THE 

3805
03:07:29,032 --> 03:07:31,034
REPLACEMENT FOODS AND DON'T HAVE

3806
03:07:31,034 --> 03:07:32,803
EVIDENCE TO SUGGEST PEOPLE ARE 

3807
03:07:32,803 --> 03:07:35,139
ACTIVELY SEEKING THE REPLACEMENT

3808
03:07:35,139 --> 03:07:35,572
FOODS.

3809
03:07:35,572 --> 03:07:37,274
IT MAKES SENSE TO NOT CONSIDER 

3810
03:07:37,274 --> 03:07:39,510
AND WE DON'T HAVE EVIDENCE AS TO

3811
03:07:39,510 --> 03:07:43,380
WHAT PEOPLE ARE CONSUMING IN 

3812
03:07:43,380 --> 03:07:45,115
PLACE OF THE ANIMAL BASED FOODS.

3813
03:07:45,115 --> 03:07:51,021
WE DECIDED TO LEAVE IT OUT.

3814
03:07:51,021 --> 03:07:53,123
THE SECOND REASON WAS THE 

3815
03:07:53,123 --> 03:07:55,125
PRODUCTS IN THE MARKET ARE 

3816
03:07:55,125 --> 03:07:55,759
RAPIDLY EVOLVING.

3817
03:07:55,759 --> 03:07:58,262
BY THE TIME WE DO THE ANALYSIS 

3818
03:07:58,262 --> 03:07:59,997
THERE MAY BE A DIFFERENT SET IN 

3819
03:07:59,997 --> 03:08:01,932
THE MARKET NOT APPLICABLE AND 

3820
03:08:01,932 --> 03:08:06,770
THE OPTIONS WE DID HAVE CODES 

3821
03:08:06,770 --> 03:08:08,071
FOR WERE NOT THE THREE REASONS 

3822
03:08:08,071 --> 03:08:13,610
THAT WE DECIDED NOT TO REPLACE 

3823
03:08:13,610 --> 03:08:15,379
THE PLANT BASED MEAT 

3824
03:08:15,379 --> 03:08:25,923
ALTERNATIVES AS A SUBSTITUTION.

3825
03:08:35,432 --> 03:08:37,835
>> WE WILL NOT CHANGE,
EDIT OR 

3826
03:08:37,835 --> 03:08:39,136
CREATE NEW DIETARY PATTERN THEN 

3827
03:08:39,136 --> 03:08:41,572
HOW WOULD YOU USE IT?

3828
03:08:41,572 --> 03:08:45,142
>> IT HELPS TO IDENTIFY
WHAT THE

3829
03:08:45,142 --> 03:08:46,910
NUTRITIONAL IMPLICATIONS ARE FOR

3830
03:08:46,910 --> 03:08:48,212
REMOVAL IN CREATING NEW PATTERNS

3831
03:08:48,212 --> 03:08:50,080
YOU WOULD HAVE TO SAY IF YOU'RE 

3832
03:08:50,080 --> 03:08:51,448
NOT GOING TO EAT THIS, REPLACE 

3833
03:08:51,448 --> 03:08:53,116
IT WITH THIS.

3834
03:08:53,116 --> 03:08:58,789
AND THE REPLACE IT WITH THIS IS 

3835
03:08:58,789 --> 03:09:01,692
A VERY NEBULOUS ISSUE BETWEEN 

3836
03:09:01,692 --> 03:09:03,026
PRODUCT, PRODUCT AVAILABILITY 

3837
03:09:03,026 --> 03:09:05,562
AND PRODUCT COMPOSITION AND WHAT

3838
03:09:05,562 --> 03:09:09,132
PEOPLE ARE CONSUMING.

3839
03:09:09,132 --> 03:09:14,271
SO CREATING A PATTERN AFTER THAT

3840
03:09:14,271 --> 03:09:17,908
TO SAY IF NOT THIS, THEN THIS, 

3841
03:09:17,908 --> 03:09:23,947
THE LOW CARBOHYDRATE EVIDENCE 

3842
03:09:23,947 --> 03:09:24,615
WAS AROUND CARBOHYDRATE QUANTITY

3843
03:09:24,615 --> 03:09:26,049
BUT NOT ALWAYS AROUND A PATTERN 

3844
03:09:26,049 --> 03:09:29,953
OF THE FOODS.

3845
03:09:29,953 --> 03:09:32,055
SO LOOKING AT WHAT TO PUT BACK 

3846
03:09:32,055 --> 03:09:34,524
IN WOULD BE THE THING YOU YOU'D 

3847
03:09:34,524 --> 03:09:35,993
NEED TO CREATE A PATTERN.

3848
03:09:35,993 --> 03:09:38,061
IT'S QUESTIONS THAT HAVE COME 

3849
03:09:38,061 --> 03:09:38,962
FORWARD.

3850
03:09:38,962 --> 03:09:41,131
THINGS THAT CAME FORWARD FOR 

3851
03:09:41,131 --> 03:09:44,534
PUBLIC COMMENT AS WELL TO 

3852
03:09:44,534 --> 03:09:48,739
ADDRESS THESE BUT WE MADE THE 

3853
03:09:48,739 --> 03:09:52,042
REVISION TO THE VEGAN PROTOCOL 

3854
03:09:52,042 --> 03:09:53,210
BECAUSE IN THE SPACE WE DIDN'T 

3855
03:09:53,210 --> 03:09:58,081
HAVE ANSWERS TO BUILD -- PUT 

3856
03:09:58,081 --> 03:09:59,483
BACK IN TO BUILD IT.

3857
03:09:59,483 --> 03:10:03,020
>> SO THE RESULTS ARE THE 

3858
03:10:03,020 --> 03:10:04,087
NUTRIENTS AFFECTED BY JUST THAT 

3859
03:10:04,087 --> 03:10:05,122
REMOVAL?

3860
03:10:05,122 --> 03:10:10,727
YEAH.

3861
03:10:10,727 --> 03:10:13,130
>> WE HEARD PUBLIC COMMENT
ON 

3862
03:10:13,130 --> 03:10:17,134
REMOVING CARBOHYDRATE AND 

3863
03:10:17,134 --> 03:10:20,404
REMOVING ANIMAL PRODUCTS IN 

3864
03:10:20,404 --> 03:10:22,172
VEGAN AND BECOMES A WAY TO 

3865
03:10:22,172 --> 03:10:25,142
IDENTIFY THE NUTRITIONAL 

3866
03:10:25,142 --> 03:10:25,509
IMPLICATIONS IF.

3867
03:10:25,509 --> 03:10:34,785
 >> BOTH PROTOCOLS SHARE
THAT IN

3868
03:10:34,785 --> 03:10:36,687
COMMON WHERE THE RATIONALE TO 

3869
03:10:36,687 --> 03:10:38,889
FOR THE REMOVAL FOR WHATEVER 

3870
03:10:38,889 --> 03:10:40,223
REASON THESE TYPES OF FOODS 

3871
03:10:40,223 --> 03:10:44,394
SHOULD BE REMOVED OR REDUCED BUT

3872
03:10:44,394 --> 03:10:46,763
WHAT'S CONSUMED IN PLACE IS 

3873
03:10:46,763 --> 03:10:48,065
POORLY DEFINED AND EVEN WHERE IT

3874
03:10:48,065 --> 03:10:49,599
IS MAY BE COMPLETELY DIFFERENT 

3875
03:10:49,599 --> 03:10:51,501
FROM ONE INTERPRETATION OR USE 

3876
03:10:51,501 --> 03:10:55,539
TO ANOTHER.

3877
03:10:55,539 --> 03:10:59,943
SO WITHOUT -- WHEN THE FOODS ARE

3878
03:10:59,943 --> 03:11:01,678
REMOVED THERE'S A LOT OF HOLES 

3879
03:11:01,678 --> 03:11:07,284
WITHIN FOOD GROUPS AND HOW TO 

3880
03:11:07,284 --> 03:11:09,119
FILL THEM IN.

3881
03:11:09,119 --> 03:11:13,924
SO IT SEEMS IMPOSSIBLE TO TACKLE

3882
03:11:13,924 --> 03:11:16,493
ALL THE WAYS IT CAN BE DONE AND 

3883
03:11:16,493 --> 03:11:19,629
TO LOOK AT THE SPECIFIC GAPS IN 

3884
03:11:19,629 --> 03:11:23,200
NUTRIENTS AND CONSIDER THESE 

3885
03:11:23,200 --> 03:11:25,635
WHEN DEVELOPING WHATEVER PATTERN

3886
03:11:25,635 --> 03:11:27,304
BASED ON THOSE SPECIFIC 

3887
03:11:27,304 --> 03:11:27,604
PREFERENCES.

3888
03:11:27,604 --> 03:11:35,846
YEAH.

3889
03:11:35,846 --> 03:11:37,114
>> I THINK MY RESPONSE
APPLIES 

3890
03:11:37,114 --> 03:11:38,482
TO BOTH.

3891
03:11:38,482 --> 03:11:41,118
IN NOVEMBER OF 2023 WE PUBLISHED

3892
03:11:41,118 --> 03:11:47,224
A VEGAN VERSUS OMNI VORE AND SAW

3893
03:11:47,224 --> 03:11:51,261
30% OF CALORIES COMING FROM 

3894
03:11:51,261 --> 03:11:55,198
ANIMAL SOURCED FOODS AND 

3895
03:11:55,198 --> 03:11:56,767
OMNIVOROUS DIET AND WHAT YOU 

3896
03:11:56,767 --> 03:11:58,568
MODELLED AND AT THE COMPARISON 

3897
03:11:58,568 --> 03:12:01,138
DIET WAS WHATEVER THE 70% WAS 

3898
03:12:01,138 --> 03:12:11,648
THAT THE OMNI  -- OMNI VORES 

3899
03:12:13,850 --> 03:12:14,684
WERE EATING.

3900
03:12:14,684 --> 03:12:25,228
IT'S JUST A HIGHER PROPORTION I 

3901
03:12:28,498 --> 03:12:29,599
DON'T SEE REPLACING IT WITH THE 

3902
03:12:29,599 --> 03:12:30,934
SAME NUMBER OF CALORIES.

3903
03:12:30,934 --> 03:12:33,437
IF YOU SAY IT'S MORE OF THE SAME

3904
03:12:33,437 --> 03:12:35,539
AND PICKED A HEALTHY VEGAN -- 

3905
03:12:35,539 --> 03:12:37,674
LIKE YOU PICK A HEALTHY KETO OR 

3906
03:12:37,674 --> 03:12:38,909
ANYTHING LIKE THAT.

3907
03:12:38,909 --> 03:12:44,548
I DON'T KNOW WHO I'M LOOKING AT,

3908
03:12:44,548 --> 03:12:49,119
SAMEERA, CHRIS, DEDE RA.

3909
03:12:49,119 --> 03:12:53,590
-- DEIDRE.

3910
03:12:53,590 --> 03:12:57,394
>> WE HAD REMOVAL AND
INCREASING

3911
03:12:57,394 --> 03:13:02,999
EVERYTHING ELSE.

3912
03:13:02,999 --> 03:13:05,402
WITH THE VEGAN YOU'RE STARTING 

3913
03:13:05,402 --> 03:13:07,838
WITH THE VEGETARIAN PATTERN IN 

3914
03:13:07,838 --> 03:13:09,606
ANALYSES WHICH IS PROBABLY 

3915
03:13:09,606 --> 03:13:14,678
CLOSER TO THAT LINE.

3916
03:13:14,678 --> 03:13:16,146
WITH THE CARBOHYDRATE YOU'RE 

3917
03:13:16,146 --> 03:13:18,215
POKING SO MANY HOLES IN THE 

3918
03:13:18,215 --> 03:13:23,019
EXISTING PATTERN SAYING 

3919
03:13:23,019 --> 03:13:25,322
REPLACING FRUITS BY INCREASE IN 

3920
03:13:25,322 --> 03:13:27,257
>> I THOUGHT OF THIS
DIFFERENTLY

3921
03:13:27,257 --> 03:13:29,126
IN MY HEAD BECAUSE YOU'VE 

3922
03:13:29,126 --> 03:13:32,496
ALREADY TAKEN CARE OF THIS.

3923
03:13:32,496 --> 03:13:33,797
IT'S A GREAT PUBLICATION SHOWING

3924
03:13:33,797 --> 03:13:36,466
40% OF OUR CALORIES COME FROM 

3925
03:13:36,466 --> 03:13:38,668
ADDED SUGARS AND REFINED GRAINS 

3926
03:13:38,668 --> 03:13:41,671
AND THOUGHT GREAT, THAT'S OUR 

3927
03:13:41,671 --> 03:13:43,039
LOW-CARB DIET AND GET RID OF 

3928
03:13:43,039 --> 03:13:45,108
THAT AND WOULD LIKE TO SEE 

3929
03:13:45,108 --> 03:13:52,449
REPLACE MANIMENT -- REPLACEMENTS

3930
03:13:52,449 --> 03:13:55,719
AND THAT'S GETTING RID OF CRAPPY

3931
03:13:55,719 --> 03:13:58,221
CARBS BUT I THINK YOU CAN SAY 

3932
03:13:58,221 --> 03:14:00,023
WE'LL GET RID OF SOME NUMBER OF 

3933
03:14:00,023 --> 03:14:03,426
CALORIES FROM CARBS, MAYBE TWO 

3934
03:14:03,426 --> 03:14:05,095
AND I'D LOVE -- COULDN'T IT BE 

3935
03:14:05,095 --> 03:14:10,467
WORK OUT YOU DID OF THE CALORIES

3936
03:14:10,467 --> 03:14:15,038
THAT ARE YOU DID THAT AS THE BIG

3937
03:14:15,038 --> 03:14:16,439
THING REPLACE IT WITH ALMOST LOW

3938
03:14:16,439 --> 03:14:19,509
CARBS AND IF YOU LOWER IT YOU 

3939
03:14:19,509 --> 03:14:22,846
CAN'T REPLACE IT WITH ALL CARBS 

3940
03:14:22,846 --> 03:14:24,814
OR ALL FAT -- NOW I'M STUCK.

3941
03:14:24,814 --> 03:14:33,056
>> THINK TO THE BRAIN
PROTOCOL 

3942
03:14:33,056 --> 03:14:34,424
THERE'S A CLEAR BEHAVIORAL 

3943
03:14:34,424 --> 03:14:37,127
SUBSTITUTE IF YOU CAN REPLACE 

3944
03:14:37,127 --> 03:14:40,864
DAIRY WITH SOY ALTERNATIVE IN A 

3945
03:14:40,864 --> 03:14:49,839
BEHAVIORAL SWAP.

3946
03:14:49,839 --> 03:14:51,107
WHEN CARBOHYDRATE CONTAINING 

3947
03:14:51,107 --> 03:14:52,442
FOODS ACROSS THE BOARD IS NOT A 

3948
03:14:52,442 --> 03:14:57,113
POSSIBLE ASSUMPTION TO MAKE IN 

3949
03:14:57,113 --> 03:14:59,983
HOW PEOPLE WILL REPLACE THOSE 

3950
03:14:59,983 --> 03:15:05,522
GAPS WHERE THERE'S NO OBVIOUS 

3951
03:15:05,522 --> 03:15:05,989
SUBSTITUTION.

3952
03:15:05,989 --> 03:15:13,129
AND WITH THE ANIMAL BASED 

3953
03:15:13,129 --> 03:15:15,665
PROTOCOL SEE OBJECTIVE DROPPED 

3954
03:15:15,665 --> 03:15:16,700
BECAUSE ANIMAL WITH PLANT-BASED 

3955
03:15:16,700 --> 03:15:20,437
IS WHERE WITH WANTED TO GO BUT 

3956
03:15:20,437 --> 03:15:21,938
THERE WASN'T A LOT OF DATA ON 

3957
03:15:21,938 --> 03:15:23,306
THESE TYPES OF PRODUCTS.

3958
03:15:23,306 --> 03:15:26,843
>> SO WE DON'T KNOW THE 

3959
03:15:26,843 --> 03:15:28,311
MOTIVATION BEHIND SOMEONE TROMP 

3960
03:15:28,311 --> 03:15:30,680
THE ANIMAL-BASED OATS.

3961
03:15:30,680 --> 03:15:34,884
ARE THEY EATING JUST MORE OF 

3962
03:15:34,884 --> 03:15:36,686
SOMETHING ELSE OR SEEKING OUT 

3963
03:15:36,686 --> 03:15:37,020
ALTERNATIVES?

3964
03:15:37,020 --> 03:15:38,622
WE DON'T HAVE AN ANSWER.

3965
03:15:38,622 --> 03:15:39,256
THERE'S NOTHING IN THE 

3966
03:15:39,256 --> 03:15:40,190
LITERATURE THAT POINTS UTS TO 

3967
03:15:40,190 --> 03:15:43,460
WHAT THIS IS WHAT PEOPLE ARE 

3968
03:15:43,460 --> 03:15:43,660
DOING.

3969
03:15:43,660 --> 03:15:45,161
IF WE PUT IN SOMETHING WE'RE 

3970
03:15:45,161 --> 03:15:52,302
MAKING THAT ASSUMPTION.

3971
03:15:52,302 --> 03:15:55,639
LET'S NOT INVESTIGATE FURTHER 

3972
03:15:55,639 --> 03:15:59,142
THE PLANT-BASED ALTERNATIVES 

3973
03:15:59,142 --> 03:15:59,476
THERE.

3974
03:15:59,476 --> 03:16:05,115
>> BECAUSE WHEN YOU TAKE 

3975
03:16:05,115 --> 03:16:09,119
SOMETHING OUT SUBSTITUTION 

3976
03:16:09,119 --> 03:16:09,986
BECOMES AS IMPORTANT AS REMOVAL 

3977
03:16:09,986 --> 03:16:13,123
BUT IF YOU TAKE SOMETHING OUT 

3978
03:16:13,123 --> 03:16:15,225
THAT HAS GOING TO BACK TO THE 

3979
03:16:15,225 --> 03:16:16,826
FOOD GROUPS AND THE NUTRIENTS 

3980
03:16:16,826 --> 03:16:20,530
COMING FROM IT, YOU TAKE OUT 

3981
03:16:20,530 --> 03:16:23,967
LOOK AT DAIRY AND CALCIUM AND 

3982
03:16:23,967 --> 03:16:28,405
TAKE OUT OTHER NUTRIENTS.

3983
03:16:28,405 --> 03:16:29,706
WHEN YOU TAKE IT OUT AND PUT 

3984
03:16:29,706 --> 03:16:31,708
SOMETHING ELSE BACK IN, WHAT YOU

3985
03:16:31,708 --> 03:16:32,976
PUT BACK IN BECOMES JUST AS 

3986
03:16:32,976 --> 03:16:43,520
IMPORTANT AS WHAT YOU TAKE OUT.

3987
03:16:45,021 --> 03:16:47,891
AND WHAT YOU PUT BACK IN 

3988
03:16:47,891 --> 03:16:50,627
ULTIMATELY WOULD HAVE TO MEET 

3989
03:16:50,627 --> 03:16:54,230
THOSE NUTRIENT GOALS SO THAT 

3990
03:16:54,230 --> 03:16:57,267
YOUR STILL GETTING -- SO THERE'S

3991
03:16:57,267 --> 03:16:59,269
A DIFFERENCE BETWEEN DIETARY 

3992
03:16:59,269 --> 03:17:01,504
COMPONENT AND NUTRIENT ADEQUACY.

3993
03:17:01,504 --> 03:17:09,546
NUTRIENT ADEQUACY IS AN ENTIRE 

3994
03:17:09,546 --> 03:17:10,880
PATTERN MEETING YOUR NUTRIENT 

3995
03:17:10,880 --> 03:17:12,849
GOALS FOR THE DRIs.

3996
03:17:12,849 --> 03:17:17,087
WE HAVE TO HAVE AN INFORMED 

3997
03:17:17,087 --> 03:17:18,621
DECISION WHAT GOES BACK IN 

3998
03:17:18,621 --> 03:17:21,057
TAKING THEM OUT WILL GIVE US THE

3999
03:17:21,057 --> 03:17:23,093
DATA THAT SHOWS WHAT THE 

4000
03:17:23,093 --> 03:17:25,161
NUTRIENT GAPS ARE WHEN YOU 

4001
03:17:25,161 --> 03:17:28,365
REMOVE AND NOW GIVES YOU A 

4002
03:17:28,365 --> 03:17:33,103
BLUEPRINT FOR NOW I HAVE TO FIND

4003
03:17:33,103 --> 03:17:36,906
WHATEVER THE NUTRIENTS MAY BE 

4004
03:17:36,906 --> 03:17:40,310
BECAUSE JUST REPLACING IT WITH 

4005
03:17:40,310 --> 03:17:43,480
SOMETHING ELSE MAY NOT COVER A 

4006
03:17:43,480 --> 03:17:45,281
GAP THAT EXISTING FOR REMOVING 

4007
03:17:45,281 --> 03:17:55,492
FOOD GROUPS.

4008
03:18:00,363 --> 03:18:04,601
>> I THINK THIS IS A GOOD
FIRST 

4009
03:18:04,601 --> 03:18:06,136
STEP YOU'RE DOING BECAUSE NOT 

4010
03:18:06,136 --> 03:18:09,038
ONLY WHAT COULD YOU REPLACE IT 

4011
03:18:09,038 --> 03:18:11,908
WITH WHICH COULD BE A MULTITUDE 

4012
03:18:11,908 --> 03:18:13,209
OF OPTIONS BUT WHAT IF IT 

4013
03:18:13,209 --> 03:18:16,413
DOESN'T GET REPLACED ALL THE WAY

4014
03:18:16,413 --> 03:18:19,883
WHEN PEOPLE GO ON LOW CARB DIETS

4015
03:18:19,883 --> 03:18:21,451
THEY USUALLY TAKE IN LOWER 

4016
03:18:21,451 --> 03:18:22,952
CALORIES SO WHAT IS THE FEWER 

4017
03:18:22,952 --> 03:18:24,354
NUMBER OF CALORIES THAT DOESN'T 

4018
03:18:24,354 --> 03:18:26,923
GET REPLACED AND HOW DO WE MODEL

4019
03:18:26,923 --> 03:18:30,960
THAT AND PUT THAT IN THE WHOLE 

4020
03:18:30,960 --> 03:18:32,228
EQUATION?

4021
03:18:32,228 --> 03:18:34,297
I THINK GETTING THIS STEP DONE 

4022
03:18:34,297 --> 03:18:38,735
GETS US A LITTLE BIT FURTHER 

4023
03:18:38,735 --> 03:18:41,805
DOWN THE ROAD.

4024
03:18:41,805 --> 03:18:42,939
THERE'S STILL MORE TO DO AFTER 

4025
03:18:42,939 --> 03:18:45,108
THIS.

4026
03:18:45,108 --> 03:18:55,351
>> I HEAR YOU.

4027
03:18:56,019 --> 03:19:01,124
I THINK WHEN PEOPLE MAKE THE 

4028
03:19:01,124 --> 03:19:03,560
OMNIVOROUS PATTERN TO REMOVING 

4029
03:19:03,560 --> 03:19:08,064
ANIMAL-BASED FOODS THERE IS THIS

4030
03:19:08,064 --> 03:19:11,534
TRANSITION PERIOD TO A 

4031
03:19:11,534 --> 03:19:12,235
MEAT-BASED ALTERNATIVES WITH THE

4032
03:19:12,235 --> 03:19:13,970
SLEW OF MARKETS THAT EXISTED IN 

4033
03:19:13,970 --> 03:19:16,840
THE U.S. MARKET.

4034
03:19:16,840 --> 03:19:18,775
YOU DON'T JUST GO FROM ONE 

4035
03:19:18,775 --> 03:19:21,110
EXTREME TO THE NEXT.

4036
03:19:21,110 --> 03:19:25,114
THERE'S A SUBSTITUTION WHERE WE 

4037
03:19:25,114 --> 03:19:28,017
SEE RESTAURANTS OR GROCERY 

4038
03:19:28,017 --> 03:19:33,122
STORES WHERE YOU CAN BUY 

4039
03:19:33,122 --> 03:19:38,394
MEAT-BASED ALTERNATIVES TO 

4040
03:19:38,394 --> 03:19:40,864
SUBSTITUTE MEAT ALTERNATIVES AND

4041
03:19:40,864 --> 03:19:44,767
PEOPLE WILL MAKE IT TO LIKE I 

4042
03:19:44,767 --> 03:19:46,636
DON'T WANT THE SUBSTITUTES AND I

4043
03:19:46,636 --> 03:19:51,274
WORK WITH PATIENTS BUT I SEE THE

4044
03:19:51,274 --> 03:19:52,942
TRANSITION GOING FROM I DECIDED 

4045
03:19:52,942 --> 03:19:55,512
TO GO TO THIS -- I DON'T KNOW 

4046
03:19:55,512 --> 03:19:58,014
THE TERMINOLOGY, THAT 

4047
03:19:58,014 --> 03:19:59,415
ANIMAL-BASED TAKING AWAY FROM 

4048
03:19:59,415 --> 03:20:04,587
REMOVAL OF ANIMAL-BASED FOODS 

4049
03:20:04,587 --> 03:20:06,656
OVER TO GOING TO THE MEAT-BASED 

4050
03:20:06,656 --> 03:20:08,825
ALTERNATIVES OR I WANT NONE OF 

4051
03:20:08,825 --> 03:20:10,960
THESE ANIMAL BASED ALTERNATIVES 

4052
03:20:10,960 --> 03:20:13,129
TO OKAY I WANT STRICTLY THINGS 

4053
03:20:13,129 --> 03:20:17,100
THAT COME FROM THE EARTH, NO 

4054
03:20:17,100 --> 03:20:20,169
ROAMING OR PRETENDING THEY 

4055
03:20:20,169 --> 03:20:21,471
ROAMED THE EARTH TYPE PRODUCTS.

4056
03:20:21,471 --> 03:20:22,939
THIS IS WHAT I SEE.

4057
03:20:22,939 --> 03:20:25,208
I KNOW IT COMPLICATES THE 

4058
03:20:25,208 --> 03:20:30,079
PROCESS THAT'S USUALLY THE 

4059
03:20:30,079 --> 03:20:32,949
TRANSITION THAT WE SEE WHEN 

4060
03:20:32,949 --> 03:20:38,655
PEOPLE MAKE THE TRANSITION THEY 

4061
03:20:38,655 --> 03:20:41,157
DON'T TYPICALLY FROM ONE SPACE 

4062
03:20:41,157 --> 03:20:45,128
TO THE COMPLETE REMOVAL OF 

4063
03:20:45,128 --> 03:20:46,496
ANIMAL-BASED FOODS.

4064
03:20:46,496 --> 03:20:48,164
THE TRANSITION PERIOD IS WHY 

4065
03:20:48,164 --> 03:20:49,933
SOME PRODUCTS HAVE BECOME 

4066
03:20:49,933 --> 03:20:50,900
POPULAR IN THE U.S. MARKET 

4067
03:20:50,900 --> 03:20:54,404
EITHER IN RESTAURANT MENUS OR IN

4068
03:20:54,404 --> 03:20:57,106
GROCERY STORES HERE IN THE 

4069
03:20:57,106 --> 03:21:02,111
UNITED STATES.

4070
03:21:02,111 --> 03:21:05,348
I KNOW OTHER PEOPLE HAVE HAD 

4071
03:21:05,348 --> 03:21:07,517
THEIR HAND RAISED BUT TOMORROW I

4072
03:21:07,517 --> 03:21:10,687
WAKE UP AND I'M JUST STOPPING 

4073
03:21:10,687 --> 03:21:13,022
AND RARELY DO WE SEE THAT LIGHT 

4074
03:21:13,022 --> 03:21:15,558
OFF AND ON SWITCH AND THAT 

4075
03:21:15,558 --> 03:21:18,861
SHIFT.

4076
03:21:18,861 --> 03:21:19,796
>> WHAT HAPPENS IF YOU'RE 

4077
03:21:19,796 --> 03:21:20,530
VEGETARIAN ALREADY AND WANT TO 

4078
03:21:20,530 --> 03:21:27,270
MOVE FROM THE REMOVAL OF 

4079
03:21:27,270 --> 03:21:29,806
EVERYTHING?

4080
03:21:29,806 --> 03:21:33,109
YOU WOULDN'T SEEK OUT THE 

4081
03:21:33,109 --> 03:21:37,113
PLANT-BASED ALTERNATIVES.

4082
03:21:37,113 --> 03:21:46,389
>> THERE'S FAKE EGGS NOW.

4083
03:21:46,389 --> 03:21:49,025
THERE'S FAKE CHEESE AND MILK SO 

4084
03:21:49,025 --> 03:21:50,126
VEGETARIANS CAN MAKE THE 

4085
03:21:50,126 --> 03:21:57,033
TRANSITION WITHOUT AN ALT

4086
03:21:57,033 --> 03:21:57,867
ALTERNATIVE DATA.

4087
03:21:57,867 --> 03:22:05,608
>> WE DIDN'T LOOK AT EVERY

4088
03:22:05,608 --> 03:22:06,342
ALTERNATIVE DATA UNDERSTAND THE 

4089
03:22:06,342 --> 03:22:11,814
SUN AND THERE'S SO MANY PRODUCTS

4090
03:22:11,814 --> 03:22:13,116
REPRESENTED AND THE DATABASE 

4091
03:22:13,116 --> 03:22:18,888
WOULD BE REALLY LIMITED DATA.

4092
03:22:18,888 --> 03:22:22,525
>> THERE'S NOT ENOUGH
PUBLISHED 

4093
03:22:22,525 --> 03:22:22,825
LITERATURE.

4094
03:22:22,825 --> 03:22:24,360
IT'S NOT DOCUMENTED THIS IS HOW 

4095
03:22:24,360 --> 03:22:25,995
THEY DO IT AND THIS IS MAYBE 

4096
03:22:25,995 --> 03:22:26,696
CONSIDERED THIS.

4097
03:22:26,696 --> 03:22:32,902
SO WE HAVE TO LOOK AT WHAT WAS 

4098
03:22:32,902 --> 03:22:34,771
THERE AND THOUGHT IT MADE SENSE.

4099
03:22:34,771 --> 03:22:35,705
WE'RE MAKING AN ASSUMPTION THIS 

4100
03:22:35,705 --> 03:22:37,106
IS WHAT FOLKS ARE DOING.

4101
03:22:37,106 --> 03:22:43,312
>> ONE OF THE OTHER ISSUES
IS 

4102
03:22:43,312 --> 03:22:45,114
THAT LIKE NOT ONLY IS IT THAT 

4103
03:22:45,114 --> 03:22:48,484
BUT WE'RE INFORMING THE OTHER 

4104
03:22:48,484 --> 03:22:50,586
PATTERNS BY INTAKE DATA IN 

4105
03:22:50,586 --> 03:22:50,820
NHANES.

4106
03:22:50,820 --> 03:23:00,563
IN THAT DATA WE DON'T HAVE 

4107
03:23:00,563 --> 03:23:05,535
SELF-IDENTIFIED VEGANS OR LOW 

4108
03:23:05,535 --> 03:23:08,204
CARB AND GET SEE THE FOODS THOSE

4109
03:23:08,204 --> 03:23:08,938
GROUPS ARE CHOOSING TO INFORM 

4110
03:23:08,938 --> 03:23:09,906
THOSE PATTERN.

4111
03:23:09,906 --> 03:23:13,109
WE COULD DO IT BUT WE WOULD JUST

4112
03:23:13,109 --> 03:23:16,913
BE OPERATING ON ASSUMPTIONS AND 

4113
03:23:16,913 --> 03:23:17,547
DIFFERENT STYLES THAT WE THINK 

4114
03:23:17,547 --> 03:23:22,285
OF.

4115
03:23:22,285 --> 03:23:23,953
>> I'M GOING TO GIVE THE
FLOOR 

4116
03:23:23,953 --> 03:23:25,521
TO CHERYL WHO HAS BEEN VERY 

4117
03:23:25,521 --> 03:23:26,022
PATIENT.

4118
03:23:26,022 --> 03:23:27,990
>> I WAS GOING TO FOLLOW
UP ON 

4119
03:23:27,990 --> 03:23:32,361
WHAT DEANNA SAID EARLIER BECAUSE

4120
03:23:32,361 --> 03:23:37,133
I TOO INITIALLY WAS THINKING 

4121
03:23:37,133 --> 03:23:38,234
ABOUT WHERE DOES TO THE 

4122
03:23:38,234 --> 03:23:40,002
SUBSTITUTION HAPPEN BUT 

4123
03:23:40,002 --> 03:23:42,105
REASSURED BY WHAT SAMEERA 

4124
03:23:42,105 --> 03:23:44,140
INTRODUCED REGARDING THE LACK OF

4125
03:23:44,140 --> 03:23:46,509
PRODUCTS AN LACK OF NUTRIENT 

4126
03:23:46,509 --> 03:23:48,945
COMPOSITION OF POTENTIAL 

4127
03:23:48,945 --> 03:23:49,946
REPLACEMENT PRODUCTS AND WE 

4128
03:23:49,946 --> 03:23:51,280
WOULDN'T BE HOLDING TRUE TO I 

4129
03:23:51,280 --> 03:23:55,785
THINK OUR GUIDING FRAME WORE FOR

4130
03:23:55,785 --> 03:23:56,719
LETTING THE SCIENCE DRIVE WITH 

4131
03:23:56,719 --> 03:23:59,088
WHERE WE GO FOR ANSWERING 

4132
03:23:59,088 --> 03:23:59,355
QUESTIONS.

4133
03:23:59,355 --> 03:24:06,095
IN THE ABSENCE OF STUDIES OR 

4134
03:24:06,095 --> 03:24:09,098
NHANES DATA WE DON'T USE A 

4135
03:24:09,098 --> 03:24:10,933
SCIENCE DRIVEN APPROACH AND FEEL

4136
03:24:10,933 --> 03:24:13,336
ASSURED WHERE THE SUBCOMMITTEE 

4137
03:24:13,336 --> 03:24:21,144
HAS LANDED.

4138
03:24:21,144 --> 03:24:25,448
>> I LIKE IT'S A FIRST
STEP AND 

4139
03:24:25,448 --> 03:24:27,950
WOULD LIKE FOLLOW UP STEPS.

4140
03:24:27,950 --> 03:24:31,187
YOU CAN MAKE KETO VERSUS VEGAN 

4141
03:24:31,187 --> 03:24:32,155
OR SOMETHING GUESS.

4142
03:24:32,155 --> 03:24:33,823
I'LL FLIP THIS TO A CONFERENCE I

4143
03:24:33,823 --> 03:24:36,192
WENT TO LAST YEAR ON ULTRA 

4144
03:24:36,192 --> 03:24:37,460
PROCESSED FOOD AND SOMEBODY SAID

4145
03:24:37,460 --> 03:24:39,996
WHAT IF YOU ELIMINATED ULTRA 

4146
03:24:39,996 --> 03:24:40,730
PROCESSED FOODS?

4147
03:24:40,730 --> 03:24:42,732
LET ME SHOW YOU ALL THE 

4148
03:24:42,732 --> 03:24:45,802
NUTRIENTS YOU'D BE MISSING.

4149
03:24:45,802 --> 03:24:49,105
I SAID WHAT THE F, 60% OF YOUR 

4150
03:24:49,105 --> 03:24:51,207
DIET IS UPF AND YOU TOOK THEM 

4151
03:24:51,207 --> 03:24:52,508
ALL OUT.

4152
03:24:52,508 --> 03:24:54,143
YES, YOU'RE GOING TO EAT 

4153
03:24:54,143 --> 03:24:57,113
SOMETHING ELSE.

4154
03:24:57,113 --> 03:24:59,315
WHY ARE YOU SAYING WHAT YOU'RE 

4155
03:24:59,315 --> 03:25:00,716
GOING TO BE MISSING AFTER YOU 

4156
03:25:00,716 --> 03:25:03,553
TOOK 60% OF MY CALORIES AWAY.

4157
03:25:03,553 --> 03:25:04,821
THAT WAS ABSURD.

4158
03:25:04,821 --> 03:25:07,223
I WAS PISSED THAT DAY AND 

4159
03:25:07,223 --> 03:25:10,326
CHANNELLING THAT WITH APE UPF, 

4160
03:25:10,326 --> 03:25:11,494
REMOVING BUT NOT REPLACING.

4161
03:25:11,494 --> 03:25:13,362
EVEN IF YOU DON'T KNOW WHAT TO 

4162
03:25:13,362 --> 03:25:16,966
REPLACE IT WITH, I'D BE HAPPY TO

4163
03:25:16,966 --> 03:25:23,005
COME UP WITH SEVERAL REASONABLE

4164
03:25:23,005 --> 03:25:23,339
SUBSTITUTIONS.

4165
03:25:23,339 --> 03:25:24,574
NOT ONE BUT SEVERAL REASONABLE 

4166
03:25:24,574 --> 03:25:24,907
SUBSTITUTIONS.

4167
03:25:24,907 --> 03:25:26,175
I THINK IT'S A MISS LEADING 

4168
03:25:26,175 --> 03:25:33,850
QUESTION UNLESS YOU DO THAT.

4169
03:25:33,850 --> 03:25:37,053
>> ULTRA PROCESSED FOODS
ARE NOT

4170
03:25:37,053 --> 03:25:42,024
DIETARY FWIED LINE.

4171
03:25:42,024 --> 03:25:49,498
SO REMOVING ANIMAL BASED FOODS 

4172
03:25:49,498 --> 03:25:53,202
WHICH ARE SOME FOODS AND 

4173
03:25:53,202 --> 03:25:58,207
CARBOHYDRATES WHICH ARE GRAINS 

4174
03:25:58,207 --> 03:26:03,212
AS A GROUP BUT ALSO INE RNA 

4175
03:26:03,212 --> 03:26:04,513
MACRO NUTRIENT, THOSE HAVE 

4176
03:26:04,513 --> 03:26:11,520
DIFFERENT IMPLICATIONS THAN 

4177
03:26:11,520 --> 03:26:12,822
REMOVING FOODS THAT DOESN'T 

4178
03:26:12,822 --> 03:26:16,959
EXIST A FEW DECADES AGO ANYWAY.

4179
03:26:16,959 --> 03:26:24,533
YOU'RE ASKING WITH THE TWO WE  

4180
03:26:24,533 --> 03:26:26,936
PROPOSED REMOVING PIECES 

4181
03:26:26,936 --> 03:26:32,041
INTENTIONALLY THERE OR NUTRIENT 

4182
03:26:32,041 --> 03:26:42,184
CONTENT?

4183
03:26:45,154 --> 03:26:47,556
WHETHER IT'S FIBER OR ALL THE 

4184
03:26:47,556 --> 03:26:50,793
GUIDELINES AND ULTRA PROCESSED 

4185
03:26:50,793 --> 03:26:51,794
FOODS AREN'T RECOMMENDED AND NOW

4186
03:26:51,794 --> 03:26:54,630
WE'RE TAKING IT UP.

4187
03:26:54,630 --> 03:27:00,036
SO I DON'T KNOW THAT ANALOGY 

4188
03:27:00,036 --> 03:27:00,269
COUNTS.

4189
03:27:00,269 --> 03:27:02,939
>> CHRISTOPHER, YOU'RE 

4190
03:27:02,939 --> 03:27:04,573
ENTHUSIASM FOR THIS QUESTION IS 

4191
03:27:04,573 --> 03:27:06,008
COMMENDABLE WHICH IS PART OF THE

4192
03:27:06,008 --> 03:27:08,244
REASON WHY WE DECIDED TO TAKE A 

4193
03:27:08,244 --> 03:27:09,178
BREAK BECAUSE WE KNEW WE'D HAVE 

4194
03:27:09,178 --> 03:27:15,284
ACTIVE DISCUSSION ON THIS.

4195
03:27:15,284 --> 03:27:17,920
I THINK ONE THING WE HAVE TO 

4196
03:27:17,920 --> 03:27:19,689
REMEMBER IS THIS COMMITTEE 

4197
03:27:19,689 --> 03:27:20,523
STRUGGLES BETWEEN THE BALANCE 

4198
03:27:20,523 --> 03:27:23,626
BETWEEN OUR ASPIRATIONS AND WHAT

4199
03:27:23,626 --> 03:27:24,060
WE CAN ACTUALLY DO.

4200
03:27:24,060 --> 03:27:25,628
AND I THINK THE POINTS THAT HAVE

4201
03:27:25,628 --> 03:27:28,597
BEEN MADE ABOUT THIS IS A FIRST 

4202
03:27:28,597 --> 03:27:29,298
STEP, THIS IS WHERE THE 

4203
03:27:29,298 --> 03:27:36,572
ENTHUSIASM IS .

4204
03:27:36,572 --> 03:27:38,207
I DON'T THINK WE CAN CONSIDER 

4205
03:27:38,207 --> 03:27:41,444
DOING MORE MODELLING ON THIS IN 

4206
03:27:41,444 --> 03:27:45,314
THIS COMMITTEE GIVEN ALL THE 

4207
03:27:45,314 --> 03:27:47,216
OTHER SYNTHESIS ACTIVITIES THAT 

4208
03:27:47,216 --> 03:27:49,118
NEED TO BE DONE WITH FOOD 

4209
03:27:49,118 --> 03:27:51,520
PATTERN MODELLING BUT WE HAVE 

4210
03:27:51,520 --> 03:27:57,126
FUTURE DIRECTION SECTIONS AND I 

4211
03:27:57,126 --> 03:28:01,664
THINK IT WILL BE HELPFUL TO TALK

4212
03:28:01,664 --> 03:28:04,166
ABOUT WHERE WE WANT THIS TO GO 

4213
03:28:04,166 --> 03:28:06,936
IN SUBSEQUENT STEPS AND 

4214
03:28:06,936 --> 03:28:07,536
HOPEFULLY THE NEXT COMMITTEE 

4215
03:28:07,536 --> 03:28:08,237
THAT MEETS WILL HAVE LOADS OF 

4216
03:28:08,237 --> 03:28:08,904
DATA TO WORK WITH.

4217
03:28:08,904 --> 03:28:19,382
THAT WOULD BE MY CONCLUSION.

4218
03:28:23,085 --> 03:28:26,155
>> I WAS GOING TO ADD,
ONCE THE 

4219
03:28:26,155 --> 03:28:32,695
REPORT IS MADE IT'S NOT TO SAY 

4220
03:28:32,695 --> 03:28:34,030
THAT THIS IS AN ADVISORY 

4221
03:28:34,030 --> 03:28:39,301
COMMITTEE OF WHICH A REPORT IS 

4222
03:28:39,301 --> 03:28:44,240
MADE TO THE ENTITIES THAT MAKE 

4223
03:28:44,240 --> 03:28:44,607
THE GUIDELINES.

4224
03:28:44,607 --> 03:28:47,943
IN A LOT OF CASES WE TALK ABOUT 

4225
03:28:47,943 --> 03:28:49,412
IN WHICH WE'RE CREATING THE 

4226
03:28:49,412 --> 03:28:51,580
GUIDELINE AND THIS IS THE 

4227
03:28:51,580 --> 03:28:54,483
ADVISORY COMMITTEE WHICH IS 

4228
03:28:54,483 --> 03:28:57,119
REALLY FOCUSSED ON THE TASK AT 

4229
03:28:57,119 --> 03:28:59,955
HAND AND SO I SAY THAT BECAUSE 

4230
03:28:59,955 --> 03:29:02,191
AND I HAD SOME OTHER QUESTIONS 

4231
03:29:02,191 --> 03:29:07,596
TOO AND MAYBE I'LL HOLD THEM BUT

4232
03:29:07,596 --> 03:29:09,298
I'LL TEMPER MY OWN ENTHUSIASM.

4233
03:29:09,298 --> 03:29:11,767
I THINK IT'S IMPORTANT WHEN WE 

4234
03:29:11,767 --> 03:29:17,106
LOOK AT AS SARAH SAID THE TASKS 

4235
03:29:17,106 --> 03:29:19,241
BECAUSE THAT'S IMPORTANT AS WE 

4236
03:29:19,241 --> 03:29:21,143
THINK ABOUT WHAT CAN HAPPEN NEXT

4237
03:29:21,143 --> 03:29:22,511
IT DOESN'T HAVE TO BE IN THE 

4238
03:29:22,511 --> 03:29:23,345
NEXT COMMITTEE.

4239
03:29:23,345 --> 03:29:24,947
THERE'LL BE SOMETHING THAT 

4240
03:29:24,947 --> 03:29:27,283
HAPPENS NEXT AFTER THIS REPORT 

4241
03:29:27,283 --> 03:29:27,516
IS DONE.

4242
03:29:27,516 --> 03:29:29,351
THIS REPORT WILL BE TAKEN AND 

4243
03:29:29,351 --> 03:29:31,821
THEN THERE WILL BE ADDITIONAL 

4244
03:29:31,821 --> 03:29:35,091
STEPS AND I THINK THAT'S 

4245
03:29:35,091 --> 03:29:36,292
IMPORTANT TOO.

4246
03:29:36,292 --> 03:29:37,493
>> ANOTHER IMPORTANT
TAKEAWAY 

4247
03:29:37,493 --> 03:29:39,295
BECAUSE THAT IS -- I DIDN'T WANT

4248
03:29:39,295 --> 03:29:46,235
TO SAY YOUR CONCERN OF -- YOU'RE

4249
03:29:46,235 --> 03:29:48,070
CONCERN'S NOT VALID AND SAYING 

4250
03:29:48,070 --> 03:29:49,138
WE CAN'T MEET LIKE THIS WOULDN'T

4251
03:29:49,138 --> 03:29:52,675
BE THE UTILITY OF THE ANALYSIS.

4252
03:29:52,675 --> 03:29:56,078
IT COULD BE TO I THINK HIGHLIGHT

4253
03:29:56,078 --> 03:29:57,113
WHERE THERE ARE NUTRIENT 

4254
03:29:57,113 --> 03:29:59,215
CONCERNS WITH THE REMOVAL SO 

4255
03:29:59,215 --> 03:30:01,917
THERE CAN BE INFORMED 

4256
03:30:01,917 --> 03:30:04,753
REPLACEMENT WITH WHATEVER THE 

4257
03:30:04,753 --> 03:30:07,022
PATTERN INDIVIDUALS WOULD CHOO 

4258
03:30:07,022 --> 03:30:11,927
CHOOSE TO MAKE WITH THE GAP IN 

4259
03:30:11,927 --> 03:30:13,062
CALORIES WITH THEIR FOOD OF 

4260
03:30:13,062 --> 03:30:13,295
CHOICE.

4261
03:30:13,295 --> 03:30:15,531
THAT WOULD BE IMPOSSIBLE TO 

4262
03:30:15,531 --> 03:30:19,001
PREDICT WHAT BEHAVIOR CHANGES OR

4263
03:30:19,001 --> 03:30:24,406
WHAT FOODS WOULD BE CONSUMED IN 

4264
03:30:24,406 --> 03:30:34,817
PLACE OF THESE THERE'S 

4265
03:30:48,197 --> 03:30:51,300
IMPLICATIONS AND WE HAVE TO HAVE

4266
03:30:51,300 --> 03:30:53,202
HEALTHY FOODS TO MAKE UP FOR IT 

4267
03:30:53,202 --> 03:30:55,437
AND NOT LOOK AT THE GAPS AND SAY

4268
03:30:55,437 --> 03:30:55,971
THERE'S NO WAY.

4269
03:30:55,971 --> 03:30:58,507
IT'S TO INFORM WHAT THE 

4270
03:30:58,507 --> 03:30:59,074
PLACEMENTS SHOULD BE.

4271
03:30:59,074 --> 03:31:01,110
>> I HAVE A SUGGESTION.

4272
03:31:01,110 --> 03:31:07,082
I SUGGEST YOU TAKE THE 

4273
03:31:07,082 --> 03:31:09,118
MEDITERRANEAN, VEGETARIAN AND 

4274
03:31:09,118 --> 03:31:10,085
WHATEVER CALORIES YOU CUT BACK 

4275
03:31:10,085 --> 03:31:13,422
ON CARBS OR ANIMAL SOURCES YOU 

4276
03:31:13,422 --> 03:31:20,696
MATCH TO THE NEUTRIENTS IF YOU 

4277
03:31:20,696 --> 03:31:22,331
COMPARE THEM IN THE DIET SO 

4278
03:31:22,331 --> 03:31:25,100
YOU'LL SEE IF IT'S A DROP IN 

4279
03:31:25,100 --> 03:31:27,303
CALORIES HIGH IN CARBS OR 

4280
03:31:27,303 --> 03:31:29,471
CALORIES IN ANIMAL-SOURCED 

4281
03:31:29,471 --> 03:31:29,672
FOODS.

4282
03:31:29,672 --> 03:31:31,340
HOW ABOUT THAT?

4283
03:31:31,340 --> 03:31:32,208
IS THAT POSSIBLE?

4284
03:31:32,208 --> 03:31:36,378
>> WHAT ABOUT THE
NUTRIENTS YOU 

4285
03:31:36,378 --> 03:31:39,281
TAKE AWAY YOU HAVEN'T ADDED BACK

4286
03:31:39,281 --> 03:31:39,782
IN.

4287
03:31:39,782 --> 03:31:41,116
 TOOK THAT AWAY FROM ME.

4288
03:31:41,116 --> 03:31:49,124
I'VE BEEN ASKING FOR THAT.

4289
03:31:49,124 --> 03:31:50,993
6: 

4290
03:31:53,729 --> 03:31:57,099
>> THE SUBSTITUTION IS FOR

4291
03:31:57,099 --> 03:31:59,301
EDUCATIONAL GAPS AND THE 

4292
03:31:59,301 --> 03:32:00,369
CALORIES BUT IF YOU GET A LITTLE

4293
03:32:00,369 --> 03:32:03,405
BIT HERE AND HEAR BUT NOT ENOUGH

4294
03:32:03,405 --> 03:32:06,609
TO COVER -- HERE BUT NOT TO 

4295
03:32:06,609 --> 03:32:08,711
COVER AND SAY YOU'RE TAKING OUT 

4296
03:32:08,711 --> 03:32:08,911
IRON.

4297
03:32:08,911 --> 03:32:10,145
WILL YOU GET SUFFICIENT IRON 

4298
03:32:10,145 --> 03:32:11,046
FROM ALL THE OTHER FOODS THAT 

4299
03:32:11,046 --> 03:32:13,115
YOU'RE GOING TO ADD BACK IN 

4300
03:32:13,115 --> 03:32:15,284
EITHER AS ONE FOOD OR 

4301
03:32:15,284 --> 03:32:17,119
PROPORTIONALLY TO MAKE THAT UP 

4302
03:32:17,119 --> 03:32:19,855
THAT GAP OF IRON?

4303
03:32:19,855 --> 03:32:22,858
SO, WE CAN LOOK AT SUBSTITUTIONS

4304
03:32:22,858 --> 03:32:25,127
WE CAN LOOK AT OVER ALL PATTERNS

4305
03:32:25,127 --> 03:32:26,962
OF MACRO NUTRIENT DISTRIBUTION 

4306
03:32:26,962 --> 03:32:30,399
AND LOOK AT OUTCOMES BUT DIETARY

4307
03:32:30,399 --> 03:32:31,900
PATTERNS ARE AS MUCH AS ABOUT 

4308
03:32:31,900 --> 03:32:37,106
THE FOODS BUT THE NUTRITIONAL 

4309
03:32:37,106 --> 03:32:41,810
ADEQUACY OF THE PACKAGE AND THAT

4310
03:32:41,810 --> 03:32:42,378
SUBSTITUTION BECOMES AN 

4311
03:32:42,378 --> 03:32:46,115
INTENTIONAL CONVERSATION THAT 

4312
03:32:46,115 --> 03:32:48,217
FOR US GIVES US AN EVIDENCE BASE

4313
03:32:48,217 --> 03:32:49,518
THE COMMITTEE NEEDS TO SEE 

4314
03:32:49,518 --> 03:32:51,220
EITHER FROM THE SCIENTIFIC 

4315
03:32:51,220 --> 03:32:52,621
EVIDENCE TO KNOW WHAT TO PUT 

4316
03:32:52,621 --> 03:32:55,457
BACK IN OR WHAT'S BEING USED TO 

4317
03:32:55,457 --> 03:32:58,627
PUT BACK IN AND TO KNOW WHAT 

4318
03:32:58,627 --> 03:33:01,864
NEEDS TO BE FILLED BACK IN SO 

4319
03:33:01,864 --> 03:33:09,104
THAT YOU CAN INFORM REPLACEMENT 

4320
03:33:09,104 --> 03:33:09,438
APPROPRIATELY.

4321
03:33:09,438 --> 03:33:12,241
BECAUSE REPLACING WITH OTHER 

4322
03:33:12,241 --> 03:33:15,277
HEALTHY THINGS BUT NOT REPLACING

4323
03:33:15,277 --> 03:33:17,112
THE NUTRITIONAL GAP STILLS 

4324
03:33:17,112 --> 03:33:21,150
LEAVES A GAP AT THE END AND THE 

4325
03:33:21,150 --> 03:33:28,090
VARIETY GETS TO THAT.

4326
03:33:28,090 --> 03:33:30,159
>> I KNOW YOU MENTIONED
THE 

4327
03:33:30,159 --> 03:33:33,095
POSSIBILITY OF NOT ADDING MORE 

4328
03:33:33,095 --> 03:33:37,166
PATT

4329
03:33:37,166 --> 03:33:37,433
PATTERNS.

4330
03:33:37,433 --> 03:33:39,335
DO YOU THINK THERE'S A 

4331
03:33:39,335 --> 03:33:41,704
POSSIBILITY THAT GET ELIMINATED 

4332
03:33:41,704 --> 03:33:42,638
WITHIN THE PROCESS?

4333
03:33:42,638 --> 03:33:46,041
I KNOW IN SOME WAYS IN THINKING 

4334
03:33:46,041 --> 03:33:48,577
ABOUT MY DISCUSSIONS ABOUT THE 

4335
03:33:48,577 --> 03:33:51,280
HEALTHY U.S. DIETARY PATTERN 

4336
03:33:51,280 --> 03:33:54,350
WITH FLEXIBILITIES BEING ABLE TO

4337
03:33:54,350 --> 03:33:57,119
MEET A LOT OF DIFFERENT FEEDS 

4338
03:33:57,119 --> 03:34:00,089
AND CULTURAL DIETS AND IN THE 

4339
03:34:00,089 --> 03:34:01,123
COMMENTS THERE'S BEEN COMMENTS 

4340
03:34:01,123 --> 03:34:02,991
ABOUT THE MEDITERRANEAN DIETS 

4341
03:34:02,991 --> 03:34:06,695
AND DIFFERENT DIETS.

4342
03:34:06,695 --> 03:34:09,798
ARE THOSE DIETS NOT NECESSARY 

4343
03:34:09,798 --> 03:34:10,499
BALANCED?

4344
03:34:10,499 --> 03:34:13,702
I WAS CURIOUS IF THERE MIGHT 

4345
03:34:13,702 --> 03:34:19,608
EVEN BE -- IS THAT A POSSIBILITY

4346
03:34:19,608 --> 03:34:23,412
THAT'S BEEN EXPLORED OR IS THE 

4347
03:34:23,412 --> 03:34:25,080
IDEA TO MAINTAIN THE CURRENT 

4348
03:34:25,080 --> 03:34:25,447
PATTERNS?

4349
03:34:25,447 --> 03:34:28,016
>> WE'VE DONE MOST OF OUR
WORK 

4350
03:34:28,016 --> 03:34:30,252
ON THE US PATTERN AS INE 

4351
03:34:30,252 --> 03:34:32,654
OVERARCHING AND LOOKED AT THE 

4352
03:34:32,654 --> 03:34:32,988
FLEXIBILITIES.

4353
03:34:32,988 --> 03:34:35,324
SOME OF THE OTHER PATTERNS LIKE 

4354
03:34:35,324 --> 03:34:37,126
THE HEALTHY VEGETARIAN WE CAN 

4355
03:34:37,126 --> 03:34:39,728
APPLY THE THINGS THAT WE'VE DONE

4356
03:34:39,728 --> 03:34:41,830
HERE.

4357
03:34:41,830 --> 03:34:43,799
WE CAN SEE IF IT CONDITIONS LIKE

4358
03:34:43,799 --> 03:34:46,368
IF WE REDUCE GRAINS AND CARRY 

4359
03:34:46,368 --> 03:34:47,736
THAT FORWARD AND DOES IT GIVE 

4360
03:34:47,736 --> 03:34:49,938
THE SAME NUTRIENT OUTCOMES.

4361
03:34:49,938 --> 03:34:52,040
SO WE HAVE THE ABILITY TO LOOK 

4362
03:34:52,040 --> 03:34:55,577
AT THOSE PATTERNS.

4363
03:34:55,577 --> 03:34:59,948
THAT GETS TO OUR SYNTHESIZE 

4364
03:34:59,948 --> 03:35:02,351
PHASE NEXT ONCE WE LOOK AT THE 

4365
03:35:02,351 --> 03:35:03,619
PROPOSED PATTERN AND THIS IS 

4366
03:35:03,619 --> 03:35:07,389
PROBABLY A GOOD TIME TO GO TO 

4367
03:35:07,389 --> 03:35:15,330
OUR SLIDE TO SUMMARIZE WITH OUR 

4368
03:35:15,330 --> 03:35:17,666
SUGGESTED DRAFT SYNTHESIZE.

4369
03:35:17,666 --> 03:35:19,435
OUR POTENTIAL MODIFICATIONS TO 

4370
03:35:19,435 --> 03:35:23,172
THE HUSS WOULD BE INCREASING 

4371
03:35:23,172 --> 03:35:26,375
BEANS, PEAS AND LENTILS AND 

4372
03:35:26,375 --> 03:35:28,811
DARK-GREEN VEGETABLES IN THE 

4373
03:35:28,811 --> 03:35:29,144
SUBCATEGORIES.

4374
03:35:29,144 --> 03:35:30,112
REDUCING TOTAL GRAINS AND 

4375
03:35:30,112 --> 03:35:33,749
PROTEIN FOODS ALL THESE FOR ONE 

4376
03:35:33,749 --> 03:35:37,152
PLUS AND THEN IN 2 AND OLDER 

4377
03:35:37,152 --> 03:35:41,123
REDUCING DAIRY AND FORTIFIED SOY

4378
03:35:41,123 --> 03:35:41,457
ALTERNATIVES.

4379
03:35:41,457 --> 03:35:43,725
NO MODIFICATIONS TO THE 

4380
03:35:43,725 --> 03:35:45,127
QUANTITIES OF FRUIT AND TOTAL 

4381
03:35:45,127 --> 03:35:51,300
PATTERN AT 1+ AND LOOKING AT 

4382
03:35:51,300 --> 03:35:54,269
REDUCTION OF GRAINS AND 

4383
03:35:54,269 --> 03:35:55,204
INCREASING BEANS, PEAS AND 

4384
03:35:55,204 --> 03:35:58,340
LENTILS OR STARCHY VEGETABLES 

4385
03:35:58,340 --> 03:35:59,808
ABOVE THE CURRENT VEGETABLE 

4386
03:35:59,808 --> 03:36:05,948
RECOMMENDATIONS WITHIN THE HUSS,

4387
03:36:05,948 --> 03:36:07,449
INCREASING BEANS, PEAS AND 

4388
03:36:07,449 --> 03:36:10,185
LENTILS AND PLANT-BASED PROTEINS

4389
03:36:10,185 --> 03:36:14,356
OPPOSED TO ANIMAL-BASE AND 

4390
03:36:14,356 --> 03:36:17,125
ADDING SEAFOOD AND HEALTHY 

4391
03:36:17,125 --> 03:36:19,127
VEGETARIAN PATTERN AND EXPLORING

4392
03:36:19,127 --> 03:36:21,129
THE SUBSTITUTION OF PLANT-BASED 

4393
03:36:21,129 --> 03:36:23,699
MILK ALTERNATIVES FOR THE DAIRY 

4394
03:36:23,699 --> 03:36:25,701
AND FORTIFIED SOY.

4395
03:36:25,701 --> 03:36:28,470
THESE COME TO CREATE A MODIFIED 

4396
03:36:28,470 --> 03:36:33,108
HUSS AND SEEING HOW THAT 

4397
03:36:33,108 --> 03:36:34,743
TRANSLATES INTO THOSE OTHER 

4398
03:36:34,743 --> 03:36:35,777
PATTERNS AND WOULD WE MODIFY 

4399
03:36:35,777 --> 03:36:39,348
THEM ACCORDINGLY TO WHAT WE 

4400
03:36:39,348 --> 03:36:42,217
FOUND HERE AND BOUNCE TO THE END

4401
03:36:42,217 --> 03:36:43,285
OF OUR WRAP UP.

4402
03:36:43,285 --> 03:36:44,553
>> CAN I MAKE ONE MORE
COMMENT 

4403
03:36:44,553 --> 03:36:45,120
BECAUSE I THINK IT'S AN 

4404
03:36:45,120 --> 03:36:48,490
IMPORTANT QUESTION.

4405
03:36:48,490 --> 03:36:49,992
WE'VE TALKED ABOUT WHAT DO WE DO

4406
03:36:49,992 --> 03:36:51,627
WITH THE DATA A LOT IN OUR 

4407
03:36:51,627 --> 03:36:52,194
GROUP.

4408
03:36:52,194 --> 03:36:53,962
I DON'T THINK THAT WILL BE LIKE 

4409
03:36:53,962 --> 03:36:59,167
WHAT PATTERN OR PATTERNS ARE THE

4410
03:36:59,167 --> 03:37:02,738
ULTIMATE LIKE STUDY ON THE FOOD 

4411
03:37:02,738 --> 03:37:04,172
PATTERN MODELLING GROUP.

4412
03:37:04,172 --> 03:37:07,409
I HOPE WHAT WE'VE BEEN 

4413
03:37:07,409 --> 03:37:08,210
REINFORCING WILL BE A 

4414
03:37:08,210 --> 03:37:09,111
COMMITTEE-WIDE EFFORT THAT 

4415
03:37:09,111 --> 03:37:14,249
INCORPORATES ALL THE PIECES OF 

4416
03:37:14,249 --> 03:37:14,516
EVIDENCE.

4417
03:37:14,516 --> 03:37:16,151
AND WHETHER THESE MODIFICATIONS 

4418
03:37:16,151 --> 03:37:19,288
AND FLEXIBILITIES HAVE ANOTHER 

4419
03:37:19,288 --> 03:37:21,156
SPIN OFF OR ABSORB ONE IN WILL 

4420
03:37:21,156 --> 03:37:23,292
BE A COMMITTEE DECISION AND NOT 

4421
03:37:23,292 --> 03:37:25,460
JUST THE FOOD PATTERN MODELLING 

4422
03:37:25,460 --> 03:37:30,899
BUT THE HEALTH EQUITY AND 

4423
03:37:30,899 --> 03:37:37,673
SYSTEMATIC REVIEW AND EVERYTHING

4424
03:37:37,673 --> 03:37:39,074
THE MODELLING WILL BE THERE AS A

4425
03:37:39,074 --> 03:37:41,109
NICE CHECK TO DEFINE AND TAILOR 

4426
03:37:41,109 --> 03:37:43,478
THE PATTERN OR PATTERNS TO MAKE 

4427
03:37:43,478 --> 03:37:45,113
SURE WE'RE NOT INTRODUCING THE 

4428
03:37:45,113 --> 03:37:47,015
GAP WE HAVE EVERY LOOKED IN 

4429
03:37:47,015 --> 03:37:57,359
NUTRIENT PROFILING.

4430
03:37:59,528 --> 03:38:02,698
I THINK THAT'S HOW WE'LL GET 

4431
03:38:02,698 --> 03:38:02,898
THERE.

4432
03:38:02,898 --> 03:38:05,033
>> AND THE FLEXIBILITIES
THAT 

4433
03:38:05,033 --> 03:38:06,602
Y'ALL ARE LOOKING AT ARE VERY 

4434
03:38:06,602 --> 03:38:12,541
SIMILAR TO WHAT WE FOUND IN THE 

4435
03:38:12,541 --> 03:38:19,781
DIETARY PATTERNS AND THE 

4436
03:38:19,781 --> 03:38:20,649
PATTERNS EMERGING SO IT WILL BE 

4437
03:38:20,649 --> 03:38:22,017
NICE TO HAVE THAT.

4438
03:38:22,017 --> 03:38:24,853
>> WHERE WE ARE IN NEXT
STEPS 

4439
03:38:24,853 --> 03:38:31,360
SINCE WE KIND OF ALREADY MY 

4440
03:38:31,360 --> 03:38:32,661
FWR -- 

4441
03:38:32,661 --> 03:38:36,331
MIGRATED TO THAT AND LOOKING AT 

4442
03:38:36,331 --> 03:38:40,202
THE HUSS PATTERN AND LOOK AT 

4443
03:38:40,202 --> 03:38:41,703
NUTRIENT GOALS WILL COME INTO 

4444
03:38:41,703 --> 03:38:44,439
PLAY WHEN WE GET INTO RANKS OF 

4445
03:38:44,439 --> 03:38:46,208
NUTRIENT DENSITY AND WHAT 

4446
03:38:46,208 --> 03:38:49,845
ADDITIONAL CALORIES THERE MAY BE

4447
03:38:49,845 --> 03:38:52,848
IN TERMS OF THE VARIETIES AND 

4448
03:38:52,848 --> 03:38:54,282
FLEXIBILITIES WITHIN THAT.

4449
03:38:54,282 --> 03:38:55,751
WE'LL TAKE ALL THESE INDIVIDUAL 

4450
03:38:55,751 --> 03:39:01,790
RESULTS, LOOK AT THE 

4451
03:39:01,790 --> 03:39:02,591
MODIFICATIONS, PUT THEM ALL 

4452
03:39:02,591 --> 03:39:08,764
TOGETHER INTO THE SYNTHESIS AND 

4453
03:39:08,764 --> 03:39:10,832
WE HAVE TO COME UP WITH OUR 

4454
03:39:10,832 --> 03:39:14,403
HEALTHY U.S. STYLE PROPOSED 

4455
03:39:14,403 --> 03:39:17,072
PATTERN BECAUSE THAT IS WHAT'S 

4456
03:39:17,072 --> 03:39:18,807
GOING TO BE USED IN THE DIET 

4457
03:39:18,807 --> 03:39:24,312
SIMULATIONS TO LOOK AT THE 

4458
03:39:24,312 --> 03:39:25,681
POTENTIAL ITERATIONS THAT WILL 

4459
03:39:25,681 --> 03:39:28,350
INCLUDE THE POPULATIONS WE'RE 

4460
03:39:28,350 --> 03:39:36,124
UNABLE TO CAPTURE WITHNHWITH NH 

4461
03:39:36,124 --> 03:39:37,926
AND SEE HOW IT SERVES IN THE 

4462
03:39:37,926 --> 03:39:40,062
SIMULATION SPACE BY SERVING THE 

4463
03:39:40,062 --> 03:39:44,466
FOODS AND SEEING WHAT THAT LOOKS

4464
03:39:44,466 --> 03:39:44,666
LIKE.

4465
03:39:44,666 --> 03:39:46,334
THE NEXT MEETING WILL BE AN 

4466
03:39:46,334 --> 03:39:48,003
EXCITING MEETING WHEN WE GET TO 

4467
03:39:48,003 --> 03:39:50,072
THAT SPACE AND FACTORED INTO 

4468
03:39:50,072 --> 03:39:53,075
THIS IN OUR SYNTHESIS WILL BE 

4469
03:39:53,075 --> 03:39:56,178
THE IMPACT FROM DATA ANALYSIS 

4470
03:39:56,178 --> 03:39:59,715
WE'RE SEE TOMORROW IN TERMS OF 

4471
03:39:59,715 --> 03:40:01,116
FEASIBILITY OF CHANGING FOOD 

4472
03:40:01,116 --> 03:40:04,519
GROUP QUANTITIES AND WHERE WE'RE

4473
03:40:04,519 --> 03:40:09,124
SEEING NUTRIENT GAPS AND CHRONIC

4474
03:40:09,124 --> 03:40:13,095
DISEASE MARKERS AND SYSTEMATIC 

4475
03:40:13,095 --> 03:40:15,997
REVIEWS AND PULLED TOGETHER AND 

4476
03:40:15,997 --> 03:40:17,933
LOTS OF CROSS-TALK BETWEEN THIS 

4477
03:40:17,933 --> 03:40:21,203
MEETING AND NEXT MEETING TO GET 

4478
03:40:21,203 --> 03:40:31,546
TO THE FINAL STATE.

4479
03:40:34,750 --> 03:40:35,751
>> THANK YOU, ALL.

4480
03:40:35,751 --> 03:40:36,351
FIRST, I WANT TO APPLAUD THE 

4481
03:40:36,351 --> 03:40:41,256
COMMITTEE.

4482
03:40:41,256 --> 03:40:48,363
AND THANK OUR WONDERFUL STAFF.

4483
03:40:48,363 --> 03:40:50,365
WITH THAT I WILL CONCLUDE DAY 

4484
03:40:50,365 --> 03:40:53,101
ONE OF MEETING 5 OF THE 2025 

4485
03:40:53,101 --> 03:40:55,237
DIETARY GUIDELINES ADVISORY 

4486
03:40:55,237 --> 03:40:55,804
COMMITTEE.

4487
03:40:55,804 --> 03:41:01,109
WE WILL START AGAIN TOMORROW 

4488
03:41:01,109 --> 03:41:02,878
MORNING AT 8:30 A.M. EASTERN 

4489
03:41:02,878 --> 03:41:03,078
TIME.

4490
03:41:03,078 --> 03:41:04,813
SORRY FOR THE WEST COASTERS.

4491
03:41:04,813 --> 03:41:06,414
THANKS FOR YOUR ATTENTION TODAY 

4492
03:41:06,414 --> 03:41:09,451
AND WITH THAT WE'LL CONCLUDE THE

4493
03:41:09,451 --> 03:41:19,594
MEETING.