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>> GOOD MORNING AND
WELCOME TO 

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00:00:12,940 --> 00:00:17,111
DAY TWO OF THE DIETARY ADVISORY 

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00:00:17,111 --> 00:00:18,513
MEETING 2025 AND THE SECOND DAY 

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00:00:18,513 --> 00:00:20,281
THE COMMITTEE IS REPORTING ON.

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00:00:20,281 --> 00:00:22,850
TODAY THE AGENDA WILL BE AS 

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00:00:22,850 --> 00:00:23,084
FOLLOWS.

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WE'LL START WITH RELATED 

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00:00:25,553 --> 00:00:29,290
PROJECTS UPDATE AND HAVE A 

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00:00:29,290 --> 00:00:31,292
DISCUSSION ON DATA ANALYSIS 

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FOLLOWED BY DIET AND PREGNANCY 

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AND BIRTH THROUGH ADOLESCENCE, 

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AT SOME POINT WE'LL HAVE A LUNCH

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BREAK, TBD, THEN THERE'LL BE A 

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DISCUSSION ON DIETARY PATTERNS 

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AND SPECIFIC DIETARY COMPONENTS 

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ACROSS THE LIFE STAGES AND THEN 

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A WRAP-UP BY OUR CHAIRS.

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SO WITHOUT FURTHER ADO, I'M 

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GOING TO PASS IT OVER FOR 

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UPDATES ON RELATED PROJECTS.

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>> THANK YOU.

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SO WE GAVE AN UPDATE ON RELATED 

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ACTIVITIES DURING THE SECOND 

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COMMITTEE MEETING AND SO WE 

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THOUGHT WE'D JUST GIVE AN UPDATE

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ON WHERE THINGS ARE SINCE THAT 

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TIME.

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SO IN THE NEXT SLIDE YOU CAN SEE

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I'LL GIVE UPDATES ON FOUR 

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ACTIVITIES.

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UPDATES ON WORK RELATED TO 

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SUSTAINABILITY IN THE DIETARY 

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GUIDELINES AND RELATED TO A 

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RECENT ARTICLE THE FEDERAL TEAM 

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PUBLISHED.

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WHEN USDA AND HHS WERE TALKING 

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ABOUT THE TOPICS AN SKOEPDZ WE 

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TALKED ABOUT ALCOHOLIC BENCHES 

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INCLUDED IN THE DIETARY 

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GUIDELINES SINCE THE FIRST 

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EDITION.

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WE FELT WE WERE AT TIME WHERE 

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THAT TOPIC IS COMPLEX AND UNIQUE

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CONSIDERATIONS RELATED TO OTHER 

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ASPECTS OF THE DIET AND FELT WE 

46
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WERE AT A TIME WHERE THAT TOPIC 

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DESERVED A COMPREHENSIVE REVIEW 

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WITH A NUMBER OF EXPERTS IN THAT

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TOPIC AREA.

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OFTEN TIMES WE HAVE THE ABILITY 

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TO BRING IN 20 FANTASTIC EXPERTS

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BUT IT'S DIFFICULT TO BRING IN 

53
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20 EXPERTS ON A RANGE OF TOPICS 

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AND PLUS Y'ALL HAVE SEEN YOU 

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HAVE A LOT OF IN YOUR SCOPE 

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ALREADY.

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IT'S PROBABLY OKAY THAT WE 

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PULLED ONE TOPIC AREA WE WANTED 

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TO HAVE YOU GUYS LOOK AT.

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SO USDA AND HHS ARE ADDRESSING 

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THE TOPIC OF ALCOHOLIC BEVERAGES

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THROUGH EFFORTS SEPARATE THROUGH

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THE WORK OF THE COMMITTEE AND 

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THERE WILL BE DISCUSSION AROUND 

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CONSIDERATIONS OF ALCOHOL AND 

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DIETARY PATTERNS AND HOW Y'ALL 

67
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TALKED ABOUT THAT.

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SO WHAT IS THE WORK THAT'S 

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HAPPENING?

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THERE'S TWO ACTIVITIES 

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HAPPENING, HAPPENING ON PARALLEL

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TRACKS AND I WANT TO NOTE THOSE 

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ARE COMPLEMENTARY ACTIVITIES NOT

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DUPLICATE.

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THERE'S ONE ACTIVITY BEING 

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SUPPORTED BY A COMMITTEE WITHIN 

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HHS' SUBSTANCE ABUSE AND HEALTH 

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SERVICES ADMINISTRATION, SAMHSA,

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AND A SEPARATE ACTIVITY RECEIVED

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FROM CONGRESS TO CONDUCT A STUDY

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WITH NATIONAL ACADEMIES ON 

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ALCOHOLIC BEVERAGES AND HEALTH 

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AND TALK MORE WHAT THE TWO 

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PROJECTS WERE DOING IN THE NEXT 

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00:03:30,871 --> 00:03:31,172
SLIDE.

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00:03:31,172 --> 00:03:34,275
A COUPLE NOTES, BOTH PROJECTS 

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ARE EVIDENCE REVIEW PROJECT.

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SIMILAR TO DOING REVIEWS OF 

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SCIENTIFIC EVIDENCE.

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BOTH PROJECTS WILL INCLUDE 

91
00:03:42,450 --> 00:03:44,485
OPPORTUNITIES FOR PUBLIC 

92
00:03:44,485 --> 00:03:44,952
PARTICIPATION.

93
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I'LL NOTE BOTH PROJECTS HAVE WEB

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PAGES AND IF THERE'S INTEREST IN

95
00:03:48,723 --> 00:03:49,657
MORE SPECIFICS ON WHAT'S 

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00:03:49,657 --> 00:03:51,158
HAPPENING ON THOSE, YOU CAN GO 

97
00:03:51,158 --> 00:03:55,196
TO DIETARY GUIDELINES.gov, THE 

98
00:03:55,196 --> 00:03:58,099
RELATED PROJECTS TAB AND THERE'S

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00:03:58,099 --> 00:04:00,034
A SECTION ON ALCOHOLIC BEVERAGES

100
00:04:00,034 --> 00:04:02,570
AND LINKS TO WEBSITES THAT 

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PROVIDE MORE INFORMATION ON HHS 

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00:04:04,071 --> 00:04:05,206
AND NASEM.

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00:04:05,206 --> 00:04:07,775
I'LL ALSO NOTE THAT BOTH OF 

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THOSE PROJECTS ARE SCIENTIFIC 

105
00:04:10,244 --> 00:04:13,214
ACTIVITIES AND WILL INCLUDE 

106
00:04:13,214 --> 00:04:16,851
EXTERNAL SCIENTIFIC PEER REVIEW.

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BOTH ARE UNDERWAY AT DIFFERENT 

108
00:04:19,720 --> 00:04:21,088
STAGES BUT BOTH SLATED TO BE 

109
00:04:21,088 --> 00:04:24,258
COMPLETED BY THE END OF THE 

110
00:04:24,258 --> 00:04:24,892
CALENDAR YEAR.

111
00:04:24,892 --> 00:04:26,827
SO OBVIOUSLY WE TALKED ABOUT THE

112
00:04:26,827 --> 00:04:31,899
TIME LINE FOR THIS COMMITTEE 

113
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WITH THE KWOEL TO BE COMPLETED 

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00:04:37,004 --> 00:04:40,674
LATE 2024 AND BEVERAGES AND 

115
00:04:40,674 --> 00:04:42,009
HEALTH WILL BE LATE 2024 AROUND 

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NOT SOMETHING WE'LL HAND TO YOU 

117
00:04:43,778 --> 00:04:45,312
REACT TO BUT REPORTS THAT WILL 

118
00:04:45,312 --> 00:04:47,181
BE DEVELOPED FOR THE TWO 

119
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PROJECTS THAT WILL THEN COME 

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00:04:48,983 --> 00:04:51,552
DIRECTLY TO USDA AND HHS IN 

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CONSIDERATION OF DEVELOPING THE 

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00:04:53,120 --> 00:04:55,823
NEXT EDITION OF THE DIETARY 

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00:04:55,823 --> 00:04:56,123
GUIDELINES.

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I'LL NOTE BOTH PROJECTS AS I 

125
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SAID NOW SEVERAL TIMES THEY'RE 

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EVIDENCE REVIEW PROJECTS.

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THOSE REPORTS WILL HAVE FINDINGS

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00:05:02,830 --> 00:05:04,965
BUT NOT RECOMMENDATIONS.

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THEY'RE NOT GOING TO DEVELOP 

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RECOMMENDS ON ALCOHOL AND HEALTH

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BUT PROVIDE THE FIND BEINGS FRO 

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THE STUDIES AND SUBMITTED TO THE

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DEPARTMENTS.

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00:05:15,443 --> 00:05:16,444
THE NEXT SLIDE GIVES INFORMATION

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00:05:16,444 --> 00:05:18,179
ABOUT THE TWO DIFFERENT 

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PROJECTS.

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ON THE TOP YOU SEE THE NASEM 

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STUDY AND ON THE BOTTOM THE HHS 

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STUDY.

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THE NASEM STUDY IS DIFFERENT AND

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IT'S A SYSTEMATIC REVIEW RELATED

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TO ALCOHOLIC BEVERAGES AND 

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00:05:38,566 --> 00:05:41,669
HEALTH OUTCOMES YOU SEE LISTED 

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THERE.

145
00:05:42,403 --> 00:05:44,238
AND THE HHS STUDY IS MORE 

146
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ORIGINAL ANALYSES.

147
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CONDUCTING ANALYSES THAT LOOK AT

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RISK ESTIMATES ASSOCIATED WITH 

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DIFFERENT LEVELS OF ALCOHOL 

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BEVERAGES.

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THE WORK WILL BE COMPLETED LATER

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THIS YEAR AND YOU CAN GO TO THE 

153
00:06:02,289 --> 00:06:03,491
WEBSITE IF THERE'S INTEREST IN 

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MORE DETAIL ON THE PROJECTS.

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ON THE NEXT SLIDE A LITTLE BIT 

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OF UPDATE ON DIETARY REFERENCE 

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INTAKES AND DRIs CAME UP 

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YESTERDAY AND TODAY.

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THE DRIs PROVIDE NUTRIENT 

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RECOMMENDATIONS WHERE THE 

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GUIDELINES BRING THOSE TO LIFE 

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THROUGH FOOD-BASED 

163
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RECOMMENDATIONS.

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BUT THE DRIs ARE NOT ESTABLISHED

165
00:06:27,681 --> 00:06:29,350
BY THROUGH THE PROCESS.

166
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THEY'RE ESTABLISHED THROUGH 

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SEPARATE ACTIVES THROUGH THE 

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00:06:33,787 --> 00:06:35,022
NATIONAL ACADEMIES.

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THOSE STUDIES WITH THE NATIONAL 

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ACADEMIES ARE FUNDED AND 

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SUPPORTED WE A JOINT 

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U.S.-CANADIAN DRI WORKING GROUP 

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WITH REPRESENTATIVES FROM HHS 

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AND USDA AND HEALTH CANADA AND 

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WE WORK TOGETHER DO STRATEGIC 

176
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PLANNING AND SUPPORT DRI UPDATE.

177
00:06:57,444 --> 00:07:02,983
A FEW YEARS AGO THE DRI WORKING 

178
00:07:02,983 --> 00:07:04,618
GROUP PRIORITIZED DRIs UPDATED 

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ON ENERGY AND THE MACRO 

180
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NUTRIENTS.

181
00:07:10,157 --> 00:07:12,426
SO THAT WORK HAS BEEN MOVING 

182
00:07:12,426 --> 00:07:14,728
FORWARD AND SO AS ALL OF YOU 

183
00:07:14,728 --> 00:07:16,263
KNOW A NEW DRI FOR ENERGY THAT 

184
00:07:16,263 --> 00:07:18,732
WAS PUBLISHED ABOUT A YEAR AGO.

185
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AND THE DRI WORKING GROUP JUST 

186
00:07:21,402 --> 00:07:23,304
AS WE USE SYSTEMIC REVIEWS TO 

187
00:07:23,304 --> 00:07:25,906
INFORM THE DIETARY GUIDELINES WE

188
00:07:25,906 --> 00:07:29,009
USE SYSTEMATIC REVIEWS TO 

189
00:07:29,009 --> 00:07:31,645
SUPPORT THE DRI UPDATES.

190
00:07:31,645 --> 00:07:33,180
WHAT'S BEEN GOING ON IS THAT 

191
00:07:33,180 --> 00:07:37,217
THIS WORKING GROUP HAS FUNDED A 

192
00:07:37,217 --> 00:07:39,787
SERIES OF SYSTEMATIC REVIEWS 

193
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WITH THE HHS AGENCY FOR RESEARCH

194
00:07:41,155 --> 00:07:42,523
AND QUALITY FOR ARCH.

195
00:07:42,523 --> 00:07:48,696
SO WE HAVE FUNDED SYSTEMATIC 

196
00:07:48,696 --> 00:07:49,730
REVIEWS ON DIETARY PROTEIN AND 

197
00:07:49,730 --> 00:07:53,100
DIFFERENT HEALTH OUTCOMES AND 

198
00:07:53,100 --> 00:07:56,170
CARBOHYDRATES, FIBER AND FAT AT 

199
00:07:56,170 --> 00:07:56,837
DIFFERENT STAGES OF COMPLETION 

200
00:07:56,837 --> 00:08:06,213
OR STARTING IN SOME CASES.

201
00:08:06,213 --> 00:08:07,948
WE'LL STAND UP A COMMITTEE TO 

202
00:08:07,948 --> 00:08:10,351
UPDATE THE DRIs FOR MACRO 

203
00:08:10,351 --> 00:08:11,452
NUTRIENTS AND ENERGY WHICH WERE 

204
00:08:11,452 --> 00:08:13,187
LAST UPDATED ABOUT 20 YEARS AGO.

205
00:08:13,187 --> 00:08:17,091
WE'RE IN A GOOD SPOT TO BE 

206
00:08:17,091 --> 00:08:17,691
UPDATING THOSE.

207
00:08:17,691 --> 00:08:20,160
I'LL JUST NOTE WE ORIGINALLY 

208
00:08:20,160 --> 00:08:21,996
THOUGHT ABOUT DOING THE MACRO 

209
00:08:21,996 --> 00:08:24,331
NUTRIENTS INDIVIDUALLY BECAUSE 

210
00:08:24,331 --> 00:08:25,099
THEY HAVE DIFFERENT EXPERTISE.

211
00:08:25,099 --> 00:08:27,568
BUT WE HAVE A STANDING COMMITTEE

212
00:08:27,568 --> 00:08:29,303
WITH THE NATIONAL ACADEMIES ON 

213
00:08:29,303 --> 00:08:32,406
THE DRIs AND THAT RECOMMENDED 

214
00:08:32,406 --> 00:08:37,778
JUST AS WAS DONE 20 YEARS AGO --

215
00:08:37,778 --> 00:08:39,647
THEY'RE ALL INTERRELATED.

216
00:08:39,647 --> 00:08:40,848
IT'S HARD TO DO ONE WITHOUT 

217
00:08:40,848 --> 00:08:43,984
CONSIDERATION OF THE OTHER.

218
00:08:43,984 --> 00:08:46,954
THE STANDING COMMITTEE 

219
00:08:46,954 --> 00:08:49,123
RECOMMENDED DOING A BIG 

220
00:08:49,123 --> 00:08:49,890
COMPLICATED COMPLEX COMMITTEE SO

221
00:08:49,890 --> 00:08:51,158
THAT'S WHAT WE'RE GOING TO 

222
00:08:51,158 --> 00:08:51,525
PURSUE.

223
00:08:51,525 --> 00:08:53,293
IF THERE'S INTEREST IN THAT, 

224
00:08:53,293 --> 00:08:56,296
THAT IS WORK THAT IS THE 

225
00:08:56,296 --> 00:08:57,431
SYSTEMATIC REVIEW WORK IS 

226
00:08:57,431 --> 00:09:02,836
UNDERWAY NOW AND WE HOPE TO HAVE

227
00:09:02,836 --> 00:09:06,373
THAT NASEM COMMITTEE PROBABLY 

228
00:09:06,373 --> 00:09:07,741
WITHIN THE NEXT YEAR WE'LL 

229
00:09:07,741 --> 00:09:09,476
HOPEFULLY BE ABLE TO START 

230
00:09:09,476 --> 00:09:10,944
MOVING ON THAT.

231
00:09:10,944 --> 00:09:14,982
AND NEXT UPDATE IS ON 

232
00:09:14,982 --> 00:09:16,016
SUSTAINABILITY.

233
00:09:16,016 --> 00:09:18,085
WE HAVEN'T ASKED YOU TO CONSIDER

234
00:09:18,085 --> 00:09:20,387
ISSUES RELATED TO SUSTAINABILITY

235
00:09:20,387 --> 00:09:23,157
IN YOUR REVIEW BUT NOT TO SAY 

236
00:09:23,157 --> 00:09:25,292
IT'S NOT IMPORTANT.

237
00:09:25,292 --> 00:09:27,561
USDA AND HHS FIND THEM IMPORTANT

238
00:09:27,561 --> 00:09:27,795
TOPICS.

239
00:09:27,795 --> 00:09:30,597
WHAT WE DID SAY WE WOULD DO 

240
00:09:30,597 --> 00:09:32,399
EARLY ON IN THE PROCESS TO 

241
00:09:32,399 --> 00:09:34,768
UPDATE THE NEXT EDITION WE SAID 

242
00:09:34,768 --> 00:09:37,037
WE WOULD ESTABLISH A WORK GROUP 

243
00:09:37,037 --> 00:09:40,841
THAT WOULD SAY, OKAY, WHAT ARE 

244
00:09:40,841 --> 00:09:43,310
THE MERITS OF INCLUDING 

245
00:09:43,310 --> 00:09:44,511
CONSIDERATIONS RELATED TO 

246
00:09:44,511 --> 00:09:45,379
SUSTAINABILITY IN THE DIETARY 

247
00:09:45,379 --> 00:09:47,715
GUIDELINES AND IF WE WERE TO DO 

248
00:09:47,715 --> 00:09:49,083
IT WHAT WOULD BE THE PROCESS?

249
00:09:49,083 --> 00:09:50,350
WE HAVE A WORK GROUP ESTABLISHED

250
00:09:50,350 --> 00:09:52,352
WITH MEMBERS FROM DIFFERENT 

251
00:09:52,352 --> 00:09:55,622
AGENCIES IN USDA AND HHS WHO ARE

252
00:09:55,622 --> 00:09:57,024
EXAMINING A PROCESS FRAMEWORK 

253
00:09:57,024 --> 00:09:59,259
FOR CONSIDERING INCORPORATING 

254
00:09:59,259 --> 00:10:00,694
SUSTAINABILITY IN THE DIETARY 

255
00:10:00,694 --> 00:10:02,029
GUIDELINES PROCESS AND/OR 

256
00:10:02,029 --> 00:10:03,130
THROUGH OTHER ACTIVITIES IN THE 

257
00:10:03,130 --> 00:10:05,165
DEPARTMENTS.

258
00:10:05,165 --> 00:10:09,570
THAT WORK GROUP IS PLANNING A 

259
00:10:09,570 --> 00:10:10,871
PUBLIC MEETING AND SO JUST 

260
00:10:10,871 --> 00:10:12,172
PUTTING A FLAG FOR THOSE 

261
00:10:12,172 --> 00:10:13,640
INTERESTED IN THIS TOPIC 

262
00:10:13,640 --> 00:10:16,610
THERE'LL BE A PUBLIC MEETING 

263
00:10:16,610 --> 00:10:18,245
RELATED TO THIS AND THAT PUBLIC 

264
00:10:18,245 --> 00:10:19,313
MEETING WILL BE ANNOUNCED 

265
00:10:19,313 --> 00:10:21,882
THROUGH THE FEDERAL REGISTER BUT

266
00:10:21,882 --> 00:10:23,584
FOR THOSE PEOPLE WHO DON'T 

267
00:10:23,584 --> 00:10:25,052
FOLLOW THE FEDERAL REGISTER ALL 

268
00:10:25,052 --> 00:10:25,753
THE TIME WE'LL INCLUDE THAT 

269
00:10:25,753 --> 00:10:28,288
INFORMATION ON OUR WEBSITE AND 

270
00:10:28,288 --> 00:10:30,524
DO REGULAR UPDATES THROUGH OUR 

271
00:10:30,524 --> 00:10:32,292
LIST SERVE AND WILL MAKE SURE TO

272
00:10:32,292 --> 00:10:33,894
INCLUDE THAT NOTE IN THERE.

273
00:10:33,894 --> 00:10:35,729
IF THERE'S INTEREST WE ENCOURAGE

274
00:10:35,729 --> 00:10:39,867
PEOPLE TO TUNE IN FOR THAT.

275
00:10:39,867 --> 00:10:41,935
THE RECOMMENDATIONS FOR THAT 

276
00:10:41,935 --> 00:10:43,370
WORK GROUP WILL BE RELEASED 

277
00:10:43,370 --> 00:10:44,571
PUBLICALLY AIMED FOR THE 

278
00:10:44,571 --> 00:10:46,073
BEGINNING OF 2025.

279
00:10:46,073 --> 00:10:50,944
AND THEN FINALLY, JUST WANTED TO

280
00:10:50,944 --> 00:10:57,885
NOTE A RECENT PUBLICATION BY 

281
00:10:57,885 --> 00:11:07,928
STAFF AND THE WORK IMPORTANT FOR

282
00:11:07,928 --> 00:11:11,265
ENHANCING PUBLIC WORK AND WE 

283
00:11:11,265 --> 00:11:13,167
STOOD UP THE WORK THAT YOU DO 

284
00:11:13,167 --> 00:11:19,039
BUT WE ALSO STILL KNOW THERE'S A

285
00:11:19,039 --> 00:11:21,041
LOT OF MISUNDERSTANDING OR 

286
00:11:21,041 --> 00:11:24,478
MISINFORMATION ABOUT THE WORK 

287
00:11:24,478 --> 00:11:27,648
AND IT'S MULTI-YEAR.

288
00:11:27,648 --> 00:11:32,452
WE HEAR THE DIETARY GUIDELINES 

289
00:11:32,452 --> 00:11:34,788
IS FOR HELPING PEOPLE AND WE 

290
00:11:34,788 --> 00:11:37,791
SPEAK TO MISINFORMATION WE WERE 

291
00:11:37,791 --> 00:11:43,997
CONSISTENTLY HEARING.

292
00:11:43,997 --> 00:11:46,266
AND THE DIETARY GUIDELINES IS 

293
00:11:46,266 --> 00:11:49,536
FOR HEALTHY POPULATIONS TO 

294
00:11:49,536 --> 00:11:53,907
ADDRESS THAT THROUGH THE 

295
00:11:53,907 --> 00:11:55,809
APPLICATION.

296
00:11:55,809 --> 00:11:59,112
AT THE END OF THE DAY AND ALSO 

297
00:11:59,112 --> 00:12:02,416
WITH THE PUBLIC TO SUPPORT 

298
00:12:02,416 --> 00:12:04,218
UPTAKE OF THE RECOMMENDATIONS 

299
00:12:04,218 --> 00:12:05,419
AND HOPE THE INFORMATION ON 

300
00:12:05,419 --> 00:12:07,754
DIETARY GUIDELINES.gov AND THIS 

301
00:12:07,754 --> 00:12:10,390
WEBSITE WILL HELP PROVIDE MORE 

302
00:12:10,390 --> 00:12:11,491
TRANSPARENCY AND TRUST IN THE 

303
00:12:11,491 --> 00:12:13,460
RIGOR AND WORK THAT YOU DO, THE 

304
00:12:13,460 --> 00:12:17,898
WORK THE STAFF DOES AND THE WORK

305
00:12:17,898 --> 00:12:23,070
OF THE PROCESS.

306
00:12:23,070 --> 00:12:29,176
WITH THAT I'M HAPPY TO ANSWER 

307
00:12:29,176 --> 00:12:33,447
ANY QUESTIONS OR ANY.

308
00:12:33,447 --> 00:12:38,518
>> HOW WILL THE WORK THAT
THE 

309
00:12:38,518 --> 00:12:40,120
SUBCOMMITTEE 3 IS WORKING ON THE

310
00:12:40,120 --> 00:12:41,889
MODELLING OF THE DIETS 

311
00:12:41,889 --> 00:12:43,790
INCORPORATED WITH THE 

312
00:12:43,790 --> 00:12:44,157
SUSTAINABILITY?

313
00:12:44,157 --> 00:12:45,392
BECAUSE IT WILL BE NIGHT TO BE 

314
00:12:45,392 --> 00:12:50,364
ABLE TO PAIR THOSE AND SEE IF 

315
00:12:50,364 --> 00:12:53,901
WHAT WE ARE SUGGESTINGS HAN 

316
00:12:53,901 --> 00:12:56,403
IMPACT OR EVEN POSSIBLE -- WILL 

317
00:12:56,403 --> 00:12:59,373
BE THE IMPLICATIONS?

318
00:12:59,373 --> 00:13:00,073
IS THERE A TIME TO COMPLEMENT 

319
00:13:00,073 --> 00:13:10,317
THOSE THINGS?

320
00:13:12,486 --> 00:13:14,488
>> IT'S A CONCURRENT WITH
THE 

321
00:13:14,488 --> 00:13:16,556
FOOD MODELLING WORK Y'ALL ARE 

322
00:13:16,556 --> 00:13:17,724
DOING.

323
00:13:17,724 --> 00:13:19,927
ARE CONSIDERATIONS AROUND 

324
00:13:19,927 --> 00:13:21,528
SUSTAINABILITY IS THAT A 

325
00:13:21,528 --> 00:13:22,696
SYSTEMATIC REVIEW OR WITHIN A 

326
00:13:22,696 --> 00:13:23,397
MODELLING ACTIVITY.

327
00:13:23,397 --> 00:13:26,166
I WOULD SAY PROBABLY FOR THIS 

328
00:13:26,166 --> 00:13:29,469
COMMITTEE WORK WE WON'T 

329
00:13:29,469 --> 00:13:31,204
INTEGRATE IT YOUR CONSIDERATIONS

330
00:13:31,204 --> 00:13:34,741
IN THE MODELLING 

331
00:13:34,741 --> 00:13:35,108
RECOMMENDATIONS.

332
00:13:35,108 --> 00:13:36,910
BUT IT'S A GREAT CONSIDERATION 

333
00:13:36,910 --> 00:13:37,878
WHERE IT COULD BE CONSIDERED 

334
00:13:37,878 --> 00:13:44,518
WITHIN THE PROCESS.

335
00:13:44,518 --> 00:13:46,887
>> MY QUESTION IS SIMILAR.

336
00:13:46,887 --> 00:13:49,690
BECAUSE I NOTICE THE PLANNING 

337
00:13:49,690 --> 00:13:51,191
HAPPENING IN THE 2025 REVIEW OF 

338
00:13:51,191 --> 00:13:52,125
THE PROCESS.

339
00:13:52,125 --> 00:13:55,796
I WONDER IF THE 2020 GUIDELINES 

340
00:13:55,796 --> 00:13:59,199
MAY BE A TEST RUN FOR WHATEVER 

341
00:13:59,199 --> 00:14:01,568
IS HAPPENING WING THE 

342
00:14:01,568 --> 00:14:05,472
SUSTAINABILITY CONVERSATION AND 

343
00:14:05,472 --> 00:14:06,373
UPDATED WITH REAL TIME 

344
00:14:06,373 --> 00:14:06,840
INFORMATION ONCE THE 

345
00:14:06,840 --> 00:14:13,180
DELIBERATION IS OVER.

346
00:14:13,180 --> 00:14:15,949
>> I THINK THAT'S GREAT
INPUT.

347
00:14:15,949 --> 00:14:18,051
THERE ARE A FEW OF US WHO 

348
00:14:18,051 --> 00:14:20,220
SUPPORT THAT WORK GROUP.

349
00:14:20,220 --> 00:14:25,325
IT IS A WORK GROUP SUPPORTED BY 

350
00:14:25,325 --> 00:14:28,762
USDA RESEARCH AND ECONOMICS 

351
00:14:28,762 --> 00:14:35,969
COMMITTEE AS WELL AS HHS' OASH.

352
00:14:35,969 --> 00:14:37,304
WE HAVE NUMBERS BUT NOT LEADING 

353
00:14:37,304 --> 00:14:37,804
IT.

354
00:14:37,804 --> 00:14:38,705
WE CAN BRING THE COMMENTS BACK 

355
00:14:38,705 --> 00:14:40,941
TO THAT FROUP.

356
00:14:40,941 --> 00:14:42,743
-- GROUP AS THEY CONTINUE TO 

357
00:14:42,743 --> 00:14:53,086
WORK ON THIS TOPIC.

358
00:14:56,023 --> 00:14:59,826
>> ONE OF THE REASONS YOU 

359
00:14:59,826 --> 00:15:02,129
PUBLISHED IS THE ISSUE WITH 

360
00:15:02,129 --> 00:15:05,298
TRANSPARENCY IN OUR WORK AND WE 

361
00:15:05,298 --> 00:15:08,168
STRUGGLED WITH MAKING SURE 

362
00:15:08,168 --> 00:15:08,802
TREMENDOUS SYSTEMATIC REVIEWS 

363
00:15:08,802 --> 00:15:10,470
ARE TRANSPARENT TO THE PUBLIC.

364
00:15:10,470 --> 00:15:11,838
MAKING SURE THE WORK WE PUT INTO

365
00:15:11,838 --> 00:15:21,181
THIS IS SEEN BY THE PUBLIC I 

366
00:15:21,181 --> 00:15:24,484
THINK WHEN WE LOOK AT THIS SET 

367
00:15:24,484 --> 00:15:26,153
OF GUIDELINES AND MAKE SURE THE 

368
00:15:26,153 --> 00:15:27,020
TREMENDOUS NUMBER OF WORK HOURS 

369
00:15:27,020 --> 00:15:29,389
THE STAFF HAS PUT IN AND THE 

370
00:15:29,389 --> 00:15:30,757
COMMITTEE'S PUT IN IS PUBLIC SO 

371
00:15:30,757 --> 00:15:33,894
THEY GET TO SEE THE VOLUME OF 

372
00:15:33,894 --> 00:15:37,564
WORK THAT'S BEEN PUT IN.

373
00:15:37,564 --> 00:15:39,299
THE TRANSPARENCY EITHER THROUGH 

374
00:15:39,299 --> 00:15:41,902
ANOTHER OUTLET IS MADE KNOWN TO 

375
00:15:41,902 --> 00:15:49,810
THE PUBLIC AND MAKING SURE THIS 

376
00:15:49,810 --> 00:15:55,816
ISN'T JUST FOR HEALTHY AND 

377
00:15:55,816 --> 00:15:57,484
REVALING THAT TO THE PUBLIC AND 

378
00:15:57,484 --> 00:16:00,420
IF YOU WANT TO COMMENT ON THAT, 

379
00:16:00,420 --> 00:16:01,822
THAT'D BE GREAT.

380
00:16:01,822 --> 00:16:07,160
>> AGREE 100%.

381
00:16:07,160 --> 00:16:08,929
THERE'S A NUMBER OF PRODUCTS 

382
00:16:08,929 --> 00:16:11,898
FROM THE COMMITTEE'S WORK AND 

383
00:16:11,898 --> 00:16:13,366
PROVIDES INFORMATION ON WHAT WAS

384
00:16:13,366 --> 00:16:17,170
DONE AND SUGGESTIONS MADE AND 

385
00:16:17,170 --> 00:16:19,005
THE FULL SYSTEMATIC REVIEWS 

386
00:16:19,005 --> 00:16:21,341
AVAILABLE AND ALSO PROVIDE AND 

387
00:16:21,341 --> 00:16:22,542
THAT WILL BE THE FULL SYSTEMATIC

388
00:16:22,542 --> 00:16:24,511
REVIEW REPORT AND THEN WE'LL 

389
00:16:24,511 --> 00:16:28,081
ALSO HAVE ALL THE FOOD PATTERN 

390
00:16:28,081 --> 00:16:30,417
MODELLING ANALYSES AVAILABLE 

391
00:16:30,417 --> 00:16:32,919
THROUGH DIETARY GUIDELINES.gov 

392
00:16:32,919 --> 00:16:36,523
AND ACCESS THE REVIEWS THROUGH 

393
00:16:36,523 --> 00:16:39,192
THAT WILL AS A FUNNEL FOR ALL 

394
00:16:39,192 --> 00:16:40,427
THESE PIECES.

395
00:16:40,427 --> 00:16:43,196
WE'VE BEEN OPEN AND HAVE HAD 

396
00:16:43,196 --> 00:16:44,898
CONVERSATIONS ABOUT DOING ALSO 

397
00:16:44,898 --> 00:16:46,533
PUBLISHING AND JOURNAL ARTICLES 

398
00:16:46,533 --> 00:16:48,702
AND PREVIOUS COMMITTEES HAVE 

399
00:16:48,702 --> 00:16:52,973
DONE THAT IN CERTAIN TOPICS BUT 

400
00:16:52,973 --> 00:16:55,809
WE THINK THAT'S REALLY IMPORTANT

401
00:16:55,809 --> 00:16:57,878
TO THE PROCESS AS WELL THE.

402
00:16:57,878 --> 00:17:00,013
SO IF THERE'S INTEREST IN DOING 

403
00:17:00,013 --> 00:17:03,583
ANY PUBLICATION OF ANY OF THE 

404
00:17:03,583 --> 00:17:04,985
SYSTEMATIC REVIEW, FOOD PATTERN 

405
00:17:04,985 --> 00:17:06,253
MODELLING OR OTHER WORK WE'D BE 

406
00:17:06,253 --> 00:17:06,887
HAPPY TO SUPPORT THAT WITH THE 

407
00:17:06,887 --> 00:17:17,063
COMMITTEE.

408
00:17:22,969 --> 00:17:25,605
>> WITH THAT I'LL TURN IT
OVER 

409
00:17:25,605 --> 00:17:31,811
TO DR. EICHER-MILLER TO CONTINUE

410
00:17:31,811 --> 00:17:32,979
THE ANALYSIS.

411
00:17:32,979 --> 00:17:34,981
>> I HAVE RESULTS FROM THE
DATA 

412
00:17:34,981 --> 00:17:35,582
ANALYSIS PORTION.

413
00:17:35,582 --> 00:17:36,950
I WANT TO REMIND EVERYBODY THE 

414
00:17:36,950 --> 00:17:38,552
DATA ANALYSIS IS ONE OF THE 

415
00:17:38,552 --> 00:17:42,289
THREE APPROACHES THAT WE USE IN 

416
00:17:42,289 --> 00:17:44,424
ULTIMATELY INFORMING OUR REPORT 

417
00:17:44,424 --> 00:17:53,266
FOR THE GUIDELINES.

418
00:17:53,266 --> 00:17:54,868
AND DATA ANALYSIS GIVES US 

419
00:17:54,868 --> 00:17:58,371
ANALYSIS ON THE UPDATES MOST 

420
00:17:58,371 --> 00:18:01,041
CURRENTLY AND I WANT TO 

421
00:18:01,041 --> 00:18:03,710
RECOGNIZE I HAVE THREE WONDERFUL

422
00:18:03,710 --> 00:18:06,279
ADDITIONAL PRESENTERS TODAY FROM

423
00:18:06,279 --> 00:18:13,987
OUR COMMITTEE, DR. TOBIAS AND 

424
00:18:13,987 --> 00:18:15,589
DR. FUNG TO HELP GIVE THE 

425
00:18:15,589 --> 00:18:17,891
RESULTS OF THE WORK.

426
00:18:17,891 --> 00:18:20,293
LET'S GET STARTED THEN.

427
00:18:20,293 --> 00:18:22,195
FIRST I'LL QUICKLY REVIEW OUR 

428
00:18:22,195 --> 00:18:29,903
PROGRESS TO REMIND YOU WHERE WE 

429
00:18:29,903 --> 00:18:40,347
ARE WE'LL BE SHARING OUR 

430
00:18:40,580 --> 00:18:44,484
HIGH-LEVEL SUMMARY OF WHAT WE 

431
00:18:44,484 --> 00:18:49,089
FOUND AND THEN MOVE AND THEN WE 

432
00:18:49,089 --> 00:18:53,426
HAVE AN A DISCUSSION AND BEFORE 

433
00:18:53,426 --> 00:18:58,164
WE SURED THE RESULTS I WANT TO 

434
00:18:58,164 --> 00:19:01,901
KEEP IN YOUR MIND YOU OF A FEW 

435
00:19:01,901 --> 00:19:09,843
THINGS OF COMMITMENT.

436
00:19:09,843 --> 00:19:12,412
WE HAD REQUESTED OUT TO SEVERAL 

437
00:19:12,412 --> 00:19:14,114
FEDERAL PARTNERS THE AGRICULTURE

438
00:19:14,114 --> 00:19:15,849
RESEARCH SERVICE, THE CENTER FOR

439
00:19:15,849 --> 00:19:18,451
DISEASE CONTROL AND PREVENTION 

440
00:19:18,451 --> 00:19:20,820
AND THE NATIONAL CANCER 

441
00:19:20,820 --> 00:19:21,488
INSTITUTE DATA SOURCE EXPERTS TO

442
00:19:21,488 --> 00:19:28,228
ANALYZE DATA FOR US.

443
00:19:28,228 --> 00:19:29,829
AND WE'VE BEEN ABLE TO COLLECT 

444
00:19:29,829 --> 00:19:33,133
THE RESULTS TOGETHER AND OUR 

445
00:19:33,133 --> 00:19:34,401
STAFF HAVE LED CREATING 

446
00:19:34,401 --> 00:19:36,102
SUMMARIES OF THE MAGNITUDE OF 

447
00:19:36,102 --> 00:19:37,404
DATA AND THOSE ARE ALL RELATED 

448
00:19:37,404 --> 00:19:39,806
TO THE FOUR QUESTIONS THAT WE 

449
00:19:39,806 --> 00:19:40,707
ASKED IN DATA ANALYSIS THAT I'LL

450
00:19:40,707 --> 00:19:43,376
GET TO IN A MINUTE.

451
00:19:43,376 --> 00:19:45,011
THEN WE AS A COMMITTEE HAVE 

452
00:19:45,011 --> 00:19:48,715
TALKED ABOUT THOSE RESULTS AND 

453
00:19:48,715 --> 00:19:50,016
SYNTHESIZED THEM AND HAVE BEEN 

454
00:19:50,016 --> 00:19:53,320
IN CLOSE COLLABORATION WITH THE 

455
00:19:53,320 --> 00:19:55,822
HEALTH EQUITY WORKING GROUP TO 

456
00:19:55,822 --> 00:20:04,230
BRING IN THAT INTEGRATION OF 

457
00:20:04,230 --> 00:20:06,333
HEALTH EQUITY ANALYSIS AND 

458
00:20:06,333 --> 00:20:07,801
INTERPRETATION OF THAT.

459
00:20:07,801 --> 00:20:10,970
MOVING FORWARD, WHEN WE REVIEWED

460
00:20:10,970 --> 00:20:14,941
THE EVIDENCE WE ADDRESSED THESE 

461
00:20:14,941 --> 00:20:16,609
FOUR QUESTIONS SO WE'LL GO OVER 

462
00:20:16,609 --> 00:20:18,845
THEM TODAY IN THIS ORDER AS 

463
00:20:18,845 --> 00:20:19,346
WELL.

464
00:20:19,346 --> 00:20:20,513
THE FIRST WAS WHAT ARE THE 

465
00:20:20,513 --> 00:20:24,150
CURRENT PATTERNS OF FOOD AND 

466
00:20:24,150 --> 00:20:25,485
BEVERAGE CONSUMPTION IN THE 

467
00:20:25,485 --> 00:20:26,686
POPULATION AND TO REMIND YOU OF 

468
00:20:26,686 --> 00:20:30,924
WHAT WE MEAN BY PATTERNS, THIS 

469
00:20:30,924 --> 00:20:31,691
IS GETTING TO OVER ALL DIET 

470
00:20:31,691 --> 00:20:33,993
QUALITY AND A LOOK AT THE 

471
00:20:33,993 --> 00:20:36,796
DIFFERENT EATING OCCASIONS LIKE 

472
00:20:36,796 --> 00:20:39,065
EATING BREAKFAST, EATING SNACKS.

473
00:20:39,065 --> 00:20:40,433
AND CONSUMPTION OF BEVERAGES.

474
00:20:40,433 --> 00:20:42,702
THOSE ARE THINGS WE COVER IN 

475
00:20:42,702 --> 00:20:43,269
PATTERNS.

476
00:20:43,269 --> 00:20:45,305
THEN WE ALSO GATHERED ANALYSIS 

477
00:20:45,305 --> 00:20:48,308
ON THE CURRENT INTAKE OF FOOD 

478
00:20:48,308 --> 00:20:51,077
GROUPS, NUTRIENTS AND DIETARY 

479
00:20:51,077 --> 00:20:53,980
COMPONENTS AND WE TOOK A LOOK AT

480
00:20:53,980 --> 00:20:57,617
WHERE WE ARE WITH AS A 

481
00:20:57,617 --> 00:21:00,954
POPULATION WITH REGARD TO 

482
00:21:00,954 --> 00:21:02,655
NUTRITION-RELATED CHRONIC HEALTH

483
00:21:02,655 --> 00:21:05,058
CONDITIONS BECAUSE DIET IS 

484
00:21:05,058 --> 00:21:06,059
HEAVILY RELATED TO THE 

485
00:21:06,059 --> 00:21:08,328
PREVALENCE OF THOSE CONDITIONS.

486
00:21:08,328 --> 00:21:11,464
SO WE NEED THAT TO GROUND US.

487
00:21:11,464 --> 00:21:15,902
FINALLY, WE USED THAT CURRENT 

488
00:21:15,902 --> 00:21:17,237
INTAKE INFORMATION FOR OUR 

489
00:21:17,237 --> 00:21:21,508
QUESTION 2 TO INFORM HOW WE ARE 

490
00:21:21,508 --> 00:21:22,909
FLAGGING CERTAIN NUTRIENTS AND 

491
00:21:22,909 --> 00:21:26,212
DIETARY COMPONENTS THAT ARE A 

492
00:21:26,212 --> 00:21:29,716
PROBLEM IN THEIR MAGNITUDE OF 

493
00:21:29,716 --> 00:21:30,817
UNDER OR OVER CONSUMPTION IN THE

494
00:21:30,817 --> 00:21:35,989
U.S. THEY RISE TO THE LEVEL OF 

495
00:21:35,989 --> 00:21:37,323
PUBLIC HEALTH CONCERN.

496
00:21:37,323 --> 00:21:42,128
THAT WAS OUR FOURTH PIECE OF THE

497
00:21:42,128 --> 00:21:45,698
ANALYSIS.

498
00:21:45,698 --> 00:21:46,866
AND THEN REMIND YOU WHERE WE'RE 

499
00:21:46,866 --> 00:21:48,101
GETTING THE DATA.

500
00:21:48,101 --> 00:21:50,069
WHAT THE RESULTS -- WHO THEY 

501
00:21:50,069 --> 00:21:51,704
REPRESENT AND WHERE THAT DATA'S 

502
00:21:51,704 --> 00:21:56,042
COMING FROM.

503
00:21:56,042 --> 00:22:00,046
SO WE'VE ALREADY MENTION ED 42 

504
00:22:00,046 --> 00:22:03,049
WHAT WE EAT IN AMERICA DATA UP 

505
00:22:03,049 --> 00:22:05,819
TO TWO 24-RECALLS FOR EACH 

506
00:22:05,819 --> 00:22:08,788
PERSON IN THE SAMPLE FROM THE 

507
00:22:08,788 --> 00:22:11,791
NATIONAL HEALTH AND NUTRITION 

508
00:22:11,791 --> 00:22:12,492
EXAMINATION SURVEY.

509
00:22:12,492 --> 00:22:14,427
WITH THAT DATA WE CAN CREATE 

510
00:22:14,427 --> 00:22:15,728
ESTIMATES OF USUAL INTAKE FOR 

511
00:22:15,728 --> 00:22:16,429
THE POPULATION OR FOR OUR 

512
00:22:16,429 --> 00:22:22,368
SUBGROUPS.

513
00:22:22,368 --> 00:22:24,204
THAT DATA RELIES ON THREE 

514
00:22:24,204 --> 00:22:25,905
ADDITIONAL DATABASES TO SUPPORT 

515
00:22:25,905 --> 00:22:26,139
THAT.

516
00:22:26,139 --> 00:22:28,775
FROM THAT DATA WE GET THE FOODS 

517
00:22:28,775 --> 00:22:30,210
BUT WE ALSO NEED TO UNDERSTAND 

518
00:22:30,210 --> 00:22:31,811
THE COMPONENTS OF THE FOODS AND 

519
00:22:31,811 --> 00:22:32,879
THE NUTRIENTS.

520
00:22:32,879 --> 00:22:37,817
SO THAT'S COMING FROM THE FOOD 

521
00:22:37,817 --> 00:22:44,157
AND NUTRIENT DATABASE FOR 

522
00:22:44,157 --> 00:22:46,426
DIETARY FOOD BASE AND WE TALKED 

523
00:22:46,426 --> 00:22:50,396
ABOUT LASAGNA AND TALKING ABOUT 

524
00:22:50,396 --> 00:22:52,732
THE GRAIN GROUP, VEGETABLE 

525
00:22:52,732 --> 00:22:54,400
GROUP, PROTEIN GROUP.

526
00:22:54,400 --> 00:22:57,170
THE FOOD PATTERN EQUIVALENCE 

527
00:22:57,170 --> 00:22:58,371
DATABASE ALLOWS US TO DO THAT 

528
00:22:58,371 --> 00:23:00,740
AND THEN WITH NEED TO CATEGORIZE

529
00:23:00,740 --> 00:23:01,007
THOSE FROM THE

530
00:23:05,812 --> 00:23:07,347
WWEIA FOOD CATEGORIES.

531
00:23:07,347 --> 00:23:09,048
THE RESOURCE ON CURRENT INTAKES 

532
00:23:09,048 --> 00:23:13,186
FROM THE DATA SOURCE IS TRULY 

533
00:23:13,186 --> 00:23:16,456
SUPER IMPORTANT FOR UPDATING THE

534
00:23:16,456 --> 00:23:16,823
GUIDELINES.

535
00:23:16,823 --> 00:23:17,824
WE'VE USED THAT TO ADDRESS ALL 

536
00:23:17,824 --> 00:23:19,826
FOUR OF OUR QUESTIONS.

537
00:23:19,826 --> 00:23:23,596
WE RELIED ON A FEW ADDITIONAL 

538
00:23:23,596 --> 00:23:24,531
DATA SOURCES.

539
00:23:24,531 --> 00:23:26,499
FOR DATA ON BREAST FEEDING 

540
00:23:26,499 --> 00:23:29,335
INITIATION AND DURATION, WE'VE 

541
00:23:29,335 --> 00:23:31,004
USED THE NATIONAL IMMUNIZATION 

542
00:23:31,004 --> 00:23:32,872
SURVEY FOR THE CHILD.

543
00:23:32,872 --> 00:23:38,244
WE'VE ALSO GOTTEN INFORMATION ON

544
00:23:38,244 --> 00:23:39,879
BREAST FEEDING INITIATION AND 

545
00:23:39,879 --> 00:23:42,348
DURATION AND MATERNAL 

546
00:23:42,348 --> 00:23:43,816
GESTATIONAL CONDITIONS FROM THE 

547
00:23:43,816 --> 00:23:45,218
NATIONAL VITAL STATISTICS 

548
00:23:45,218 --> 00:23:45,652
SYSTEM.

549
00:23:45,652 --> 00:23:47,754
THEN WE'VE USED THE NATIONAL 

550
00:23:47,754 --> 00:23:51,457
HEALTH INTERVIEW SURVEY FOR 

551
00:23:51,457 --> 00:23:53,893
SELF-REPORTED DATA ON CHRONIC 

552
00:23:53,893 --> 00:24:00,600
HEALTH CONDITIONS IN ADDITION TO

553
00:24:00,600 --> 00:24:03,603
CLINICAL TO CHRONIC HEALTH 

554
00:24:03,603 --> 00:24:05,905
CONDITIONS WE'VE GOTTEN FROM 

555
00:24:05,905 --> 00:24:16,316
NHANES AND UTILIZED THE 

556
00:24:16,783 --> 00:24:17,884
SURVEILLANCE EPIDEMIOLOGY AND 

557
00:24:17,884 --> 00:24:19,619
CANCER BASED REGISTRIES AND 

558
00:24:19,619 --> 00:24:20,286
THAT'S WHERE OUR DATA IS COMING 

559
00:24:20,286 --> 00:24:23,590
FROM.

560
00:24:23,590 --> 00:24:26,092
WE HAVE SOME -- THOUGH THIS IS A

561
00:24:26,092 --> 00:24:27,927
WONDERFUL RESOURCE FOR US WE 

562
00:24:27,927 --> 00:24:29,862
STILL HAVE SOME LIMITATIONS AND 

563
00:24:29,862 --> 00:24:31,297
CONSIDERATIONS WE HAVE TO KEEP 

564
00:24:31,297 --> 00:24:38,304
IN MIND WITH THIS DATA.

565
00:24:38,304 --> 00:24:40,473
WHEN WE'RE DOING ANALYSIS AND 

566
00:24:40,473 --> 00:24:41,874
BREAKING OUR POPULATION DOWN TO 

567
00:24:41,874 --> 00:24:50,950
LOOK AT CERTAIN SUB GROUPS.

568
00:24:50,950 --> 00:24:55,655
AND WE CAN HAVE SMALLER SAMPLE 

569
00:24:55,655 --> 00:24:57,690
SIZES SOMETIMES WE HAVE TROUBLE 

570
00:24:57,690 --> 00:24:59,292
FWETH RELIABLE ESTIMATES FROM.

571
00:24:59,292 --> 00:25:01,761
SO WHEN YOU SEE -- WHEN WE 

572
00:25:01,761 --> 00:25:04,998
DIDN'T HAVE THAT ROBUSTNESS IN 

573
00:25:04,998 --> 00:25:06,766
THE CONFIDENCE INTERVALS IN THE 

574
00:25:06,766 --> 00:25:08,301
DATA, WE'LL INDICATE THAT IN THE

575
00:25:08,301 --> 00:25:09,636
SLIDES WITH THE STAR.

576
00:25:09,636 --> 00:25:11,270
SO WE DON'T SHOW SOME OF THOSE 

577
00:25:11,270 --> 00:25:11,904
ESTIMATES WHERE WE HAVE TROUBLE 

578
00:25:11,904 --> 00:25:17,276
THERE.

579
00:25:17,276 --> 00:25:18,945
ALSO TO GET RELIABLE ESTIMATES 

580
00:25:18,945 --> 00:25:21,614
SOMETIMES WE HAD TO ADD TOGETHER

581
00:25:21,614 --> 00:25:24,951
MULTIPLE YEARS OF SURVEY DATA.

582
00:25:24,951 --> 00:25:28,755
IN THOSE CASES IT WOULDN'T 

583
00:25:28,755 --> 00:25:29,622
REPRESENT THE CURRENT COUPLE 

584
00:25:29,622 --> 00:25:29,822
YEARS.

585
00:25:29,822 --> 00:25:30,623
IT'S MORE OF AN ESTIMATE OVER 

586
00:25:30,623 --> 00:25:39,232
TIME.

587
00:25:39,232 --> 00:25:41,167
AND FOR THE DIFFERENT GROUPS WE 

588
00:25:41,167 --> 00:25:44,570
BROKE DOWN THE INTAKE LOOKS AT, 

589
00:25:44,570 --> 00:25:47,940
WE DIDN'T TEST FOR STATISTICALLY

590
00:25:47,940 --> 00:25:48,574
SIGNIFICANT DIFFERENCES AMONG 

591
00:25:48,574 --> 00:25:50,576
THOSE GROUPS.

592
00:25:50,576 --> 00:25:53,212
SO YOU HAVE TO REMEMBER WHEN YOU

593
00:25:53,212 --> 00:25:54,681
SEE PREVALENCE ESTIMATES THAT 

594
00:25:54,681 --> 00:25:57,517
ARE A FEW PERCENTAGE POINTS 

595
00:25:57,517 --> 00:25:58,885
DIFFERENT THEY MAY NOT REPRESENT

596
00:25:58,885 --> 00:26:01,821
ACTUAL DIFFERENCES THAT ARE 

597
00:26:01,821 --> 00:26:02,789
MEANINGFUL.

598
00:26:02,789 --> 00:26:05,725
AND THEN THEN FINALLY WITH A LOT

599
00:26:05,725 --> 00:26:08,361
OF THE DIETARY DATA IT'S ALL 

600
00:26:08,361 --> 00:26:08,695
SELF-REPORTED.

601
00:26:08,695 --> 00:26:13,066
SO WE DO KIND OF HAVE MORE 

602
00:26:13,066 --> 00:26:14,167
KNOWLEDGE OF WHAT KINDS OF 

603
00:26:14,167 --> 00:26:17,870
ERRORS FOR ADULTS REPORTING 

604
00:26:17,870 --> 00:26:20,073
THEIR DIET.

605
00:26:20,073 --> 00:26:22,475
BUT FOR PROXY REPORTING OF 

606
00:26:22,475 --> 00:26:25,178
ADULTS ON KIDS DATA WE HAVE LESS

607
00:26:25,178 --> 00:26:27,146
OF AN UNDERSTANDING OF WHAT KIND

608
00:26:27,146 --> 00:26:30,183
OF ERROR MIGHT BE PART OF THOSE 

609
00:26:30,183 --> 00:26:30,450
ESTIMATES.

610
00:26:30,450 --> 00:26:33,352
SO THAT'S JUST IMPORTANT TO KEEP

611
00:26:33,352 --> 00:26:34,854
IN MIND WHEN WE'RE CONSIDERATION

612
00:26:34,854 --> 00:26:36,889
ALL THIS DATA.

613
00:26:36,889 --> 00:26:39,759
MOVING ON, THEN I MENTIONED WE 

614
00:26:39,759 --> 00:26:42,895
BROKE OUR DATA DOWN TO LOOK AT 

615
00:26:42,895 --> 00:26:44,764
THE DIFFERENT POPULATIONS 

616
00:26:44,764 --> 00:26:46,265
SUBGROUPS AND FOR MOST ANALYSES 

617
00:26:46,265 --> 00:26:49,669
WE WERE ABLE TO DO THAT FOR THE 

618
00:26:49,669 --> 00:26:52,772
7 THINGS LISTED ON THE LEFT, AGE

619
00:26:52,772 --> 00:26:57,009
GROUP AND LIFE STAGE, SEX, RACE 

620
00:26:57,009 --> 00:27:00,079
AND/OR ETHNICITY, POVERTY INCOME

621
00:27:00,079 --> 00:27:01,714
RATIO, FOOD SECURITY, RECEIVING 

622
00:27:01,714 --> 00:27:05,651
FOOD STAMPS OR SNAP OR NOT OR 

623
00:27:05,651 --> 00:27:06,819
RECEIVING WIC OR NOT.

624
00:27:06,819 --> 00:27:10,089
WHEN AVAILABLE WE ALSO LOOKED AT

625
00:27:10,089 --> 00:27:14,327
SEVERAL OTHER KINDS OF 

626
00:27:14,327 --> 00:27:15,294
CHARACTERISTICS OR SITUATIONS.

627
00:27:15,294 --> 00:27:17,497
AND I WON'T REVIEW EACH ONE OF 

628
00:27:17,497 --> 00:27:17,764
THOSE.

629
00:27:17,764 --> 00:27:20,733
I ALSO WANT TO NOTE WHAT WE'RE 

630
00:27:20,733 --> 00:27:23,803
SAYING TODAY I SAID BEFORE IT 

631
00:27:23,803 --> 00:27:25,671
CAN'T BE EVERYTHING BUT YOU CAN 

632
00:27:25,671 --> 00:27:27,607
SEE EVERYTHING IN THE REPORT 

633
00:27:27,607 --> 00:27:30,443
THAT WE WILL BE PUBLISHING 

634
00:27:30,443 --> 00:27:30,877
ONLINE.

635
00:27:30,877 --> 00:27:31,844
SO THAT WILL ALL BE OUT THERE 

636
00:27:31,844 --> 00:27:42,221
FOR ANYONE TO LOOK AT.

637
00:27:45,892 --> 00:27:48,661
WE DIDN'T ALWAYS DO STATISTICAL 

638
00:27:48,661 --> 00:27:49,362
TESTING.

639
00:27:49,362 --> 00:27:50,730
WE ALREADY ADDRESSED THAT.

640
00:27:50,730 --> 00:27:53,833
THERE'S ALSO MANY COMPLEX 

641
00:27:53,833 --> 00:27:56,402
FACTORS AT PLAY HERE LIKE SO 

642
00:27:56,402 --> 00:27:58,437
WHEN WE'RE BREAKING DOWN GROUP 

643
00:27:58,437 --> 00:28:03,609
BY SOCIO ECONOMIC STAT FOR 

644
00:28:03,609 --> 00:28:04,877
EXAMPLE WE CAN'T SAY THE REASONS

645
00:28:04,877 --> 00:28:06,345
ARE ATTRIBUTED TO THAT FACTOR 

646
00:28:06,345 --> 00:28:11,083
AND THAT RELATES TO THE NEXT 

647
00:28:11,083 --> 00:28:12,919
POINT TOO ON EACH OF US BELONG 

648
00:28:12,919 --> 00:28:13,753
TO MANY GROUPS.

649
00:28:13,753 --> 00:28:17,356
WHEN WE BREAK DOWN BY JUST ONE 

650
00:28:17,356 --> 00:28:22,495
GROUP, THERE CAN BE THINGS 

651
00:28:22,495 --> 00:28:26,065
HIDDEN IN THE DATA THAT COULD BE

652
00:28:26,065 --> 00:28:27,500
PART OF THE REASON FOR THE 

653
00:28:27,500 --> 00:28:28,501
DIFFERENCES BUT WE DON'T ALWAYS 

654
00:28:28,501 --> 00:28:29,902
SEE THAT BASED ON HOW WE BROKE 

655
00:28:29,902 --> 00:28:33,606
IT DOWN.

656
00:28:33,606 --> 00:28:36,442
THEN TO REMEMBER TOO ALL THE 

657
00:28:36,442 --> 00:28:37,543
DATA ARE CROSS SECTIONAL.

658
00:28:37,543 --> 00:28:39,278
THEY'RE NOT CAUSAL.

659
00:28:39,278 --> 00:28:43,783
WE CONSENT SAY THOSE FACTORS ARE

660
00:28:43,783 --> 00:28:45,151
THE REASON FOR THOSE DIFFERENCES

661
00:28:45,151 --> 00:28:45,751
OR THERE'S CAUSE AND EFFECT 

662
00:28:45,751 --> 00:28:48,921
GOING ON THERE.

663
00:28:48,921 --> 00:28:58,097
IT'S A SNAPSHOT WE HAVE.

664
00:28:58,097 --> 00:29:01,067
WITH THAT WE'LL MOVE FORWARD AND

665
00:29:01,067 --> 00:29:02,835
GIVE A BRIEF SUMMARY OF WHAT THE

666
00:29:02,835 --> 00:29:05,872
PRIOR COMMITTEE FOUND BEFORE WE 

667
00:29:05,872 --> 00:29:13,346
TALK ABOUT OUR RESULTS.

668
00:29:13,346 --> 00:29:16,449
THE 2020 COMMITTEE CONCLUDED THE

669
00:29:16,449 --> 00:29:18,684
U.S. DIETARY LAND SCAPE DIDN'T 

670
00:29:18,684 --> 00:29:21,487
CHANGE THAT MUCH WITH REGARD TO 

671
00:29:21,487 --> 00:29:23,422
THE QUALITY OF THE DIETS AND 

672
00:29:23,422 --> 00:29:25,024
INTAKES OVER THE LAST DECADE.

673
00:29:25,024 --> 00:29:27,627
AND THE PATTERNS OF FOOD GROUP 

674
00:29:27,627 --> 00:29:28,928
INTAKE ACROSS THE LIFE COURSE 

675
00:29:28,928 --> 00:29:32,598
THAT THEY FOCUSSED ON IN THAT 

676
00:29:32,598 --> 00:29:34,166
COMMITTEE WERE CONTRIBUTING TO 

677
00:29:34,166 --> 00:29:35,434
HIGHER THAN RECOMMENDED INTAKES 

678
00:29:35,434 --> 00:29:39,372
OF ADDED SUGARS, SODIUM AND 

679
00:29:39,372 --> 00:29:41,474
SATURATED FATS AND NOT ENOUGH 

680
00:29:41,474 --> 00:29:43,009
INTAKE OF FRUITS, VEGETABLES AND

681
00:29:43,009 --> 00:29:44,243
WHOLE GRAINS.

682
00:29:44,243 --> 00:29:49,415
AND THAT WAS FOR PRETTY MUCH 

683
00:29:49,415 --> 00:29:51,784
EVERYONE ACROSS THE POPULATION.

684
00:29:51,784 --> 00:29:55,154
AND THEY ALSO PROPOSED 

685
00:29:55,154 --> 00:29:56,656
GUIDELINES THEY INFORMED 

686
00:29:56,656 --> 00:29:58,824
GUIDELINES TO HELP EVERYONE MEET

687
00:29:58,824 --> 00:30:01,260
THOSE NUTRITIONAL GOALS.

688
00:30:01,260 --> 00:30:04,764
AND TO GIVE YOU OUR OVER ALL 

689
00:30:04,764 --> 00:30:09,702
SUMMARY, WE SIMILARLY FOUND THAT

690
00:30:09,702 --> 00:30:11,737
DESPITE HAVING THOSE GOALS THE 

691
00:30:11,737 --> 00:30:12,371
POPULATION ARE STILL NOT MEETING

692
00:30:12,371 --> 00:30:17,076
THE INTAKES THAT ALIGN WITH THE 

693
00:30:17,076 --> 00:30:19,812
DIETARY GUIDELINES AND FOR MANY 

694
00:30:19,812 --> 00:30:21,380
NUTRIENTS AND DIETARY COMPONENTS

695
00:30:21,380 --> 00:30:24,317
THE REQUIREMENTS ARE NOT BEING 

696
00:30:24,317 --> 00:30:24,483
MET.

697
00:30:24,483 --> 00:30:25,918
THERE IS SOME VARIATION AMONG 

698
00:30:25,918 --> 00:30:32,058
THE SUBGROUPS THAT WE LOOKED AT.

699
00:30:32,058 --> 00:30:33,693
AND YOU'LL SEE THAT IN THE DATA 

700
00:30:33,693 --> 00:30:35,995
WE PRESENT BUT THE TAKE HOME 

701
00:30:35,995 --> 00:30:38,664
MESSAGE IS THE ENTIRE POPULATION

702
00:30:38,664 --> 00:30:45,438
IS STRUGGLING TO MEET THE 

703
00:30:45,438 --> 00:30:47,673
GUIDANCE AND DOING WORK THAT 

704
00:30:47,673 --> 00:30:48,841
HELPS EVERYONE IMPROVE.

705
00:30:48,841 --> 00:30:50,509
WE'RE GETTING TO GIVE YOU THE 

706
00:30:50,509 --> 00:30:52,845
RESULTS AND THAT WILL BE OUR 

707
00:30:52,845 --> 00:30:53,679
FIRST QUESTION WHICH ARE WHAT 

708
00:30:53,679 --> 00:30:56,382
ARE THE CURRENT PATTERNS OF FOOD

709
00:30:56,382 --> 00:30:57,316
AND BEVERAGE INTAKE AND I'LL 

710
00:30:57,316 --> 00:31:00,353
TURN IT OVER TO CAROL.

711
00:31:00,353 --> 00:31:01,420
>> THANK YOU, HEATHER.

712
00:31:01,420 --> 00:31:02,388
TODAY OUR FIRST QUESTION THAT 

713
00:31:02,388 --> 00:31:04,023
WE'RE GOING TO ANSWER IS WHAT 

714
00:31:04,023 --> 00:31:05,891
ARE THE CURRENT PATTERNS OF FOOD

715
00:31:05,891 --> 00:31:11,163
AND BEVERAGE INTAKE.

716
00:31:11,163 --> 00:31:13,499
FOR EACH DATA ANALYSIS QUESTION 

717
00:31:13,499 --> 00:31:14,934
WE'LL BE LOOKING AT WE'VE 

718
00:31:14,934 --> 00:31:16,869
IDENTIFIED KEY THEMES.

719
00:31:16,869 --> 00:31:23,576
ONE MAJOR THEME IS THE HEI 2020 

720
00:31:23,576 --> 00:31:25,678
SCORES DIETARY PATTERNS DO NOT 

721
00:31:25,678 --> 00:31:28,080
ALIGN WITH THE DIETARY 

722
00:31:28,080 --> 00:31:30,383
GUIDELINES AMONG ANY SOCIO 

723
00:31:30,383 --> 00:31:31,984
ECONOMIC GROUPS AND NOTICE KEY 

724
00:31:31,984 --> 00:31:34,286
THEMES FOR BEVERAGE PATTERNS 

725
00:31:34,286 --> 00:31:37,023
RELATIVE TO SUBCOMMITTEE 1, 

726
00:31:37,023 --> 00:31:40,726
HUMAN MILK FEEDING AND EATING 

727
00:31:40,726 --> 00:31:41,827
OCCASIONS INCLUDE BREAKFAST, 

728
00:31:41,827 --> 00:31:44,830
SNACKING AND LATE-EVENING 

729
00:31:44,830 --> 00:31:46,699
CONSUMPTION RELEVANT TO 

730
00:31:46,699 --> 00:31:47,066
SUBCOMMITTEE 4.

731
00:31:47,066 --> 00:31:50,970
MOVING ON, AS YOU MAY RECALL 

732
00:31:50,970 --> 00:31:53,039
FROM MEETING 3 WE PRESENTED DATA

733
00:31:53,039 --> 00:31:57,543
ON THE HEI 2020 SCORES WE WANT 

734
00:31:57,543 --> 00:32:05,885
TO REFRESH YOUR MEMORY ON.

735
00:32:05,885 --> 00:32:07,653
THE HEALTHY EATING ARE MEASURES 

736
00:32:07,653 --> 00:32:09,355
OF DIET QUALITY WITH 13 

737
00:32:09,355 --> 00:32:10,356
COMPONENTS USED TO ASSESS HOW 

738
00:32:10,356 --> 00:32:12,458
WELL A SET OF FOODS ALIGN WITH 

739
00:32:12,458 --> 00:32:15,327
THE KEY RECOMMENDATIONS FOR THE 

740
00:32:15,327 --> 00:32:17,196
DIETARY GUIDELINES FOR 

741
00:32:17,196 --> 00:32:17,463
AMERICANS.

742
00:32:17,463 --> 00:32:24,003
THE HEI  2020 IS FOR AGE 2 AND 

743
00:32:24,003 --> 00:32:27,840
OLDER AND TODDLERS 2020 IS 12 TO

744
00:32:27,840 --> 00:32:31,877
24 MONTHS.

745
00:32:31,877 --> 00:32:35,114
HEI USES A DENSITY APPROACH PER 

746
00:32:35,114 --> 00:32:36,582
1,000 CALORIES.

747
00:32:36,582 --> 00:32:39,652
THE IDEAL OVER ALL HEI SCORE IS 

748
00:32:39,652 --> 00:32:43,823
100 AND YOU CAN TELL BY A QUICK 

749
00:32:43,823 --> 00:32:46,325
GLANCE INDIVIDUALS ARE NOT 

750
00:32:46,325 --> 00:32:48,794
ALIGNING WITH THE DIETARY 

751
00:32:48,794 --> 00:32:51,697
GUIDELINES WE HAVE HEI SCORES 

752
00:32:51,697 --> 00:32:53,265
BETWEEN EACH CROSS SECTIONAL 

753
00:32:53,265 --> 00:32:55,334
DATA YEAR FOR AGES 2 AND OLDER 

754
00:32:55,334 --> 00:32:57,903
AND ON THE RIGHT A BAR GRAPH 

755
00:32:57,903 --> 00:33:04,410
WITH HEI FOR 2 AND OLDER.

756
00:33:04,410 --> 00:33:07,813
THE-EI FOR TODDLERS IS 63 FOR 

757
00:33:07,813 --> 00:33:13,219
AGES 12 TO 24 MONTHS AND FOR 2 

758
00:33:13,219 --> 00:33:14,253
PLUS IS 58.

759
00:33:14,253 --> 00:33:15,754
HOWEVER, VARIATION IS OBSERVED 

760
00:33:15,754 --> 00:33:17,456
BY AGE GROUP THOUGH STATISTICAL 

761
00:33:17,456 --> 00:33:21,760
DIFFERENCES CAN'T BE DETERMINED.

762
00:33:21,760 --> 00:33:23,462
THE YOUNGEST CHILDREN AND OLDEST

763
00:33:23,462 --> 00:33:25,131
ADULTS HAVE HIGHER SCORES 

764
00:33:25,131 --> 00:33:28,033
COMPARED TO OTHER AGE GROUPS, 

765
00:33:28,033 --> 00:33:31,337
HOWEVER, HEI 2020 ZEROES ARE LOW

766
00:33:31,337 --> 00:33:33,939
RANGING FROM 49 TO 63.

767
00:33:33,939 --> 00:33:38,377
MOVING ON TO THE SLIDE THAT 

768
00:33:38,377 --> 00:33:43,516
SHOWS HOW THE HEI2020 SCORES 

769
00:33:43,516 --> 00:33:46,118
RANGE FROM 53 FOR FEMALES, 20 TO

770
00:33:46,118 --> 00:33:47,520
44 WHO ARE NOT PREGNANT OR 

771
00:33:47,520 --> 00:33:52,291
LACTATING TO A HIGH OF 65 AMONG 

772
00:33:52,291 --> 00:33:54,994
INDIVIDUALS NON-HISPANIC ASIAN.

773
00:33:54,994 --> 00:33:56,862
HOWEVER, SIMILAR TO THE DATA BY 

774
00:33:56,862 --> 00:34:00,166
AGE TO THE PREVIOUS SLIDE THE 

775
00:34:00,166 --> 00:34:02,668
MAIN MESSAGE IS NO SOCIO 

776
00:34:02,668 --> 00:34:04,703
DEMOGRAPHIC GROUPS ALIGN WITH 

777
00:34:04,703 --> 00:34:06,805
THE DIETARY GUIDELINES AND FAR 

778
00:34:06,805 --> 00:34:09,241
BELOW THE RECOMMENDATIONS.

779
00:34:09,241 --> 00:34:11,076
THE NEXT FEW SLIDES ON BREAKFAST

780
00:34:11,076 --> 00:34:18,751
LATE EVENING CONSUMPTION AND 

781
00:34:18,751 --> 00:34:20,653
THERE'S THE FREQUENCY OF MEALS 

782
00:34:20,653 --> 00:34:25,858
AND/OR SNACKING AND GROWTH BY 

783
00:34:25,858 --> 00:34:27,593
COMPOSITION OF RISK OF OBESITY 

784
00:34:27,593 --> 00:34:29,929
AND CONSUMING A DIETARY 

785
00:34:29,929 --> 00:34:34,466
GUIDELINES ALIGNED WITH THE 

786
00:34:34,466 --> 00:34:35,000
GUIDELINES OF AMERICANS.

787
00:34:35,000 --> 00:34:40,539
AMONG BREAKFAST CONSUMERS IT 

788
00:34:40,539 --> 00:34:45,945
REPRESENTS 21% OF CALORIES DAILY

789
00:34:45,945 --> 00:34:49,448
AND IT VARIES AMONG SOCIO 

790
00:34:49,448 --> 00:34:49,882
GROUPS.

791
00:34:49,882 --> 00:34:51,283
THERE'S NO STATISTICAL 

792
00:34:51,283 --> 00:34:52,351
DIFFERENCE BETWEEN FEMALES AND 

793
00:34:52,351 --> 00:34:53,919
MALES WHO ARE BREAKFAST 

794
00:34:53,919 --> 00:34:55,688
CONSUMERS AND NO DIFFERENCE BY 

795
00:34:55,688 --> 00:34:58,390
RACE AND/OR ETHNICITY OR BY 

796
00:34:58,390 --> 00:35:03,162
FAMILY INCOME.

797
00:35:03,162 --> 00:35:06,865
AND THE PREVALENCE OF BREAKFAST 

798
00:35:06,865 --> 00:35:08,567
CONSUMPTION IS HIGHEST AMONG 

799
00:35:08,567 --> 00:35:12,771
CHILDREN 2-5 AND LOWEST AMONG 

800
00:35:12,771 --> 00:35:13,138
12-19.

801
00:35:13,138 --> 00:35:14,707
THE NEXT SLIDE TALKS ABOUT THE 

802
00:35:14,707 --> 00:35:17,610
DATA FOR ADULTS AND OLDER ADULTS

803
00:35:17,610 --> 00:35:19,178
WHO ARE BREAKFAST CONSUMERS.

804
00:35:19,178 --> 00:35:21,447
SAME AS WITH THE CHILDREN, 21% 

805
00:35:21,447 --> 00:35:31,991
OF THE DAILY CALORIES AND THIS 

806
00:35:32,424 --> 00:35:35,527
IS AMONG GROUPS AND STATISTICAL 

807
00:35:35,527 --> 00:35:36,895
TESTING SHOWS BREAKFAST 

808
00:35:36,895 --> 00:35:37,863
CONSUMPTION DOES NOT DIFFER 

809
00:35:37,863 --> 00:35:38,831
BETWEEN MALES AND FEMALES BUT 

810
00:35:38,831 --> 00:35:41,500
OLDER ADULTS AGES 60 PLUS ARE 

811
00:35:41,500 --> 00:35:43,502
LIKELY TO CONSUME BREAKFAST THAN

812
00:35:43,502 --> 00:35:46,472
THOSE THAT ARE 20 TO 39 AND 

813
00:35:46,472 --> 00:35:48,173
THOSE 40 TO 59.

814
00:35:48,173 --> 00:35:52,811
A LOWER PERCENTAGE OF THOSE 

815
00:35:52,811 --> 00:35:55,214
NON-HISPANIC BLACK CONSUMED 

816
00:35:55,214 --> 00:35:57,249
BREAKFAST THAN NON-HISPANIC 

817
00:35:57,249 --> 00:35:58,784
WHITE AND NON-HISPANIC ASIA YOON

818
00:35:58,784 --> 00:36:03,422
AND OLDER ADULTS WITH FAMILY 

819
00:36:03,422 --> 00:36:09,561
INCOMES BETWEEN 131% AND 350% OF

820
00:36:09,561 --> 00:36:12,865
THE  POVERTY LINE ARE MORE 

821
00:36:12,865 --> 00:36:15,434
LIKELY TO CONSUME BREAKFAST THAN

822
00:36:15,434 --> 00:36:19,538
THOSE WHO ARE LESS THAN 131% OF 

823
00:36:19,538 --> 00:36:22,374
THE NATIONAL POVERTY LINE AND 

824
00:36:22,374 --> 00:36:24,977
THE LATE EVENING EATING ARE FOR 

825
00:36:24,977 --> 00:36:26,612
THOSE WHO REPORT ANY FOOD OR 

826
00:36:26,612 --> 00:36:31,850
BEVERAGE INTAKE OTHER THAN PLAIN

827
00:36:31,850 --> 00:36:42,361
WATER YOU SEE THE RANGES AND 

828
00:36:49,535 --> 00:36:52,471
MALES CONSUME SIGNIFICANTLY MORE

829
00:36:52,471 --> 00:36:53,972
ENERGY IN THE LATE EVENING 

830
00:36:53,972 --> 00:36:56,442
COMPARED TO FEMALES WITHIN SOCIO

831
00:36:56,442 --> 00:36:57,910
DEMOGRAPHIC GROUPS FOR AGES 12 

832
00:36:57,910 --> 00:37:05,918
TO 15 AT A RATE OF 124 CALORIES.

833
00:37:05,918 --> 00:37:08,220
BETWEEN 16 AND 9 AT  

834
00:37:14,793 --> 00:37:20,899
AND 19 CONSUME 121 AND SOME HAVE

835
00:37:20,899 --> 00:37:24,103
HIGHER INTAKE COMPARED TO 

836
00:37:24,103 --> 00:37:24,870
NON-LATE CONSUMERS OR ADDITIONAL

837
00:37:24,870 --> 00:37:26,071
320 CALORIES.

838
00:37:26,071 --> 00:37:27,773
THERE ARE NO SIGNIFICANT 

839
00:37:27,773 --> 00:37:30,175
DIFFERENCES IN THE CALORIE 

840
00:37:30,175 --> 00:37:32,144
INTAKE OF LATE EVENING OCCASIONS

841
00:37:32,144 --> 00:37:34,947
BETWEEN NON-HISPANIC WHITE, 

842
00:37:34,947 --> 00:37:36,782
NON-HISPANIC BLACK AND HISPANIC 

843
00:37:36,782 --> 00:37:37,082
ADOLESCENTS.

844
00:37:37,082 --> 00:37:39,184
ON THE BOTTOM RIGHT WE CAN SEE 

845
00:37:39,184 --> 00:37:42,821
OF THOSE WHO ARE LATE EVENING 

846
00:37:42,821 --> 00:37:45,157
CONSUMERS, 91% REPORT HAVING 

847
00:37:45,157 --> 00:37:48,026
FOOD AND 71% REPORT HAVING 

848
00:37:48,026 --> 00:37:48,727
BEVERAGES.

849
00:37:48,727 --> 00:37:51,730
THE TOP FOOD SOURCES ARE SNACKS 

850
00:37:51,730 --> 00:37:54,733
AND SWEETS AND MIXED DISHES AND 

851
00:37:54,733 --> 00:37:56,735
TOP BEVERAGE CHOICES ARE 

852
00:37:56,735 --> 00:38:00,439
SWEETENED BEVERAGES AND MILK AND

853
00:38:00,439 --> 00:38:01,140
DAIRY DRINKS.

854
00:38:01,140 --> 00:38:02,875
WE'LL LOOK AT LATE NIGHT 

855
00:38:02,875 --> 00:38:05,244
CONSUMPTION OF ADULTS WHICH 

856
00:38:05,244 --> 00:38:07,813
INDICATE THAT THERE'S 

857
00:38:07,813 --> 00:38:09,381
SIGNIFICANTLY LOWER INTAKE 

858
00:38:09,381 --> 00:38:11,717
DURING THE TIME PERIOD AMONG 

859
00:38:11,717 --> 00:38:15,721
ADULTS AGES 60 PLUS AT A RATE OF

860
00:38:15,721 --> 00:38:18,724
57% COMPARED TO AGES 20 TO 29 

861
00:38:18,724 --> 00:38:21,427
AND 40 TO 59 YEARS AT A 

862
00:38:21,427 --> 00:38:24,096
PREVALENCE RATE OF 66% FOR BOTH 

863
00:38:24,096 --> 00:38:24,463
AGE GROUPS.

864
00:38:24,463 --> 00:38:26,698
LATE EVENING CONSUMERS HAVE 

865
00:38:26,698 --> 00:38:30,369
HIGHER TOTAL DAILY CALORIES AT 

866
00:38:30,369 --> 00:38:34,339
2243 CALORIES THAN NON-LATE 

867
00:38:34,339 --> 00:38:38,811
EVENING CONSUMERS CONSUMING 1930

868
00:38:38,811 --> 00:38:39,211
CALORIES.

869
00:38:39,211 --> 00:38:40,979
THAT'S A DIFFERENCE OF 313 

870
00:38:40,979 --> 00:38:41,380
CALORIES.

871
00:38:41,380 --> 00:38:43,248
ON THE RIGHT WE HAVE DATA FOR 

872
00:38:43,248 --> 00:38:45,250
ADULTS AND OLDER ADULTS WHO ARE 

873
00:38:45,250 --> 00:38:48,253
LATE EVENING CONSUMERS AND AMONG

874
00:38:48,253 --> 00:38:54,726
AGES 20 AND OLDER MALES HAVE A 

875
00:38:54,726 --> 00:38:56,695
SIGNIFICANTLY HIGHER ENERGY 

876
00:38:56,695 --> 00:38:58,230
INTAKE THAN FEMALES.

877
00:38:58,230 --> 00:38:59,264
INDIVIDUALS NON-HISPANIC BLACK 

878
00:38:59,264 --> 00:39:02,201
HAVE A SIGNIFICANTLY HIGHER 

879
00:39:02,201 --> 00:39:04,636
ENERGY INTAKE FROM LATE EVENING 

880
00:39:04,636 --> 00:39:05,571
CONSUMPTION THAN THOSE 

881
00:39:05,571 --> 00:39:07,406
NON-HISPANIC WHITE AND 

882
00:39:07,406 --> 00:39:09,107
NON-HISPANIC ASIAN AND 

883
00:39:09,107 --> 00:39:11,643
INDIVIDUALS WHO ARE NON-HISPANIC

884
00:39:11,643 --> 00:39:13,278
WHITE HAVE LOWER INTAKE FROM 

885
00:39:13,278 --> 00:39:18,851
LATE EVENING CONSUMPTION THAN 

886
00:39:18,851 --> 00:39:20,686
THOSE NON-HISPANIC BLACK.

887
00:39:20,686 --> 00:39:25,657
89% OF LATE EVENING CONSUMERS 

888
00:39:25,657 --> 00:39:31,463
REPORT FOOD CONSUMPTION AND 77% 

889
00:39:31,463 --> 00:39:32,664
REPORT BEVERAGE CONSUMPTION OF 

890
00:39:32,664 --> 00:39:34,566
FOOD IT'S SNACKS AND SWEETS AND 

891
00:39:34,566 --> 00:39:40,372
MIXED DISHES SAME AS WITH 

892
00:39:40,372 --> 00:39:40,839
CHILDREN.

893
00:39:40,839 --> 00:39:47,846
AND OF LATE EVENING THERE'S 

894
00:39:47,846 --> 00:39:49,681
ALCOHOLIC BEVERAGES.

895
00:39:49,681 --> 00:39:51,650
SNACKS ARE DEFINED AS EATING 

896
00:39:51,650 --> 00:39:52,951
OCCASIONS WHERE AT LEAST ONE 

897
00:39:52,951 --> 00:39:55,087
FOOD OR BEVERAGE IS DESIGNATED 

898
00:39:55,087 --> 00:39:59,491
BY PARTICIPANT AS A SNACKING 

899
00:39:59,491 --> 00:39:59,758
OCCASION.

900
00:39:59,758 --> 00:40:01,093
SNACKS COMPRISED OF WATER ARE 

901
00:40:01,093 --> 00:40:02,961
NOT INCLUDED.

902
00:40:02,961 --> 00:40:05,531
OVER ALL, 93% OF CHILDREN AND 

903
00:40:05,531 --> 00:40:07,499
ADOLESCENTS REPORT HAVING ONE OR

904
00:40:07,499 --> 00:40:10,636
MORE SNACKS ON A GIVEN DAY.

905
00:40:10,636 --> 00:40:12,571
THE PERCENT OF CHILDREN AND 

906
00:40:12,571 --> 00:40:15,340
ADOLESCENTS WHO REPORT SNACKING 

907
00:40:15,340 --> 00:40:16,642
IS NOT DIFFERENT AMONG MALES AND

908
00:40:16,642 --> 00:40:17,676
FEMALES.

909
00:40:17,676 --> 00:40:20,279
95% OF CHILDREN IN THE 2-5 YEAR 

910
00:40:20,279 --> 00:40:23,849
AND 6-11 YEAR RANGE REPORT 

911
00:40:23,849 --> 00:40:34,359
SNACKING DAILY WHEREAS 90% OF 

912
00:40:38,096 --> 00:40:39,965
ADOLESCENTS HAVE THEM AND SNACKS

913
00:40:39,965 --> 00:40:41,500
CONTRIBUTE ABOUT A QUARTER OR 

914
00:40:41,500 --> 00:40:42,701
LESS OF NUTRIENTS FOR CHILDREN 

915
00:40:42,701 --> 00:40:47,406
AND ADOLESCENTS WITH THE 

916
00:40:47,406 --> 00:40:49,942
EXCEPTION OF 42% OF ADDED SUGARS

917
00:40:49,942 --> 00:40:50,842
FROM SNACKS.

918
00:40:50,842 --> 00:40:53,545
AS SNACK OCCASIONS TOP SOURCES 

919
00:40:53,545 --> 00:40:55,414
OF SNACKS ARE SWEETS AND SNACKS 

920
00:40:55,414 --> 00:40:58,283
AND FRUIT AND THE TOP SOURCES OF

921
00:40:58,283 --> 00:41:01,320
BEVERAGES ARE SWEETEN BEVERAGES.

922
00:41:01,320 --> 00:41:01,887
THIS DOES NOT INCLUDE PLAIN 

923
00:41:01,887 --> 00:41:06,325
WATER.

924
00:41:06,325 --> 00:41:10,529
ON THE LEFT, 95% OF ADULTS 

925
00:41:10,529 --> 00:41:12,864
REPORT ONE SNACK EVERY DAY.

926
00:41:12,864 --> 00:41:14,366
ON THE RIGHT AMONG ALL ADULTS 

927
00:41:14,366 --> 00:41:17,569
AND OLDER ADULTS, THOSE 

928
00:41:17,569 --> 00:41:19,705
REPORTING SNACKS AND THOSE NOT 

929
00:41:19,705 --> 00:41:23,075
REPORTING SNACKS SO ALL ADULTS 

930
00:41:23,075 --> 00:41:24,576
SNACKS REPORT DIETARY FIBER AND 

931
00:41:24,576 --> 00:41:28,146
SATURATED FAT AND SODIUM, 

932
00:41:28,146 --> 00:41:29,982
POTASSIUM AND IRON AND 43% OF 

933
00:41:29,982 --> 00:41:34,219
DAILY ADDED SUGARS.

934
00:41:34,219 --> 00:41:39,958
SNACKERS REPORT MORE CALORIES AT

935
00:41:39,958 --> 00:41:44,896
221 VERSUS NONE SNACKERS OF A 

936
00:41:44,896 --> 00:41:45,597
DIFFERENCE OF 16%.

937
00:41:45,597 --> 00:41:49,768
ON THE RIGHT YOU CAN SEE SNACKS 

938
00:41:49,768 --> 00:41:51,536
CONTRIBUTE 24% OF TOTAL DAILY 

939
00:41:51,536 --> 00:41:52,738
ENERGY INTAKE AND AMONG THOSE 

940
00:41:52,738 --> 00:41:55,474
WHO CONSUME SNACKS THE TOP 

941
00:41:55,474 --> 00:41:56,875
SOURCES OF ENERGY INCLUDE SNACKS

942
00:41:56,875 --> 00:41:59,244
AND SWEETS, NON-ALCOHOLIC 

943
00:41:59,244 --> 00:42:01,013
BEVERAGES AND ALCOHOLIC 

944
00:42:01,013 --> 00:42:01,279
BEVERAGES.

945
00:42:01,279 --> 00:42:03,582
AND NOW WE'LL TRANSITION TO 

946
00:42:03,582 --> 00:42:04,616
HUMAN MILK FEEDING INITIATION 

947
00:42:04,616 --> 00:42:14,259
AND EXCLUSIVITY.

948
00:42:14,259 --> 00:42:19,097
IT'S DEFINED OF ONLY BREAST MILK

949
00:42:19,097 --> 00:42:20,565
AND NO SOLIDS.

950
00:42:20,565 --> 00:42:24,236
THE PREVALENCE IS 84% ACCORDING 

951
00:42:24,236 --> 00:42:26,838
TO BIRTH CERTIFICATE ESTIMATES.

952
00:42:26,838 --> 00:42:30,609
AMONG MATERNAL RACIAL OR ETHNIC 

953
00:42:30,609 --> 00:42:31,276
GROUPS BREAST FEEDING INITIATION

954
00:42:31,276 --> 00:42:37,516
GOES FROM 7 4.5 TO 91%.

955
00:42:37,516 --> 00:42:40,385
ACCORDING TO RETROSPECTIVE DATA 

956
00:42:40,385 --> 00:42:41,620
REPRESENTING CHILDREN BORN IN 

957
00:42:41,620 --> 00:42:43,288
2020 INFANTS ARE FALLING SHORT 

958
00:42:43,288 --> 00:42:45,924
OF THE HEALTHY PEOPLE 2030 

959
00:42:45,924 --> 00:42:48,694
TARGET OF 54.1% BREAST FEEDING 

960
00:42:48,694 --> 00:42:49,761
PREVALENCE AT 12 MONTHS.

961
00:42:49,761 --> 00:42:53,899
THE CURRENT PREVALENCE IS ABOUT 

962
00:42:53,899 --> 00:43:01,907
38%.

963
00:43:01,907 --> 00:43:06,578
LET'S LOOK AT EXCLUSIVE BREAST 

964
00:43:06,578 --> 00:43:09,581
FEEDING THROUGH SIX MONTHS.

965
00:43:09,581 --> 00:43:11,450
ESTIMATES ON THIS SLIDE FROM 

966
00:43:11,450 --> 00:43:13,585
SURVEY DATA COLLECTED 

967
00:43:13,585 --> 00:43:14,986
RETROSPECTIVELY FOR CHILDREN 

968
00:43:14,986 --> 00:43:16,221
BORN IN 2020.

969
00:43:16,221 --> 00:43:19,725
AMONG SOCIO DEMOGRAPHIC GROUPS 

970
00:43:19,725 --> 00:43:22,594
THE RANGE IS 73% FOR MOTHERS 

971
00:43:22,594 --> 00:43:25,864
WITH EDUCATION OF LESS THAN HIGH

972
00:43:25,864 --> 00:43:29,901
SCHOOL TO 92% OF MATERNAL 

973
00:43:29,901 --> 00:43:31,336
EDUCATION OF A COLLEGE DEGREE.

974
00:43:31,336 --> 00:43:33,338
THERE'S VARIATION BETWEEN YOUNG 

975
00:43:33,338 --> 00:43:35,540
MOTHERS AND MOTHERS 30 PLUS AND 

976
00:43:35,540 --> 00:43:40,612
BETWEEN RACIAL AND ETHNIC GROUPS

977
00:43:40,612 --> 00:43:42,180
AND POVERTY RACIAL GROUP AND 

978
00:43:42,180 --> 00:43:43,882
MATERNAL EDUCATION LEVELS.

979
00:43:43,882 --> 00:43:47,018
WE SEE THERE'S ALSO A SMALL 

980
00:43:47,018 --> 00:43:49,788
VARIATION IN THE PREVALENCE OF 

981
00:43:49,788 --> 00:43:51,623
EXCLUSIVE BREAST FEEDING THROUGH

982
00:43:51,623 --> 00:43:53,725
SIX MONTHS BY SOCIO DEMOGRAPHIC 

983
00:43:53,725 --> 00:43:55,360
GROUPS FROM 19% FROM MATERNAL 

984
00:43:55,360 --> 00:43:58,530
EDUCATION LESS THAN HIGH SCHOOL 

985
00:43:58,530 --> 00:44:00,932
TO ABOUT 30% FOR MATERNAL 

986
00:44:00,932 --> 00:44:02,901
EDUCATION OF A COLLEGE DEGREE.

987
00:44:02,901 --> 00:44:04,703
HOWEVER, AMONG ALL GROUPS THE 

988
00:44:04,703 --> 00:44:09,141
HEALTHY PEOPLE 2030 TARGET OF 

989
00:44:09,141 --> 00:44:15,747
42.4% IS NOT BEING MET.

990
00:44:15,747 --> 00:44:16,948
EXCLUSIVE BREAST GROUPS IS FOR 

991
00:44:16,948 --> 00:44:19,451
30 AND OLDER COMPARED TO THOSE 

992
00:44:19,451 --> 00:44:23,021
20 TO 29 YEAR RANGE AND HIGHER 

993
00:44:23,021 --> 00:44:25,357
AMONG NON-HISPANIC WHITE INFANTS

994
00:44:25,357 --> 00:44:27,959
COMPARED TO NON-HISPANIC BLACK 

995
00:44:27,959 --> 00:44:29,227
AND WHITE AND INFANTS TWO OR 

996
00:44:29,227 --> 00:44:30,462
MORE RACES.

997
00:44:30,462 --> 00:44:31,363
LOWER AMONG THOSE WITH THE 

998
00:44:31,363 --> 00:44:32,898
POVERTY INCOME RATIO OF LESS 

999
00:44:32,898 --> 00:44:34,900
THAN 100 COMPARED TO OTHER 

1000
00:44:34,900 --> 00:44:37,602
POVERTY INCOME RATIO GROUPS AND 

1001
00:44:37,602 --> 00:44:39,504
HIGHER AMONG MOTHERS WHO ARE 

1002
00:44:39,504 --> 00:44:42,174
COLLEGE GRADUATE COMPARED TO ALL

1003
00:44:42,174 --> 00:44:46,912
OTHER MATERNAL EDUCATION GROUPS.

1004
00:44:46,912 --> 00:44:49,881
MOVING ON TO BEVERAGE INTAKE 

1005
00:44:49,881 --> 00:44:52,684
PATTERNS WE'LL START WITH 

1006
00:44:52,684 --> 00:44:55,520
INFANTS 6 TO 12 MONTHS AND YOUNG

1007
00:44:55,520 --> 00:44:56,955
CHILDREN 12 TO 24 MONTHS.

1008
00:44:56,955 --> 00:45:00,125
FOR INFANTS THE MAIN ENERGY 

1009
00:45:00,125 --> 00:45:04,095
INTAKES ARE 103 CALORIES FROM 

1010
00:45:04,095 --> 00:45:06,464
HUMAN MILK, 375 CALORIES FROM 

1011
00:45:06,464 --> 00:45:08,466
INFANT FORMULA AND 25 CALORIES 

1012
00:45:08,466 --> 00:45:10,335
FROM OTHER BEVERAGES.

1013
00:45:10,335 --> 00:45:12,204
OF THE OTHER BEVERAGES CONSUMED 

1014
00:45:12,204 --> 00:45:14,573
CONTRIBUTIONS IN THE GRAPH ON 

1015
00:45:14,573 --> 00:45:17,242
THE LEFT OVER HALF INFANTS ARE 

1016
00:45:17,242 --> 00:45:19,878
CONSUMING PLAIN WATER.

1017
00:45:19,878 --> 00:45:23,849
MOST CALORIES FROM BREAKFAST 

1018
00:45:23,849 --> 00:45:25,116
FROM BEVERAGES ARE PROVIDED BY 

1019
00:45:25,116 --> 00:45:28,653
WHOLE MILK AND 100% JUICE.

1020
00:45:28,653 --> 00:45:31,256
TOTAL FAT AND VITAMIN D FROM 

1021
00:45:31,256 --> 00:45:36,194
BEVERAGES CONTRIBUTED BY WHOLE 

1022
00:45:36,194 --> 00:45:40,732
MILK AND MOST CALCIUM POTASSIUM 

1023
00:45:40,732 --> 00:45:43,201
BY MILK AND 100% JUICE.

1024
00:45:43,201 --> 00:45:48,406
SO MOVING ON TO THE YOUNG 

1025
00:45:48,406 --> 00:45:50,575
CHILDREN MAIN ENERGY INTAKES ARE

1026
00:45:50,575 --> 00:45:53,612
ABOUT 18 CALORIES FROM HUMAN 

1027
00:45:53,612 --> 00:46:01,686
MILK, 30 CALORIES FROM INFANT 

1028
00:46:01,686 --> 00:46:03,255
FORMULA AND YOUNG CHILDREN 

1029
00:46:03,255 --> 00:46:05,423
RECEIVE OTHER BEVERAGES AND 

1030
00:46:05,423 --> 00:46:06,558
ALMOST 80% OF YOUNG CHILDREN 

1031
00:46:06,558 --> 00:46:10,462
CONSUME PLANE WATER.

1032
00:46:10,462 --> 00:46:12,564
 -- PLAIN WATER AND VITAMIN D 

1033
00:46:12,564 --> 00:46:14,499
AND POTASSIUM ARE PROVIDED BY 

1034
00:46:14,499 --> 00:46:17,102
WHOLE MILK AND SWEETEN BEVERAGE 

1035
00:46:17,102 --> 00:46:19,137
CONTRIBUTE 73% OF THE TOTAL 

1036
00:46:19,137 --> 00:46:25,877
DAILY ADDED SUGARS COMING FROM 

1037
00:46:25,877 --> 00:46:26,144
BEVERAGES.

1038
00:46:26,144 --> 00:46:28,713
IN THE NEXT SLIDE WE'RE LOOKING 

1039
00:46:28,713 --> 00:46:31,850
AT CHILDREN AND ADOLESCENT 

1040
00:46:31,850 --> 00:46:34,419
CONSUMPTION AND 43% OF THE MEAN 

1041
00:46:34,419 --> 00:46:36,855
DAILY INTAKE AND SUGAR INTAKE.

1042
00:46:36,855 --> 00:46:39,557
DAILY SWEETENED BEVERAGE 

1043
00:46:39,557 --> 00:46:41,793
CONSUMPTION VARIES BY RACE AND 

1044
00:46:41,793 --> 00:46:43,895
ETHNICITY WITH 61% OF CHILDREN 

1045
00:46:43,895 --> 00:46:45,931
AND ADOLESCENTS WHO ARE HISPANIC

1046
00:46:45,931 --> 00:46:49,901
AND 60% OF THOSE NON-HISPANIC 

1047
00:46:49,901 --> 00:46:51,903
BLACK CONSUMING SWEETENED 

1048
00:46:51,903 --> 00:46:53,505
BEVERAGES COMPARED TO 35% OF 

1049
00:46:53,505 --> 00:46:55,507
THOSE WHO ARE NOT NON-HISPANIC 

1050
00:46:55,507 --> 00:46:57,042
ASIAN.

1051
00:46:57,042 --> 00:47:03,348
MILK, SWEETENED BEVERAGES AND 

1052
00:47:03,348 --> 00:47:05,650
YOU SEE THE SHIFT IN DAILY 

1053
00:47:05,650 --> 00:47:07,886
INTAKE FROM MILK AND SWEETEN 

1054
00:47:07,886 --> 00:47:09,421
BEVERAGES AMONG THE AGE GROUPS.

1055
00:47:09,421 --> 00:47:11,056
SOFT DRINKS CONTRIBUTE THE 

1056
00:47:11,056 --> 00:47:17,829
HIGHEST PERCENTAGE OF CALORIES 

1057
00:47:17,829 --> 00:47:22,300
AND FRUIT DRINKS FOR THE AGE 

1058
00:47:22,300 --> 00:47:24,602
GROUP OF 2-5 YEARS.

1059
00:47:24,602 --> 00:47:26,371
AND 2-5 YEARS WHOLE MILK MAKES 

1060
00:47:26,371 --> 00:47:29,908
UP THE LARGEST PERCENTAGE OF 

1061
00:47:29,908 --> 00:47:35,747
TOTAL MILK CALORIES AT 25%.

1062
00:47:35,747 --> 00:47:37,115
FINALLY, BEVERAGE PATTERNS IN 

1063
00:47:37,115 --> 00:47:40,218
ADULTS AND OLDER ADULTS.

1064
00:47:40,218 --> 00:47:41,786
BEVERAGES CONTRIBUTE 17% OF 

1065
00:47:41,786 --> 00:47:43,855
DAILY ENERGY INTAKE.

1066
00:47:43,855 --> 00:47:46,558
THIS IS 422 CALORIES FOR MALES 

1067
00:47:46,558 --> 00:47:50,061
AND 296 CALORIES FOR FEMALES.

1068
00:47:50,061 --> 00:47:51,896
HALF THIS COMES FROM SWEETENED 

1069
00:47:51,896 --> 00:47:55,166
BEVERAGES AND ALCOHOLIC 

1070
00:47:55,166 --> 00:47:56,301
BEVERAGES ALONE.

1071
00:47:56,301 --> 00:47:59,904
THOUGH THERE'S VARIATION BY RACE

1072
00:47:59,904 --> 00:48:01,773
AND ETHNICITY AMONG NON-HISPANIC

1073
00:48:01,773 --> 00:48:03,375
ASIAN BEING LESS LIKELY TO 

1074
00:48:03,375 --> 00:48:04,009
CONSUME THEM COMPARED TO OTHER 

1075
00:48:04,009 --> 00:48:06,811
GROUPS.

1076
00:48:06,811 --> 00:48:07,779
BEVERAGES CONTRIBUTE TO FOOD 

1077
00:48:07,779 --> 00:48:11,282
GROUP INTAKES FOR FRUIT AND 

1078
00:48:11,282 --> 00:48:13,885
DAIRY AND FORTIFIED SOY 

1079
00:48:13,885 --> 00:48:16,621
ALTERNATIVES PROVIDING 30% OF 

1080
00:48:16,621 --> 00:48:18,857
THE DAILY RECOMMENDATIONS AND 

1081
00:48:18,857 --> 00:48:21,092
CONTRIBUTE TO DAILY INTAKES OF 

1082
00:48:21,092 --> 00:48:24,629
VITAMIN C AND D, CALCIUM, 

1083
00:48:24,629 --> 00:48:25,897
POTASSIUM AND MAGNESIUM.

1084
00:48:25,897 --> 00:48:31,403
WITH THAT I'LL TURN IT BACK TO 

1085
00:48:31,403 --> 00:48:32,203
HEATHER.

1086
00:48:32,203 --> 00:48:34,172
>> THANK YOU, SO MUCH,
CAROL.

1087
00:48:34,172 --> 00:48:35,974
WE'LL MOVE ON TO OUR SECOND 

1088
00:48:35,974 --> 00:48:38,643
QUESTION OF WHAT ARE THE CURRENT

1089
00:48:38,643 --> 00:48:40,412
INTAKES OF FOOD GROUPS, 

1090
00:48:40,412 --> 00:48:42,647
NUTRIENTS AND DIETARY COMPONENTS

1091
00:48:42,647 --> 00:48:52,157
AND WE HAVE DIDI DOING THIS ONE.

1092
00:48:52,157 --> 00:48:53,658
>> THIS IS GOING TO BE A
LOT OF 

1093
00:48:53,658 --> 00:48:55,527
DATA AND TRIGGER WARNING IT'S 

1094
00:48:55,527 --> 00:49:01,900
NOT GOOD NEWS.

1095
00:49:01,900 --> 00:49:07,672
WE CONTINUE THE TREND OF 

1096
00:49:07,672 --> 00:49:09,107
UNHEALTHY FOOD ENVIRONMENT AT 

1097
00:49:09,107 --> 00:49:11,042
THE FOOD GROUP SUBGROUP LEVEL 

1098
00:49:11,042 --> 00:49:14,112
THE OVER ALL TAKEAWAY IS WE'RE 

1099
00:49:14,112 --> 00:49:15,947
NOWHERE NEAR DIETARY GUIDELINES 

1100
00:49:15,947 --> 00:49:21,886
FOR ALMOST ALL THE GROUPS.

1101
00:49:21,886 --> 00:49:23,555
EXCEPTIONS ARE GOING TO BE 

1102
00:49:23,555 --> 00:49:24,456
HIGHLIGHTED WHERE THOSE OCCUR 

1103
00:49:24,456 --> 00:49:28,393
BUT MANY OF THE TOP FOOD 

1104
00:49:28,393 --> 00:49:31,896
CATEGORIES IN ADDITION TO NOT 

1105
00:49:31,896 --> 00:49:32,997
MEETING THE REQUIRED OR 

1106
00:49:32,997 --> 00:49:38,336
RECOMMEND ED AMOUNTS ARE NOT 

1107
00:49:38,336 --> 00:49:39,904
COMING FROM THE OPTIMAL SOURCES 

1108
00:49:39,904 --> 00:49:43,041
AND THE GOALS BEING MET WITH 

1109
00:49:43,041 --> 00:49:44,976
FOODS NUTRIENT DENSE AND LOWER 

1110
00:49:44,976 --> 00:49:45,910
IN SATURATED FAT AND SUGAR THEY 

1111
00:49:45,910 --> 00:49:47,846
SEEM TO BE THE OPPOSITE.

1112
00:49:47,846 --> 00:49:50,215
KEEP THAT IN MIND AS WELL.

1113
00:49:50,215 --> 00:49:54,385
COLLECTIVELY, BOTH THE QUANTITY 

1114
00:49:54,385 --> 00:49:55,987
AND QUALITY OF FOODS CONSUMED 

1115
00:49:55,987 --> 00:49:58,089
ARE NOT IN ALIGNMENT OF THE 

1116
00:49:58,089 --> 00:50:03,862
DIETARY GUIDELINE.

1117
00:50:03,862 --> 00:50:07,732
THIS IS THE BIG PICTURE GRAPH 

1118
00:50:07,732 --> 00:50:11,136
AND INDICATING SUBGROUP INTAKES 

1119
00:50:11,136 --> 00:50:12,770
FOR AMERICANS AGES 1 AND UP 

1120
00:50:12,770 --> 00:50:16,374
REPRESENTED HERE ARE NOT IN 

1121
00:50:16,374 --> 00:50:18,476
ALIGNMENT AND THE DEGREE OF 

1122
00:50:18,476 --> 00:50:22,580
SHIFT IS THE PERCENTAGE OF THE 

1123
00:50:22,580 --> 00:50:24,849
POPULATION THAT ARE ABOVE OR 

1124
00:50:24,849 --> 00:50:28,753
BELOW THE RECOMMENDATION 

1125
00:50:28,753 --> 00:50:30,455
DEPENDING ON THE DIRECTIONALITY.

1126
00:50:30,455 --> 00:50:36,961
THE BLUE BAR ON THE LEFT FOR 

1127
00:50:36,961 --> 00:50:40,131
TOTAL VEGETABLES THE DARK BLUE 

1128
00:50:40,131 --> 00:50:41,633
INDICATES 10% OF THE POPULATION 

1129
00:50:41,633 --> 00:50:43,735
ARE AT OR ABOVE THE RECOMMENDED 

1130
00:50:43,735 --> 00:50:51,109
INTAKE OF VEGETABLES WITH THE 

1131
00:50:51,109 --> 00:50:53,411
REST BELOW.

1132
00:50:53,411 --> 00:50:55,346
SO EXCEPTIONS TO THIS AS 

1133
00:50:55,346 --> 00:50:57,515
MENTIONED THERE WERE A FEW ARE 

1134
00:50:57,515 --> 00:51:04,589
TOTAL GRAINS AND PROTEIN FOODS.

1135
00:51:04,589 --> 00:51:05,657
IT'S MORE AMERICANS MEETING THAN

1136
00:51:05,657 --> 00:51:08,626
NOT MEETING THE BINARY CUT 

1137
00:51:08,626 --> 00:51:08,826
POINT.

1138
00:51:08,826 --> 00:51:10,461
BUT TOLD GRAINS IS MISLEADING 

1139
00:51:10,461 --> 00:51:12,430
BECAUSE WITHIN THAT IT'S 

1140
00:51:12,430 --> 00:51:15,033
RECOMMENDED TO CONSUME WHOLE 

1141
00:51:15,033 --> 00:51:17,502
OVER REFINED GRAINS AND YOU CAN 

1142
00:51:17,502 --> 00:51:20,004
SEE THE TOTAL GRAINS IS 

1143
00:51:20,004 --> 00:51:25,243
PREDOMINANTLY COMING FROM 

1144
00:51:25,243 --> 00:51:25,743
REFINED GRAINS.

1145
00:51:25,743 --> 00:51:27,579
SO WITHIN TOTAL WE'RE NOT 

1146
00:51:27,579 --> 00:51:29,147
MEETING THE GUIDANCE FOR WHOLE 

1147
00:51:29,147 --> 00:51:34,919
GRAINS AND EXCEEDING THE 

1148
00:51:34,919 --> 00:51:37,388
RECOMMENDED INTAKES OTHER.

1149
00:51:37,388 --> 00:51:38,389
THE NEXT SEVERAL SLIDES ARE 

1150
00:51:38,389 --> 00:51:42,927
GOING TO LOOK SIMILAR TO THIS 

1151
00:51:42,927 --> 00:51:47,332
ONE AND WHAT IT'S INDICATING IN 

1152
00:51:47,332 --> 00:51:49,601
THE SQUARES OR BARS ARE WHAT THE

1153
00:51:49,601 --> 00:51:52,770
RECOMMENDATIONS ARE ACROSS THE 

1154
00:51:52,770 --> 00:51:54,739
LIFE STAGES AND BY THAT.

1155
00:51:54,739 --> 00:52:01,613
FROM SIX TO 12 MONTHS UP TO 71 

1156
00:52:01,613 --> 00:52:05,450
PLUS YEARS.

1157
00:52:05,450 --> 00:52:11,556
IT'S STRATIFIED BY MALE AND THE 

1158
00:52:11,556 --> 00:52:12,724
DOTS WITHIN THE SAME COLUMNS 

1159
00:52:12,724 --> 00:52:15,927
REPRESENT WHAT THE AVERAGE 

1160
00:52:15,927 --> 00:52:18,796
INTAKE FOR THAT DEMOGRAPHIC 

1161
00:52:18,796 --> 00:52:19,897
STRATA IS.

1162
00:52:19,897 --> 00:52:22,767
SO A DOT WITHIN A COLUMN THAT'S 

1163
00:52:22,767 --> 00:52:26,604
CLOSE TO THE SQUARE WOULD MEAN 

1164
00:52:26,604 --> 00:52:30,375
WE'RE DOING OKAY, WELL BELOW 

1165
00:52:30,375 --> 00:52:32,143
WOULD BE WE'RE FAR OFF FROM 

1166
00:52:32,143 --> 00:52:33,244
MEETING THE FWIEDANCE AND 

1167
00:52:33,244 --> 00:52:37,882
EVERYTHING IN BETWEEN.

1168
00:52:37,882 --> 00:52:43,888
THE TOTAL VEGETABLE INTAKE WHERE

1169
00:52:43,888 --> 00:52:54,332
YOU CAN SEE THE TOP THREE 

1170
00:52:57,201 --> 00:53:03,675
SOURCES OF GROUPS ARE 

1171
00:53:03,675 --> 00:53:06,177
NON-STARCHY, BEANS, PEAS AND 

1172
00:53:06,177 --> 00:53:06,544
LENTILS.

1173
00:53:06,544 --> 00:53:10,815
STARCHY VEGETABLES AND BURGERS 

1174
00:53:10,815 --> 00:53:15,653
AND SANDWICHES.

1175
00:53:15,653 --> 00:53:17,755
NOT SHOWN IN THE GRAPH I'LL 

1176
00:53:17,755 --> 00:53:19,190
HIGHLIGHT THE SOCIO DEMOGRAPHIC 

1177
00:53:19,190 --> 00:53:21,893
SUBGROUP FINDINGS WE PULLED OUT 

1178
00:53:21,893 --> 00:53:23,194
FOR YOU.

1179
00:53:23,194 --> 00:53:28,800
STARCHY REG  VEGETABLES HAVE THE

1180
00:53:28,800 --> 00:53:30,968
HIGHEST CONTRIBUTION AMONG 

1181
00:53:30,968 --> 00:53:32,570
NON-HISPANIC BLACKS 21% OF THAT 

1182
00:53:32,570 --> 00:53:34,906
AMOUNT AND HIGHEST CONTRIBUTOR 

1183
00:53:34,906 --> 00:53:37,909
TO TOTAL VEGETABLES AND 

1184
00:53:37,909 --> 00:53:39,544
NON-HISPANIC ASIANS HAVE THE 

1185
00:53:39,544 --> 00:53:40,978
HIGHEST CONTRIBUTION TO TOTAL 

1186
00:53:40,978 --> 00:53:42,413
VEGETABLES COMING FROM 

1187
00:53:42,413 --> 00:53:45,483
NON-STARCHY VEGETABLES.

1188
00:53:45,483 --> 00:53:47,318
COMPARED TO MALES, FEMALES 

1189
00:53:47,318 --> 00:53:48,653
OBTAIN MORE OF THEIR TOTAL 

1190
00:53:48,653 --> 00:53:50,154
VEGETABLE INTAKE FROM 

1191
00:53:50,154 --> 00:53:53,891
NON-STARCHY VEGETABLES THAN 

1192
00:53:53,891 --> 00:53:54,258
MALES.

1193
00:53:54,258 --> 00:53:55,193
AND MALES HAVE A HIGHER 

1194
00:53:55,193 --> 00:53:56,494
CONTRIBUTION FROM THIS BURGER 

1195
00:53:56,494 --> 00:54:06,571
AND SANDWICH CATEGORY.

1196
00:54:06,571 --> 00:54:08,973
THE TOTAL VEGETABLE INTAKE DOES 

1197
00:54:08,973 --> 00:54:12,009
NOT VARY BY DEMOGRAPHICS OF 

1198
00:54:12,009 --> 00:54:13,644
FAMILY INCOME AS A PERCENT OF 

1199
00:54:13,644 --> 00:54:17,882
THE POVERTY LEVEL.

1200
00:54:17,882 --> 00:54:21,919
OF EDUCATION AND FOR VARIOUS 

1201
00:54:21,919 --> 00:54:25,423
RACE THERE WERE SOME MODERATE 

1202
00:54:25,423 --> 00:54:27,759
DIFFERENCES SUCH AS NON-HISPANIC

1203
00:54:27,759 --> 00:54:28,593
ASIAN INDIVIDUALS REPORTING 

1204
00:54:28,593 --> 00:54:30,928
HIGHER MEAN DAILY INTAKE OF 

1205
00:54:30,928 --> 00:54:31,996
NON-STARCHY VEGETABLES COMPARED 

1206
00:54:31,996 --> 00:54:35,233
TO OTHER GROUPS.

1207
00:54:35,233 --> 00:54:38,269
SO MOVING ON NOW LOOKING 

1208
00:54:38,269 --> 00:54:40,505
SPECIFICALLY AT DARK GREEN 

1209
00:54:40,505 --> 00:54:41,739
VEGETABLES WITHIN THE TOTAL 

1210
00:54:41,739 --> 00:54:43,741
VEGETABLE CATEGORY.

1211
00:54:43,741 --> 00:54:52,383
FOR THIS SUBGROUP INTAKES ARE 

1212
00:54:52,383 --> 00:54:53,418
VERY LOW.

1213
00:54:53,418 --> 00:54:56,421
AND THIS IS WHERE WE REACHED THE

1214
00:54:56,421 --> 00:54:59,023
1.5 CUP EQUIVALENT PER WEEK 

1215
00:54:59,023 --> 00:55:00,291
GOAL.

1216
00:55:00,291 --> 00:55:02,560
EVEN THAT INCREDIBLY MODEST 

1217
00:55:02,560 --> 00:55:05,897
RECOMMENDATION SEEMS DIFFICULT 

1218
00:55:05,897 --> 00:55:09,767
TO ACHIEVE ACROSS THE BOARD.

1219
00:55:09,767 --> 00:55:12,970
DARK GREEN VEGETABLE INTAKE DID 

1220
00:55:12,970 --> 00:55:16,674
NOT VARY DRASTICALLY BY RACE AND

1221
00:55:16,674 --> 00:55:19,911
ETHNIC SUBGROUP BUT VARIES BY 

1222
00:55:19,911 --> 00:55:21,245
EDUCATIONAL ATTAINMENT AND 

1223
00:55:21,245 --> 00:55:25,716
OBESITY STATUS AND HEALTH 

1224
00:55:25,716 --> 00:55:29,220
INSURANCE STATUS.

1225
00:55:29,220 --> 00:55:31,956
THERE WERE HIGHER INTAKE OF 

1226
00:55:31,956 --> 00:55:33,391
VEGETABLES WITH THOSE WITH 

1227
00:55:33,391 --> 00:55:35,293
COLLEGE DEGREES AND AMONG THOSE 

1228
00:55:35,293 --> 00:55:37,929
WHO ARE ENSURED.

1229
00:55:37,929 --> 00:55:44,101
-- INSURED.

1230
00:55:44,101 --> 00:55:48,105
AGAIN WITH RECOMMENDATIONS 

1231
00:55:48,105 --> 00:55:49,974
RANGING FROM ONE TO FOUR OR FIVE

1232
00:55:49,974 --> 00:56:00,485
CUP EQUIVALENTS PER WEEK, ALL 

1233
00:56:00,785 --> 00:56:05,423
SUB GROUPS FALL BELOW FROM 1 TO 

1234
00:56:05,423 --> 00:56:08,092
2 CUP EQUIVALENCE PER WEEK.

1235
00:56:08,092 --> 00:56:12,797
BREAD INTAKE DOES NOT VARY MUCH 

1236
00:56:12,797 --> 00:56:16,701
PER SEX AND AGE AND NOT VARY 

1237
00:56:16,701 --> 00:56:18,102
MUCH ACROSS ETHNIC RACIAL 

1238
00:56:18,102 --> 00:56:21,906
SUBGROUPS BUT DID VARY BY 

1239
00:56:21,906 --> 00:56:23,975
EDUCATIONAL ATTAINMENT AND 

1240
00:56:23,975 --> 00:56:24,575
OBESITY STATUS AND INSURANCE 

1241
00:56:24,575 --> 00:56:26,110
STATUS AS SEEN WITH THE DARK 

1242
00:56:26,110 --> 00:56:28,646
GREEN VEGETABLES.

1243
00:56:28,646 --> 00:56:31,349
THE RECOMMENDATIONS FOR THE 

1244
00:56:31,349 --> 00:56:34,919
STARCHY VEGETABLE SUBGROUP.

1245
00:56:34,919 --> 00:56:40,324
WHERE WE FALL WITH THOSE ARE 

1246
00:56:40,324 --> 00:56:44,529
STILL QUITE SHORT AND POINTING 

1247
00:56:44,529 --> 00:56:50,301
OUT THESE ARE EQUIVALENTS PER 

1248
00:56:50,301 --> 00:57:00,578
WEEK GUIDELINES.

1249
00:57:06,517 --> 00:57:07,084
BEANS, PEAS AND LENTILS FROM ONE

1250
00:57:07,084 --> 00:57:08,819
OR TWO CUP EQUIVALENTS PER WEEK 

1251
00:57:08,819 --> 00:57:11,355
OF THE VEGETABLE SUBGROUP.

1252
00:57:11,355 --> 00:57:12,924
MANY GROUPS CONSUMING TO LESS 

1253
00:57:12,924 --> 00:57:17,895
THAN ONE CUP EQUIVALENT PER WEEK

1254
00:57:17,895 --> 00:57:25,436
OF THIS SUBGROUP.

1255
00:57:25,436 --> 00:57:27,705
INTAKES OF OTHER VEGETABLES ARE 

1256
00:57:27,705 --> 00:57:29,941
BELOW RECOMMENDATIONS AND WOULD 

1257
00:57:29,941 --> 00:57:36,914
INCLUDE ITEMS LIKE ARTICHOKE, 

1258
00:57:36,914 --> 00:57:39,383
CELERY, CAULIFLOWER AND OTHERS.

1259
00:57:39,383 --> 00:57:49,493
FRUIT.

1260
00:57:53,097 --> 00:57:55,900
KIDS UNDER THE AGE OF 9 ARE 

1261
00:57:55,900 --> 00:58:05,843
FALLING SHORT BY HALF.

1262
00:58:05,843 --> 00:58:08,546
THE CATEGORY OF FRUIT WERE WHOLE

1263
00:58:08,546 --> 00:58:12,550
FRUIT, 1█00% FRUIT JUICE AND THN

1264
00:58:12,550 --> 00:58:15,820
THE THIRD BEING SUGAR SWEETENED 

1265
00:58:15,820 --> 00:58:19,056
AND DIETARY BEVERAGES.

1266
00:58:19,056 --> 00:58:21,892
THE DIET QUANTITY AND QUALITY.

1267
00:58:21,892 --> 00:58:23,894
THERE'S AN EXCEPTION IN 

1268
00:58:23,894 --> 00:58:25,663
NON-HISPANIC WHITE POPULATIONS 

1269
00:58:25,663 --> 00:58:27,598
FOR BREAKFAST CEREALS AND BARS 

1270
00:58:27,598 --> 00:58:29,867
ARE THE THIRD LEADING SUB 

1271
00:58:29,867 --> 00:58:31,168
CATEGORY EXCEPT FOR THE SUGAR 

1272
00:58:31,168 --> 00:58:33,604
SWEETENED BEVERAGES AS THE TOP 

1273
00:58:33,604 --> 00:58:36,941
CONTRIBUTOR TO FOOD INTAKE.

1274
00:58:36,941 --> 00:58:39,143
THE HIGHEST OVER ALL 

1275
00:58:39,143 --> 00:58:42,580
CONTRIBUTION OF WHOLE FRUITS SO 

1276
00:58:42,580 --> 00:58:44,548
EXCLUDING THE JUICES WAS SEEN 

1277
00:58:44,548 --> 00:58:45,383
AMONG NON-HISPANIC ASIAN 

1278
00:58:45,383 --> 00:58:54,325
POPULATIONS.

1279
00:58:54,325 --> 00:58:56,227
TOTAL PROTEIN FOODS, 

1280
00:58:56,227 --> 00:58:57,895
CONGRATULATIONS AMERICA, THIS IS

1281
00:58:57,895 --> 00:59:02,800
THE ONE CATEGORY MOST GROUPS 

1282
00:59:02,800 --> 00:59:05,903
ACTUALLY ACHIEVED.

1283
00:59:05,903 --> 00:59:15,980
FOR THE RECOMMENDED INTAKES IN 

1284
00:59:15,980 --> 00:59:17,548
THE BARS WITH MANY GROUPS 

1285
00:59:17,548 --> 00:59:19,750
MEETING SOME EXCEEDING THE 

1286
00:59:19,750 --> 00:59:20,351
RECOMMENDED AMOUNTS.

1287
00:59:20,351 --> 00:59:24,588
YOU COULD SEE THE DIFFERENCES 

1288
00:59:24,588 --> 00:59:26,524
ARE MORE STRIKING COMPARED TO 

1289
00:59:26,524 --> 00:59:29,894
OTHER FOOD GROUPS FOR MALES 

1290
00:59:29,894 --> 00:59:35,666
VERSUS FEMALES.

1291
00:59:35,666 --> 00:59:37,902
 MALES IN THE LIGHT BLUE DOTS 

1292
00:59:37,902 --> 00:59:41,605
BEING ABOVE FOR SOME AGE STRATA 

1293
00:59:41,605 --> 00:59:43,207
AND SOME FEMALES ARE BELOW 

1294
00:59:43,207 --> 00:59:43,541
INTAKE.

1295
00:59:43,541 --> 00:59:45,676
OVERALL THE THREE CONTRIBUTORS 

1296
00:59:45,676 --> 00:59:51,248
TO TOTAL PROTEIN FOODS IN AGE 2+

1297
00:59:51,248 --> 00:59:54,385
INCLUDED BURGERS AND SANDWICHES,

1298
00:59:54,385 --> 00:59:57,321
POULTRY AND MEAT, POULTRY AND 

1299
00:59:57,321 --> 00:59:58,456
SEAFOOD MIXED DISHES.

1300
00:59:58,456 --> 01:00:01,892
MOSTLY ANIMAL PRODUCTS.

1301
01:00:01,892 --> 01:00:04,495
THE ORDER AND PROPORTION OF 

1302
01:00:04,495 --> 01:00:05,830
THESE WITHIN THE CONTRIBUTION TO

1303
01:00:05,830 --> 01:00:09,467
TOTAL PROTEIN DID VARY ACROSS 

1304
01:00:09,467 --> 01:00:14,338
RACE, ETHNIC SUBGROUPS AND BASED

1305
01:00:14,338 --> 01:00:18,442
ON THE MEAN INTAKES THE PROTEIN 

1306
01:00:18,442 --> 01:00:21,212
FOOD GROUP DID VARY CONSIDERABLY

1307
01:00:21,212 --> 01:00:23,614
ACROSS SUBCOMPONENTS OF AGE AND 

1308
01:00:23,614 --> 01:00:25,850
SEX, RACE AND ETHNICITY AND 

1309
01:00:25,850 --> 01:00:29,286
INCOME AND HOUSEHOLD SECURITY.

1310
01:00:29,286 --> 01:00:32,723
FOR EXAMPLE, MALES 20 YEAR PLUS 

1311
01:00:32,723 --> 01:00:34,558
HAVE A HIGHER OF POULTRY AND 

1312
01:00:34,558 --> 01:00:35,192
SEAFOOD COMPARED TO FEMALES AT 

1313
01:00:35,192 --> 01:00:45,436
THE SAME AGE.

1314
01:00:46,003 --> 01:00:48,539
LOOKING AT THE MEAT, POULTRY EGG

1315
01:00:48,539 --> 01:00:52,309
SUB GROUP THIS IS BACK ON A 

1316
01:00:52,309 --> 01:00:53,778
WEEKLY EQUIVALENT RECOMMENDATION

1317
01:00:53,778 --> 01:00:55,946
SCALE AND SIMILAR TO TOTAL 

1318
01:00:55,946 --> 01:00:59,450
PROTEINS GIVEN THIS WAS A MAIN 

1319
01:00:59,450 --> 01:01:03,220
CONTRIBUTOR FOR MOST STRATA WE 

1320
01:01:03,220 --> 01:01:07,458
SEE SIMILAR TIMES FOR AGE AND BY

1321
01:01:07,458 --> 01:01:08,192
SEX ARE IN THIS CATEGORY AS 

1322
01:01:08,192 --> 01:01:17,635
WELL.

1323
01:01:17,635 --> 01:01:23,374
OUNCE EQUIVALENTS PER WEEK ARE 

1324
01:01:23,374 --> 01:01:30,481
SHOWN IN THE BARS AND THE INTAKE

1325
01:01:30,481 --> 01:01:32,817
IS BELOW THE RECOMMENDATIONS OF 

1326
01:01:32,817 --> 01:01:33,050
INTAKE.

1327
01:01:33,050 --> 01:01:38,022
NUTS, SEEDS AND SOY PRODUCTS 

1328
01:01:38,022 --> 01:01:46,330
WITHIN TOTAL PROTEIN FOODS 

1329
01:01:46,330 --> 01:01:49,867
THERE'S THE EQUIVALENT GOALS AND

1330
01:01:49,867 --> 01:01:52,536
AMONG AGES 2-5 YEARS AND 20 

1331
01:01:52,536 --> 01:01:59,276
YEARS AND OLDER AND INTAKE OF 

1332
01:01:59,276 --> 01:02:00,778
SEEDS AND NUTS ARE HIGHER AMONG 

1333
01:02:00,778 --> 01:02:02,646
THOSE WITH HIGHER INCOMES 

1334
01:02:02,646 --> 01:02:05,883
COMPARED TO LOWER POVERTY 

1335
01:02:05,883 --> 01:02:16,026
LEVELS.

1336
01:02:19,463 --> 01:02:22,266
YOU CAN HAVE UP EQUIVALENTS A 

1337
01:02:22,266 --> 01:02:23,934
DAY AFTER 5 YEARS OLD STABLE 

1338
01:02:23,934 --> 01:02:27,037
ACROSS THE REST OF THE AGE 

1339
01:02:27,037 --> 01:02:29,807
GROUPS WITH THE SLIVER OF A BAR 

1340
01:02:29,807 --> 01:02:32,042
AT THE TOP OF THREE CUP 

1341
01:02:32,042 --> 01:02:40,885
EQUIVALENTS A DAY AND THERE'S DE

1342
01:02:40,885 --> 01:02:43,921
DECLINE OVER THE OLDER AGE GROUP

1343
01:02:43,921 --> 01:02:44,889
CATEGORIES.

1344
01:02:44,889 --> 01:02:46,023
THE TOP THREE FOOD CATEGORIES 

1345
01:02:46,023 --> 01:02:49,894
SOURCES TO THE DAIRY AND 

1346
01:02:49,894 --> 01:02:53,130
FORTIFIED SOY ALTERNATIVE FOOD 

1347
01:02:53,130 --> 01:02:53,397
GROUP.

1348
01:02:53,397 --> 01:02:58,002
FOR MOST GROUPS WERE BURGERS AND

1349
01:02:58,002 --> 01:03:01,639
SANDWICHES, HIGHER FAT MILK 

1350
01:03:01,639 --> 01:03:04,275
YOGURT AND BREAKFAST CEREALS AND

1351
01:03:04,275 --> 01:03:05,709
BARS AND MALES HAVE A HIGHER 

1352
01:03:05,709 --> 01:03:08,612
INTAKE FROM BURGERS AND 

1353
01:03:08,612 --> 01:03:09,079
SANDWICHES.

1354
01:03:09,079 --> 01:03:12,383
AND FOR NON-HISPANIC ASIANS THE 

1355
01:03:12,383 --> 01:03:13,050
SUBCATEGORIES THAT CONTRIBUTE TO

1356
01:03:13,050 --> 01:03:17,454
TOTAL DAIRY AND  ALTERNATIVES 

1357
01:03:17,454 --> 01:03:20,190
ARE COFFEE AND TEA IN CONTRAST 

1358
01:03:20,190 --> 01:03:24,228
TO FOODS THAT CONTRIBUTED TO THE

1359
01:03:24,228 --> 01:03:29,533
OVER ALL PICTURE AND FAT AND 

1360
01:03:29,533 --> 01:03:30,567
YOGURT.

1361
01:03:30,567 --> 01:03:34,872
TOTAL GRAINS, NEW FOOD GROUP, 

1362
01:03:34,872 --> 01:03:37,574
TOTAL GRAINS AGAIN 

1363
01:03:37,574 --> 01:03:41,378
CONGRATULATIONS FOR THE TOTAL 

1364
01:03:41,378 --> 01:03:43,647
GRAIN SUCCESS BUT IT'S A LEADING

1365
01:03:43,647 --> 01:03:47,151
SUCCESS STORY, MEAN DAILY INTAKE

1366
01:03:47,151 --> 01:03:53,057
IS AT THE RECOMMENDED AMOUNTS 

1367
01:03:53,057 --> 01:03:57,194
ARE FOR OUNCE EQUIVALENTS PER 

1368
01:03:57,194 --> 01:03:58,329
DAY AMONG CATEGORIES.

1369
01:03:58,329 --> 01:04:01,365
THE TOP THREE ARE BURGERS AND 

1370
01:04:01,365 --> 01:04:03,934
SANDWICHES, RICE, PASTA AND 

1371
01:04:03,934 --> 01:04:05,035
CHIPS, CRACKERS AND SAVORY 

1372
01:04:05,035 --> 01:04:10,174
SNACKS.

1373
01:04:10,174 --> 01:04:12,543
SO WITHIN THE TOTAL GRAINS THERE

1374
01:04:12,543 --> 01:04:14,545
ARE RECOMMENDATIONS SPECIFICALLY

1375
01:04:14,545 --> 01:04:16,213
FOR LOWER AMOUNTS OF REFINED 

1376
01:04:16,213 --> 01:04:21,852
GRAINS AND HIGHER AMOUNTS OF 

1377
01:04:21,852 --> 01:04:22,920
WHOLE GRAINS.

1378
01:04:22,920 --> 01:04:25,189
SO THE TOTAL GRAIN SLIDE DOES 

1379
01:04:25,189 --> 01:04:28,559
NOT REFLECT THE NUANCE FOR 

1380
01:04:28,559 --> 01:04:31,595
REFINED GRAINS WHICH IS 

1381
01:04:31,595 --> 01:04:32,930
EXCEEDING INTAKE AT ALMOST ALL 

1382
01:04:32,930 --> 01:04:37,901
AGE SEX STRATA BEGINNING WITH 

1383
01:04:37,901 --> 01:04:40,371
THE LOWEST AGE GROUPS FOR 

1384
01:04:40,371 --> 01:04:42,439
CHILDREN 6-12 MONTHS NONE ARE 

1385
01:04:42,439 --> 01:04:45,309
RECOMMENDED AROUND YOU CAN SEE 

1386
01:04:45,309 --> 01:04:46,944
THAT IMMEDIATELY IN THE CATEGORY

1387
01:04:46,944 --> 01:04:53,884
OF 12 AND UP THAT JUMPS UP HIGH 

1388
01:04:53,884 --> 01:05:04,395
AND PERSISTS THROUGH MOST THE 

1389
01:05:05,062 --> 01:05:06,830
LIFE SPAN AND THE TOP 

1390
01:05:06,830 --> 01:05:07,898
CONTRIBUTORS ARE BURGERS AND 

1391
01:05:07,898 --> 01:05:18,108
SANDWICHES.

1392
01:05:28,752 --> 01:05:30,354
AND WE LOOKED AT PASTA AND MIXED

1393
01:05:30,354 --> 01:05:40,197
DISHES.

1394
01:05:40,197 --> 01:05:43,367
LAST ONE.

1395
01:05:43,367 --> 01:05:45,135
WHOLE GRAINS WHICH ARE 

1396
01:05:45,135 --> 01:05:48,205
RECOMMENDED TO BE CONSUMED MORE 

1397
01:05:48,205 --> 01:05:51,408
OF ARE VIRTUALLY NON-EXISTENT AT

1398
01:05:51,408 --> 01:05:54,211
LESS THAN ONE OUNCE EQUIVALENT 

1399
01:05:54,211 --> 01:05:57,681
ACROSS MOST AGE AND SEX STRATA.

1400
01:05:57,681 --> 01:06:01,919
THE TOP THREE FOOD CATEGORIES 

1401
01:06:01,919 --> 01:06:12,362
SOURCES OF THE LOW INTAKES SUPER

1402
01:06:12,362 --> 01:06:16,867
FOOD AND CHIPS AND SAVORY SNACKS

1403
01:06:16,867 --> 01:06:19,103
AND FOR NON-HISPANIC ASIANS IT'S

1404
01:06:19,103 --> 01:06:29,513
BURGERS AND SANDWICHES.

1405
01:06:46,730 --> 01:06:49,133
>> WE TALKED ABOUT FOOD 

1406
01:06:49,133 --> 01:06:51,135
MODELLING AND HAVE MORE 

1407
01:06:51,135 --> 01:07:01,678
FLEXIBILITY AND VARIATIONS TO 

1408
01:07:01,678 --> 01:07:06,049
BUILD ING INTO GUIDELINES AND WE

1409
01:07:06,049 --> 01:07:09,520
HAVE TALKED ABOUT THE DIFFERENT 

1410
01:07:09,520 --> 01:07:09,820
INTAKE.

1411
01:07:09,820 --> 01:07:13,257
EVERYTHING FROM EATING PATTERNS 

1412
01:07:13,257 --> 01:07:16,293
TO NUTRIENT INTAKES THAT WILL 

1413
01:07:16,293 --> 01:07:17,895
INFORM THE WORK TO RECOMMEND.

1414
01:07:17,895 --> 01:07:20,464
I'M GOING TO TALK ABOUT THE 

1415
01:07:20,464 --> 01:07:24,201
PREVALENCE OF CHRONIC HEALTH 

1416
01:07:24,201 --> 01:07:24,501
CONDITIONS.

1417
01:07:24,501 --> 01:07:26,036
HOW IS THIS FEEDING INTO WHAT 

1418
01:07:26,036 --> 01:07:27,804
WE'LL EAT?

1419
01:07:27,804 --> 01:07:29,072
WHAT I'LL TALK ABOUT AND LATER 

1420
01:07:29,072 --> 01:07:30,541
THIS AFTERNOON WHEN WE TALK 

1421
01:07:30,541 --> 01:07:34,945
ABOUT THE SYSTEMIC REVIEW OF 

1422
01:07:34,945 --> 01:07:42,085
DIETARY PATTERS AND CHRONICS CAN

1423
01:07:42,085 --> 01:07:52,529
BE AND AIM TO REDUCE THE 

1424
01:07:53,964 --> 01:07:55,332
INSTANCE IN THE CHRONIC 

1425
01:07:55,332 --> 01:07:55,899
CONDITIONS.

1426
01:07:55,899 --> 01:08:01,205
AND SOMETIMES IT TAKES PIECES 

1427
01:08:01,205 --> 01:08:11,748
THAT AND MOST OF THE DATA COMES 

1428
01:08:17,054 --> 01:08:19,189
FROM WHAT HEATHER HAS MENTIONED 

1429
01:08:19,189 --> 01:08:23,360
AND THE TIME LINE IS GENERALLY 

1430
01:08:23,360 --> 01:08:29,032
2015 TO 2021 DATA THAT I'M GOING

1431
01:08:29,032 --> 01:08:34,338
TO SHOW YOU.

1432
01:08:34,338 --> 01:08:37,007
SO ON A VERY KEY PIECES OF 

1433
01:08:37,007 --> 01:08:39,610
THINGS WHEN ARE VIEW THE DATA WE

1434
01:08:39,610 --> 01:08:43,914
FOUND THE PREVALENCE OF 

1435
01:08:43,914 --> 01:08:46,817
NUTRITION AND CHRONIC CONDITIONS

1436
01:08:46,817 --> 01:08:48,819
VARIES BY SOCIO ECONOMIC, AGE 

1437
01:08:48,819 --> 01:08:54,925
AND SEX AND THE HEALTH DISPARITY

1438
01:08:54,925 --> 01:08:59,329
SHOWED UP COMMON IN SEVERAL 

1439
01:08:59,329 --> 01:09:03,400
CHRONIC HEALTH CONDITIONS THE 

1440
01:09:03,400 --> 01:09:05,769
PREVALENCE VARY BY SOCIO 

1441
01:09:05,769 --> 01:09:07,404
ECONOMIC GROUPS AND SHOW DATA TO

1442
01:09:07,404 --> 01:09:16,013
ILLUSTRATE THE DIFFERENCES.

1443
01:09:16,013 --> 01:09:19,116
AND WE'LL LOOK AT CHILDREN AND 

1444
01:09:19,116 --> 01:09:19,583
ADOLESCENTS.

1445
01:09:19,583 --> 01:09:21,785
ADULTS AND OLDER ADULTS LOOK AT 

1446
01:09:21,785 --> 01:09:24,221
CHRONIC DISEASE RISK FACTORS 

1447
01:09:24,221 --> 01:09:26,189
SUCH AS OBESITY, HYPERTENSION 

1448
01:09:26,189 --> 01:09:31,428
AND LIPIDS AND LIPID PROFILE 

1449
01:09:31,428 --> 01:09:37,901
INCLUDING TRIGLYCERIDES.

1450
01:09:37,901 --> 01:09:48,378
WE'LL START I WE'LL LOOK AT 

1451
01:09:52,215 --> 01:09:53,884
CHILDREN'S HEALTH BASED ON 

1452
01:09:53,884 --> 01:09:57,654
W.H.O. GROWTH STANDARDS.

1453
01:09:57,654 --> 01:10:01,391
NOTABLY HIGH WEIGHT IS 9.6%.

1454
01:10:01,391 --> 01:10:04,628
AT THE SAME TIME, LOW BIRTH 

1455
01:10:04,628 --> 01:10:07,197
WEIGHT IS 8.52%.

1456
01:10:07,197 --> 01:10:12,536
WE HAVE HIGH AND YET AT THE SAME

1457
01:10:12,536 --> 01:10:13,904
TIME ANOTHER ISSUE IS LOW BIRTH 

1458
01:10:13,904 --> 01:10:16,273
WEIGHT.

1459
01:10:16,273 --> 01:10:20,043
SO THIS IS MORE GRANULAR DATA 

1460
01:10:20,043 --> 01:10:23,480
THAN DIFFERENT AGE GROUPS FOR 

1461
01:10:23,480 --> 01:10:28,285
MATERNAL AGE AS WELL AS AGE AND 

1462
01:10:28,285 --> 01:10:28,885
ETHNIC

1463
01:10:28,885 --> 01:10:29,152
ETHNICITY.

1464
01:10:29,152 --> 01:10:31,822
THERE'S VARIATION LOOKING AT THE

1465
01:10:31,822 --> 01:10:34,157
RANGE OF MATERNAL AGE IS ROUGHLY

1466
01:10:34,157 --> 01:10:40,630
AROUND 8% FOR LOW BIRTH WEIGHT 

1467
01:10:40,630 --> 01:10:50,340
SOME VARIATION RANGES FROM AS 

1468
01:10:50,340 --> 01:10:54,478
LOW AS 8% OF MATERNAL AGE AS 

1469
01:10:54,478 --> 01:11:02,486
HIGH AS 16.  2% WHEN MATERNAL 

1470
01:11:02,486 --> 01:11:12,763
AGE IS TO 4R5E 

1471
01:11:19,669 --> 01:11:21,405
54 YOU SEE CHILDREN AGE 2 AND 

1472
01:11:21,405 --> 01:11:25,642
ABOVE AND SEE THE TWO PANELS AND

1473
01:11:25,642 --> 01:11:25,876
ADULTS.

1474
01:11:25,876 --> 01:11:28,512
OF NOTE, OVERWEIGHT AND OBESITY 

1475
01:11:28,512 --> 01:11:29,179
IN CHILDREN IS SOMEWHERE BETWEEN

1476
01:11:29,179 --> 01:11:34,351
16.  8% AND 19.2% AND PREVALENCE

1477
01:11:34,351 --> 01:11:41,224
IS HIGHER IN ADULTS WITH 31% 

1478
01:11:41,224 --> 01:11:43,994
OVER WEIGHT AND OBESITY AND THE 

1479
01:11:43,994 --> 01:11:49,900
TWO CATEGORIES DO NOT OVERLAP.

1480
01:11:49,900 --> 01:11:52,869
IT'S EXCEEDS 50% FOR OBESITY AND

1481
01:11:52,869 --> 01:12:03,213
OVERWEIGHT TOGETHER.

1482
01:12:07,818 --> 01:12:14,658
>> ON THE LEFT PANEL THE
HIGHEST

1483
01:12:14,658 --> 01:12:17,127
PREVALENCE IS THE AMOUNT OF 

1484
01:12:17,127 --> 01:12:19,429
TEENAGERS 19 YEARS OLD AND 

1485
01:12:19,429 --> 01:12:22,833
SIGNIFICANTLY HIGHER THAN 2 TO 5

1486
01:12:22,833 --> 01:12:23,834
YEARS OLD.

1487
01:12:23,834 --> 01:12:26,636
THE AMOUNT 6 TO 11 YEARS OLD THE

1488
01:12:26,636 --> 01:12:27,270
PREVALENCE IS HIGHER AMONG MALES

1489
01:12:27,270 --> 01:12:29,139
THAN FEMALES.

1490
01:12:29,139 --> 01:12:33,043
IN THE MIDDLE PANEL WHEN THERE 

1491
01:12:33,043 --> 01:12:34,311
IS LOOKING AT ETHNICITY 

1492
01:12:34,311 --> 01:12:37,614
DIFFERENCE AND SEX DIFFERENCE, 

1493
01:12:37,614 --> 01:12:43,920
THERE IS THE HISPANIC BLACK 

1494
01:12:43,920 --> 01:12:44,588
PREVALENCE HIGHER AMONG FEMALES 

1495
01:12:44,588 --> 01:12:46,890
AND HIGHER THAN THE NON-HISPANIC

1496
01:12:46,890 --> 01:12:49,459
WHITE FEMALES AND ALSO THE 

1497
01:12:49,459 --> 01:12:52,128
HISPANIC BLACK FEMALES ARE 

1498
01:12:52,128 --> 01:12:54,064
HIGHER PREVALENCE THAN THE 

1499
01:12:54,064 --> 01:12:55,465
HISPANIC FEMALES.

1500
01:12:55,465 --> 01:12:57,334
WHEN IT COMES TO INCOME AND 

1501
01:12:57,334 --> 01:13:00,437
POVERTY LEVEL THE LOWEST IS AT 

1502
01:13:00,437 --> 01:13:05,876
THE HIGHEST INCOME LEVEL.

1503
01:13:05,876 --> 01:13:06,943
SO NEXT SLIDE.

1504
01:13:06,943 --> 01:13:11,815
TO THE ADULTS ON THE TOPIC OF 

1505
01:13:11,815 --> 01:13:12,482
OBESITY, SOME VARIATION IS STILL

1506
01:13:12,482 --> 01:13:17,821
SEEN AND WHEN IT COMES TO THE 

1507
01:13:17,821 --> 01:13:19,856
LEFT PANEL AMONG MALES THERE'S 

1508
01:13:19,856 --> 01:13:20,624
SIGNIFICANT DIFFERENCE BETWEEN 

1509
01:13:20,624 --> 01:13:24,995
THE MIDDLE AGE GROUP AND 48 TO 

1510
01:13:24,995 --> 01:13:29,199
59 YEARS OLD HIGHER THAN THE 60 

1511
01:13:29,199 --> 01:13:30,767
PLUS YEARS OLD.

1512
01:13:30,767 --> 01:13:33,837
WHEN IT COMES TO ETHNICITY, THAT

1513
01:13:33,837 --> 01:13:40,977
IS BASED ON BMI, THE GROUP 

1514
01:13:40,977 --> 01:13:42,245
NON-HISPANIC ASIANS IS 

1515
01:13:42,245 --> 01:13:42,979
SIGNIFICANTLY LOWER THAN THE 

1516
01:13:42,979 --> 01:13:46,082
OTHER ETHNIC GROUPS.

1517
01:13:46,082 --> 01:13:50,954
AND WHEN IT COMES TO INCOME AND 

1518
01:13:50,954 --> 01:13:52,789
POVERTY LEVEL THE FEMALES OF 

1519
01:13:52,789 --> 01:13:54,691
HIGHEST INCOME LEVEL IS 

1520
01:13:54,691 --> 01:13:57,394
SIGNIFICANTLY LOWER PREVALENCE 

1521
01:13:57,394 --> 01:13:58,028
OF OBESITY THAN THE OTHER FEMALE

1522
01:13:58,028 --> 01:14:01,932
GROUPS.

1523
01:14:01,932 --> 01:14:02,632
OKAY.

1524
01:14:02,632 --> 01:14:07,904
SO, WE'RE NOW MOVING ON TO THE 

1525
01:14:07,904 --> 01:14:10,407
OTHER CHRONIC CONDITIONS, 

1526
01:14:10,407 --> 01:14:12,943
CARDIOVASCULAR AND HYPERTENSION 

1527
01:14:12,943 --> 01:14:15,312
AND HEART DISEASE SO AMONG 

1528
01:14:15,312 --> 01:14:21,484
CHILDREN AND ADOLESCENTS 

1529
01:14:21,484 --> 01:14:23,920
HYPERTENSION WE HAVE 5% RANGE 

1530
01:14:23,920 --> 01:14:25,889
AND OF COURSE MUCH HIGHER AMONG 

1531
01:14:25,889 --> 01:14:29,259
IN ADULTS AND SEE FOR 

1532
01:14:29,259 --> 01:14:31,628
HYPERTENSION THE STANDARD IS 

1533
01:14:31,628 --> 01:14:37,367
SYSTOLIC OF 103 AND ABOVE OR 

1534
01:14:37,367 --> 01:14:41,471
DIASTOLIC WHICH IS 80 AND ABOVE.

1535
01:14:41,471 --> 01:14:43,907
SO ACCORDING TO THAT STANDARD, 

1536
01:14:43,907 --> 01:14:47,043
ALMOST HALF OF AMERICAN ADULTS 

1537
01:14:47,043 --> 01:14:49,779
IS CONSIDERED TO BE 

1538
01:14:49,779 --> 01:14:50,113
HYPERTENSIVE.

1539
01:14:50,113 --> 01:14:51,815
SO MORE DETAILS IN THE FULL 

1540
01:14:51,815 --> 01:14:58,655
REPORT.

1541
01:14:58,655 --> 01:14:59,923
ON THE CARDIOVASCULAR FRONT OF 

1542
01:14:59,923 --> 01:15:02,959
OF TRIGLYCERIDES THERE'S SOME 

1543
01:15:02,959 --> 01:15:05,562
PERCENTAGE OF CHILDREN OF 

1544
01:15:05,562 --> 01:15:12,068
ADOLESCENTS HAVE HIGH LDL OR LOW

1545
01:15:12,068 --> 01:15:12,602
HDL.

1546
01:15:12,602 --> 01:15:14,738
BECAUSE AND BECAUSE IT'S A 

1547
01:15:14,738 --> 01:15:15,305
MARKER FOR CARDIOVASCULAR 

1548
01:15:15,305 --> 01:15:18,842
DISEASE AND HDL IS TO THE RISK 

1549
01:15:18,842 --> 01:15:19,342
FACTOR.

1550
01:15:19,342 --> 01:15:23,947
FOR ADULTS AGE 20 AND ABOVE OVER

1551
01:15:23,947 --> 01:15:29,886
50% OF AMERICAN ADULTS HAVE HIGH

1552
01:15:29,886 --> 01:15:34,958
LDL CHOLESTEROL.

1553
01:15:34,958 --> 01:15:37,060
SO DIABETES AND PRE-DIABETES.

1554
01:15:37,060 --> 01:15:45,735
LOOK AT THE PRE-DIABETES.

1555
01:15:45,735 --> 01:15:47,537
THERE'S PREVALENCE OF 

1556
01:15:47,537 --> 01:15:48,004
PREDIABETES.

1557
01:15:48,004 --> 01:15:53,777
THE CHILDREN OF DIABETES IS 

1558
01:15:53,777 --> 01:15:55,178
30.8% WHICH IS QUITE CHUNK OF 

1559
01:15:55,178 --> 01:16:01,885
CHILDREN IN THERE.

1560
01:16:01,885 --> 01:16:04,888
FOR ADULTS ALMOST 15% OF 

1561
01:16:04,888 --> 01:16:06,723
AMERICAN ADULTS HAVE BEEN 

1562
01:16:06,723 --> 01:16:10,193
DIAGNOSED WITH DIABETES.

1563
01:16:10,193 --> 01:16:15,131
A LITTLE MORE DETAILS ON THE 

1564
01:16:15,131 --> 01:16:17,701
PREDIABETES AND THE SEX AND 

1565
01:16:17,701 --> 01:16:21,471
ETHNICITY DIFFERENCES OF THAT SO

1566
01:16:21,471 --> 01:16:24,941
MALES HAVE HIGHER PRE-DIABETES 

1567
01:16:24,941 --> 01:16:30,080
THAN FEMALES AND THEN THERE ARE 

1568
01:16:30,080 --> 01:16:32,015
SOME DIFFERENCE WITH ETHNICITY 

1569
01:16:32,015 --> 01:16:37,887
AS WELL.

1570
01:16:37,887 --> 01:16:41,091
THE ACTUAL DIABETES THESE ARE 

1571
01:16:41,091 --> 01:16:42,425
THE DIFFERENT DEMOGRAPHIC GROUPS

1572
01:16:42,425 --> 01:16:44,427
AND THERE'S VARIATION AMOUNT OF 

1573
01:16:44,427 --> 01:16:44,861
THEM.

1574
01:16:44,861 --> 01:16:50,100
THE AMOUNT OF ETHNIC GROUPS, THE

1575
01:16:50,100 --> 01:16:52,402
HIGHEST IS AMONG NON-HISPANIC 

1576
01:16:52,402 --> 01:16:56,506
BLACKS AND AS WE WOULD EXPECT 

1577
01:16:56,506 --> 01:16:59,275
THAT THOSE OLDER HAVE HIGHER 

1578
01:16:59,275 --> 01:17:07,817
PREVALENCE OF ACTUAL DIABETES.

1579
01:17:07,817 --> 01:17:12,856
THESE ARE ADULTS ROUGHLY 40% OF 

1580
01:17:12,856 --> 01:17:14,591
ADULTS HAVE METABOLIC SYNDROME 

1581
01:17:14,591 --> 01:17:16,359
AND IT'S NOT MUCH DIFFERENCE IN 

1582
01:17:16,359 --> 01:17:18,595
TERMS OF PERCENTAGES AND WHAT 

1583
01:17:18,595 --> 01:17:20,964
WE'RE SEEKING BY EYEBALLING THE 

1584
01:17:20,964 --> 01:17:21,598
PERCENTAGES IN TERMS OF MALES 

1585
01:17:21,598 --> 01:17:27,237
AND FEMALES.

1586
01:17:27,237 --> 01:17:29,773
A LITTLE BIT MORE GRANULAR DATA 

1587
01:17:29,773 --> 01:17:31,241
ON AGE AND ETHNICITY AS WE COULD

1588
01:17:31,241 --> 01:17:33,810
EXPECT THE OLDER AGE GROUP HAS 

1589
01:17:33,810 --> 01:17:39,115
THE HIGHEST PREVALENCE OF 

1590
01:17:39,115 --> 01:17:40,049
METABOLIC SYNDROME AND DIFFERENT

1591
01:17:40,049 --> 01:17:41,885
ETHNIC GROUPS THERE'S SOME 

1592
01:17:41,885 --> 01:17:43,186
DIFFERENCES WITH THE LOWEST 

1593
01:17:43,186 --> 01:17:46,823
AMOUNT OF NON-HISPANIC ASIANS 

1594
01:17:46,823 --> 01:17:49,893
AND NOT MUCH DIFFERENCE BETWEEN 

1595
01:17:49,893 --> 01:17:53,897
THE HISPANIC WHITES AND 

1596
01:17:53,897 --> 01:17:54,164
HISPANICS.

1597
01:17:54,164 --> 01:17:56,432
ON GESTATIONAL DIABETES, 

1598
01:17:56,432 --> 01:17:57,901
CURRENTLY THE GESTATIONAL 

1599
01:17:57,901 --> 01:18:05,041
DIABETES RATE IS 7.8 PER 100 

1600
01:18:05,041 --> 01:18:06,609
LIVE BIRTHS AND HYPERTENSION IS 

1601
01:18:06,609 --> 01:18:13,917
84 CASES FOR 1,000 LIVE BIRTHS.

1602
01:18:13,917 --> 01:18:16,186
A LITTLE MORE GRANULAR DATA ON 

1603
01:18:16,186 --> 01:18:19,889
THE DIFFERENT PREVALENCE BY AGE 

1604
01:18:19,889 --> 01:18:23,693
AND ETHNICITY AS WELL AS 

1605
01:18:23,693 --> 01:18:24,894
PRE-PREGNANCY BMI WE SEE 

1606
01:18:24,894 --> 01:18:28,064
VARIATION WITH THE LOWEST ON 

1607
01:18:28,064 --> 01:18:29,899
GESTATIONAL DIABETES AMONG THE 

1608
01:18:29,899 --> 01:18:32,902
YOUNGEST MOTHERS AND OLDEST 

1609
01:18:32,902 --> 01:18:33,369
MOTHERS.

1610
01:18:33,369 --> 01:18:36,272
SO VARIATION ETHNICITY WITH THE 

1611
01:18:36,272 --> 01:18:39,108
HIGHEST ON THE NON-HISPANIC 

1612
01:18:39,108 --> 01:18:41,444
ASIANS AND FOR WEIGHTS STATUS 

1613
01:18:41,444 --> 01:18:46,416
AND PRE-PREGNANCY BMI HIGHEST 

1614
01:18:46,416 --> 01:18:49,719
AMONG MOTHERS WHOSE BMI IS IN 

1615
01:18:49,719 --> 01:18:53,890
THE OBESITY CATEGORY BEFORE 

1616
01:18:53,890 --> 01:19:04,067
PREGNANCY.

1617
01:19:05,935 --> 01:19:08,037
AND WE SEE VARIATION AMONG THE 

1618
01:19:08,037 --> 01:19:09,873
DIFFERENT ETHNICITY WITH LOWEST 

1619
01:19:09,873 --> 01:19:17,580
HISPANIC MOTHERS.

1620
01:19:17,580 --> 01:19:21,251
WE ARE LOOKING AT ADULTS 50 AND 

1621
01:19:21,251 --> 01:19:25,455
ABOVE ONLY AND THESE DATA ON THE

1622
01:19:25,455 --> 01:19:28,791
LEFT PANEL COMBINES MEN AND 

1623
01:19:28,791 --> 01:19:32,495
WOMEN AND OLDER ADULTS 50 AND 

1624
01:19:32,495 --> 01:19:36,833
OLDER IS 12.6% AND LOW BONE MASS

1625
01:19:36,833 --> 01:19:39,302
IS 43.1%.

1626
01:19:39,302 --> 01:19:41,871
WHEN IT COMES TO SEX DIFFERENCE 

1627
01:19:41,871 --> 01:19:45,441
AS EXPECTED, THE FEMALES THE 

1628
01:19:45,441 --> 01:19:49,312
PREVALENCE IS A FEW TIMES HIGHER

1629
01:19:49,312 --> 01:19:51,247
THAN THE MALES AND ALSO AGE 

1630
01:19:51,247 --> 01:19:54,851
DIFFERENCE WE CAN SEE VARIATION 

1631
01:19:54,851 --> 01:19:55,485
AS WELL WITH THE HIGHER 

1632
01:19:55,485 --> 01:20:01,391
PREVALENCE OF THAT.

1633
01:20:01,391 --> 01:20:11,067
SO NEXT IS AND THE MOST COMMON 

1634
01:20:11,067 --> 01:20:12,302
CANCER TYPES.

1635
01:20:12,302 --> 01:20:22,812
SO THESE DATA COMES FROM THE 

1636
01:20:23,446 --> 01:20:28,184
SURVEILLANCE AND RESULTS AND 

1637
01:20:28,184 --> 01:20:34,624
HERE THE OLDER FEMALES OF BREAST

1638
01:20:34,624 --> 01:20:37,026
CANCER AND MALES CAN GET IT TOO 

1639
01:20:37,026 --> 01:20:39,462
BUT THE FRACTION IS VERY TINY 

1640
01:20:39,462 --> 01:20:48,104
AMONG ALL BREAST CANCER CASES.

1641
01:20:48,104 --> 01:20:54,477
THE MORTALITY SLIDE IS FOR 

1642
01:20:54,477 --> 01:21:01,884
FEMALES ONLY.

1643
01:21:01,884 --> 01:21:05,755
AND MORTALITY IS HIGHEST FOR THE

1644
01:21:05,755 --> 01:21:08,891
FEMALES WHO ARE OLDEST.

1645
01:21:08,891 --> 01:21:10,660
SO NEXT IS WE'RE STILL ON BREAST

1646
01:21:10,660 --> 01:21:15,531
CANCER BUT THIS IS RACE AND 

1647
01:21:15,531 --> 01:21:16,899
ETHNICITY.

1648
01:21:16,899 --> 01:21:19,936
THERE'S SOME VARIATION ON 

1649
01:21:19,936 --> 01:21:21,871
INCIDENTS THE LEFT PANEL WITH 

1650
01:21:21,871 --> 01:21:24,640
THE LOWEST INCIDENTS WHICH IS 

1651
01:21:24,640 --> 01:21:26,275
HISPANIC AND HIGHEST INCIDENTS 

1652
01:21:26,275 --> 01:21:30,747
IS NON-HISPANIC WHITES AND 

1653
01:21:30,747 --> 01:21:31,781
MORTALITY THERE'S VARIATION AS 

1654
01:21:31,781 --> 01:21:34,951
WELL WITH THE LOWEST AMOUNT 

1655
01:21:34,951 --> 01:21:36,252
NON-HISPANIC ASIAN AND HIGHEST 

1656
01:21:36,252 --> 01:21:38,454
AMOUNT HISPANIC BLACKS.

1657
01:21:38,454 --> 01:21:40,089
INCIDENTS, WHAT IS NOT SHOWN IS 

1658
01:21:40,089 --> 01:21:47,130
TIME TREND AND INCIDENTS HAVE 

1659
01:21:47,130 --> 01:21:49,265
INCREASED BUT MORTALITY WILL BE 

1660
01:21:49,265 --> 01:21:52,735
DECREASING AND WE HAVE 

1661
01:21:52,735 --> 01:21:57,407
TREATMENTS DRIVING THE REDUCING 

1662
01:21:57,407 --> 01:21:57,774
MORTALITY.

1663
01:21:57,774 --> 01:22:00,109
AND ON COLORECTAL CANCER BY AGE 

1664
01:22:00,109 --> 01:22:05,314
INCIDENTS AND MORTALITY, 

1665
01:22:05,314 --> 01:22:08,818
INCIDENTS IS HIGHEST BY THE 

1666
01:22:08,818 --> 01:22:10,153
OLDEST AMERICANS AND THE 

1667
01:22:10,153 --> 01:22:13,890
MORTALITY IS ALSO THE HIGHEST OF

1668
01:22:13,890 --> 01:22:17,894
AMERICANS AND ONE MORE SLIDE.

1669
01:22:17,894 --> 01:22:28,438
THIS IS THE LAST SLIDE WHICH IS 

1670
01:22:29,939 --> 01:22:40,349
MORTALITY AND INCIDENTS OF 

1671
01:22:44,854 --> 01:22:45,655
MORTALITY AS WELL AND I'LL TURN 

1672
01:22:45,655 --> 01:22:50,393
IT BACK TO HEATHER.

1673
01:22:50,393 --> 01:22:51,327
>> THANKS SO MUCH.

1674
01:22:51,327 --> 01:22:52,929
THAT WAS GREAT TO WALK THROUGH 

1675
01:22:52,929 --> 01:22:55,498
ALL THE DETE SO NOW WE'VE MADE 

1676
01:22:55,498 --> 01:22:57,834
IT TO OUR LAST QUESTION THAT 

1677
01:22:57,834 --> 01:23:01,104
WE'RE ADDRESSING AND THIS ONE IS

1678
01:23:01,104 --> 01:23:04,607
FOCUSSED ON IDENTIFYING THOSE 

1679
01:23:04,607 --> 01:23:05,842
NUTRIENTS THAT PRESENT A 

1680
01:23:05,842 --> 01:23:08,177
SUBSTANTIAL PUBLIC HEALTH 

1681
01:23:08,177 --> 01:23:08,711
CONCERN.

1682
01:23:08,711 --> 01:23:10,079
IN ORDER TO GET HERE WE HAD TO 

1683
01:23:10,079 --> 01:23:13,316
HAVE THE INTAKE DATA AND NOW 

1684
01:23:13,316 --> 01:23:14,550
WE'RE CONSIDERING THAT INTAKE 

1685
01:23:14,550 --> 01:23:17,687
DATA IN THE PREVALENCE AND 

1686
01:23:17,687 --> 01:23:21,557
MAGNITUDE OF THE SHORT MAYBE 

1687
01:23:21,557 --> 01:23:22,391
UNDER CONSUMPTION OR OVER 

1688
01:23:22,391 --> 01:23:24,794
CONSUMPTION TO GET TO THE STAGE 

1689
01:23:24,794 --> 01:23:27,497
TO CLASSIFY THESE.

1690
01:23:27,497 --> 01:23:28,464
MOVING FORWARD I JUST LIKE THE 

1691
01:23:28,464 --> 01:23:30,700
OTHER SECTIONS I WANTED TO PULL 

1692
01:23:30,700 --> 01:23:34,704
OUT A FEW KEY THEMES FOR YOU 

1693
01:23:34,704 --> 01:23:34,904
HERE.

1694
01:23:34,904 --> 01:23:37,073
SO AS YOU HAVE SEEN OVER ALL OUR

1695
01:23:37,073 --> 01:23:40,276
NUTRIENT INTAKES ARE NOT 

1696
01:23:40,276 --> 01:23:45,581
ALIGNING WITH RECOMMENDATIONS IN

1697
01:23:45,581 --> 01:23:46,582
THE STANDARDS FOR NUTRIENT 

1698
01:23:46,582 --> 01:23:48,885
INTAKES COMING FROM THE DRIs 

1699
01:23:48,885 --> 01:23:52,722
THAT WERE MENTIONED EARLIER BY 

1700
01:23:52,722 --> 01:23:56,092
DR. STOODY AND ALSO FOR FOOD 

1701
01:23:56,092 --> 01:23:57,894
COMPONENTS, DIETARY COMPONENTS 

1702
01:23:57,894 --> 01:24:01,631
IN THE DIETARY GUIDELINES, 2020 

1703
01:24:01,631 --> 01:24:02,832
TO 2025.

1704
01:24:02,832 --> 01:24:05,535
AND WE HAVE MANY THAT AREN'T 

1705
01:24:05,535 --> 01:24:10,606
MEETING THESE RECOMMENDATIONS.

1706
01:24:10,606 --> 01:24:13,442
WE'VE BEEN ABLE TO LOOK AT THOSE

1707
01:24:13,442 --> 01:24:15,945
AND PULL FORWARD SOME OF SPECIAL

1708
01:24:15,945 --> 01:24:20,149
CHALLENGES FOR UNDER AND OVER 

1709
01:24:20,149 --> 01:24:23,386
CONSUMPTION AND ARE OF PUBLIC 

1710
01:24:23,386 --> 01:24:24,587
HEALTH CONCERN WHEN WE WENT 

1711
01:24:24,587 --> 01:24:25,688
THROUGH THE EXERCISE TO CLASSIFY

1712
01:24:25,688 --> 01:24:27,523
THOSE WHAT ALIGNED WITH THE 

1713
01:24:27,523 --> 01:24:31,928
PRIOR COMMITTEE.

1714
01:24:31,928 --> 01:24:36,199
WE DON'T HAVE ANY NEW NUTRIENTS 

1715
01:24:36,199 --> 01:24:38,301
CONSIDERED IN THE DIFFERENT 

1716
01:24:38,301 --> 01:24:38,534
CLASSES.

1717
01:24:38,534 --> 01:24:40,536
WE'RE PULLING OVER THOSE RESULTS

1718
01:24:40,536 --> 01:24:41,871
WERE THE SAME FROM THE PRIOR 

1719
01:24:41,871 --> 01:24:43,906
COMMITTEE.

1720
01:24:43,906 --> 01:24:46,275
SO MOVING ON TO GIVE YOU A 

1721
01:24:46,275 --> 01:24:48,778
BETTER SENSE OF WHAT WE WERE 

1722
01:24:48,778 --> 01:24:49,779
DOING HERE IN THE CLASSIFICATION

1723
01:24:49,779 --> 01:24:52,682
I FIRST WANT TO TALK ABOUT 

1724
01:24:52,682 --> 01:24:54,650
THIS -- THE APPROACH WE USE AND 

1725
01:24:54,650 --> 01:24:57,320
ALSO GIVE CREDIT TO THE FORMER 

1726
01:24:57,320 --> 01:25:01,891
COMMITTEE FOR REALLY DOING A 

1727
01:25:01,891 --> 01:25:03,593
GREAT JOB MORE FORMALLY OUTLYING

1728
01:25:03,593 --> 01:25:07,263
THE PROCESS OF HOW WE CLASSIFY 

1729
01:25:07,263 --> 01:25:10,900
THE NUTRIENTS OF PUBLIC HEALTH 

1730
01:25:10,900 --> 01:25:12,702
CONCERN WE'RE RELYING HEAVILY ON

1731
01:25:12,702 --> 01:25:14,704
OUR INTAKE DATA.

1732
01:25:14,704 --> 01:25:17,206
THAT'S ONE OF THE PIECES.

1733
01:25:17,206 --> 01:25:20,843
BUT IN ORDER TO RISE TO A 

1734
01:25:20,843 --> 01:25:21,577
NUTRIENT OF PUBLIC HEALTH 

1735
01:25:21,577 --> 01:25:25,381
CONCERN WE'RE LOOKING AT TWO 

1736
01:25:25,381 --> 01:25:29,885
OTHER CONSIDERATIONS ONE IS 

1737
01:25:29,885 --> 01:25:35,124
BIOLOGICAL END POINTS AND AN 

1738
01:25:35,124 --> 01:25:37,893
EXAMPLE MAY BE SERUM VITAMIN B 

1739
01:25:37,893 --> 01:25:40,663
LEVEL AND A MARKER OF NUTRIENT 

1740
01:25:40,663 --> 01:25:43,933
IN THE BODY TO HELP US 

1741
01:25:43,933 --> 01:25:48,437
UNDERSTAND HOW INTAKES MIGHT BE 

1742
01:25:48,437 --> 01:25:49,238
IMPACTING STATUS.

1743
01:25:49,238 --> 01:25:50,840
WE'RE ALSO LOOKING AT THE 

1744
01:25:50,840 --> 01:25:53,175
CLINICAL HEALTH CONSEQUENCES OF 

1745
01:25:53,175 --> 01:25:57,380
MAYBE A SHORTFALL OR 

1746
01:25:57,380 --> 01:25:58,948
OVERCONSUMPTION OF A CERTAINLY 

1747
01:25:58,948 --> 01:25:59,882
NUTRIENT.

1748
01:25:59,882 --> 01:26:01,617
AN EXAMPLE MAY BE IRON 

1749
01:26:01,617 --> 01:26:04,186
DEFICIENCY ANEMIA.

1750
01:26:04,186 --> 01:26:06,722
IT'S VERY TIED TO IRON INTAKES 

1751
01:26:06,722 --> 01:26:09,392
AND IT'S REALLY IMPORTANT WITH 

1752
01:26:09,392 --> 01:26:10,760
REGARD TO BRAIN DEVELOPMENT, 

1753
01:26:10,760 --> 01:26:16,365
GROWTH, ETCETERA.

1754
01:26:16,365 --> 01:26:19,702
WE LOOK AT THESE TO CLASSIFY A 

1755
01:26:19,702 --> 01:26:21,804
NUTRIENT OF PUBLIC HEALTH 

1756
01:26:21,804 --> 01:26:22,038
CONCERN.

1757
01:26:22,038 --> 01:26:23,639
MOVING ON WE HAVE OTHER 

1758
01:26:23,639 --> 01:26:28,377
CLASSIFICATIONS THAT WE WERE 

1759
01:26:28,377 --> 01:26:29,278
MAKING HERE.

1760
01:26:29,278 --> 01:26:32,214
SO FIRST THERE'S OVER CONSUMED 

1761
01:26:32,214 --> 01:26:36,018
AND UNDER CONSUMED NUTRIENT AND 

1762
01:26:36,018 --> 01:26:37,687
ONCE A NUTRIENT IS IN EITHER OF 

1763
01:26:37,687 --> 01:26:41,290
THESE BUCKETS THEY'D BE 

1764
01:26:41,290 --> 01:26:42,692
CONSIDERED AS A NUTRIENT OF 

1765
01:26:42,692 --> 01:26:43,592
PUBLIC HEALTH CONCERN BUT FOR 

1766
01:26:43,592 --> 01:26:46,228
UNDER CONSUMPTION THE WAY WE 

1767
01:26:46,228 --> 01:26:55,571
DETERMINE THAT WERE BY FINDING A

1768
01:26:55,571 --> 01:26:57,773
GROUP OR SUBGROUP WHERE 5% OR 

1769
01:26:57,773 --> 01:27:00,109
MORE WAS NOT MEETING THE 

1770
01:27:00,109 --> 01:27:02,311
ESTIMATED AVERAGE REQUIREMENT 

1771
01:27:02,311 --> 01:27:05,481
FOR THAT NUTRIENT ORE THAT WAS 

1772
01:27:05,481 --> 01:27:08,417
EXCEEDING THE ADEQUATE INTAKE.

1773
01:27:08,417 --> 01:27:13,489
TO EXPLAIN THAT A LITTLE BIT 

1774
01:27:13,489 --> 01:27:16,525
MORE WHEN THERE'S A LOT OF 

1775
01:27:16,525 --> 01:27:17,693
SCIENTIFIC ESTIMATE AN AVERAGE 

1776
01:27:17,693 --> 01:27:24,633
CAN BE SET AND THIS TELLS US THE

1777
01:27:24,633 --> 01:27:28,971
REQUIREMENT FOR HEALTH.

1778
01:27:28,971 --> 01:27:31,040
THIS TELLS WHAT PERCENTAGE IS 

1779
01:27:31,040 --> 01:27:32,641
NOT MEETING THAT.

1780
01:27:32,641 --> 01:27:33,442
WHEN THERE'S NOT ENOUGH EVIDENCE

1781
01:27:33,442 --> 01:27:35,177
WE HAVE AN A.I. AND THAT GIVES 

1782
01:27:35,177 --> 01:27:39,181
US A MARKER OF ADEQUACY BUT WE 

1783
01:27:39,181 --> 01:27:41,751
CAN'T SAY BELOW THAT THE INTAKE 

1784
01:27:41,751 --> 01:27:44,220
IS INADEQUATE FOR SURE SO WE 

1785
01:27:44,220 --> 01:27:45,888
TALK ABOUT IT IN THE REVERSE.

1786
01:27:45,888 --> 01:27:49,158
WE LOOK FOR THE PERCENTAGE 

1787
01:27:49,158 --> 01:27:53,896
EXCEEDING THAT MARKER AND 

1788
01:27:53,896 --> 01:28:01,937
CONSIDER THEM TO BE ADEQUATE.

1789
01:28:01,937 --> 01:28:04,907
THEN FOR OVER CONSUMED NUTRIENTS

1790
01:28:04,907 --> 01:28:08,244
WE USED A MARKER OF THE UPPER 

1791
01:28:08,244 --> 01:28:15,518
LIMIT OR UPPER LEVEL ALSO THE 

1792
01:28:15,518 --> 01:28:16,152
CHRONIC DISEASE RISK REDUCTION 

1793
01:28:16,152 --> 01:28:18,487
MARKER OR OTHER RECOMMENDATIONS 

1794
01:28:18,487 --> 01:28:22,958
FOR EXAMPLE FOR FOOD COMPONENTS 

1795
01:28:22,958 --> 01:28:26,729
IN ADDED SUGARS IN THE DIETARY 

1796
01:28:26,729 --> 01:28:28,063
GUIDELINES AND LOOK FOR 5% OR 

1797
01:28:28,063 --> 01:28:32,368
MORE OF THE POPULATION EXCEEDING

1798
01:28:32,368 --> 01:28:37,907
THESEFIDE  -- GUIDELINES.

1799
01:28:37,907 --> 01:28:40,176
I ALREADY REVIEWED THAT 

1800
01:28:40,176 --> 01:28:42,278
CLASSIFICATION FOR NUTRIENTS OF 

1801
01:28:42,278 --> 01:28:44,547
PUBLIC HEALTH CONCERN AND THEN 

1802
01:28:44,547 --> 01:28:47,716
OUR FINAL CLASSIFICATIONS WAS A 

1803
01:28:47,716 --> 01:28:49,218
NUTRIENT OR FOOD THAT POSES 

1804
01:28:49,218 --> 01:28:51,987
SPECIAL CHALLENGES.

1805
01:28:51,987 --> 01:28:55,057
AND SO THIS WAS A CLASSIFICATION

1806
01:28:55,057 --> 01:28:58,294
WE USED WHEN IT WAS REALLY 

1807
01:28:58,294 --> 01:29:01,931
DIFFICULT TO IDENTIFY AN AT RISK

1808
01:29:01,931 --> 01:29:05,201
GROUP BECAUSE OF CHALLENGING 

1809
01:29:05,201 --> 01:29:07,970
INTAKE DATA, FOR EXAMPLE FOR 

1810
01:29:07,970 --> 01:29:10,439
MANY OF THE INFANT GROUP 

1811
01:29:10,439 --> 01:29:12,875
SOMETIMES WE DON'T HAVE REALLY 

1812
01:29:12,875 --> 01:29:16,145
GOOD INTAKE DATA ON WHICH TO 

1813
01:29:16,145 --> 01:29:17,413
MAKE THESE KIND OF BASIS.

1814
01:29:17,413 --> 01:29:19,982
THIS IS A SPECIAL CATEGORY THAT 

1815
01:29:19,982 --> 01:29:22,918
WE USED FOR THAT.

1816
01:29:22,918 --> 01:29:23,118
OKAY.

1817
01:29:23,118 --> 01:29:25,888
MOVING ON, I'M NOT GOING TO WALK

1818
01:29:25,888 --> 01:29:31,060
THROUGH THIS IN DEPTH BUT THIS 

1819
01:29:31,060 --> 01:29:32,528
IS THE FORMALIZED SET OF 

1820
01:29:32,528 --> 01:29:36,165
PATHWAYS THAT WE USED TO MAKE 

1821
01:29:36,165 --> 01:29:37,900
THESE DETERMINATIONS FOR 

1822
01:29:37,900 --> 01:29:39,134
NUTRIENTS OF PUBLIC HEALTH 

1823
01:29:39,134 --> 01:29:39,368
CONCERN.

1824
01:29:39,368 --> 01:29:43,939
YOU CAN SEE IN THE THREE 

1825
01:29:43,939 --> 01:29:46,475
DIAMOND-SHAPED BOXES ON THE TOP 

1826
01:29:46,475 --> 01:29:49,378
ROW HOW WE WERE ABLE TO 

1827
01:29:49,378 --> 01:29:50,779
INCORPORATE LOOKING AT THE DATA 

1828
01:29:50,779 --> 01:29:53,115
AND BIOMARKER DATA AND INTAKE 

1829
01:29:53,115 --> 01:29:54,283
DATA.

1830
01:29:54,283 --> 01:29:55,951
SO EACH NUTRIENT THAT WE 

1831
01:29:55,951 --> 01:30:01,090
REVIEWED MAY HAVE HAD A SLIGHTLY

1832
01:30:01,090 --> 01:30:02,424
DIFFERENT PATH AND SOMETIMES FOR

1833
01:30:02,424 --> 01:30:04,660
EXAMPLE WITH IODINE WE DON'T 

1834
01:30:04,660 --> 01:30:05,628
HAVE REALLY GOOD INTAKE DATA AND

1835
01:30:05,628 --> 01:30:08,430
SO WE HAVE TO RELY MORE ON 

1836
01:30:08,430 --> 01:30:13,369
BIOMARKER DATA.

1837
01:30:13,369 --> 01:30:16,205
THIS IS ALL AVAILABLE FOR ANYONE

1838
01:30:16,205 --> 01:30:19,174
TO REVIEW AND AGAIN WE HAVE THE 

1839
01:30:19,174 --> 01:30:20,342
FORMER COMMITTEE TO THANK FOR 

1840
01:30:20,342 --> 01:30:23,112
FORMALLY OUTLINING THIS FOR US.

1841
01:30:23,112 --> 01:30:27,449
SO MOVING ON WE'LL GET TO OUR 

1842
01:30:27,449 --> 01:30:27,683
RESULTS.

1843
01:30:27,683 --> 01:30:28,817
SO FIRST THOSE NUTRIENT 

1844
01:30:28,817 --> 01:30:30,953
CLASSIFICATIONS FOR INFANTS AND 

1845
01:30:30,953 --> 01:30:32,955
YOUNG CHILDREN AND WE'RE GOING 

1846
01:30:32,955 --> 01:30:34,990
TO START WITH THIS 6 TO 12 MONTH

1847
01:30:34,990 --> 01:30:42,164
AGE GROUP IN THE NEXT SLIDE.

1848
01:30:42,164 --> 01:30:47,636
FOR NUTRIENTS AND WITH THE YOUNG

1849
01:30:47,636 --> 01:30:52,274
CHILDREN BECAUSE OF DIFFERENT 

1850
01:30:52,274 --> 01:30:56,879
INTAKE COMPOSITION OF HUMAN 

1851
01:30:56,879 --> 01:30:58,380
BREAST MILK WE LOOKED AT THE TWO

1852
01:30:58,380 --> 01:31:02,284
DIFFERENT FEEDINGS.

1853
01:31:02,284 --> 01:31:04,920
FOR NUTRIENTS OF PUBLIC HEALTH 

1854
01:31:04,920 --> 01:31:07,723
CONCERN FOR HUMAN MILK FED 

1855
01:31:07,723 --> 01:31:09,358
INFANTS WITH THE CONSIDERATION 

1856
01:31:09,358 --> 01:31:12,795
OF THOSE COMPLIMENTARY FOODS WE 

1857
01:31:12,795 --> 01:31:15,598
FOUND THAT IRON WAS A NUTRIENT 

1858
01:31:15,598 --> 01:31:19,401
OF PUBLIC HEALTH CONCERN FOR 

1859
01:31:19,401 --> 01:31:26,442
UNDER CONSUMPTION AND NUTRIENTS 

1860
01:31:26,442 --> 01:31:32,848
OR ZINC AND PROTEIN IN THE HUMAN

1861
01:31:32,848 --> 01:31:38,954
FED PROTEINS AND THEY HAVE EARs.

1862
01:31:38,954 --> 01:31:43,192
WE CLASSIFIED POTASSIUM, VITAMIN

1863
01:31:43,192 --> 01:31:45,761
D AND CHOLINE AS COMPONENTS THAT

1864
01:31:45,761 --> 01:31:46,428
POSE SPECIAL CHALLENGES FOR ALL 

1865
01:31:46,428 --> 01:31:49,198
INFANTS.

1866
01:31:49,198 --> 01:31:51,500
BOTH OF THOSE SETS.

1867
01:31:51,500 --> 01:31:53,268
AND THEN SPECIFICALLY FOR THE 

1868
01:31:53,268 --> 01:31:56,572
INFANT FORMULA-FED INFANTS WE 

1869
01:31:56,572 --> 01:32:02,611
CLASSIFIED ZINC AND RETINAL AND 

1870
01:32:02,611 --> 01:32:06,248
OVERCONSUMED NUTRIENTS THAT POSE

1871
01:32:06,248 --> 01:32:09,852
SPECIAL CHALLENGES.

1872
01:32:09,852 --> 01:32:11,053
TO SHOW YOU THE EVIDENCE FROM 

1873
01:32:11,053 --> 01:32:15,591
THE INTAKE DATA, YOU CAN SEE OUR

1874
01:32:15,591 --> 01:32:17,192
CHART WITH THE NUTRIENTS ON THE 

1875
01:32:17,192 --> 01:32:22,498
LEFT SIDE THESE ARE THE ONES 

1876
01:32:22,498 --> 01:32:27,336
THAT HAVE AN EAR THAT EXCEEDED 

1877
01:32:27,336 --> 01:32:31,273
THE UL AND NEXT COLUMN IS 

1878
01:32:31,273 --> 01:32:32,608
LOOKING BELOW THE EAR FOR ALL 

1879
01:32:32,608 --> 01:32:35,911
INFANTS AND NEXT FOR THE 

1880
01:32:35,911 --> 01:32:41,116
HUMAN-MILK FED INFANTS AND THE 

1881
01:32:41,116 --> 01:32:43,986
INFANT FORMULA FED INFANT 

1882
01:32:43,986 --> 01:32:44,286
PERCENTAGES.

1883
01:32:44,286 --> 01:32:45,921
TO POINT OUT FOR IRON AND FOR 

1884
01:32:45,921 --> 01:32:50,959
THE HUMAN MILK FED WE HAVE 74% 

1885
01:32:50,959 --> 01:32:53,395
FALLING BELOW THE EAR FOR ZINC 

1886
01:32:53,395 --> 01:32:56,632
47% AND FOR PROTEIN 22%.

1887
01:32:56,632 --> 01:33:01,203
THEN FOR THE UL MARKER FOR THE 

1888
01:33:01,203 --> 01:33:05,574
INFANT FORMULA-FED INFANTS WE 

1889
01:33:05,574 --> 01:33:13,916
HAVE 78% ABOVE FOR ZINC AND 24% 

1890
01:33:13,916 --> 01:33:14,316
ABOVE FOR RETINAL.

1891
01:33:14,316 --> 01:33:17,920
MOVING FORWARD HERE WE HAVE 

1892
01:33:17,920 --> 01:33:20,723
THOSE NUTRIENTS THAT POSE 

1893
01:33:20,723 --> 01:33:23,125
SPECIAL CHALLENGES FOR UNDER 

1894
01:33:23,125 --> 01:33:25,160
CONSUMPTION THAT HAVE AN A.I. 

1895
01:33:25,160 --> 01:33:27,629
AND AGAIN THE NUTRIENTS ON THE 

1896
01:33:27,629 --> 01:33:30,833
LEFT SIDE FOR THIS 

1897
01:33:30,833 --> 01:33:32,868
CLASSIFICATION WE LOOKED AT THE 

1898
01:33:32,868 --> 01:33:33,702
CONTRIBUTION FROM THE 

1899
01:33:33,702 --> 01:33:35,771
COMPLIMENTARY FOODS AND THAT 

1900
01:33:35,771 --> 01:33:37,439
ESTIMATED CONTRIBUTION IS SHOWN 

1901
01:33:37,439 --> 01:33:40,242
IN THE MIDDLE COLUMN AND THEN 

1902
01:33:40,242 --> 01:33:42,778
THE ACTUAL INTAKES OF ALL 

1903
01:33:42,778 --> 01:33:45,047
INFANTS IS SHOWN ON THE RIGHT.

1904
01:33:45,047 --> 01:33:50,385
SO WE LOOKED AT THE MEAN IN 

1905
01:33:50,385 --> 01:33:51,553
COMPARISON TO THAT CONTRIBUTION.

1906
01:33:51,553 --> 01:33:53,555
THESE ARE BOTH THE CONTRIBUTIONS

1907
01:33:53,555 --> 01:33:55,791
FROM COMPLEMENTARY FOODS BUT WE 

1908
01:33:55,791 --> 01:34:01,463
LOOKED AT THE INTAKE COMPARED 

1909
01:34:01,463 --> 01:34:07,870
WITH THAT ESTIMATED MARKER AND 

1910
01:34:07,870 --> 01:34:09,538
CHOLINE AND POTASSIUM ARE LOWER 

1911
01:34:09,538 --> 01:34:20,048
AND SHADED WITH THE DARK BLUE.

1912
01:34:24,186 --> 01:34:27,089
WE HAVE A LAUNDRY FLAGGED FOR 

1913
01:34:27,089 --> 01:34:32,461
UNDER CONSUMPTION IN COMPARISON 

1914
01:34:32,461 --> 01:34:33,896
TO THE EAR.

1915
01:34:33,896 --> 01:34:36,098
AND WE HAVE FOUR COMPARED TO 

1916
01:34:36,098 --> 01:34:38,901
A.I. BASED ON THE INTAKE DATA 

1917
01:34:38,901 --> 01:34:42,404
AND THEN I DEAN AS I MENTIONED 

1918
01:34:42,404 --> 01:34:43,839
BEFORE IS BASED ON THE BIOMARKER

1919
01:34:43,839 --> 01:34:47,843
DATA THAT WE FLAGGED FOR UNDER 

1920
01:34:47,843 --> 01:34:49,511
CONSUMPTION.

1921
01:34:49,511 --> 01:34:51,146
FOR OVER CONSUMPTION WE HAVE -- 

1922
01:34:51,146 --> 01:34:54,383
WE COMPARED THE INTAKES AGAIN TO

1923
01:34:54,383 --> 01:34:57,319
THE UL FOR THE THOSE FOUR LISTED

1924
01:34:57,319 --> 01:34:57,519
THERE.

1925
01:34:57,519 --> 01:35:01,657
WE USED THE CDRR FOR SODIUM AND 

1926
01:35:01,657 --> 01:35:03,892
FOR SATURATED FAT AND ADDED 

1927
01:35:03,892 --> 01:35:07,863
SUGARS OR GUIDE POST WAS THE 

1928
01:35:07,863 --> 01:35:13,902
2020, 2025 DIETARY GUIDELINES.

1929
01:35:13,902 --> 01:35:15,504
OUT OF THOSE LISTED WE LOOKED AT

1930
01:35:15,504 --> 01:35:17,973
EACH TO CONSIDER WHICH ONES 

1931
01:35:17,973 --> 01:35:20,008
SHOULD BE FLAGGED AS NUTRIENTS 

1932
01:35:20,008 --> 01:35:21,443
OF PUBLIC HEALTH CONCERN.

1933
01:35:21,443 --> 01:35:24,546
AGAIN, THIS IS A HOLDING PATTERN

1934
01:35:24,546 --> 01:35:26,849
FROM THE LAST COMMITTEE.

1935
01:35:26,849 --> 01:35:30,419
BASED ON UNDER CONSUMPTION WE 

1936
01:35:30,419 --> 01:35:33,322
AGAIN HAVE VITAMIN D, CALCIUM, 

1937
01:35:33,322 --> 01:35:35,057
POTASSIUM AND FIBER BASED ON 

1938
01:35:35,057 --> 01:35:37,392
OVER CONSUMPTION, SODIUM, ADDED 

1939
01:35:37,392 --> 01:35:39,862
SUGARS AND SATURATED FAT AND FOR

1940
01:35:39,862 --> 01:35:41,897
SATURATED FAT FOR 2 AND OLDER, 

1941
01:35:41,897 --> 01:35:52,407
FOR THE OTHERS IT'S THE FULL 

1942
01:35:54,676 --> 01:35:59,715
POPULATIONS AND WE LOOK AT ALO 

1943
01:35:59,715 --> 01:36:02,618
EIC ACID FOR 12 TO 13 MONTHS AND

1944
01:36:02,618 --> 01:36:05,888
LOOKING AT THIS INTAKE DATA FOR 

1945
01:36:05,888 --> 01:36:08,657
THOSE NUTRIENTS THAT HAVE AN EAR

1946
01:36:08,657 --> 01:36:13,896
AGAIN REMEMBER WE'RE LOOKING FOR

1947
01:36:13,896 --> 01:36:17,266
THOSE THAT HAVE INTAKES BELOW 

1948
01:36:17,266 --> 01:36:20,202
THAT MARKER AND THOSE ARE SHADED

1949
01:36:20,202 --> 01:36:24,339
WITH THE LIGHT BLUE.

1950
01:36:24,339 --> 01:36:25,007
WE HIGHLIGHTED FURTHER THE TWO 

1951
01:36:25,007 --> 01:36:28,877
THAT ROSE TO THE LEVEL OF BEING 

1952
01:36:28,877 --> 01:36:31,246
A NUTRIENT OF PUBLIC HEALTH 

1953
01:36:31,246 --> 01:36:33,282
CONCERN, VITAMIN D AND CALCIUM 

1954
01:36:33,282 --> 01:36:34,216
WITH THE BLACK BOXES.

1955
01:36:34,216 --> 01:36:39,521
SO SOMETHING I WANTED TO POINT 

1956
01:36:39,521 --> 01:36:42,658
OUT HERE WAS LOOKING DOWN THE 

1957
01:36:42,658 --> 01:36:47,262
ROWS SHOWN BY AGE GROUP.

1958
01:36:47,262 --> 01:36:50,432
YOU CAN SEE FOR THE ADOLESCENT 

1959
01:36:50,432 --> 01:36:57,606
GIRLS 14 TO 18 ON THE RIGHT SIDE

1960
01:36:57,606 --> 01:37:01,910
WE SEE SHORTFALLS FOR THE AGE 

1961
01:37:01,910 --> 01:37:05,247
GROUP AND CONTINUES TO YOUNG 

1962
01:37:05,247 --> 01:37:05,681
ADULTHOOD.

1963
01:37:05,681 --> 01:37:09,918
THE MALES AREN'T DOING THAT MUCH

1964
01:37:09,918 --> 01:37:14,189
BETTER BUT THERE ARE MANY GAPS 

1965
01:37:14,189 --> 01:37:16,391
HE

1966
01:37:16,391 --> 01:37:18,260
HERE IN MEETING THE AVERAGE 

1967
01:37:18,260 --> 01:37:18,593
REQUIREMENTS.

1968
01:37:18,593 --> 01:37:21,029
MOVING FORWARD WE HAVE THE DATA 

1969
01:37:21,029 --> 01:37:24,232
BROKEN DOWN BY RACE ETHNICITY, 

1970
01:37:24,232 --> 01:37:29,338
POVERTY LEVEL AND FOOD SECURITY 

1971
01:37:29,338 --> 01:37:37,646
AND YOU CAN SEE ACROSS THE GROUP

1972
01:37:37,646 --> 01:37:42,217
THERE'S DIFFERENCES AND CALCIUM 

1973
01:37:42,217 --> 01:37:44,252
YOU CAN SEE FOR RACE ETHNICITY 

1974
01:37:44,252 --> 01:37:46,922
THE 20% DIFFERENCE THERE BUT 

1975
01:37:46,922 --> 01:37:49,491
WHEN WE LOOK BY POVERTY LEVEL 

1976
01:37:49,491 --> 01:37:54,930
AND FOOD SECURITY LEVEL WE DON'T

1977
01:37:54,930 --> 01:38:04,006
SEE MUCH VARIETY IN THE 

1978
01:38:04,006 --> 01:38:04,306
PERCENTAGES.

1979
01:38:04,306 --> 01:38:09,911
THE TWO THAT ROSE TO THE LEVEL 

1980
01:38:09,911 --> 01:38:12,347
OF PUBLIC HEALTH CONCERN WERE 

1981
01:38:12,347 --> 01:38:16,551
DIETARY FIBER AND POTASSIUM AND 

1982
01:38:16,551 --> 01:38:19,388
FOR DIETARY FIBER LESS THAN 3% 

1983
01:38:19,388 --> 01:38:22,924
EXCEEDING THE ADEQUACY MARKER SO

1984
01:38:22,924 --> 01:38:27,963
IT'S REALLY UNDER CONSUMED IN 

1985
01:38:27,963 --> 01:38:33,335
THE POPULATION.

1986
01:38:33,335 --> 01:38:35,637
WE HAVE THIS BROKEN DOWN BY 

1987
01:38:35,637 --> 01:38:37,906
RACE, ETHNICITY AND POVERTY 

1988
01:38:37,906 --> 01:38:41,610
LEVEL AND FOOD SECURITY.

1989
01:38:41,610 --> 01:38:43,779
AND WE DON'T SEE TOO MUCH 

1990
01:38:43,779 --> 01:38:45,113
VARIATION IN A LOT OF THESE.

1991
01:38:45,113 --> 01:38:47,516
MOVING FORWARD WE AGAIN 

1992
01:38:47,516 --> 01:38:52,788
IDENTIFIED THE NUTRIENTS OVER 

1993
01:38:52,788 --> 01:38:57,292
CONSUMED COMPARED WITH THE UL 

1994
01:38:57,292 --> 01:39:00,896
AND SHOWS SHADED 5% OR MORE IN 

1995
01:39:00,896 --> 01:39:03,065
THE LIGHT BLUE.

1996
01:39:03,065 --> 01:39:06,334
THOSE HIGHLIGHTED FOR THE VERY 

1997
01:39:06,334 --> 01:39:16,745
YOUNG AGE GROUP OF 1-3.

1998
01:39:18,280 --> 01:39:21,850
HERE'S WHERE WE LOOK AT THE 

1999
01:39:21,850 --> 01:39:23,418
OTHER DIETARY COMPONENTS 

2000
01:39:23,418 --> 01:39:25,520
OVERCONSUMED AND THIS IS FOR 

2001
01:39:25,520 --> 01:39:26,188
ADDED SUGARS.

2002
01:39:26,188 --> 01:39:29,891
AGAIN WE HAVE MALES ON THE LEFT 

2003
01:39:29,891 --> 01:39:34,663
AND FEMALES ON THE RIGHT AND 

2004
01:39:34,663 --> 01:39:36,398
BROKEN DOWN BY THE AGE GROUPS 

2005
01:39:36,398 --> 01:39:39,634
AND ON THE Y AXIS THE PERCENTAGE

2006
01:39:39,634 --> 01:39:41,970
OF EACH GROUP IN DARK ORANGE.

2007
01:39:41,970 --> 01:39:45,907
THOSE EXCEEDING THE INTAKES FOR 

2008
01:39:45,907 --> 01:39:47,609
ADDED SUGARS AND IN THE DARK 

2009
01:39:47,609 --> 01:39:49,644
BLUE THOSE THAT ARE UNDER OR 

2010
01:39:49,644 --> 01:39:53,148
WITHIN THOSE LIMITS AND SO JUST 

2011
01:39:53,148 --> 01:39:57,919
TO POINT OUT AGAIN OUR CHILD AGE

2012
01:39:57,919 --> 01:40:02,791
GROUPS 5 TO AGE 13 ARE THE MOST 

2013
01:40:02,791 --> 01:40:03,391
CHALLENGED WITH THIS DIETARY 

2014
01:40:03,391 --> 01:40:07,629
COMPONENT.

2015
01:40:07,629 --> 01:40:09,498
MOVING FORWARD TO SATURATED 

2016
01:40:09,498 --> 01:40:14,903
FATS, YOU CAN SEE AGAIN THE 

2017
01:40:14,903 --> 01:40:19,574
VARIATION IN THE AGE GROUPS BUT 

2018
01:40:19,574 --> 01:40:24,212
STILL THE DIFFICULTY WITH CHILD 

2019
01:40:24,212 --> 01:40:27,549
AGE GROUPS GROWING AND WE WANT 

2020
01:40:27,549 --> 01:40:28,783
TO PROMOTE HEALTH AS MUCH AS 

2021
01:40:28,783 --> 01:40:34,422
POSSIBLE FOR THEM AS THEY'RE 

2022
01:40:34,422 --> 01:40:34,723
DEVELOPING.

2023
01:40:34,723 --> 01:40:42,797
MOVING FORWARD WE LOOKED AT 

2024
01:40:42,797 --> 01:40:48,236
POVERTY INCOME RATIO AND DO HAVE

2025
01:40:48,236 --> 01:40:49,204
SOME VARIATION BY RACE 

2026
01:40:49,204 --> 01:40:57,212
ETHNICITY.

2027
01:40:57,212 --> 01:40:58,647
WE HAVE OUR LOOK AT THE 

2028
01:40:58,647 --> 01:41:00,148
PERCENTAGE OF INDIVIDUALS WITH 

2029
01:41:00,148 --> 01:41:03,084
SODIUM INTAKES EXCEEDING THE 

2030
01:41:03,084 --> 01:41:06,288
CHRONIC DISEASE RISK MARKER.

2031
01:41:06,288 --> 01:41:09,658
AND YOU CAN SEE IT'S QUITE HIGH 

2032
01:41:09,658 --> 01:41:20,001
FOR SODIUM AT 86% AND UPWARD 

2033
01:41:20,001 --> 01:41:22,704
AMONG THE DIFFERENT AGE GROUPS 

2034
01:41:22,704 --> 01:41:23,838
AND NOT MUCH DIFFERENT BETWEEN 

2035
01:41:23,838 --> 01:41:25,240
RACE AND POVERTY LEVEL.

2036
01:41:25,240 --> 01:41:27,576
AND LOOKING AT THE FOOD SOURCES 

2037
01:41:27,576 --> 01:41:30,812
WE'VE CONSIDERED FOOD SOURCES IN

2038
01:41:30,812 --> 01:41:36,184
SOME OF THE OTHER DATA YOU'VE 

2039
01:41:36,184 --> 01:41:40,822
SEEN TODAY BUT THIS IS HELPING 

2040
01:41:40,822 --> 01:41:41,756
CONCEPTUALIZE WHERE THESE OVER 

2041
01:41:41,756 --> 01:41:45,694
NUTRIENTS ARE COMING FROM.

2042
01:41:45,694 --> 01:41:47,462
THIS SHOWS THE TOP CATEGORY 

2043
01:41:47,462 --> 01:41:49,464
SOURCES FOR SUGARS IN MALES AND 

2044
01:41:49,464 --> 01:41:54,836
FEMALES AND A LOT OF IS COMING 

2045
01:41:54,836 --> 01:41:56,004
FROM DESERTS AND SWEET SNACKS 

2046
01:41:56,004 --> 01:42:00,375
AND SUGAR-SWEETENED BEVERAGES.

2047
01:42:00,375 --> 01:42:02,944
FOR THOSE CATEGORY SOURCES OF 

2048
01:42:02,944 --> 01:42:05,313
SATURATED FAT, WE'VE MENTIONED 

2049
01:42:05,313 --> 01:42:09,884
BURGERS AND SANDWICHES BEFORE AS

2050
01:42:09,884 --> 01:42:10,885
POPULATION EATING A LOT OF THOSE

2051
01:42:10,885 --> 01:42:12,988
AND THEY HAVE A LOT OF SATURATED

2052
01:42:12,988 --> 01:42:14,923
FATS FOR MALE AND FEMALES AND 

2053
01:42:14,923 --> 01:42:17,259
ALSO SEE DESERTS AND SWEET 

2054
01:42:17,259 --> 01:42:22,264
SNACKS COME UP AGAIN AND MEAT, 

2055
01:42:22,264 --> 01:42:24,232
POULTRY AND SEAFOOD MIXED 

2056
01:42:24,232 --> 01:42:24,499
DISHES.

2057
01:42:24,499 --> 01:42:31,539
AND FINALLY FOR SODIUM, A LOT OF

2058
01:42:31,539 --> 01:42:37,912
CALORIES COME FROM BURGERS AND 

2059
01:42:37,912 --> 01:42:41,182
SANDWICHES AND THERE'S A LOT OF 

2060
01:42:41,182 --> 01:42:42,851
SODIUM AS WELL AS SPREAD THROUGH

2061
01:42:42,851 --> 01:42:46,488
FOOD GROUPS AND MEAT, POULTRY 

2062
01:42:46,488 --> 01:42:49,024
AND SEAFOOD MIXED DISHES AND 

2063
01:42:49,024 --> 01:42:50,158
RICE, PASTA AND GRAIN-BASED 

2064
01:42:50,158 --> 01:43:00,602
DISHES AS WELL COMING OUT.

2065
01:43:07,409 --> 01:43:10,645
LAST IS PREGNANCY AND LACTATION.

2066
01:43:10,645 --> 01:43:13,048
FOR UNDER CONSUMPTION FOR 

2067
01:43:13,048 --> 01:43:14,749
NUTRIENTS OF PUBLIC HEALTH 

2068
01:43:14,749 --> 01:43:16,985
CONCERN WE IDENTIFIED FOLATE IN 

2069
01:43:16,985 --> 01:43:22,590
THE FIRST SEMESTER AND THEN 

2070
01:43:22,590 --> 01:43:26,928
BASED ON BIOMARKER DATA WE 

2071
01:43:26,928 --> 01:43:28,863
IDENTIFIED IRON FOR REPRODUCTIVE

2072
01:43:28,863 --> 01:43:31,633
AGE FOR FEMALES AND IODINE AS 

2073
01:43:31,633 --> 01:43:34,002
MENTIONED BEFORE AND ALSO TO 

2074
01:43:34,002 --> 01:43:38,039
REMIND YOU THAT IODINE NEEDS TO 

2075
01:43:38,039 --> 01:43:42,210
INCREASE BY MORE THAN 50% DURING

2076
01:43:42,210 --> 01:43:46,281
PREGNANCY TO MEET THE DEMANDS OF

2077
01:43:46,281 --> 01:43:48,583
FETAL DEVELOPMENT AND NEURAL 

2078
01:43:48,583 --> 01:43:51,286
GROWTH AND THE MEDIAN IODINE 

2079
01:43:51,286 --> 01:43:53,688
CONCENTRATIONS OF PREGNANT WOMEN

2080
01:43:53,688 --> 01:43:57,225
FELL BELOW THE W.H.O. CUT-OFF 

2081
01:43:57,225 --> 01:43:58,026
FOR INSUFFICIENCY.

2082
01:43:58,026 --> 01:43:59,761
THAT IS PART OF THE CRITERIA 

2083
01:43:59,761 --> 01:44:01,396
USED TO IDENTIFY IODINE.

2084
01:44:01,396 --> 01:44:02,831
WE DON'T HAVE VERY GOOD INTAKE 

2085
01:44:02,831 --> 01:44:09,971
DATA FOR THAT NUTRIENT.

2086
01:44:09,971 --> 01:44:11,773
WE IDENTIFIED TWO NUTRIENTS TO 

2087
01:44:11,773 --> 01:44:16,511
BE FLAGGED FOR OVER CONSUMPTION 

2088
01:44:16,511 --> 01:44:21,583
POSING SPECIAL CHALLENGES FOLATE

2089
01:44:21,583 --> 01:44:31,092
AND IRON.

2090
01:44:31,092 --> 01:44:34,629
AND AGAIN WE CAN SEE OUR 

2091
01:44:34,629 --> 01:44:37,899
NUTRIENTS WITH EAR IN THE FIRST 

2092
01:44:37,899 --> 01:44:40,769
TABLE ON THE LEFT AND WE HAVE 

2093
01:44:40,769 --> 01:44:44,005
TWO GROUPS HERE, FEMALES THAT 

2094
01:44:44,005 --> 01:44:46,875
ARE NOT USING SUPPLEMENTS IN THE

2095
01:44:46,875 --> 01:44:50,612
LEFT SIDE, THOSE THAT ARE USING 

2096
01:44:50,612 --> 01:44:53,148
SUPPLEMENTS ON THE RIGHT SIDE 

2097
01:44:53,148 --> 01:44:55,517
AND NOT PREGNANT OR LACTATING 

2098
01:44:55,517 --> 01:45:00,488
AND PREGNANT AND LACTATING.

2099
01:45:00,488 --> 01:45:03,925
AND WE SHADED THOSE IN LIGHT 

2100
01:45:03,925 --> 01:45:09,898
BLUE WHERE THE PERCENTAGE OF 

2101
01:45:09,898 --> 01:45:11,299
INDIVIDUALS INTAKES WERE BELOW 

2102
01:45:11,299 --> 01:45:13,902
THE 5% OR MORE.

2103
01:45:13,902 --> 01:45:16,538
FOR THE UPPER LEVEL, THAT TABLE 

2104
01:45:16,538 --> 01:45:18,973
THAT INTAKE DATA IS SHOWN ON THE

2105
01:45:18,973 --> 01:45:21,075
RIGHT AND HERE IS WHERE WE 

2106
01:45:21,075 --> 01:45:26,047
IDENTIFIED FOLIC ACID FOR THOSE 

2107
01:45:26,047 --> 01:45:29,350
USING SUPPLEMENTS.

2108
01:45:29,350 --> 01:45:30,952
THAT WAS A LOT, RIGHT.

2109
01:45:30,952 --> 01:45:37,225
BUT NOW WE GET TO THE FUN PART.

2110
01:45:37,225 --> 01:45:38,626
SO QUICKLY I WANT TO SHARE NEXT 

2111
01:45:38,626 --> 01:45:44,532
STEPS AND THEN HAVE A 

2112
01:45:44,532 --> 01:45:45,099
DISCUSSION.

2113
01:45:45,099 --> 01:45:46,634
WE'VE SYNTHESIZED ALL THE DATA 

2114
01:45:46,634 --> 01:45:48,803
FOR ANALYSIS AND NOW THE NEXT 

2115
01:45:48,803 --> 01:45:50,405
JOB WILL BE TO CONSIDER THIS 

2116
01:45:50,405 --> 01:45:53,441
TOGETHER WITH THE FOOD PATTERN 

2117
01:45:53,441 --> 01:45:55,143
MODELLING RESULTS AND SYSTEMATIC

2118
01:45:55,143 --> 01:46:02,851
REVIEW RESULTS.

2119
01:46:02,851 --> 01:46:05,386
AFTER THAT WE'LL DRAFT 

2120
01:46:05,386 --> 01:46:06,354
CONCLUSIONS AND RECOMMENDATIONS 

2121
01:46:06,354 --> 01:46:09,457
FOR THE FUTURE AND PUBLISHING 

2122
01:46:09,457 --> 01:46:10,658
THIS IN OUR REPORT OR 

2123
01:46:10,658 --> 01:46:12,227
SPECIFICALLY FOR THIS GROUP 

2124
01:46:12,227 --> 01:46:14,429
WE'LL HAVE OUR DATA ANALYSIS 

2125
01:46:14,429 --> 01:46:20,068
CHAPTER AND THEN WE'LL ALSO BE 

2126
01:46:20,068 --> 01:46:30,612
WORKING ON AND COMBINING THESE 

2127
01:46:45,827 --> 01:46:49,964
FOR GRAPHS AND RECOMMENDATIONS 

2128
01:46:49,964 --> 01:46:53,034
AND I WANT TO THANK THE STAFF 

2129
01:46:53,034 --> 01:46:54,302
ESPECIALLY COLLEEN AND DANA AND 

2130
01:46:54,302 --> 01:46:58,072
MOVING TO THE NEXT SLIDE WE ALSO

2131
01:46:58,072 --> 01:47:00,308
THANK THE FULL TEAM OF ALL THE 

2132
01:47:00,308 --> 01:47:02,243
STAFF WHO HAVE BEEN SUPPORTING 

2133
01:47:02,243 --> 01:47:06,614
OUR WORK HERE AND ALL OF OUR 

2134
01:47:06,614 --> 01:47:07,582
INTERAGENCY COLLABORATORS WHO 

2135
01:47:07,582 --> 01:47:08,583
GAVE US THE DATA AND GAVE US 

2136
01:47:08,583 --> 01:47:15,623
THOSE RESULTS.

2137
01:47:15,623 --> 01:47:26,100
SO NOW WE'LL TAKE QUESTIONS.

2138
01:47:27,035 --> 01:47:30,204
>> I DIDN'T HEAR MENTION
OF THIS

2139
01:47:30,204 --> 01:47:31,973
BUT WE KNOW HOW MUCH OF THIS IS 

2140
01:47:31,973 --> 01:47:34,809
BASED ON SELF-REPORT.

2141
01:47:34,809 --> 01:47:36,277
SELF-REPORT INVOLVES UNDER 

2142
01:47:36,277 --> 01:47:36,844
REPORTING.

2143
01:47:36,844 --> 01:47:40,048
WILL THERE BE NOTE MADE, WE 

2144
01:47:40,048 --> 01:47:41,583
PROBABLY DON'T THINK UNDER 

2145
01:47:41,583 --> 01:47:43,918
REPORTING IS PROPORTIONAL AND 

2146
01:47:43,918 --> 01:47:47,522
THEY REPORT THE HANDFUL OF M
& 

2147
01:47:47,522 --> 01:47:51,225
Ms AND SOME OF THE THINGS MAY BE

2148
01:47:51,225 --> 01:47:52,226
AN OVER REPRESENTATION OF WHAT 

2149
01:47:52,226 --> 01:47:53,895
THEY'RE UNDER CONSUMING AND SOME

2150
01:47:53,895 --> 01:47:57,065
OF WHAT THEY'RE REPORTING MAY 

2151
01:47:57,065 --> 01:47:59,500
BUMP UP A LITTLE BUT MAYBE NOT 

2152
01:47:59,500 --> 01:48:03,271
PROPORTION ALLY.

2153
01:48:03,271 --> 01:48:06,441
WILL THERE BE ROOM FOR UNDER 

2154
01:48:06,441 --> 01:48:07,642
ACKNOWLEDGEMENT?

2155
01:48:07,642 --> 01:48:11,212
>> GREAT POINT.

2156
01:48:11,212 --> 01:48:12,714
THERE'S BEEN GREAT RESEARCH TO 

2157
01:48:12,714 --> 01:48:15,850
EVALUATE THE UNDER AND OVER 

2158
01:48:15,850 --> 01:48:18,286
REPORTING PREVIOUSLY BY OTHER 

2159
01:48:18,286 --> 01:48:20,288
RESEARCHERS BUT YEAH, THAT'S 

2160
01:48:20,288 --> 01:48:25,426
EXACTLY TRUE THAT WE KNOW THAT 

2161
01:48:25,426 --> 01:48:26,694
THERE ARE A LOT OF TIMES THE 

2162
01:48:26,694 --> 01:48:28,963
FOODS THAT WE'RE EMBARRASSED OF 

2163
01:48:28,963 --> 01:48:33,368
REPORTING LIKE ADDED SUGARS AND 

2164
01:48:33,368 --> 01:48:36,170
MAYBE FOODS THAT AREN'T SEEN AS 

2165
01:48:36,170 --> 01:48:39,007
HEALTHY ARE MORE UNDER REPORTED 

2166
01:48:39,007 --> 01:48:39,841
THAN MORE HEALTHFUL FOODS.

2167
01:48:39,841 --> 01:48:45,747
SO WE WANT TO MAKE SURE TO 

2168
01:48:45,747 --> 01:48:49,317
ACKNOWLEDGE THAT AND WITH ADULTS

2169
01:48:49,317 --> 01:48:51,586
WE HAVE MORE OF A SENSE OF WHAT 

2170
01:48:51,586 --> 01:48:53,187
THE STRUCTURES LOOK LIKE AND 

2171
01:48:53,187 --> 01:48:55,723
WITH KIDS IT MAY BE MORE 

2172
01:48:55,723 --> 01:48:56,958
CHALLENGING UNDERSTAND THAT BUT 

2173
01:48:56,958 --> 01:49:05,900
YEAH THAT IS PART OF THE DATA.

2174
01:49:05,900 --> 01:49:13,007
>> I'VE HAD THE GUEST
LECTURE 

2175
01:49:13,007 --> 01:49:15,810
AND I'VE HEARD A LECTURE ON DIET

2176
01:49:15,810 --> 01:49:17,879
RECALL AND I HIGHLY RECOMMEND 

2177
01:49:17,879 --> 01:49:18,046
IT.

2178
01:49:18,046 --> 01:49:22,116
AND I THINK THE BIGGEST 

2179
01:49:22,116 --> 01:49:23,651
TAKEAWAYS OF THE BEHAVIOR OF 

2180
01:49:23,651 --> 01:49:28,289
REPORTING IN THE CONTEXT IS MORE

2181
01:49:28,289 --> 01:49:30,258
WITH ERROR DRIVEN BY INABILITY 

2182
01:49:30,258 --> 01:49:37,932
TO ESTIMATE THAN NOT-REPORTING 

2183
01:49:37,932 --> 01:49:38,399
SOMETHING ALTOGETHER.

2184
01:49:38,399 --> 01:49:44,405
I HAD M & Ms OR ALCOHOL, I
MIGHT

2185
01:49:44,405 --> 01:49:45,907
INTENTIONALLY UNDER REPORT THE 

2186
01:49:45,907 --> 01:49:47,942
AMOUNT OR TRY TO REPORT IT BUT 

2187
01:49:47,942 --> 01:49:49,577
BE TERRIBLE AT WHAT'S AN OUNCE, 

2188
01:49:49,577 --> 01:49:53,281
A CUP, A FLUID OUNCE.

2189
01:49:53,281 --> 01:49:55,683
I THINK THAT'S OBVIOUSLY THE 

2190
01:49:55,683 --> 01:50:00,688
PRECISION IN THE ESTIMATES IS 

2191
01:50:00,688 --> 01:50:05,893
NOT AS CONCRETE AS THE DATA MAY 

2192
01:50:05,893 --> 01:50:08,529
REFLECT AND I MAY UNDER REPORT 

2193
01:50:08,529 --> 01:50:11,999
THINGS PERCEIVED AS UNHEALTHY 

2194
01:50:11,999 --> 01:50:20,007
AND OVER REPORT HEAVY GREENS.

2195
01:50:20,007 --> 01:50:26,047
DO THE SYSTEMATIC ERROR MAY 

2196
01:50:26,047 --> 01:50:27,181
REPORT IT WORSE.

2197
01:50:27,181 --> 01:50:34,789
WE'RE LOOKING AT MAYBE BEST CASE

2198
01:50:34,789 --> 01:50:36,023
SCENARIO OF OVER REPORTING SO 

2199
01:50:36,023 --> 01:50:39,627
MORE BAD NEWS.

2200
01:50:39,627 --> 01:50:41,496
>> AND WE'VE SHOWN THE
DATA HOW 

2201
01:50:41,496 --> 01:50:44,732
SOME NUTRIENTS THE GAP BETWEEN 

2202
01:50:44,732 --> 01:50:47,635
RECOMMENDED AND MEANING IS SO 

2203
01:50:47,635 --> 01:50:52,774
BIG EVEN WITH THE ERROR IT'S 

2204
01:50:52,774 --> 01:50:56,010
STILL BIG.

2205
01:50:56,010 --> 01:51:01,716
>> NO ONE IS REPORTING THE

2206
01:51:01,716 --> 01:51:08,456
FOLATE INTAKE IT COMES BACK TO A

2207
01:51:08,456 --> 01:51:11,659
DATABASE AND WHAT TODAY'S APPLE 

2208
01:51:11,659 --> 01:51:16,230
CONTAINS AND NUTRIENTS WILL HAVE

2209
01:51:16,230 --> 01:51:18,533
THAT ADDITIONAL LAYER THAT IS 

2210
01:51:18,533 --> 01:51:21,903
HIGHLY VARIABLE ACROSS A SINGLE 

2211
01:51:21,903 --> 01:51:23,471
FOOD ITEM BECAUSE OF THE NATURE 

2212
01:51:23,471 --> 01:51:24,705
OF WHERE THEY'RE GROWN AND SOIL 

2213
01:51:24,705 --> 01:51:27,074
CONTENT AND WHAT NOT.

2214
01:51:27,074 --> 01:51:35,583
>> AND THERE'S GAPS.

2215
01:51:35,583 --> 01:51:38,553
I SEE THE ERRORS.

2216
01:51:38,553 --> 01:51:42,290
>> I'M NOT SURE THE
CONCLUSIONS 

2217
01:51:42,290 --> 01:51:45,092
OR THE BIG PICTURE CHANGES IN 

2218
01:51:45,092 --> 01:51:46,661
THE CONTEXT OF THE ERROR WHICH 

2219
01:51:46,661 --> 01:51:47,595
IS THE MOST IMPORTANT TAKEAWAY.

2220
01:51:47,595 --> 01:51:57,872
>> THAT'S RIGHT.

2221
01:52:00,908 --> 01:52:01,943
>> TO THE BREAST FEEDING
DATA 

2222
01:52:01,943 --> 01:52:08,716
NEED TO BE LOOKED AT WITH 

2223
01:52:08,716 --> 01:52:11,419
CAUTION AND BABY START SOLID 

2224
01:52:11,419 --> 01:52:12,653
FOODS BEFORE SIX MONTHS AND ALSO

2225
01:52:12,653 --> 01:52:15,022
FINALLY I'LL POINT OUT THE GOALS

2226
01:52:15,022 --> 01:52:16,624
ARE ARBITRARY.

2227
01:52:16,624 --> 01:52:21,462
WHY IS 40% THE GOAL?

2228
01:52:21,462 --> 01:52:25,900
WHY SHOULDN'T IT BE 70% OR 80%.

2229
01:52:25,900 --> 01:52:29,704
THESE ARE ARBITRARY GOALS MAYBE 

2230
01:52:29,704 --> 01:52:31,372
DIFFERENT FOR THE HEALTH OF OUR 

2231
01:52:31,372 --> 01:52:33,908
CHILDREN AND SETTING THE GOAL 

2232
01:52:33,908 --> 01:52:40,448
FOR BREAST FEEDING IS ARBITRARY 

2233
01:52:40,448 --> 01:52:43,284
AND THERE'S A ZINC ISSUE IN 

2234
01:52:43,284 --> 01:52:45,386
SMALL CHILDREN AND THERE'S A 

2235
01:52:45,386 --> 01:52:47,755
CALCULATION OF THE UPPER LEVEL 

2236
01:52:47,755 --> 01:52:49,724
OF ZINC AND CHALLENGED BY 

2237
01:52:49,724 --> 01:52:53,227
EXPERTS AND WRITTEN ENDLESS 

2238
01:52:53,227 --> 01:52:56,030
AMOUNTS WHY THERE'S A VALUE WE 

2239
01:52:56,030 --> 01:52:59,433
DON'T HAVE A PROBLEM WITH ZINC 

2240
01:52:59,433 --> 01:53:04,071
TOXICITY IN 1-3-YEAR-OLDS AND 

2241
01:53:04,071 --> 01:53:05,473
GETTING IT ALL OUT OF THE DIET 

2242
01:53:05,473 --> 01:53:08,009
IS NOT TRUE AND THE DETAILED 

2243
01:53:08,009 --> 01:53:09,043
ANALYSIS IS BEYOND THE 

2244
01:53:09,043 --> 01:53:11,612
DISCUSSION AND ONE NEED NOT 

2245
01:53:11,612 --> 01:53:12,546
PANIC ABOUT ZINC IN 

2246
01:53:12,546 --> 01:53:21,122
1-3-YEAR-OLDS.

2247
01:53:21,122 --> 01:53:23,758
>> I DIDN'T SEE VITAMIN D
AS A 

2248
01:53:23,758 --> 01:53:26,193
PUBLIC CONCERN ON BREAST FEEDING

2249
01:53:26,193 --> 01:53:36,404
AN CONTRAST.

2250
01:53:38,172 --> 01:53:41,909
>> VITAMIN D IS
HIGHLIGHTED FOR 

2251
01:53:41,909 --> 01:53:45,913
THE ENTIRE POPULATION AND 1 AND 

2252
01:53:45,913 --> 01:53:49,884
OLDER IS FOR THE AGE STAGE AS 

2253
01:53:49,884 --> 01:53:51,018
WELL.

2254
01:53:51,018 --> 01:53:52,920
THE ONES WE HIGHLIGHTED FOR 

2255
01:53:52,920 --> 01:53:54,021
PREGNANCY AND LACTATION ARE OME 

2256
01:53:54,021 --> 01:53:58,092
FOR THAT AGE STAGE.

2257
01:53:58,092 --> 01:54:01,896
THE OTHERS CARRY TO THAT GROUP 

2258
01:54:01,896 --> 01:54:11,973
TOO.

2259
01:54:19,046 --> 01:54:25,953
>> I WANTED TO FOLLOW UP
WITH 

2260
01:54:25,953 --> 01:54:27,755
STEVE MOTHER BREAST FEEDING 

2261
01:54:27,755 --> 01:54:29,523
ADDING COMPLIMENTARY FEEDING THE

2262
01:54:29,523 --> 01:54:30,758
IRON WAS LOW IF I GOT IT RIGHT.

2263
01:54:30,758 --> 01:54:41,002
EXTREMELY LOW.

2264
01:54:44,472 --> 01:54:47,408
WE MAY NEED TO STRESS IF YOU'RE 

2265
01:54:47,408 --> 01:54:48,709
STILL BREAST FEEDING YOU NEED TO

2266
01:54:48,709 --> 01:54:50,311
ADD THINGS BECAUSE IRON IS LOW.

2267
01:54:50,311 --> 01:54:53,247
I WANT TO DOUBLE CHECK I GOT IT 

2268
01:54:53,247 --> 01:54:53,447
RIGHT.

2269
01:54:53,447 --> 01:54:54,515
>> YOU DID.

2270
01:54:54,515 --> 01:54:56,817
I PUBLISHED A PAPER IN DETAILED 

2271
01:54:56,817 --> 01:54:59,253
ANALYSIS I CAN MAKE SURE YOU 

2272
01:54:59,253 --> 01:55:02,056
HAVE BUT WE'VE SEEN A SHIFT FROM

2273
01:55:02,056 --> 01:55:04,558
MEAT AND IRON CONTAINING CEREALS

2274
01:55:04,558 --> 01:55:12,066
IN 6 TO 12 MONTHS OLD AND 

2275
01:55:12,066 --> 01:55:13,601
INFANTS USED TO GO TO THESE 

2276
01:55:13,601 --> 01:55:19,006
CEREALS AND THERE'S BEEN A HUGE 

2277
01:55:19,006 --> 01:55:21,409
CHANGE AND THERE'S A CHANGE IN 

2278
01:55:21,409 --> 01:55:24,145
THE IRON OF BABIES BUT TO THE 

2279
01:55:24,145 --> 01:55:25,746
DATA ARE CORRECT AND VERIFIED BY

2280
01:55:25,746 --> 01:55:26,647
OTHER STUDIES NOT REPRESENTED 

2281
01:55:26,647 --> 01:55:36,757
HERE.

2282
01:55:38,759 --> 01:55:41,896
>> IS IT OKAY TO ASK
MULTIPLE 

2283
01:55:41,896 --> 01:55:42,263
QUESTIONS?

2284
01:55:42,263 --> 01:55:44,765
I WAS STRUCK BY THE DATA 

2285
01:55:44,765 --> 01:55:46,434
ANALYSIS ON BEVERAGE SOURCES 

2286
01:55:46,434 --> 01:55:48,536
AMONG CHILDREN AND ADOLESCENTS 

2287
01:55:48,536 --> 01:55:51,138
WITH REGARDS TO DAIRY.

2288
01:55:51,138 --> 01:55:53,240
MY QUESTION IS DO WE KNOW WITHIN

2289
01:55:53,240 --> 01:55:55,443
THE DATA SETS THAT WE'RE LOOKING

2290
01:55:55,443 --> 01:56:01,415
AT ABOUT DAIRY ALTERNATIVES 

2291
01:56:01,415 --> 01:56:03,617
WITHIN THE YOUNG POPULATION 

2292
01:56:03,617 --> 01:56:05,419
BECAUSE IT DOESN'T APPEAR IN 

2293
01:56:05,419 --> 01:56:08,489
EARLY AGE WE SEE THOSE BEING 

2294
01:56:08,489 --> 01:56:09,890
INCORPORATED TO WHAT'S BEING 

2295
01:56:09,890 --> 01:56:13,894
PRESENTED.

2296
01:56:13,894 --> 01:56:15,930
>> AS PART OF THE DAIRY
GROUP 

2297
01:56:15,930 --> 01:56:17,498
THE FORTIFIED SOY IS INCLUDED 

2298
01:56:17,498 --> 01:56:19,700
THERE.

2299
01:56:19,700 --> 01:56:21,902
YOU WOULDN'T SEE THEM TORN A 

2300
01:56:21,902 --> 01:56:25,506
PART IN WHAT WE LOOKED AT.

2301
01:56:25,506 --> 01:56:29,844
BUT WE DO PROBABLY HAVE -- MAYBE

2302
01:56:29,844 --> 01:56:31,312
I'LL LET REBECCA LOOK AT THAT 

2303
01:56:31,312 --> 01:56:35,616
AND I THINK WE HAVE THOSE 

2304
01:56:35,616 --> 01:56:35,883
ESTIMATES.

2305
01:56:35,883 --> 01:56:37,551
WHILE WE FIND IT I'M CURIOUS 

2306
01:56:37,551 --> 01:56:39,253
BECAUSE WE KNOW DIETARY PATTERNS

2307
01:56:39,253 --> 01:56:41,889
GET SET EARLIER IN LIFE AND SEE 

2308
01:56:41,889 --> 01:56:44,458
THIS TRANSITION HAPPENING IN THE

2309
01:56:44,458 --> 01:56:45,359
GENERAL AMERICAN POPULATION 

2310
01:56:45,359 --> 01:56:49,096
AROUND OAT MILK AND ALMOND MILK 

2311
01:56:49,096 --> 01:56:50,397
AND SOME DATA WE SAW YESTERDAY 

2312
01:56:50,397 --> 01:56:51,699
WOULD SUGGEST WE WANT TO KNOW 

2313
01:56:51,699 --> 01:56:52,600
ABOUT EARLIER INTAKES OF THOSE 

2314
01:56:52,600 --> 01:56:54,535
AS WELL.

2315
01:56:54,535 --> 01:56:56,904
>> ALSO THE DATA IS OLD.

2316
01:56:56,904 --> 01:56:59,773
THIS IS FROM 2017, 2018, 

2317
01:56:59,773 --> 01:57:00,074
CORRECT?

2318
01:57:00,074 --> 01:57:02,943
SO THE TRENDS MAY BE NEWER AND 

2319
01:57:02,943 --> 01:57:03,677
MAYBE THEY'RE NOT -- 

2320
01:57:03,677 --> 01:57:06,447
>> I DON'T THINK SO.

2321
01:57:06,447 --> 01:57:09,750
WHILE WE LOOK FOR THAT MAYBE 

2322
01:57:09,750 --> 01:57:10,451
WE'LL GO TO THE NEXT QUESTION IN

2323
01:57:10,451 --> 01:57:15,055
THE INTEREST OF TIME.

2324
01:57:15,055 --> 01:57:16,624
>> WE DIDN'T REPORT THIS 

2325
01:57:16,624 --> 01:57:21,729
ESTIMATE BECAUSE IT'S LESS 

2326
01:57:21,729 --> 01:57:24,165
PRECISE BUT YOUNG CHILDREN 6 TO 

2327
01:57:24,165 --> 01:57:29,603
24 MONTHS A SMALL PROPORTION 

2328
01:57:29,603 --> 01:57:33,908
THAT CONSUME MILK SUBSTITUTES 

2329
01:57:33,908 --> 01:57:37,411
I'LL SHARE 12 TO 23 MONTHS AND 

2330
01:57:37,411 --> 01:57:40,181
MILK SUBSTITUTES WERE ONLY 

2331
01:57:40,181 --> 01:57:43,784
CONTRIBUTING 9 CALORIES PER DAY.

2332
01:57:43,784 --> 01:57:45,119
SO PRETTY SMALL CONTRIBUTIONS 

2333
01:57:45,119 --> 01:57:46,220
FOR THAT AGE GROUP.

2334
01:57:46,220 --> 01:57:49,657
>> THAT WILL HAVE
IMPLICATIONS 

2335
01:57:49,657 --> 01:57:51,358
FOR HOW WE THINK OF DIETARY 

2336
01:57:51,358 --> 01:57:53,661
PATTERS AND THE IMPLICATIONS OF 

2337
01:57:53,661 --> 01:57:55,396
THOSE PATTERNS WE'LL HEAR ABOUT 

2338
01:57:55,396 --> 01:57:56,964
LATER ON TODAY.

2339
01:57:56,964 --> 01:58:01,902
THE OTHER QUESTION I HAVE I 

2340
01:58:01,902 --> 01:58:09,910
THINK DIDI PRESENTED ON CHRONIC 

2341
01:58:09,910 --> 01:58:11,645
DISEASE NUTRIENTS.

2342
01:58:11,645 --> 01:58:13,881
OH TERESA.

2343
01:58:13,881 --> 01:58:15,516
WHAT WERE THE SUBCOMMITTEES 

2344
01:58:15,516 --> 01:58:18,752
DISCUSSION AROUND THE NEW 

2345
01:58:18,752 --> 01:58:25,893
METABOLIC KIDNEY AXIS.

2346
01:58:25,893 --> 01:58:28,963
CHRONIC KIDNEY DISEASE IS 

2347
01:58:28,963 --> 01:58:30,364
GROWING DRIVEN BY HIGH BLOOD 

2348
01:58:30,364 --> 01:58:32,066
PRESSURE AND DIABETES, WHAT ARE 

2349
01:58:32,066 --> 01:58:33,434
THIS COLLECTIVE THOUGHTS ON 

2350
01:58:33,434 --> 01:58:34,802
THAT?

2351
01:58:34,802 --> 01:58:38,038
>> IT'S GETTING MORE
PREVALENT 

2352
01:58:38,038 --> 01:58:40,341
AS A RESULT OF DIABETES AS A 

2353
01:58:40,341 --> 01:58:42,610
RESULT OF OVERWEIGHT AND 

2354
01:58:42,610 --> 01:58:43,444
OBESITY.

2355
01:58:43,444 --> 01:58:45,379
WE HAVEN'T LOOKED AT THE DATA 

2356
01:58:45,379 --> 01:58:49,883
BUT PROBABLY CAN LOOK AT NHANES 

2357
01:58:49,883 --> 01:59:00,327
AND OTHER DATA COLLECTED.

2358
01:59:03,530 --> 01:59:08,068
 AND COMBINATION OF DIDI AND 

2359
01:59:08,068 --> 01:59:10,704
HEATHER, DIDI SHOWED US 

2360
01:59:10,704 --> 01:59:12,339
CONSISTENT TRENDS AROUND FOOD 

2361
01:59:12,339 --> 01:59:16,043
INTAKES AND WE SAW THAT THE 

2362
01:59:16,043 --> 01:59:19,380
RANGE RECOMMENDED FOR TOTAL 

2363
01:59:19,380 --> 01:59:21,015
PROTEIN AND WHERE AMERICANS ARE 

2364
01:59:21,015 --> 01:59:21,882
WAS REVERSED.

2365
01:59:21,882 --> 01:59:24,184
IN TERMS OF MOST THE DATA THAT 

2366
01:59:24,184 --> 01:59:25,886
IS SHOWN OVER CONSUMPTION OR 

2367
01:59:25,886 --> 01:59:27,388
WITHIN RANGE.

2368
01:59:27,388 --> 01:59:29,757
THEN I WAS STRUCK BY PROTEIN 

2369
01:59:29,757 --> 01:59:32,092
BEING SO FAR OFF FROM THE EAR IT

2370
01:59:32,092 --> 01:59:34,161
WAS NOTED AS UNDER CONSUMED IN 

2371
01:59:34,161 --> 01:59:37,931
THE DATA THAT WERE PRESENTED 

2372
01:59:37,931 --> 01:59:38,165
LATER.

2373
01:59:38,165 --> 01:59:48,475
I'M TRYING TO RECONCILE THAT.

2374
01:59:48,475 --> 01:59:49,877
THE TOTAL PROTEIN FOODS 

2375
01:59:49,877 --> 01:59:52,980
QUALIFIES AND MOSTLY CONTRIBUTED

2376
01:59:52,980 --> 01:59:54,915
THERE ANIMAL PROTEIN SOURCES.

2377
01:59:54,915 --> 01:59:57,885
AND WHAT MAKES UP MEETING THIS 

2378
01:59:57,885 --> 01:59:59,520
GOAL.

2379
01:59:59,520 --> 02:00:01,155
SO WHETHER THAT CONTRIBUTES 

2380
02:00:01,155 --> 02:00:03,023
ENOUGH FOR THE MACRO NUTRIENT OF

2381
02:00:03,023 --> 02:00:08,062
PROTEIN WOULD BE HOW YOU CAN 

2382
02:00:08,062 --> 02:00:09,830
PAIR THE DATA BUT THE FOODS FROM

2383
02:00:09,830 --> 02:00:11,699
WHICH THE NUTRIENTS WOULD BE 

2384
02:00:11,699 --> 02:00:14,134
MORE WEIGHTED TOWARD.

2385
02:00:14,134 --> 02:00:16,370
THE QUESTION OF DIET QUALITY IS 

2386
02:00:16,370 --> 02:00:19,673
SOMETHING THAT I THINK THE PURE 

2387
02:00:19,673 --> 02:00:23,210
INTAKE LEVELS ARE OBSCURING BUT 

2388
02:00:23,210 --> 02:00:25,512
IMPORTANT.

2389
02:00:25,512 --> 02:00:27,348
IF PROTEIN SOURCES INCLUDE 

2390
02:00:27,348 --> 02:00:31,885
BURGERS AND SANDWICHES WHICH ARE

2391
02:00:31,885 --> 02:00:33,220
INTERESTING TO ME YOU WOULD EAT 

2392
02:00:33,220 --> 02:00:33,887
MORE OF OF THAT TO GET MORE 

2393
02:00:33,887 --> 02:00:38,859
PROTEIN.

2394
02:00:38,859 --> 02:00:40,661
SO HOW DO YOU INCREASE PROTEIN 

2395
02:00:40,661 --> 02:00:43,097
AND THE MACRO NUTRIENT FROM 

2396
02:00:43,097 --> 02:00:47,368
PROTEIN FOODS THAT ARE MORE LIKE

2397
02:00:47,368 --> 02:00:50,771
PROTEIN RICH I GUESS AND IS WHAT

2398
02:00:50,771 --> 02:00:54,908
MORE MIXED DISHES OR SUBOPTIMAL 

2399
02:00:54,908 --> 02:00:55,142
SOURCES.

2400
02:00:55,142 --> 02:00:58,045
BECAUSE THE FOOD LEVEL DATA 

2401
02:00:58,045 --> 02:01:01,348
WHICH MAY NOT BE THE RICHEST 

2402
02:01:01,348 --> 02:01:02,916
SOURCES OF THE MACRO NUTRIENT 

2403
02:01:02,916 --> 02:01:03,283
PROTEINS.

2404
02:01:03,283 --> 02:01:05,319
>> WE'RE MISSING THE MARK
HOW TO

2405
02:01:05,319 --> 02:01:08,055
GET TO HIGH-QUALITY PROTEIN 

2406
02:01:08,055 --> 02:01:11,125
CONSUMPTION AS A COUNTRY.

2407
02:01:11,125 --> 02:01:16,697
>> AND YOU SEE WITH FIBER
IT'S 

2408
02:01:16,697 --> 02:01:19,066
THE SAME THING.

2409
02:01:19,066 --> 02:01:24,071
FIBER WAS LOW AND MOST THE TOTAL

2410
02:01:24,071 --> 02:01:24,805
RATHER THAN WHOLE.

2411
02:01:24,805 --> 02:01:29,276
WHAT FOODS IN THE FOOD LEVEL 

2412
02:01:29,276 --> 02:01:31,545
DATA ARE THE MOST COMMONLY 

2413
02:01:31,545 --> 02:01:34,782
BIGGEST SOURCES PROBABLY WHERE 

2414
02:01:34,782 --> 02:01:36,183
THE NUTRIENT DISCREP BUT THAT'S 

2415
02:01:36,183 --> 02:01:37,751
A GOOD POINT.

2416
02:01:37,751 --> 02:01:39,686
>> WE NEED TO TEASE THAT
OUT AS 

2417
02:01:39,686 --> 02:01:42,189
WE PRESENT THE DATA.

2418
02:01:42,189 --> 02:01:45,426
>> ONE ANSWER TO THIS TOO
MAY BE

2419
02:01:45,426 --> 02:01:55,602
THAT THE DATA THAT DIDI WAS THE 

2420
02:01:55,602 --> 02:01:56,670
MEAN INTAKES AND WE LOOKED AT 

2421
02:01:56,670 --> 02:01:59,640
THE PERCENTAGE THAT WAS NOT 

2422
02:01:59,640 --> 02:02:00,374
MEETING THE EAR.

2423
02:02:00,374 --> 02:02:04,178
WHEN THAT WAS 5% OR MORE.

2424
02:02:04,178 --> 02:02:07,381
THAT'S 5% IS -- THERE'S A 

2425
02:02:07,381 --> 02:02:09,883
DISTRIBUTION THERE AND SO THAT 

2426
02:02:09,883 --> 02:02:16,290
WAS HOW WE CLASSIFIED IT SO %UT

2427
02:02:16,290 --> 02:02:17,090
FOR EXAMPLE FOR TEEN GIRLS 

2428
02:02:17,090 --> 02:02:21,228
THERE'S BIGGER THAN 5% GAP THERE

2429
02:02:21,228 --> 02:02:26,500
IN MEETING THE PROTEIN SO THAT 

2430
02:02:26,500 --> 02:02:28,869
IS PROBABLY ADDING TO THE 

2431
02:02:28,869 --> 02:02:29,503
DISPARITY BUT INTERESTING TO 

2432
02:02:29,503 --> 02:02:31,672
POINT THAT OUT.

2433
02:02:31,672 --> 02:02:33,874
>> IN THE FEMALES IT WAS 

2434
02:02:33,874 --> 02:02:34,141
STRIKING.

2435
02:02:34,141 --> 02:02:35,342
I DID MAKE NOTE OF THAT.

2436
02:02:35,342 --> 02:02:37,878
OKAY.

2437
02:02:37,878 --> 02:02:40,347
FIRST OF ALL, I WANT TO COMMEND 

2438
02:02:40,347 --> 02:02:43,951
ALL OF YOU FOR ALL THIS WORK.

2439
02:02:43,951 --> 02:02:48,555
IT'S BEAUTIFULLY DONE.

2440
02:02:48,555 --> 02:02:51,058
THANK YOU AND THANK YOU STAFF.

2441
02:02:51,058 --> 02:02:51,291
AMAZING.

2442
02:02:51,291 --> 02:02:52,659
SO ONE OF THE WONDERFUL 

2443
02:02:52,659 --> 02:02:54,962
PRIVILEGES OF BEING ON THIS 

2444
02:02:54,962 --> 02:03:01,602
COMMITTEE IS I THINK MANY OF US 

2445
02:03:01,602 --> 02:03:03,437
FOCUS ON PART OF THE LIFE CYCLE 

2446
02:03:03,437 --> 02:03:06,340
AND ONE ASPECT OF FOOD IS THAT 

2447
02:03:06,340 --> 02:03:08,475
LIFE CYCLE.

2448
02:03:08,475 --> 02:03:10,477
SO FOR ME SEEING ACROSS THE LIFE

2449
02:03:10,477 --> 02:03:13,013
STAGES WAS REALLY INTRIGUING AND

2450
02:03:13,013 --> 02:03:16,016
I WONDERED AND IT'S FOLLOWING UP

2451
02:03:16,016 --> 02:03:18,652
ON THE LAST CONVERSATION.

2452
02:03:18,652 --> 02:03:23,257
I WAS SO STRUCK ABOUT ADOLESCENT

2453
02:03:23,257 --> 02:03:25,359
FEMALES AND AT EVERY MEASURE, 

2454
02:03:25,359 --> 02:03:27,661
EVERYTHING WE'VE PRESENTED, THIS

2455
02:03:27,661 --> 02:03:29,796
IS THE GROUP THAT'S SO 

2456
02:03:29,796 --> 02:03:30,097
VULNERABLE.

2457
02:03:30,097 --> 02:03:32,266
SO I HAVE BEEN VERY INFLUENCED 

2458
02:03:32,266 --> 02:03:35,335
IN MY WORK IN OLDER ADULTS BY 

2459
02:03:35,335 --> 02:03:38,071
PEOPLE LIKE STEVE WHO HAVE 

2460
02:03:38,071 --> 02:03:39,573
ALWAYS TALKED ABOUT HOW FOR 

2461
02:03:39,573 --> 02:03:41,909
EXAMPLE WITH BONE THERE'S 

2462
02:03:41,909 --> 02:03:45,913
CRITICAL PERIODS WHERE YOU LAY 

2463
02:03:45,913 --> 02:03:49,283
DOWN BONE IN ADULTHOOD YOU TRY 

2464
02:03:49,283 --> 02:03:50,884
TO PRESERVE THAT AND THEN IN 

2465
02:03:50,884 --> 02:03:54,988
OLDER AGE IT'S THE RATE OF LOSS.

2466
02:03:54,988 --> 02:03:57,791
SO I'M LOOKING AT THIS WHOLE 

2467
02:03:57,791 --> 02:04:00,527
PICTURE AND WONDERING, OH, MY 

2468
02:04:00,527 --> 02:04:03,030
GOD, ADOLESCENT FEMALES ARE NOT 

2469
02:04:03,030 --> 02:04:08,068
AT THE TRAJECTORY OR SLOPE IS 

2470
02:04:08,068 --> 02:04:09,169
NOT GOING TO ACHIEVE MAXIMUM 

2471
02:04:09,169 --> 02:04:12,472
BONE COGNITIVE HEALTH ETCETERA.

2472
02:04:12,472 --> 02:04:15,742
WAS THERE DISCUSSION ABOUT THIS,

2473
02:04:15,742 --> 02:04:17,578
ABOUT AT THE RELATIVE LIFE 

2474
02:04:17,578 --> 02:04:28,021
STAGES WITH ALL YOUR DATA?

2475
02:04:28,822 --> 02:04:29,856
ANYONE CAN CHIME IN.

2476
02:04:29,856 --> 02:04:31,124
ONE OF THE GREAT THINGS ABOUT 

2477
02:04:31,124 --> 02:04:33,126
BEING ON THE COMMITTEE IS THAT 

2478
02:04:33,126 --> 02:04:35,429
WE DO HAVE EXPERTS IN THE 

2479
02:04:35,429 --> 02:04:40,133
DIFFERENT LIFE STAGES 

2480
02:04:40,133 --> 02:04:40,734
REPRESENTED.

2481
02:04:40,734 --> 02:04:45,238
AND DURING THE DISCUSSION, IT 

2482
02:04:45,238 --> 02:04:46,273
WAS VERY IMPORTANT TO HEAR 

2483
02:04:46,273 --> 02:04:47,007
ACROSS THE SPECTRUM.

2484
02:04:47,007 --> 02:04:48,508
I DON'T KNOW IF YOU WERE GOING 

2485
02:04:48,508 --> 02:04:49,977
TO SAY SOMETHING, DIDI.

2486
02:04:49,977 --> 02:04:52,412
>> I THINK IT'S A GOOD
POINT 

2487
02:04:52,412 --> 02:04:56,717
WE'RE JUST LOOKING AT CROSS 

2488
02:04:56,717 --> 02:04:58,685
SECTIONAL ACROSS THE CHRONIC 

2489
02:04:58,685 --> 02:05:06,460
DISEASES LIKE OSTEOPOROSIS BUT 

2490
02:05:06,460 --> 02:05:10,697
MOST ARE REFLECTING HABITUAL 

2491
02:05:10,697 --> 02:05:16,436
WORK IN DIET AND LIFESTYLE AND 

2492
02:05:16,436 --> 02:05:17,904
THE COLORECTAL CANCER WE'RE 

2493
02:05:17,904 --> 02:05:19,539
SEEING IT RISE IN YOUNGER AGES.

2494
02:05:19,539 --> 02:05:21,475
TO PREVENT IT DOWN THE ROAD THE 

2495
02:05:21,475 --> 02:05:23,644
CHANGES HAVE TO HAPPEN NOW TO 

2496
02:05:23,644 --> 02:05:34,187
THE BIGGEST RISK FACTORS INDICT.

2497
02:05:39,526 --> 02:05:41,395
IT'S IMPORTANT TO THINK OF THE 

2498
02:05:41,395 --> 02:05:44,731
CRITICAL TIME WINDOWS FOR WHAT 

2499
02:05:44,731 --> 02:05:47,167
ROLES DIET MAY PLAY THAT GET 

2500
02:05:47,167 --> 02:05:49,770
MISSED WITH THIS AND BIG PICTURE

2501
02:05:49,770 --> 02:05:53,206
THE LAST SEVERAL YEARS OF NHANES

2502
02:05:53,206 --> 02:05:57,344
DATA INDICATE THERE ISN'T ONE 

2503
02:05:57,344 --> 02:06:00,914
DEMOGRAPHIC STRATA OR FACTOR OR 

2504
02:06:00,914 --> 02:06:03,550
HEALTH OUTCOME WITH SUSTAINED 

2505
02:06:03,550 --> 02:06:04,584
IMPROVEMENT AND EVERYTHING SEEMS

2506
02:06:04,584 --> 02:06:08,055
TO BE GETTING WORSE.

2507
02:06:08,055 --> 02:06:09,890
STOPPING THAT TREND EVEN IT 

2508
02:06:09,890 --> 02:06:12,125
CAN'T BE TOTALLY REVERSED AND 

2509
02:06:12,125 --> 02:06:14,327
YEARS TO COME IMPACT ON 

2510
02:06:14,327 --> 02:06:18,298
PREVENTING ALL THE DOWN STREAM 

2511
02:06:18,298 --> 02:06:20,400
PUBLICATIONS WOULD BE HUGE BUT 

2512
02:06:20,400 --> 02:06:24,971
JUST SEEMS LIKE DAUNTING AT THIS

2513
02:06:24,971 --> 02:06:25,872
POINT.

2514
02:06:25,872 --> 02:06:31,678
>> LOOKING AT PREDIABETES
DATA 

2515
02:06:31,678 --> 02:06:35,682
AMONG CHILDREN THERE'S 83% 

2516
02:06:35,682 --> 02:06:37,350
PREVALENCE OF PREDIABETES AND 

2517
02:06:37,350 --> 02:06:39,786
THE REVERSAL FOR PREVENTION HAS 

2518
02:06:39,786 --> 02:06:45,926
TO COME BEFORE AND STARTING BIG 

2519
02:06:45,926 --> 02:06:51,765
SOLID FOODS AND BREAST FEEDING.

2520
02:06:51,765 --> 02:06:53,366
>> THIS IS A REAL PROBLEM
RIGHT 

2521
02:06:53,366 --> 02:06:55,836
NOW BECAUSE WE TO GET A LOT OF 

2522
02:06:55,836 --> 02:06:57,170
NUTRITION EDUCATION THROUGH THE 

2523
02:06:57,170 --> 02:07:00,006
SCHOOLS AND WHEN THEY TOOK OUT 

2524
02:07:00,006 --> 02:07:05,212
HOME ECONOMICS AND PUT MORE 

2525
02:07:05,212 --> 02:07:09,382
ACADEMIC SUBJECTS THERE IS WHERE

2526
02:07:09,382 --> 02:07:11,918
YOU GET BASIC NUTRITION AND 

2527
02:07:11,918 --> 02:07:14,221
THERE'S NOT A LOT OF ROOM IN THE

2528
02:07:14,221 --> 02:07:17,891
SCHOOL CURRICULUM AND SINCE 

2529
02:07:17,891 --> 02:07:20,093
COVID SCHOOLS HAVE BEEN SLAMMED 

2530
02:07:20,093 --> 02:07:23,930
IT'S SEEN AS AN EXTRA.

2531
02:07:23,930 --> 02:07:24,631
THEY NUTRITION INFORMATION CAN 

2532
02:07:24,631 --> 02:07:26,066
GET DROPPED THEN YOU RELY ON THE

2533
02:07:26,066 --> 02:07:30,704
PARENTS AND THE PARENTS HAVE A 

2534
02:07:30,704 --> 02:07:32,572
LOT OF THRUST ON THEM ALREADY.

2535
02:07:32,572 --> 02:07:39,980
THEN YOU HAVE ISSUES WITH SOCIAL

2536
02:07:39,980 --> 02:07:41,882
MEDIA WITH ADOLESCENT GIRLS AND 

2537
02:07:41,882 --> 02:07:48,388
DIETS ARE COMING ACROSS ON 

2538
02:07:48,388 --> 02:07:49,890
SOCIAL MEDIA.

2539
02:07:49,890 --> 02:07:51,792
I THINK THERE'S A LOT OF FACTORS

2540
02:07:51,792 --> 02:07:54,461
IN THE SECULAR SPACE THAT 

2541
02:07:54,461 --> 02:08:04,871
INFLUENCE SOME OF THIS.

2542
02:08:06,473 --> 02:08:08,074
IT'S IMPORTANT TO GET 

2543
02:08:08,074 --> 02:08:09,543
BEHAVIORALLY BASED NUTRITION 

2544
02:08:09,543 --> 02:08:13,880
INFORMATION AND FOOD ENVIRONMENT

2545
02:08:13,880 --> 02:08:14,781
AROUND KIDS IN PARTICULAR.

2546
02:08:14,781 --> 02:08:16,316
>> I THINK WHAT'S BEEN 

2547
02:08:16,316 --> 02:08:17,717
INTERESTING ESPECIALLY ACROSS 

2548
02:08:17,717 --> 02:08:18,752
ALL THE DIFFERENT DATA PIECES 

2549
02:08:18,752 --> 02:08:20,453
THAT WE HAVE IS WE HAVE THE LIFE

2550
02:08:20,453 --> 02:08:22,956
STAGE APPROACH AND YOU CAN SEE 

2551
02:08:22,956 --> 02:08:24,891
WHAT THE GAPS ARE IN ADOLESCENT 

2552
02:08:24,891 --> 02:08:25,458
FEMALES.

2553
02:08:25,458 --> 02:08:28,094
WE HAD CONVERSATIONS ABOUT 

2554
02:08:28,094 --> 02:08:29,529
MIDDLE-AGED ADULTS BECAUSE WE 

2555
02:08:29,529 --> 02:08:31,898
LOOK AT THE TRANSITION TOWARDS 

2556
02:08:31,898 --> 02:08:33,834
HEALTHY AGING AND THE DIET 

2557
02:08:33,834 --> 02:08:35,435
QUALITY CHALLENGES IN THE AGE 

2558
02:08:35,435 --> 02:08:36,703
GROUP AND THE NUTRIENT 

2559
02:08:36,703 --> 02:08:38,705
CHALLENGES AND THE FOOD GROUP 

2560
02:08:38,705 --> 02:08:44,511
CHALLENGES OVER ALL DIET QUALITY

2561
02:08:44,511 --> 02:08:48,682
AND AT THE SAME TIME WE HAVE THE

2562
02:08:48,682 --> 02:08:49,516
PER CAPITA CALORIES 7 CALORIES 

2563
02:08:49,516 --> 02:08:51,384
FROM MILK ALTERNATIVES BUT WHEN 

2564
02:08:51,384 --> 02:08:55,622
YOU GET TO THIS IDEA, THE MEANS 

2565
02:08:55,622 --> 02:08:56,823
SOMETIMES MASK WHAT THE 

2566
02:08:56,823 --> 02:08:57,891
PROPORTIONALITY IS.

2567
02:08:57,891 --> 02:09:00,227
SO THE MEANS OF THE CERTAIN 

2568
02:09:00,227 --> 02:09:01,695
NUTRIENT MAY BE HIGHER BECAUSE 

2569
02:09:01,695 --> 02:09:03,563
THOSE THAT CONSUME HIGHER ARE 

2570
02:09:03,563 --> 02:09:05,098
MASKING THE PROPORTION THAT ARE 

2571
02:09:05,098 --> 02:09:05,699
BELOW.

2572
02:09:05,699 --> 02:09:11,471
SO WHEN YOU LOOK AT WHAT WE HAD 

2573
02:09:11,471 --> 02:09:16,109
WITH THE MEAN NUTRIENT INTAKES 

2574
02:09:16,109 --> 02:09:17,277
AND THE PUBLIC HEALTH CONCERN 

2575
02:09:17,277 --> 02:09:18,979
THE MEAN MAY BE HIGHER BUT MASK 

2576
02:09:18,979 --> 02:09:20,914
THE PROPORTION OF PEOPLE THAT 

2577
02:09:20,914 --> 02:09:24,584
AREN'T MEETING THE 

2578
02:09:24,584 --> 02:09:25,452
RECOMMENDATIONS AS WE LOOK 

2579
02:09:25,452 --> 02:09:28,755
ACROSS THOSE AT THE LIFE STAGE 

2580
02:09:28,755 --> 02:09:30,790
IT'S IT BRINGS UP THOSE KEY 

2581
02:09:30,790 --> 02:09:32,926
ASPECTS THAT LINK BACK TO THE 

2582
02:09:32,926 --> 02:09:33,894
CHRONIC DISEASE MARKERS AND 

2583
02:09:33,894 --> 02:09:34,394
EVERYTHING ELSE.

2584
02:09:34,394 --> 02:09:39,933
THE VOLUME OF DATA THAT EXISTS 

2585
02:09:39,933 --> 02:09:42,502
HERE TO HELP US DISENTANGLE 

2586
02:09:42,502 --> 02:09:44,070
WHAT'S HAPPENING AND BRING UP 

2587
02:09:44,070 --> 02:09:45,238
KEY ASPECTS ACROSS THE LIFE 

2588
02:09:45,238 --> 02:09:48,241
STAGES WAS AN EXCITING PART OF 

2589
02:09:48,241 --> 02:09:49,876
THE CONFERENCE AND ENLIGHTENING 

2590
02:09:49,876 --> 02:09:56,082
PART.

2591
02:09:56,082 --> 02:09:58,919
>> IT BRINGS US TO THE
NUMBER 

2592
02:09:58,919 --> 02:10:00,520
ONE PERSON THEY'LL ASK IS 

2593
02:10:00,520 --> 02:10:01,421
PEDIATRICIAN AND PRIMARY CARE 

2594
02:10:01,421 --> 02:10:02,389
PHYSICIAN AND DOCTOR.

2595
02:10:02,389 --> 02:10:04,991
THEY'RE GOING TO GO IN 

2596
02:10:04,991 --> 02:10:07,193
PARTICULARLY THOSE DEALING WITH 

2597
02:10:07,193 --> 02:10:08,094
CHRONIC DISEASES AND ASK DOC 

2598
02:10:08,094 --> 02:10:10,096
WHAT AM I SUPPOSED TO EAT AND 

2599
02:10:10,096 --> 02:10:20,640
THOSE OF US SITTING  HERE AND IN

2600
02:10:21,942 --> 02:10:22,542
MEDICAL SCHOOLS THEY'RE LEARNING

2601
02:10:22,542 --> 02:10:24,110
NOTHING ABOUT NUTRITION.

2602
02:10:24,110 --> 02:10:27,380
THEY NEED GUIDANCE ON WHAT THEY 

2603
02:10:27,380 --> 02:10:28,148
TEACH IN THE DIFFERENT SETTING 

2604
02:10:28,148 --> 02:10:30,784
WITH REGARDS TO NUTRITION.

2605
02:10:30,784 --> 02:10:31,651
WHAT WE'RE LEARNING IS THERE'S 

2606
02:10:31,651 --> 02:10:33,186
NOT MUCH IN TERMS OF WHAT 

2607
02:10:33,186 --> 02:10:35,722
THEY'RE TEACHING AND WE HAVE TO 

2608
02:10:35,722 --> 02:10:36,890
PROVIDE GUIDANCE AND WHILE THESE

2609
02:10:36,890 --> 02:10:38,158
AREN'T CLINICAL GUIDELINES WE 

2610
02:10:38,158 --> 02:10:40,060
HAVE TO RECOGNIZE THE NUMBER ONE

2611
02:10:40,060 --> 02:10:42,862
PERSON THEY'RE ASKING IS THEIR 

2612
02:10:42,862 --> 02:10:45,165
DOCTORS OR ADVANCED PRACTICE 

2613
02:10:45,165 --> 02:10:48,268
PROVIDERS WHAT ARE THEY SUPPOSED

2614
02:10:48,268 --> 02:10:49,903
TO BE EATING AND NEED 

2615
02:10:49,903 --> 02:10:52,572
SIGNIFICANT GUIDING REGARDING 

2616
02:10:52,572 --> 02:10:53,173
THE CHRONIC DISEASE BURDEN 

2617
02:10:53,173 --> 02:11:03,516
AROUND THE COUNTRY.

2618
02:11:17,931 --> 02:11:19,866
>> ABIG FOCUS OF THE
HEALTH 

2619
02:11:19,866 --> 02:11:21,167
EQUITY LENS WE'RE SEEING IT IN 

2620
02:11:21,167 --> 02:11:25,772
DIFFERENT DIET AND WHAT'S 

2621
02:11:25,772 --> 02:11:27,173
STRIKING ABOUT THE WHEN YOU HAVE

2622
02:11:27,173 --> 02:11:29,242
THE BREAK DOWN BY RACE AND 

2623
02:11:29,242 --> 02:11:32,078
ETHNICITY PARTICULARLY LOOKING 

2624
02:11:32,078 --> 02:11:36,149
AT PERCENTAGE MEETING THE EAR 

2625
02:11:36,149 --> 02:11:41,454
AND ALSO THE DATA ON INTAKE THAT

2626
02:11:41,454 --> 02:11:43,790
DIDI PRESENTED AND I KNOW FOR 

2627
02:11:43,790 --> 02:11:44,824
MANY YEARS WE'VE UNDERSTOOD THAT

2628
02:11:44,824 --> 02:11:47,994
PEOPLE HAVE BEEN PUSHED AWAY 

2629
02:11:47,994 --> 02:11:52,766
FROM THEIR CULTURAL DIETS.

2630
02:11:52,766 --> 02:11:53,900
ESSENTIALLY THROUGH 

2631
02:11:53,900 --> 02:11:54,901
ENVIRONMENTAL INFLUENCES AND I'M

2632
02:11:54,901 --> 02:11:56,770
WONDERING IF THERE'S BEEN 

2633
02:11:56,770 --> 02:11:57,871
DISCUSSION HOW TO RECONCILE 

2634
02:11:57,871 --> 02:11:59,072
THAT.

2635
02:11:59,072 --> 02:12:02,008
I THINK TLAETZ A FEW PIECES OF 

2636
02:12:02,008 --> 02:12:04,310
THIS THAT WERE MENTIONED.

2637
02:12:04,310 --> 02:12:10,150
THE DARK LEAFY GREEN INTAKE, THE

2638
02:12:10,150 --> 02:12:11,384
BEANS, PEAS AND LENTILS I DIDN'T

2639
02:12:11,384 --> 02:12:14,788
HEAR THE BREAKDOWN ON RACE AND 

2640
02:12:14,788 --> 02:12:16,456
ETHNICITY AND THE PRESENTATION 

2641
02:12:16,456 --> 02:12:17,791
IS NOT ABOUT CULTURAL DIETS IT'S

2642
02:12:17,791 --> 02:12:21,361
ABOUT THE PUSH AWAY FROM 

2643
02:12:21,361 --> 02:12:23,463
CULTURAL DIETS.

2644
02:12:23,463 --> 02:12:28,835
SO I'M CURIOUS THOUGH THE EAR 

2645
02:12:28,835 --> 02:12:37,710
DATA IS DIFFERENT WHEN YOU LOOK 

2646
02:12:37,710 --> 02:12:39,546
AT THE DIFFERENCES AND CONTRAST 

2647
02:12:39,546 --> 02:12:41,881
TO SOME OF THE AREAS.

2648
02:12:41,881 --> 02:12:44,884
I'M CURIOUS WAS THERE ANY 

2649
02:12:44,884 --> 02:12:51,791
DISCUSSION AROUND HOW THIS DATA 

2650
02:12:51,791 --> 02:12:52,892
MAYBE PLAYS INTO THE EQUITY 

2651
02:12:52,892 --> 02:12:56,062
CONVERSATION AS IT LINKS TO 

2652
02:12:56,062 --> 02:12:57,263
CULTURAL DIET.

2653
02:12:57,263 --> 02:12:59,532
BECAUSE THE DISPARITIES ARE 

2654
02:12:59,532 --> 02:13:01,901
THERE LIKE ALWAYS THERE BY RACE 

2655
02:13:01,901 --> 02:13:04,537
AND ETHNICITY THOUGH SOME THINGS

2656
02:13:04,537 --> 02:13:07,874
BY INCOME ARE A LITTLE 

2657
02:13:07,874 --> 02:13:08,174
SURPRISING.

2658
02:13:08,174 --> 02:13:12,112
IN THINKING ABOUT THE 

2659
02:13:12,112 --> 02:13:13,113
INCONSISTENCY BECAUSE THE 

2660
02:13:13,113 --> 02:13:13,880
CULTURAL DIETS ARE NOT 

2661
02:13:13,880 --> 02:13:15,315
CONSISTENT WITH THE INTAKE 

2662
02:13:15,315 --> 02:13:17,584
PATTERNS ANYMORE OR THE 

2663
02:13:17,584 --> 02:13:19,119
PERCENTAGE OF THE EAR THOUGH 

2664
02:13:19,119 --> 02:13:22,489
THERE ARE SOME EXCEPTIONS.

2665
02:13:22,489 --> 02:13:23,823
>> I THINK THIS IS AN
IMPORTANT 

2666
02:13:23,823 --> 02:13:29,863
POINT AND I DON'T RECALL THAT IN

2667
02:13:29,863 --> 02:13:31,297
EXPLICIT DISCUSSION ON THIS BUT 

2668
02:13:31,297 --> 02:13:35,435
THERE WAS DISCUSSION ON WHAT THE

2669
02:13:35,435 --> 02:13:38,071
INTAKE DATA REPRESENTS.

2670
02:13:38,071 --> 02:13:39,239
IS IT BEHAVIOR OR FOOD 

2671
02:13:39,239 --> 02:13:40,273
ENVIRONMENT AND YOU CAN'T REALLY

2672
02:13:40,273 --> 02:13:43,776
TELL BY LOOKING AT WHAT PEOPLE 

2673
02:13:43,776 --> 02:13:46,913
ARE EATING IF IT'S WHAT THE FOOD

2674
02:13:46,913 --> 02:13:48,982
ENVIRONMENT IS PUTTING OUT THERE

2675
02:13:48,982 --> 02:13:53,386
AND PUSHING ALL THAT OUT OR IF 

2676
02:13:53,386 --> 02:13:55,755
THE SUPPLY/DEMAND THERE'S NO 

2677
02:13:55,755 --> 02:13:57,090
DIRECTIONALITY TO TELL.

2678
02:13:57,090 --> 02:13:58,458
BUT I THINK THAT WOULD BE 

2679
02:13:58,458 --> 02:13:59,893
RELEVANT FOR THE QUESTION YOU'RE

2680
02:13:59,893 --> 02:14:01,895
ASKING IS THE FOOD ENVIRONMENT 

2681
02:14:01,895 --> 02:14:03,763
LIKE OVERWHELMING AND THE 

2682
02:14:03,763 --> 02:14:07,267
INTENTION TO EAT IN A SPECIFIC 

2683
02:14:07,267 --> 02:14:09,135
WAY WHETHER IT'S CULTURAL OR 

2684
02:14:09,135 --> 02:14:13,873
WANTING TO FOLLOW GUIDELINES BUT

2685
02:14:13,873 --> 02:14:16,009
BEING HARD TO DO SO.

2686
02:14:16,009 --> 02:14:20,013
I'M NOT SURE BUT IT ALSO TIES 

2687
02:14:20,013 --> 02:14:23,449
BACK TO THE EDUCATION PIECE AND 

2688
02:14:23,449 --> 02:14:23,783
BEHAVIOR.

2689
02:14:23,783 --> 02:14:26,252
I DON'T DOUBT EDUCATING PATIENTS

2690
02:14:26,252 --> 02:14:28,521
ON EATING HEALTHY WOULD HELP BUT

2691
02:14:28,521 --> 02:14:30,490
I DON'T KNOW PEOPLE HAVE NOT 

2692
02:14:30,490 --> 02:14:33,693
BEEN HEARING THE GUIDELINES THE 

2693
02:14:33,693 --> 02:14:35,261
LAST 20 YEARS AND STILL NO 

2694
02:14:35,261 --> 02:14:37,897
CHANGE OVER ALL.

2695
02:14:37,897 --> 02:14:39,766
THE FOOD ENVIRONMENT 

2696
02:14:39,766 --> 02:14:41,701
OVERWHELMING THE CHOICES AT THE 

2697
02:14:41,701 --> 02:14:43,269
END OF THE DAY COULD BE ONE 

2698
02:14:43,269 --> 02:14:44,070
POTENTIAL INTERPRETATION FOR THE

2699
02:14:44,070 --> 02:14:50,877
DATA.

2700
02:14:50,877 --> 02:14:55,081
>> NOT ONLY THE FOOD 

2701
02:14:55,081 --> 02:14:56,849
ENVIRONMENT, WHICH ACTUALLY 

2702
02:14:56,849 --> 02:14:58,451
EMBEDDED WITHIN THE FOOD 

2703
02:14:58,451 --> 02:15:01,087
ENVIRONMENT YOU HAVE THE 

2704
02:15:01,087 --> 02:15:03,089
INGREDIENTS AND HOW ARE YOU 

2705
02:15:03,089 --> 02:15:06,159
PREPARING IT AND WHAT ARE YOU 

2706
02:15:06,159 --> 02:15:08,194
EATING WITH IT AS WELL AND THAT 

2707
02:15:08,194 --> 02:15:18,571
CAN BRING IN HEALTHY 

2708
02:15:19,606 --> 02:15:19,872
INGREDIENTS.

2709
02:15:19,872 --> 02:15:29,048
YOU CAN HAVE AN EGG WITH HIGH 

2710
02:15:29,048 --> 02:15:31,217
FATS OR SODIUM OR VEGETABLES AND

2711
02:15:31,217 --> 02:15:36,556
YOU SEE THE SUPPLY ISSUE BUT 

2712
02:15:36,556 --> 02:15:42,895
WHAT ELSE IS CONSUMED IN CONTEXT

2713
02:15:42,895 --> 02:15:44,497
AND BRINGING IN CULTURAL FOODS 

2714
02:15:44,497 --> 02:15:47,267
WE NEED TO BRING IN MORE OF 

2715
02:15:47,267 --> 02:15:52,438
THOSE INGREDIENTS BUT ALSO WANT 

2716
02:15:52,438 --> 02:16:00,680
TO BRING IN THINK BACK TO HOW 

2717
02:16:00,680 --> 02:16:05,818
BEFORE ALL THESE MORE OF THE 

2718
02:16:05,818 --> 02:16:15,762
PROCESSING AND AND THE COOKING 

2719
02:16:15,762 --> 02:16:18,298
AND SEASONING AND NOT JUST 

2720
02:16:18,298 --> 02:16:19,499
INGREDIENTS ITSELF THAT BRINGS 

2721
02:16:19,499 --> 02:16:26,539
TOGETHER THE CULTURE.

2722
02:16:26,539 --> 02:16:29,642
>> ANOTHER THING WE DIDN'T
SHOW 

2723
02:16:29,642 --> 02:16:32,445
IN THE DATA TODAY IT DOESN'T 

2724
02:16:32,445 --> 02:16:35,448
DIRECTLY GET AT THIS BUT DOES 

2725
02:16:35,448 --> 02:16:37,483
OFFER INSIGHT AND WERE ABLE TO 

2726
02:16:37,483 --> 02:16:41,020
BREAK DOWN DATA BY COUNTRY OF 

2727
02:16:41,020 --> 02:16:44,090
BIRTH AND SO BY LOOKING AT THAT 

2728
02:16:44,090 --> 02:16:47,627
YOU DON'T KNOW HOW WELL PEOPLE 

2729
02:16:47,627 --> 02:16:49,329
HO WERE BORN IN A DIFFERENT 

2730
02:16:49,329 --> 02:16:50,963
COUNTRY OF BIRTH ARE ABLE TO 

2731
02:16:50,963 --> 02:16:55,668
ADHERE TO THEIR CULTURAL DIETS 

2732
02:16:55,668 --> 02:16:56,969
ONCE THEY'RE HERE BUT STILL IT 

2733
02:16:56,969 --> 02:16:59,672
PLAY SHED INSIGHT AND WE HAVE 

2734
02:16:59,672 --> 02:17:01,107
THE DATA THAT WILL BE IN THE 

2735
02:17:01,107 --> 02:17:01,507
REPORT.

2736
02:17:01,507 --> 02:17:04,777
AS I REMEMBER GOING THROUGH IT 

2737
02:17:04,777 --> 02:17:08,081
WE STILL DIDN'T SEE A LOT OF 

2738
02:17:08,081 --> 02:17:09,115
DIFFERENCE FOR MANY THINGS.

2739
02:17:09,115 --> 02:17:12,085
>> I THINK IT'S HELPFUL
BECAUSE 

2740
02:17:12,085 --> 02:17:14,253
IN THE COMMENTS ABOUT EQUITY IS 

2741
02:17:14,253 --> 02:17:15,421
LINKED TO CULTURAL DIETS AND 

2742
02:17:15,421 --> 02:17:18,591
THINKING HOW WE USE THE DATA TO 

2743
02:17:18,591 --> 02:17:24,530
REALLY IDENTIFY AND THINK ABOUT 

2744
02:17:24,530 --> 02:17:28,267
RECOMMENDATIONS THAT ALIGN WITH 

2745
02:17:28,267 --> 02:17:30,036
CULTURAL DIETS AND SOME OF THE 

2746
02:17:30,036 --> 02:17:33,873
INTAKE IS DEFINITELY NOT 

2747
02:17:33,873 --> 02:17:36,676
CONSISTENT WHAT WOULD THINK OF 

2748
02:17:36,676 --> 02:17:37,477
AS CONSISTENT WITH THE 

2749
02:17:37,477 --> 02:17:39,946
TRADITIONAL DIETARY PATTERNS 

2750
02:17:39,946 --> 02:17:40,847
PEOPLE THINK OF AS TRADITIONAL 

2751
02:17:40,847 --> 02:17:41,481
DIETS.

2752
02:17:41,481 --> 02:17:44,817
SO I THINK THAT WAS HELPFUL.

2753
02:17:44,817 --> 02:17:46,586
>> I'M GLAD YOU'RE
BRINGING UP 

2754
02:17:46,586 --> 02:17:47,320
THE CULTURAL COMPONENT.

2755
02:17:47,320 --> 02:17:48,988
ONE OF THE THINGS THE COMMITTEE 

2756
02:17:48,988 --> 02:17:51,457
IS CHARGED IS TO LOOK AT 

2757
02:17:51,457 --> 02:17:53,493
DIFFERENT INTERVENTIONS AND ONE 

2758
02:17:53,493 --> 02:17:56,829
OF OF THE INTERVENTIONS IS THE 

2759
02:17:56,829 --> 02:17:58,631
CULTURAL INVENTION WHICH WE WILL

2760
02:17:58,631 --> 02:18:01,868
NOT HAVE DATA WE'LL JUST HAVE 

2761
02:18:01,868 --> 02:18:04,804
THE EVIDENCE PREVIEW.

2762
02:18:04,804 --> 02:18:09,675
SO THERE'S DATA SO TO MAYBE 

2763
02:18:09,675 --> 02:18:11,811
INCORPORATE ALSO WHEN WE'RE 

2764
02:18:11,811 --> 02:18:14,747
TALKING ABOUT CULTURAL 

2765
02:18:14,747 --> 02:18:19,952
INTERVENTIONS BECAUSE WE'RE 

2766
02:18:19,952 --> 02:18:20,920
TALKING ABOUT WE'RE GETTING 

2767
02:18:20,920 --> 02:18:22,722
WORSE IN TERMS OF MEETING 

2768
02:18:22,722 --> 02:18:23,556
GUIDELINES AND MAYBE GIVING 

2769
02:18:23,556 --> 02:18:30,096
THOSE FEW TIPS THAT WE CAN HELP 

2770
02:18:30,096 --> 02:18:31,864
THE POPULATION GET THERE AND 

2771
02:18:31,864 --> 02:18:33,266
MAYBE SINCE WE'RE NOT GOING TO 

2772
02:18:33,266 --> 02:18:35,168
HAVE THE DATA MAYBE HAVING SOME 

2773
02:18:35,168 --> 02:18:39,439
OF THAT ANALYSIS YOU GUYS ARE 

2774
02:18:39,439 --> 02:18:40,840
DOING AND I DO APPRECIATE YOU 

2775
02:18:40,840 --> 02:18:41,874
PRESENTING SOME OF THE RESULTS 

2776
02:18:41,874 --> 02:18:44,811
OF THE THINGS WE'RE WORKING ON 

2777
02:18:44,811 --> 02:18:47,914
THE BREAKFAST AND LATE EVENING 

2778
02:18:47,914 --> 02:18:48,981
SNACKING IS HELPFUL.

2779
02:18:48,981 --> 02:18:55,254
IT WOULD BE NICE TO LOOK AT IF 

2780
02:18:55,254 --> 02:18:57,457
IT'S POSSIBLE TO COMBINE WITH 

2781
02:18:57,457 --> 02:19:00,993
WHAT DEANA SAID WHAT ARE DIETS 

2782
02:19:00,993 --> 02:19:04,163
THEY'RE REPORTING THEY'RE DOING 

2783
02:19:04,163 --> 02:19:07,400
AND IF THERE ARE DIETS HELPING 

2784
02:19:07,400 --> 02:19:09,869
IMPROVE GUIDELINES AND IF THAT'S

2785
02:19:09,869 --> 02:19:11,971
POSSIBLE MAYBE IT'S TOO LATE BUT

2786
02:19:11,971 --> 02:19:16,108
THE CULTURAL COMPONENT WOULD BE 

2787
02:19:16,108 --> 02:19:16,909
NICE TO COLLABORATE AND PART OF 

2788
02:19:16,909 --> 02:19:24,951
OUR REPORT.

2789
02:19:24,951 --> 02:19:29,822
>> MAYBE BUILDING ON THAT
AND 

2790
02:19:29,822 --> 02:19:32,091
DIDI IT'S DEPRESSING HOW MUCH WE

2791
02:19:32,091 --> 02:19:38,064
HAVE WORK ON BUT ENJOYED THE 

2792
02:19:38,064 --> 02:19:40,933
ALGORITHM FOR THE NUTRIENTS OF 

2793
02:19:40,933 --> 02:19:43,302
CONCERN AND TRENDS ON FIBER AND 

2794
02:19:43,302 --> 02:19:44,337
SODIUM BECAUSE THEY'RE HEADING 

2795
02:19:44,337 --> 02:19:45,171
IN THE WRONG DIRECTION AND THIS 

2796
02:19:45,171 --> 02:19:47,773
GROUP HAS THE ABILITY TO LOOK AT

2797
02:19:47,773 --> 02:19:48,641
THE CULTURAL DIET AND DARK 

2798
02:19:48,641 --> 02:19:53,446
GREENS FOR EXAMPLE AS A SOLUTION

2799
02:19:53,446 --> 02:19:55,181
OR BEANS, PEAS AND LENTILS AND 

2800
02:19:55,181 --> 02:19:57,683
MODEL IT IN THE DATA SET WE HAVE

2801
02:19:57,683 --> 02:20:00,086
AND WHAT TO WORK ON FIRST AND 

2802
02:20:00,086 --> 02:20:01,888
ADD TRENDS TO THOSE NUTRIENTS OF

2803
02:20:01,888 --> 02:20:02,722
CONCERN.

2804
02:20:02,722 --> 02:20:05,892
YOU SAID TO THE SAME ONES SINCE 

2805
02:20:05,892 --> 02:20:06,792
2020.

2806
02:20:06,792 --> 02:20:09,462
ARE THERE ANY GREATER CONCERNS 

2807
02:20:09,462 --> 02:20:10,897
AMONG THE NUTRIENTS THAT GOT 

2808
02:20:10,897 --> 02:20:12,131
ISOLATED WE NEED TO SEE THE 

2809
02:20:12,131 --> 02:20:16,469
TREND DATA TO FIGURE OUT?

2810
02:20:16,469 --> 02:20:18,104
>> SO WE WERE ABLE TO LOOK
AT 

2811
02:20:18,104 --> 02:20:21,307
THOSE COMPARISONS OVER TIME BUT 

2812
02:20:21,307 --> 02:20:31,684
THEY ARE VERY STEADY.

2813
02:20:31,984 --> 02:20:32,151
CHERYL.

2814
02:20:32,151 --> 02:20:35,621
>> I WAS STRUCK BY WHAT
DIDI 

2815
02:20:35,621 --> 02:20:37,223
PRESENTED AND WAS THINKING BACK 

2816
02:20:37,223 --> 02:20:39,292
TO YESTERDAY'S PRESENTATIONS 

2817
02:20:39,292 --> 02:20:41,694
AROUND FOOD PATTERN MODELLING 

2818
02:20:41,694 --> 02:20:44,630
AND SOME OF WHAT SUBCOMMITTEE 

2819
02:20:44,630 --> 02:20:45,698
HAS BEEN DOING AROUND DIETARY 

2820
02:20:45,698 --> 02:20:45,965
PATTERNS.

2821
02:20:45,965 --> 02:20:53,873
PUT ALL THE PIECES TOGETHER AND 

2822
02:20:53,873 --> 02:21:03,616
AND WONDERING ON THE 

2823
02:21:03,616 --> 02:21:06,319
PRIORITIZATION AND NUTS, GRAINS,

2824
02:21:06,319 --> 02:21:08,721
LEGUMES AND DAIRY STRIKE ME AS 

2825
02:21:08,721 --> 02:21:10,590
POTENTIAL THINGS WE SHOULD BE 

2826
02:21:10,590 --> 02:21:11,390
ABLE TO COMMENT ON GIVEN WHERE 

2827
02:21:11,390 --> 02:21:15,261
THE SCIENCE IS RIGHT NOW.

2828
02:21:15,261 --> 02:21:17,096
WHAT ARE THE CONVERSATIONS 

2829
02:21:17,096 --> 02:21:18,331
AROUND BUILDING THE PRIORITIES 

2830
02:21:18,331 --> 02:21:27,306
BECAUSE AS WE SEE THROUGH THE 

2831
02:21:27,306 --> 02:21:28,474
PRESENTATIONS 245 THESE ARE GOI 

2832
02:21:28,474 --> 02:21:30,676
BE TARGETS AND YESTERDAY AS I 

2833
02:21:30,676 --> 02:21:33,112
WAS LISTENING I THOUGHT IN FOOD 

2834
02:21:33,112 --> 02:21:35,448
WAYS I'M FAMILIAR WITH IT'S RARE

2835
02:21:35,448 --> 02:21:37,883
TO FIND WHAT PEOPLE CONSUME 

2836
02:21:37,883 --> 02:21:38,651
BEANS WITHOUT RICE.

2837
02:21:38,651 --> 02:21:41,020
YET WE HAVE THE ISSUE OF TOTAL 

2838
02:21:41,020 --> 02:21:47,059
GRAINS AND REFINED GRAINS AND 

2839
02:21:47,059 --> 02:21:49,061
PERHAPS THINKING ABOUT DO WE 

2840
02:21:49,061 --> 02:21:51,597
HAVE A WHOLE GRAIN APPROACH WITH

2841
02:21:51,597 --> 02:21:55,835
NUTS, GRAINS, LEGUMES.

2842
02:21:55,835 --> 02:21:57,436
WHAT ARE WE THINKING IN THE 

2843
02:21:57,436 --> 02:22:01,474
SPACE AND WHAT IS THE 

2844
02:22:01,474 --> 02:22:02,141
PRIORITIZATION PROCESS AND WHAT 

2845
02:22:02,141 --> 02:22:06,145
DO WE PUT ON THE TOP OF THE 

2846
02:22:06,145 --> 02:22:07,046
LIST.

2847
02:22:07,046 --> 02:22:07,713
>> IT GETS BACK TO THE 

2848
02:22:07,713 --> 02:22:08,948
CONVERSATION AT THE END OF THE 

2849
02:22:08,948 --> 02:22:13,519
DAY, WE'RE LOOKING AT THE 

2850
02:22:13,519 --> 02:22:15,121
QUANTITIES IN THE PATTERN AND 

2851
02:22:15,121 --> 02:22:18,491
NUTRIENT PROFILE AND IF YOU 

2852
02:22:18,491 --> 02:22:20,092
REMOVE OR SUBSTITUTE THEIR 

2853
02:22:20,092 --> 02:22:21,427
NUTRITIONAL IMPLICATIONS.

2854
02:22:21,427 --> 02:22:23,396
EACH ONE OF THE PROTOCOLS WERE 

2855
02:22:23,396 --> 02:22:25,865
WHAT HAPPENS WITH THE 

2856
02:22:25,865 --> 02:22:27,266
MODIFICATION OF THE QUANTITIES 

2857
02:22:27,266 --> 02:22:29,201
AND DISTRIBUTION AND THE 

2858
02:22:29,201 --> 02:22:29,869
NUTRIENT PROFILE.

2859
02:22:29,869 --> 02:22:31,504
BECAUSE IF YOU DECIDE IT TAKE 

2860
02:22:31,504 --> 02:22:33,539
FOOD GROUPS AWAY YOU'RE TAKING 

2861
02:22:33,539 --> 02:22:34,240
THE NUTRIENTS AWAY.

2862
02:22:34,240 --> 02:22:37,443
SO THEN WHAT YOU PUT BACK IN 

2863
02:22:37,443 --> 02:22:39,211
BECOMES JUST AS IMPORTANT AS 

2864
02:22:39,211 --> 02:22:43,249
WHAT'S TAKEN OUT AND WE HAD A 

2865
02:22:43,249 --> 02:22:44,784
COUPLE WHERE WE WERE 

2866
02:22:44,784 --> 02:22:47,620
RECOMMENDING A REDUCTION IN THE 

2867
02:22:47,620 --> 02:22:48,988
OVER ALL PATTERN TO GET MORE 

2868
02:22:48,988 --> 02:22:49,655
FLEXIBILITY IN THE SPACE AND 

2869
02:22:49,655 --> 02:22:51,457
WITH THE REDUCTION IT MEANS A 

2870
02:22:51,457 --> 02:22:52,925
REDUCTION IN NUTRIENTS.

2871
02:22:52,925 --> 02:22:54,794
SO WHEN WE MODEL THOSE WE HAD TO

2872
02:22:54,794 --> 02:22:57,897
DETERMINE IF WE REDUCE, DOES IT 

2873
02:22:57,897 --> 02:22:59,298
CREATE A NUTRIENT GAP.

2874
02:22:59,298 --> 02:23:03,836
AND IF IT CREATES A NUTRIENT GAP

2875
02:23:03,836 --> 02:23:06,072
WE'RE SHOOTING OURSELVES IN THE 

2876
02:23:06,072 --> 02:23:07,473
FOOT TO SAY WE'RE TAKING THIS 

2877
02:23:07,473 --> 02:23:09,875
OUT AND THE NUTRIENTS ARE GONE 

2878
02:23:09,875 --> 02:23:12,511
BUT THAT'S OKAY AND TRYING TO 

2879
02:23:12,511 --> 02:23:13,813
CREATE A PATTERN THAT MEETS THE 

2880
02:23:13,813 --> 02:23:15,247
NUTRIENT GOALS.

2881
02:23:15,247 --> 02:23:16,816
WE LOOKED AT EACH ONE OF THE 

2882
02:23:16,816 --> 02:23:20,352
FOOD GROUPS TO ADDRESS THAT AND 

2883
02:23:20,352 --> 02:23:22,621
FILL THE GAP FOR THE 

2884
02:23:22,621 --> 02:23:25,891
NUTRIENTSES.

2885
02:23:25,891 --> 02:23:26,992
-- NUTRIENTS.

2886
02:23:26,992 --> 02:23:29,361
IF WE MAKE A PATTERN THAT 

2887
02:23:29,361 --> 02:23:31,030
INTRODUCES NUTRIENT GAPS WHAT 

2888
02:23:31,030 --> 02:23:33,866
WE'RE ULTIMATELY DOING IS 

2889
02:23:33,866 --> 02:23:36,602
PUTTING OURSELF FURTHER DOWN THE

2890
02:23:36,602 --> 02:23:38,104
PATH OF NOT MEETING NUTRIENT 

2891
02:23:38,104 --> 02:23:38,370
GOALS.

2892
02:23:38,370 --> 02:23:40,639
IF WE MAKE DECISIONS TO REMOVE 

2893
02:23:40,639 --> 02:23:44,844
THING WITHOUT AN EVALUATION OF 

2894
02:23:44,844 --> 02:23:46,812
THE NUTRIENT PROFILE WE'RE 

2895
02:23:46,812 --> 02:23:48,347
CREATING THE PROBLEM RATHER THAN

2896
02:23:48,347 --> 02:23:49,348
ADDRESSING THE PATTERN AND 

2897
02:23:49,348 --> 02:23:51,250
THAT'S WHERE THE MODELLING TAKE 

2898
02:23:51,250 --> 02:23:53,052
THE NUTRIENT DATA AND SAYS IF 

2899
02:23:53,052 --> 02:23:54,920
THIS, THEN WHAT.

2900
02:23:54,920 --> 02:23:59,859
SO THE FLEXIBILITY IS LOOKED AT 

2901
02:23:59,859 --> 02:24:01,627
IF YOU REMOVE THIS OR MAKE A 

2902
02:24:01,627 --> 02:24:04,263
CHOICE OR PATTERN OR HAVE TO 

2903
02:24:04,263 --> 02:24:06,198
MAKE THE CHANGE AND IDENTIFIES 

2904
02:24:06,198 --> 02:24:11,904
THE NUTRIENTS AND SAYS IF THIS, 

2905
02:24:11,904 --> 02:24:13,439
THEN BE SURE TO -- 

2906
02:24:13,439 --> 02:24:14,573
>> SO WE WILL HAVE THE 

2907
02:24:14,573 --> 02:24:17,877
OPPORTUNITY TO LOOK AT THE 

2908
02:24:17,877 --> 02:24:23,249
SHIFTS AND CALL OUTS AND 

2909
02:24:23,249 --> 02:24:25,918
DISTINGUISHING FEATURES SHOWN IN

2910
02:24:25,918 --> 02:24:29,121
WHAT DIDI PRESENTED AND 

2911
02:24:29,121 --> 02:24:32,091
REGARDING CULTURAL APPROACHES TO

2912
02:24:32,091 --> 02:24:42,468
PUTTING FOOD TOGETHER.

2913
02:24:42,902 --> 02:24:43,803
I'M INTERESTING TO UNDERSTAND 

2914
02:24:43,803 --> 02:24:49,341
HOW CHOICES GET MADE.

2915
02:24:49,341 --> 02:24:51,844
>> THE SYNTHESIS IS SEEING
OUT 

2916
02:24:51,844 --> 02:24:56,048
IT GETS TRANSLATED TO THE DIET 

2917
02:24:56,048 --> 02:24:59,218
SIMULATION AND IS THE FUN 

2918
02:24:59,218 --> 02:25:00,386
PLAYGROUND TO EXPLORE THE 

2919
02:25:00,386 --> 02:25:01,253
CULTURAL FOOD WAYS IN THAT 

2920
02:25:01,253 --> 02:25:01,754
SPACE.

2921
02:25:01,754 --> 02:25:04,957
>> I'M GOING TO INTERJECT
THERE.

2922
02:25:04,957 --> 02:25:06,192
THERE'S AN A LOT OF WORK TO BE 

2923
02:25:06,192 --> 02:25:08,527
DONE OVER THE NEXT FEW MONTHS 

2924
02:25:08,527 --> 02:25:11,931
AND WE ALSO HAVE SOME PHENOMENAL

2925
02:25:11,931 --> 02:25:14,099
PRESENTATIONS COMING UP.

2926
02:25:14,099 --> 02:25:15,301
THIS WAS FANTASTIC DISCUSSION.

2927
02:25:15,301 --> 02:25:18,571
HOW ABOUT WE TAKE A 10-MINUTE 

2928
02:25:18,571 --> 02:25:21,607
BREAK AND I JUST WANT TO THANK 

2929
02:25:21,607 --> 02:25:22,041
ALL THE PRESENTERS.

2930
02:25:22,041 --> 02:25:25,216
GREAT JOB.

2931
02:25:29,540 --> 02:25:30,641
>> GREAT PRESENTATIONS AND
OVER 

2932
02:25:30,641 --> 02:25:33,377
TO JEN TO TALK ABOUT DIET AND 

2933
02:25:33,377 --> 02:25:35,179
PREGNANCY AND BIRTH THROUGH 

2934
02:25:35,179 --> 02:25:35,479
ADOLESCENCE.

2935
02:25:35,479 --> 02:25:37,181
>> THANK YOU.

2936
02:25:37,181 --> 02:25:39,116
GOOD MORNING, EVERYONE.

2937
02:25:39,116 --> 02:25:41,886
IT'S MY PLEASURE TO PRESENT THE 

2938
02:25:41,886 --> 02:25:44,155
WORK AND PROGRESS OF 

2939
02:25:44,155 --> 02:25:46,490
SUBCOMMITTEE 2 WHICH IS DIET AND

2940
02:25:46,490 --> 02:25:49,093
PREGNANCY AND BIRTH THROUGH 

2941
02:25:49,093 --> 02:25:49,393
ADOLESCENCE.

2942
02:25:49,393 --> 02:25:51,195
I'M GOING TO BE JOINED IN THE 

2943
02:25:51,195 --> 02:25:57,802
PRESENTATION BY DR. ANDREA 

2944
02:25:57,802 --> 02:26:01,972
DEERVINE.

2945
02:26:01,972 --> 02:26:08,012
I'D LIKE TO ACKNOWLEDGE NOTE 

2946
02:26:08,012 --> 02:26:10,481
THAT THERE ARE SEVERAL WHO SERVE

2947
02:26:10,481 --> 02:26:12,483
ON THE HEALTH EQUITY COMMITTEE 

2948
02:26:12,483 --> 02:26:13,284
AS DISCUSSED IN PREVIOUS 

2949
02:26:13,284 --> 02:26:18,322
PRESENTATIONS I THINK IT'S BEEN 

2950
02:26:18,322 --> 02:26:27,731
IMPORTANT THE HEALTH EQUITY 

2951
02:26:27,731 --> 02:26:29,533
GROUP AND OTHER CONSIDERATIONS 

2952
02:26:29,533 --> 02:26:34,939
IN THE LIFE STAGES TO THE HEALTH

2953
02:26:34,939 --> 02:26:35,739
EQUITY GROUP.

2954
02:26:35,739 --> 02:26:38,242
I THINK THAT'S BEEN POSITIVE.

2955
02:26:38,242 --> 02:26:39,643
WE WANT TO ACKNOWLEDGE THE 

2956
02:26:39,643 --> 02:26:43,747
TREMENDOUS WORK AN  AND SUPPORT 

2957
02:26:43,747 --> 02:26:50,521
OF THE STAFF AND CHARLOTTE WHO 

2958
02:26:50,521 --> 02:26:52,022
HAS LED THE WORK ON THE STAFF 

2959
02:26:52,022 --> 02:26:54,425
SIDE WE'VE PRESENTED TODAY AND 

2960
02:26:54,425 --> 02:26:59,597
ACKNOWLEDGE AS ALWAYS OUR 

2961
02:26:59,597 --> 02:27:09,473
FEDERALLY LIAISON.

2962
02:27:09,473 --> 02:27:10,641
WHAT HAVE WE BEEN UP TO SINCE 

2963
02:27:10,641 --> 02:27:12,576
THE LAST MEETING?

2964
02:27:12,576 --> 02:27:16,213
FOR THOSE WHO MAY NOT REMEMBER, 

2965
02:27:16,213 --> 02:27:17,348
OUR SUBCOMMITTEE HAS BEEN TASKED

2966
02:27:17,348 --> 02:27:20,050
WITH REVIEWING THE EVIDENCE FOR 

2967
02:27:20,050 --> 02:27:22,119
EIGHT SCIENTIFIC QUESTIONS 

2968
02:27:22,119 --> 02:27:25,389
REGARDING DIET DURING PREGNANCY 

2969
02:27:25,389 --> 02:27:33,564
AND FROM INFANCY THROUGH 

2970
02:27:33,564 --> 02:27:34,231
ADOLESCENCE.

2971
02:27:34,231 --> 02:27:38,102
WE'VE COMPLETED OUR WORK ONE ON 

2972
02:27:38,102 --> 02:27:41,572
REPEATED EXPOSURE AND FOOD AC 

2973
02:27:41,572 --> 02:27:44,441
ACCEPTANCE AND FOOD PATTERNS ON 

2974
02:27:44,441 --> 02:27:47,177
PREGNANCY AND MATERNAL OUTCOMES.

2975
02:27:47,177 --> 02:27:49,313
WE'VE DONE SYSTEMATIC REVIEW OF 

2976
02:27:49,313 --> 02:27:53,384
THE EVIDENCE TO LOOK AT 

2977
02:27:53,384 --> 02:27:56,287
ASSOCIATIONS OF COMPLIMENTARY 

2978
02:27:56,287 --> 02:27:59,723
FEEDING WITH GROWTH BODY 

2979
02:27:59,723 --> 02:28:01,558
COMPOSITION AND RISK OF OBESITY 

2980
02:28:01,558 --> 02:28:06,897
THROUGH A -- CHILDHOOD AND 

2981
02:28:06,897 --> 02:28:07,164
ADULTHOOD.

2982
02:28:07,164 --> 02:28:12,803
WE HAVE FOUR QUESTIONS YET TO 

2983
02:28:12,803 --> 02:28:13,570
ADDRESS.

2984
02:28:13,570 --> 02:28:23,247
TWO GO TO KOIR GIVER FEELINGED 

2985
02:28:23,247 --> 02:28:24,114
PROONTSS AND INFOONT OUT

2986
02:28:29,186 --> 02:28:30,788
>> CAREGIVER FEEDING AND
INFANT 

2987
02:28:30,788 --> 02:28:31,055
OUTCOMES.

2988
02:28:31,055 --> 02:28:33,557
BEFORE WE GET INTO THE REVIEW OF

2989
02:28:33,557 --> 02:28:34,992
THE COMPLEMENTARY FEEDING I 

2990
02:28:34,992 --> 02:28:36,760
WANTED TO TAKE A FEW MOMENTS TO 

2991
02:28:36,760 --> 02:28:38,929
TALK ABOUT SEVERAL REVISIONS TO 

2992
02:28:38,929 --> 02:28:43,968
THE PROTOCOLS FOR REVIEWS ON 

2993
02:28:43,968 --> 02:28:44,735
COMPLIMENTARY FOODS AS WELL AS 

2994
02:28:44,735 --> 02:28:47,171
PROTOCOLS ON THE REMAINING 

2995
02:28:47,171 --> 02:28:49,206
REVIEWS TO BE DONE.

2996
02:28:49,206 --> 02:28:51,809
FOR THOSE LISTENING THESE 

2997
02:28:51,809 --> 02:28:53,010
PROTOCOLS REFER TO THE METHODS 

2998
02:28:53,010 --> 02:28:55,479
THAT WE'RE USING TO CONDUCT THE 

2999
02:28:55,479 --> 02:28:57,581
SYSTEMATIC REVIEWS THAT ALLOW US

3000
02:28:57,581 --> 02:28:58,415
TO EVALUATE THE SCIENTIFIC 

3001
02:28:58,415 --> 02:29:08,726
EVIDENCE ON THESE TOPICS.

3002
02:29:08,726 --> 02:29:10,728
THIS SLIDE GIVES INFORMATION ON 

3003
02:29:10,728 --> 02:29:11,862
THE COMPLEMENTARY FEEDING 

3004
02:29:11,862 --> 02:29:12,830
REVISIONS AND THEY WERE MADE 

3005
02:29:12,830 --> 02:29:20,871
DURING THE COURSE OF THE REVIEW.

3006
02:29:20,871 --> 02:29:21,839
I'LL TRY TO SUMMARIZE WHY WE 

3007
02:29:21,839 --> 02:29:25,576
MADE THE REVISIONS.

3008
02:29:25,576 --> 02:29:27,711
YOU'LL HEAR THE COMPLEMENTARY 

3009
02:29:27,711 --> 02:29:31,782
FEEDING REVIEW COVERED A WIDE 

3010
02:29:31,782 --> 02:29:33,517
RANGE OF FOOD AND BEVERAGES 

3011
02:29:33,517 --> 02:29:34,585
OFFERED TO CHILDREN IN THE FIRST

3012
02:29:34,585 --> 02:29:35,953
24 MONTHS OF LIFE.

3013
02:29:35,953 --> 02:29:37,788
WE CONSIDERED THE TYPES AND 

3014
02:29:37,788 --> 02:29:38,689
AMOUNTS OF THE FOODS AS WELL AS 

3015
02:29:38,689 --> 02:29:41,191
THE TIMING OF INTRODUCTION TO 

3016
02:29:41,191 --> 02:29:44,194
THOSE FOODS AND ASSOCIATIONS 

3017
02:29:44,194 --> 02:29:46,330
WITH BIRTH BODY COMPOSITION AND 

3018
02:29:46,330 --> 02:29:48,165
RISK TO OBESITY OUTCOMES.

3019
02:29:48,165 --> 02:29:55,372
AS WE BEGIN TO SYNTHESIZE THE 

3020
02:29:55,372 --> 02:29:58,442
EVIDENCE IT BECAME VERY CLEAR 

3021
02:29:58,442 --> 02:30:00,344
THERE'S TREMENDOUS HETEROGENEITY

3022
02:30:00,344 --> 02:30:07,651
AND COMPARATORS THAT PARS THE 

3023
02:30:07,651 --> 02:30:10,220
DATA AND PRONOUNCED IN TRIALS 

3024
02:30:10,220 --> 02:30:12,256
THAT MET OUR INCLUSION PRIORITY 

3025
02:30:12,256 --> 02:30:14,124
BUT NOT DESIGNED WITH THE GOAL 

3026
02:30:14,124 --> 02:30:19,563
OF EVALUATING THE OUTCOMES OF 

3027
02:30:19,563 --> 02:30:19,863
INTEREST.

3028
02:30:19,863 --> 02:30:21,098
THAT MAY BE ARBITRARY BUT THESE 

3029
02:30:21,098 --> 02:30:23,133
THINGS ARE ALL IMPORTANT.

3030
02:30:23,133 --> 02:30:24,735
WE MAY HAVE EXPOSURES AND 

3031
02:30:24,735 --> 02:30:31,375
COMPARE TORS -- COMPARATORS BUT 

3032
02:30:31,375 --> 02:30:36,613
THE CONTROLS ARE ALL IMPORTANT 

3033
02:30:36,613 --> 02:30:39,850
AND SO IN THE STUDIES WE MAY 

3034
02:30:39,850 --> 02:30:41,952
HAVE HAD MEAT COMPARED TO INFANT

3035
02:30:41,952 --> 02:30:43,720
CEREAL BUT WERE THEY PROVIDED IN

3036
02:30:43,720 --> 02:30:47,858
EQUAL NUMBERS OF CALORIES.

3037
02:30:47,858 --> 02:30:49,793
WHAT DID THE REST OF THE DIET 

3038
02:30:49,793 --> 02:30:56,433
LOOK LIKE AND WHAT, INSTRUCTIONS

3039
02:30:56,433 --> 02:30:58,335
WERE CAREGIVERS GIVEN AND WHEN 

3040
02:30:58,335 --> 02:31:00,571
YOU LOOK AT IRON STATUS OR ZINC 

3041
02:31:00,571 --> 02:31:04,842
STATUS THOSE CONTROLS MAY LOOK 

3042
02:31:04,842 --> 02:31:09,279
DIFFERENT TO LOOK AT GROWTH 

3043
02:31:09,279 --> 02:31:09,580
OUTCOMES.

3044
02:31:09,580 --> 02:31:13,450
THAT'S A LONG WAY OF SAYING THE 

3045
02:31:13,450 --> 02:31:15,619
DATA WAS COMPLEX AND FELT IT WAS

3046
02:31:15,619 --> 02:31:17,955
IMPORTANT TO REMOVE THE STUDIES 

3047
02:31:17,955 --> 02:31:21,925
CREATING NOISE RATHER THAN 

3048
02:31:21,925 --> 02:31:23,927
AHOWING US TO EXAMINE THE 

3049
02:31:23,927 --> 02:31:24,928
ASSOCIATION EXPOSURE AND OUTCOME

3050
02:31:24,928 --> 02:31:25,562
OF INTEREST.

3051
02:31:25,562 --> 02:31:27,764
WE GOT RID OF THOSE STUDIES.

3052
02:31:27,764 --> 02:31:29,266
THE SECOND REVISION THAT WAS 

3053
02:31:29,266 --> 02:31:34,671
RELATED IN LIGHT OF THE 

3054
02:31:34,671 --> 02:31:36,240
HETEROGENEITY WE DECIDED TO NOT 

3055
02:31:36,240 --> 02:31:36,807
CONDUCT A REVIEW.

3056
02:31:36,807 --> 02:31:38,976
WE LOOKED AT A NUMBER OF FOOD 

3057
02:31:38,976 --> 02:31:45,215
GROUPS BUT DECIDED NOT TO REVIEW

3058
02:31:45,215 --> 02:31:48,785
A GROUP REFERRED TO AS THE OTHER

3059
02:31:48,785 --> 02:31:49,586
FOOD GROUP WITH COMPLIMENTARY 

3060
02:31:49,586 --> 02:31:52,723
FOODS OUTSIDE THE DEFINITIONS 

3061
02:31:52,723 --> 02:31:54,992
FOR 100% FRUIT, JUICE, 

3062
02:31:54,992 --> 02:31:57,961
VEGETABLES, GRAINS, ETCETERA.

3063
02:31:57,961 --> 02:31:59,196
WE MADE THE DECISION FIRST FOR 

3064
02:31:59,196 --> 02:32:00,497
TWO REASONS.

3065
02:32:00,497 --> 02:32:03,700
ONE IN LIGHT OF THE 

3066
02:32:03,700 --> 02:32:04,902
HETEROGENEITY WHICH WE THOUGHT 

3067
02:32:04,902 --> 02:32:06,436
WOULD BE IMPOSSIBLE TO MAKE 

3068
02:32:06,436 --> 02:32:08,272
SENSE OF SUCH A DIVERSE GROUP 

3069
02:32:08,272 --> 02:32:10,374
AND BECAUSE WE PRIORITIZED THE 

3070
02:32:10,374 --> 02:32:11,842
REMAINING QUESTIONS I'LL SAY A 

3071
02:32:11,842 --> 02:32:13,177
BIT MORE ABOUT.

3072
02:32:13,177 --> 02:32:15,312
SO THE FINAL REVISION WITH THIS 

3073
02:32:15,312 --> 02:32:18,215
WORK IS WE DEPRIORITIZED REVIEW 

3074
02:32:18,215 --> 02:32:20,317
STUDIES EVALUATING THE TIMING OF

3075
02:32:20,317 --> 02:32:22,119
ANY FIRST INTRODUCTION TO 

3076
02:32:22,119 --> 02:32:22,986
COMPLIMENTARY FOODS AND 

3077
02:32:22,986 --> 02:32:24,721
BEVERAGES AND MADE THE DECISION 

3078
02:32:24,721 --> 02:32:27,925
AGAIN IN INTEREST OF TRYING TO 

3079
02:32:27,925 --> 02:32:29,993
COMPLETE THE WORK WE HAVE 

3080
02:32:29,993 --> 02:32:31,395
REMAINING AND WITH BROAD 

3081
02:32:31,395 --> 02:32:36,567
ACKNOWLEDGEMENT OF THE PRIORITY 

3082
02:32:36,567 --> 02:32:41,104
OF THE WORK AND ALSO BECAUSE WE 

3083
02:32:41,104 --> 02:32:43,473
HAVE A CONCLUSION IN THE B24 

3084
02:32:43,473 --> 02:32:46,009
WORK AND FELT WE COULD DRAW FROM

3085
02:32:46,009 --> 02:32:47,778
THAT EVIDENCE AND WOULD BE 

3086
02:32:47,778 --> 02:32:50,681
UNLIKELY TO CHANGE AND USED OUR 

3087
02:32:50,681 --> 02:32:52,583
TIME ON WHAT WE HAD LEFT TO DO.

3088
02:32:52,583 --> 02:32:57,120
SO LET'S GO TO THE NEXT SLIDE 

3089
02:32:57,120 --> 02:32:59,756
THE NEXT REVISION PERTAIN TO 

3090
02:32:59,756 --> 02:33:03,026
THESE SYSTEMIC REVIEW ON 

3091
02:33:03,026 --> 02:33:04,294
CAREGIVER FEEDING PRACTICES AND 

3092
02:33:04,294 --> 02:33:07,598
THIS IS ONE WE HAVE NOT YET 

3093
02:33:07,598 --> 02:33:08,532
BEGUN.

3094
02:33:08,532 --> 02:33:10,667
SO IT'S BEEN VERY CLEAR 

3095
02:33:10,667 --> 02:33:12,369
ABUNDANTLY CLEAR THE ORIGINAL 

3096
02:33:12,369 --> 02:33:14,638
SCOPE OF THE WORK FOR THIS 

3097
02:33:14,638 --> 02:33:16,073
REVIEW WHICH SPANNED FROM BIRTH 

3098
02:33:16,073 --> 02:33:21,812
TO ADOLESCENCE WAS TOO BROAD TO 

3099
02:33:21,812 --> 02:33:22,312
BE COMPLETED.

3100
02:33:22,312 --> 02:33:23,914
I THINK WE'RE ALL IN AGREEMENT 

3101
02:33:23,914 --> 02:33:29,553
THIS IS A VERY IMPORTANT 

3102
02:33:29,553 --> 02:33:36,526
QUESTION.

3103
02:33:36,526 --> 02:33:39,796
AND LOOKING AT OUTCOMES BUT 

3104
02:33:39,796 --> 02:33:42,132
ULTIMATELY REVIEW EVIDENCE ON 

3105
02:33:42,132 --> 02:33:47,170
BOTH EVIDENCE BUT NARROW OUR AGE

3106
02:33:47,170 --> 02:33:48,739
RANGE AND FOCUS ON EARLY 

3107
02:33:48,739 --> 02:33:54,344
CHILDHOOD AND COMPLETE THE WORK 

3108
02:33:54,344 --> 02:34:04,621
AND DO IT WELL.

3109
02:34:17,401 --> 02:34:20,103
AND I THINK OUR COMMITTEE IS 

3110
02:34:20,103 --> 02:34:21,305
QUITE EXCITED ABOUT DOING THIS 

3111
02:34:21,305 --> 02:34:23,874
WORK AND THINK THIS WILL BE A 

3112
02:34:23,874 --> 02:34:24,608
GOOD FIRST STEP SINCE THIS WILL 

3113
02:34:24,608 --> 02:34:29,012
BE A NEW REVIEW FOR THE DIETARY 

3114
02:34:29,012 --> 02:34:29,513
GUIDELINES.

3115
02:34:29,513 --> 02:34:30,747
THE LAST REVISION I'LL SAY 

3116
02:34:30,747 --> 02:34:33,583
BRIEFLY WE REVISED THE PROTOCOLS

3117
02:34:33,583 --> 02:34:36,553
FOR THE REVIEWS AND DIETARY 

3118
02:34:36,553 --> 02:34:38,655
PATTERNS TO ENABLE A FOCUS ON 

3119
02:34:38,655 --> 02:34:44,561
BIRTH OUTCOMES OF GREATEST 

3120
02:34:44,561 --> 02:34:46,596
PUBLIC HEALTH CONCERN.

3121
02:34:46,596 --> 02:34:48,699
AND REPORT CATEGORICAL 

3122
02:34:48,699 --> 02:34:56,239
GESTATIONAL AGE OF OUTCOMES AND 

3123
02:34:56,239 --> 02:35:06,450
FOCUS ON THAT LITERATURE THIS IS

3124
02:35:06,450 --> 02:35:08,151
THE ANALYTICAL FRAMEWORK USED TO

3125
02:35:08,151 --> 02:35:09,252
ANSWER THE QUESTION, THE BROAD 

3126
02:35:09,252 --> 02:35:12,389
QUESTION, WHAT IS THIS 

3127
02:35:12,389 --> 02:35:15,592
RELATIONSHIP BETWEEN 

3128
02:35:15,592 --> 02:35:16,159
COMPLEMENTARY FEEDING AND 

3129
02:35:16,159 --> 02:35:17,694
BROTHER BODY COMPOSITION AND 

3130
02:35:17,694 --> 02:35:18,228
RISK OF OBESITY.

3131
02:35:18,228 --> 02:35:21,131
SO JUST AS A REMINDER FOR THOSE 

3132
02:35:21,131 --> 02:35:23,333
WHO MAY NOT WORK DIRECTLY IN 

3133
02:35:23,333 --> 02:35:25,569
THIS AREA, COMPLEMENTARY FEEDING

3134
02:35:25,569 --> 02:35:30,407
STARTS WITH HUMAN MILK OR INFANT

3135
02:35:30,407 --> 02:35:32,876
FORMULA IS COMPLEMENTED AND THIS

3136
02:35:32,876 --> 02:35:37,914
IS TYPICALLY THIS IS AT 6 MONTHS

3137
02:35:37,914 --> 02:35:39,583
FOR MOST FOODS AND UNTIL 24 

3138
02:35:39,583 --> 02:35:41,418
MONTHS OF AGE AS CHILDREN 

3139
02:35:41,418 --> 02:35:42,986
TRANSITION TO FAMILY FOODS.

3140
02:35:42,986 --> 02:35:47,190
SO EXPOSURES OF INTEREST SHOWN 

3141
02:35:47,190 --> 02:35:48,258
IN THE SECOND COLUMN WERE 

3142
02:35:48,258 --> 02:35:52,696
INVOLVED THAT BOTH THE TIMING OF

3143
02:35:52,696 --> 02:35:55,465
INTRODUCTION TO VARIOUS FOODS AS

3144
02:35:55,465 --> 02:35:56,600
WELL AS BEVERAGES AND THEN THE 

3145
02:35:56,600 --> 02:35:57,834
TYPES AND AMOUNTS OF THOSE 

3146
02:35:57,834 --> 02:35:59,102
FOODS.

3147
02:35:59,102 --> 02:36:01,037
YOU CAN SEE THE FOOD GROUPS 

3148
02:36:01,037 --> 02:36:04,241
THERE WERE SIX DIFFERENT FOOD 

3149
02:36:04,241 --> 02:36:06,843
GROUPS OF INTEREST IN THE SECOND

3150
02:36:06,843 --> 02:36:07,077
COLUMN.

3151
02:36:07,077 --> 02:36:09,579
COMPARATORS WERE TIMING AND 

3152
02:36:09,579 --> 02:36:11,481
AMOUNTS RESPECTIVELY AND THE 

3153
02:36:11,481 --> 02:36:12,916
GROWTH BODY COMPOSITION OUTCOMES

3154
02:36:12,916 --> 02:36:15,752
FROM ADOLESCENCE ARE TO THE SAME

3155
02:36:15,752 --> 02:36:18,922
AS THOSE SPECIFIED IN OTHER 

3156
02:36:18,922 --> 02:36:19,556
SYSTEMIC REVIEW BY OUR 

3157
02:36:19,556 --> 02:36:20,991
SUBCOMMITTEE SO I WON'T GO INTO 

3158
02:36:20,991 --> 02:36:24,928
THOSE AND THE KEY CONFOUNDERS 

3159
02:36:24,928 --> 02:36:27,497
INCLUDED RACE AND ETHNICITY AS 

3160
02:36:27,497 --> 02:36:29,766
WELL SEP WITH OUR HEALTH EQUITY 

3161
02:36:29,766 --> 02:36:31,835
LENS APPLIED ACROSS ALL REVIEWS 

3162
02:36:31,835 --> 02:36:32,702
AS WELL AS OTHER POTENTIALLY 

3163
02:36:32,702 --> 02:36:34,638
IMPORTANT VARIABLES SPECIFIC TO 

3164
02:36:34,638 --> 02:36:37,574
LIFE STAGES SHOWN IN THE LAST 

3165
02:36:37,574 --> 02:36:44,181
COLUMN.

3166
02:36:44,181 --> 02:36:47,751
SO MOVING ON TO THE DATA OF 

3167
02:36:47,751 --> 02:36:48,485
INTEREST.

3168
02:36:48,485 --> 02:36:50,353
THIS SLIDE PROVIDES AN OVERVIEW 

3169
02:36:50,353 --> 02:36:52,389
OF 20 CONCLUSION STATEMENTS.

3170
02:36:52,389 --> 02:36:55,058
QUITE A FEW THAT WERE DEVELOPED.

3171
02:36:55,058 --> 02:36:57,027
WE HAD THE FOOD GROUPS THAT ARE 

3172
02:36:57,027 --> 02:37:01,198
SHOWN ON THE FIRST COLUMN ON THE

3173
02:37:01,198 --> 02:37:03,733
LEFT AND TWO DIFFERENT QUESTIONS

3174
02:37:03,733 --> 02:37:04,534
ONE REFERRING TO THE TYPES AND 

3175
02:37:04,534 --> 02:37:05,569
THE SECOND TO TIMING OF 

3176
02:37:05,569 --> 02:37:08,638
INTRODUCTION.

3177
02:37:08,638 --> 02:37:11,208
AND SO ONE THING I'LL POINT OUT 

3178
02:37:11,208 --> 02:37:13,710
IS THAT FOR THE TIMING OF 

3179
02:37:13,710 --> 02:37:15,378
INTRODUCTION, OUR INCLUSION 

3180
02:37:15,378 --> 02:37:16,346
CRITERIA WORKED BROAD AND 

3181
02:37:16,346 --> 02:37:18,048
LOOKING AT STUDIES THAT HAD 

3182
02:37:18,048 --> 02:37:19,516
INTRODUCTION OF VARIOUS FOODS AT

3183
02:37:19,516 --> 02:37:23,119
ANY POINT FROM ZERO TO 24 MONTHS

3184
02:37:23,119 --> 02:37:24,187
RATHER THAN FOCUSSING NARROWLY 

3185
02:37:24,187 --> 02:37:26,189
ON CURRENT RECOMMENDATIONS TO 

3186
02:37:26,189 --> 02:37:27,591
BEGIN COMPLIMENTARY FEEDING AT 

3187
02:37:27,591 --> 02:37:30,794
SIX MONTHS OR LATER TIME POINTS 

3188
02:37:30,794 --> 02:37:34,898
FOR SUGAR SWEETENED BEVERAGES.

3189
02:37:34,898 --> 02:37:41,571
THE MAIN TAKEAWAY FROM THE 

3190
02:37:41,571 --> 02:37:48,378
REVIEW AND IT'S THERE'S A 

3191
02:37:48,378 --> 02:37:51,681
PAUCITY OF DATA FOR THE RISK OF 

3192
02:37:51,681 --> 02:37:55,185
OBESITY OUTCOMES AN LIKELY TO 

3193
02:37:55,185 --> 02:37:57,821
REFLECT THE METHODOLOGY WHICH 

3194
02:37:57,821 --> 02:38:01,057
FOCUSES ON THE MOST RIGOROUS 

3195
02:38:01,057 --> 02:38:03,260
EVIDENCE AND STUDY DESIGN.

3196
02:38:03,260 --> 02:38:05,395
WE WERE QUITE FRANKLY SURPRISED 

3197
02:38:05,395 --> 02:38:07,864
IN SOME OF THESE CASES THERE 

3198
02:38:07,864 --> 02:38:10,800
WERE SO LITTLE DATA TO REVIEW.

3199
02:38:10,800 --> 02:38:13,570
SO WHILE THERE MAY BE PUBLISHED 

3200
02:38:13,570 --> 02:38:15,438
DATA THIS SLIDE CLEARLY SHOWS 

3201
02:38:15,438 --> 02:38:17,374
YOU THAT THERE ARE LIMITED 

3202
02:38:17,374 --> 02:38:19,776
PROSPECTIVE COHORT AND CONTROL 

3203
02:38:19,776 --> 02:38:23,647
TRIALS THAT REALLY SPEAK TO THE 

3204
02:38:23,647 --> 02:38:28,418
FUNDAMENTAL QUESTION OF HOW 

3205
02:38:28,418 --> 02:38:32,222
COMPLIMENTARY FEEDING CAN 

3206
02:38:32,222 --> 02:38:33,557
SUPPORT OPTIMAL GROWTH THE FIRST

3207
02:38:33,557 --> 02:38:41,565
YEAR OF LIFE.

3208
02:38:41,565 --> 02:38:46,102
THERE'S A NEED FOR RIGOROUS 

3209
02:38:46,102 --> 02:38:49,339
EMPIRICAL EVIDENCE AND IN ANDREA

3210
02:38:49,339 --> 02:38:51,908
EASE COMMENTS EVEN FOR FOOD 

3211
02:38:51,908 --> 02:38:54,511
GROUPS WHERE THERE WAS STUDIES 

3212
02:38:54,511 --> 02:38:57,447
THAT MET INCLUSION, EXCLUSION 

3213
02:38:57,447 --> 02:39:01,551
CRITERIA THERE WAS HETEROGENEITY

3214
02:39:01,551 --> 02:39:02,886
IN THE FOODS THAT ABILITY TO 

3215
02:39:02,886 --> 02:39:05,021
DRAW CONCLUSIONS IN BROAD 

3216
02:39:05,021 --> 02:39:05,689
CATEGORIES OF INTEREST.

3217
02:39:05,689 --> 02:39:09,559
FOR INSTANCE, I EXPECT MEMBERS 

3218
02:39:09,559 --> 02:39:10,860
OF THE SUBCOMMITTEE TO TWITCH A 

3219
02:39:10,860 --> 02:39:13,563
BIT BECAUSE WE SPENT TIME HERE 

3220
02:39:13,563 --> 02:39:15,699
THE PROTEIN FOODS GROUP IS 

3221
02:39:15,699 --> 02:39:16,533
INCLUSIVE OF A BROAD RANGE OF 

3222
02:39:16,533 --> 02:39:18,068
FOODS BUT WHEN YOU STARTED 

3223
02:39:18,068 --> 02:39:21,504
LOOKING AT THE STUDIES THAT MET 

3224
02:39:21,504 --> 02:39:25,542
OUR INCLUSION CRITERIA THEY WERE

3225
02:39:25,542 --> 02:39:26,743
EXTREMELY VARIED AND FOCUSSED ON

3226
02:39:26,743 --> 02:39:30,013
FOOD SUCH AS MEATS AND THOSE WHO

3227
02:39:30,013 --> 02:39:31,514
CONSIDERED A RANGE BUT 

3228
02:39:31,514 --> 02:39:32,716
VARIABILITY IN TERMS OF THE 

3229
02:39:32,716 --> 02:39:33,383
TYPES OF FOODS COMBINED FOR 

3230
02:39:33,383 --> 02:39:35,619
ANALYSIS.

3231
02:39:35,619 --> 02:39:38,455
UP ADDITION TO THOSE THINGS THE 

3232
02:39:38,455 --> 02:39:41,558
COMPARATORS OF INTEREST WERE 

3233
02:39:41,558 --> 02:39:44,327
VARIED IN THE PROSPECTIVE COHORT

3234
02:39:44,327 --> 02:39:45,161
STUDIES THERE WERE DIFFERENT 

3235
02:39:45,161 --> 02:39:49,566
FREQUENCIES AND AMOUNTS AND IN 

3236
02:39:49,566 --> 02:39:54,671
THE RCTs THEY COMPARED MEAT TO 

3237
02:39:54,671 --> 02:39:58,675
INFANT CEREAL OR DAIRY.

3238
02:39:58,675 --> 02:40:00,210
SO IT FELT AT TIMES LIKE APPLES 

3239
02:40:00,210 --> 02:40:03,847
AND ORANGES, IF YOU WILL OR IN 

3240
02:40:03,847 --> 02:40:05,548
THIS CASE MEAT AND EGGS.

3241
02:40:05,548 --> 02:40:13,556
IT WAS CHALLENGING.

3242
02:40:13,556 --> 02:40:17,027
AND ONE EXCEPTION WAS THE 

3243
02:40:17,027 --> 02:40:17,627
EVIDENCE ON SUGAR SWEETENED 

3244
02:40:17,627 --> 02:40:20,163
BEVERAGES BY INFANTS AND 

3245
02:40:20,163 --> 02:40:23,967
DOWNCHILDO 

3246
02:40:23,967 --> 02:40:24,934
BETWEEN CHILDREN AND THE 

3247
02:40:24,934 --> 02:40:28,605
FINDINGS ARE GOING TO BE 

3248
02:40:28,605 --> 02:40:30,874
PRESENTED IN THE NEXT 

3249
02:40:30,874 --> 02:40:31,207
PRESENTATION.

3250
02:40:31,207 --> 02:40:33,176
SO WITH THAT, I WILL TURN IT 

3251
02:40:33,176 --> 02:40:34,310
OVER TO ANDREA.

3252
02:40:34,310 --> 02:40:37,547
THANK YOU.

3253
02:40:37,547 --> 02:40:41,551
>> OKAY.

3254
02:40:41,551 --> 02:40:43,053
>> SO FIRST WE'RE GOING TO

3255
02:40:43,053 --> 02:40:45,221
REVIEW THE CONCLUSION STATEMENTS

3256
02:40:45,221 --> 02:40:47,223
PERTAINING TO THE TYPES AND 

3257
02:40:47,223 --> 02:40:50,060
AMOUNTS OF COMPLIMENTARY FOODS.

3258
02:40:50,060 --> 02:40:51,161
IS THIS SLIDE SHOWS THE 

3259
02:40:51,161 --> 02:40:52,896
INCLUSION STATEMENT WE'RE ABLE 

3260
02:40:52,896 --> 02:40:55,699
TO MAKE REGARDING TYPES AND 

3261
02:40:55,699 --> 02:40:57,267
AMOUNTS OF GRAINS.

3262
02:40:57,267 --> 02:41:00,637
SO THERE WAS LIMITED EVIDENCE 

3263
02:41:00,637 --> 02:41:02,539
THAT SUGGESTED GRAINS 

3264
02:41:02,539 --> 02:41:04,207
CONSUMPTION BY INFANTS AND YOUNG

3265
02:41:04,207 --> 02:41:06,309
CHILDREN FROM INFANTS 6 MONTHS 

3266
02:41:06,309 --> 02:41:08,912
TO 24 MONTHS OF AGE IS NOT 

3267
02:41:08,912 --> 02:41:12,282
ASSOCIATED WITH UNFAVORABLE 

3268
02:41:12,282 --> 02:41:13,683
OUTCOMES RELATED TO GROWTH 

3269
02:41:13,683 --> 02:41:15,085
PATTERNS AND RISK OF OBESITY 

3270
02:41:15,085 --> 02:41:17,520
DURING CHILDHOOD.

3271
02:41:17,520 --> 02:41:20,690
BASED ON EVIDENCE FROM NINE 

3272
02:41:20,690 --> 02:41:21,057
STUDIES.

3273
02:41:21,057 --> 02:41:23,093
WE HAD TWO RANDOMIZED CONTROL 

3274
02:41:23,093 --> 02:41:25,562
STUDIES AND SEVEN PROSPECTIVE 

3275
02:41:25,562 --> 02:41:26,396
COHORT STUDIES.

3276
02:41:26,396 --> 02:41:29,999
LOOKING AT THE GRADING ELEMENTS 

3277
02:41:29,999 --> 02:41:33,403
SO WE DID THERE WERE CONCERNS 

3278
02:41:33,403 --> 02:41:37,540
WITH INCONSISTENCIES ACROSS 

3279
02:41:37,540 --> 02:41:39,976
STUDY RESULTS HOWEVER, MANY 

3280
02:41:39,976 --> 02:41:43,079
STUDIES WERE REPORTING NUL 

3281
02:41:43,079 --> 02:41:45,548
CONSUMPTION ON GRAIN FINDING AND

3282
02:41:45,548 --> 02:41:47,917
RISK OF OBESITY AND I'LL SAY 

3283
02:41:47,917 --> 02:41:50,687
THIS A LOT FOR OTHER FOODS AS 

3284
02:41:50,687 --> 02:41:54,023
WELL THERE WAS VARIATION IN THE 

3285
02:41:54,023 --> 02:41:55,225
GRAINS PRODUCTS EXAMINED WITH 

3286
02:41:55,225 --> 02:41:57,026
SOME LOOKING AT SPECIFIC 

3287
02:41:57,026 --> 02:42:01,331
PRODUCTS LIKE INFANT CEREAL OR 

3288
02:42:01,331 --> 02:42:02,465
MILK CEREAL DRINK AND OTHERS 

3289
02:42:02,465 --> 02:42:04,768
WERE LOOKING AT BROADER 

3290
02:42:04,768 --> 02:42:05,068
CATEGORIES.

3291
02:42:05,068 --> 02:42:08,571
SO FULL AND REFINED GRAINS OR 

3292
02:42:08,571 --> 02:42:09,839
CEREAL FOODS AS WELL AS 

3293
02:42:09,839 --> 02:42:12,642
CEREAL-BASED PRODUCTS.

3294
02:42:12,642 --> 02:42:15,845
FOR PRECISION THERE'S CONCERN 

3295
02:42:15,845 --> 02:42:17,747
BECAUSE STUDIES REPORTED 

3296
02:42:17,747 --> 02:42:21,518
INSUFFICIENT POWER OR DIDN'T 

3297
02:42:21,518 --> 02:42:23,586
PROVIDE INFORMATION ON POWER.

3298
02:42:23,586 --> 02:42:26,389
THERE WERE SEVERAL RISK OF BIAS 

3299
02:42:26,389 --> 02:42:26,990
CONCERNS.

3300
02:42:26,990 --> 02:42:28,925
IN PARTICULAR THERE WAS CONCERNS

3301
02:42:28,925 --> 02:42:30,293
DUE TO RANDOMIZATION AND WITH 

3302
02:42:30,293 --> 02:42:32,729
THE OBSERVATIONAL STUDIES WE SAW

3303
02:42:32,729 --> 02:42:37,267
CONCERNS DUE TO CONFOUNDING, 

3304
02:42:37,267 --> 02:42:39,636
EXPOSURE MEASUREMENT AS WELL AS 

3305
02:42:39,636 --> 02:42:41,571
MISSING DATA.

3306
02:42:41,571 --> 02:42:44,874
FOR GENERALIZABILITY, THERE WERE

3307
02:42:44,874 --> 02:42:47,377
CONCERNS SO THERE WERE STUDIES 

3308
02:42:47,377 --> 02:42:51,247
THAT HAD REPRESENTATION OF 

3309
02:42:51,247 --> 02:42:57,320
INDIVIDUALS ACROSS RACIAL AND 

3310
02:42:57,320 --> 02:42:58,721
ETHNIC GROUPS AS WELL AS SOCIO 

3311
02:42:58,721 --> 02:42:59,556
ECONOMIC GROUPS AND HALF THE 

3312
02:42:59,556 --> 02:43:02,458
STUD WERE CONDUCTED IN THE 

3313
02:43:02,458 --> 02:43:04,227
UNITED STATES AND IN THE STUDIES

3314
02:43:04,227 --> 02:43:07,764
THE GRAIN PRODUCTS BEING 

3315
02:43:07,764 --> 02:43:10,700
EXAMINED TEND TO BE LESS 

3316
02:43:10,700 --> 02:43:13,603
GENERALIZABLE TO PRODUCTS 

3317
02:43:13,603 --> 02:43:17,273
CONSUMED IN THE U.S.

3318
02:43:17,273 --> 02:43:21,544
THIS SHOWS TYPE AND AMOUNTS OF 

3319
02:43:21,544 --> 02:43:24,314
FRUITS AND VEGETABLES AN 

3320
02:43:24,314 --> 02:43:25,481
STATEMENTS FOR FRUIT AND 

3321
02:43:25,481 --> 02:43:26,316
VEGETABLE CONSUMPTION.

3322
02:43:26,316 --> 02:43:30,687
FIRST LOOKING AT FRUIT 

3323
02:43:30,687 --> 02:43:33,923
CONSUMPTION, WE FOUND LIMITED 

3324
02:43:33,923 --> 02:43:36,359
EVIDENCE TO FIND FRUIT 

3325
02:43:36,359 --> 02:43:38,061
CONSUMPTION FOR CHILDREN 8 TO 24

3326
02:43:38,061 --> 02:43:39,963
MONTHS IS NOT ASSOCIATED WITH 

3327
02:43:39,963 --> 02:43:41,798
UNFAVORABLE OUTCOMES RELATED TO 

3328
02:43:41,798 --> 02:43:44,167
GROWTH PATTERNS DURING 

3329
02:43:44,167 --> 02:43:44,701
CHILDHOOD.

3330
02:43:44,701 --> 02:43:45,335
THIS RELATES TO GROWTH PATTERNS 

3331
02:43:45,335 --> 02:43:51,841
SPECIFICALLY.

3332
02:43:51,841 --> 02:43:54,344
THIS WAS BASED ON FOUR 

3333
02:43:54,344 --> 02:43:56,446
PROSPECTIVE COHORT STUDIES AND 

3334
02:43:56,446 --> 02:43:57,513
HAD MINIMAL CONCERNS ON THE 

3335
02:43:57,513 --> 02:44:04,354
DIRECTION OF THE FINDINGS.

3336
02:44:04,354 --> 02:44:05,955
MOST WERE REPORTED NUL FINDING 

3337
02:44:05,955 --> 02:44:08,191
AND THEY WERE CONSISTENT ACROSS 

3338
02:44:08,191 --> 02:44:09,225
STUDIES.

3339
02:44:09,225 --> 02:44:11,427
THERE WAS CONCERN WITH PRECISION

3340
02:44:11,427 --> 02:44:14,864
BECAUSE WE HAD STUDIES AND 

3341
02:44:14,864 --> 02:44:16,432
CONFIDENCE INTERVALS TENDED TO 

3342
02:44:16,432 --> 02:44:18,167
BE WIDE AND NONE OF THE STUDIES 

3343
02:44:18,167 --> 02:44:25,475
REPORTED ON POWER CALCULATIONS.

3344
02:44:25,475 --> 02:44:31,614
FER FOR RISK OF BIAS THEY LOOKED

3345
02:44:31,614 --> 02:44:34,350
AT FRUIT CONSUMPTION AND GROWTH 

3346
02:44:34,350 --> 02:44:35,318
PATTERNS AND CONCERN ABOUT 

3347
02:44:35,318 --> 02:44:36,052
GENERALIZABILITY WITH FEW 

3348
02:44:36,052 --> 02:44:36,686
STUDIES CONDUCTED IN THE UNITED 

3349
02:44:36,686 --> 02:44:46,829
STATES.

3350
02:44:53,236 --> 02:44:54,404
WE FOUND VEGETABLE CONSUMPTION 

3351
02:44:54,404 --> 02:44:57,073
WAS NOT RELATED TO ADVERSE 

3352
02:44:57,073 --> 02:44:59,609
GROWTH PATTERNS IN CHILDHOOD 

3353
02:44:59,609 --> 02:45:04,013
FROM COHORT STUDIES AND 

3354
02:45:04,013 --> 02:45:11,287
SIMILARLY USHGS 

3355
02:45:14,123 --> 02:45:15,191
MINIMAL CONCERNS AND RISK OF 

3356
02:45:15,191 --> 02:45:25,935
BIAS RELATED TO CONFOUND IING A 

3357
02:45:37,113 --> 02:45:38,815
MISSING DATA.

3358
02:45:38,815 --> 02:45:41,050
OKAY, NOW WE'RE GOING TO SHOW 

3359
02:45:41,050 --> 02:45:42,885
SOME REVIEWS REMAINING 

3360
02:45:42,885 --> 02:45:44,220
CONCLUSION STATEMENT AND THESE 

3361
02:45:44,220 --> 02:45:48,291
WERE ONES WE WERE UNABLE TO 

3362
02:45:48,291 --> 02:45:50,360
ASSIGN A GRADE TO.

3363
02:45:50,360 --> 02:45:51,861
THE CONCLUSION STATEMENTS KOVENT

3364
02:45:51,861 --> 02:45:52,295
BE DRAWN.

3365
02:45:52,295 --> 02:45:52,362
 

3366
02:45:55,098 --> 02:45:56,933
COULDN'T BE DRAWN DUE TO 

3367
02:45:56,933 --> 02:45:58,801
DIFFERENCES IN METHODOLOGIES AND

3368
02:45:58,801 --> 02:46:02,805
MADE IT DIFFICULT TO SYNTHESIZE 

3369
02:46:02,805 --> 02:46:03,940
THE EVIDENCE AND COMPARE ACROSS 

3370
02:46:03,940 --> 02:46:05,341
STUDIES OR A LACK OF EVIDENCE 

3371
02:46:05,341 --> 02:46:11,014
FOR LOOKING AT THE QUESTION.

3372
02:46:11,014 --> 02:46:13,549
STARTING WITH PROTEIN FOODS A 

3373
02:46:13,549 --> 02:46:14,384
CONCLUSION STATEMENT COULD NOT 

3374
02:46:14,384 --> 02:46:17,720
BE DRAWN REGARDING CONSUMPTION 

3375
02:46:17,720 --> 02:46:19,122
AND CONSIDERING THIS PROTEIN 

3376
02:46:19,122 --> 02:46:29,499
FOOD AS A FOOD GROUP.

3377
02:46:37,874 --> 02:46:41,010
DUE TO CONCERNS AND EXPOSURES IN

3378
02:46:41,010 --> 02:46:43,046
THE PROTEINS FOODS GROUPS.

3379
02:46:43,046 --> 02:46:47,650
SOME FOCUSSED NARROWLY ON A 

3380
02:46:47,650 --> 02:46:51,621
SPECIFIC FOOD GROUP AND SOME 

3381
02:46:51,621 --> 02:46:54,690
LOOKED AT MEAT ALONE OR SEAFOOD 

3382
02:46:54,690 --> 02:46:56,492
ALONE AND OTHER STUDIES COULD 

3383
02:46:56,492 --> 02:46:58,494
COMBINE CERTAIN FOODS WITHIN THE

3384
02:46:58,494 --> 02:47:01,464
PROTEIN FOOD GROUPS WITHIN THEIR

3385
02:47:01,464 --> 02:47:02,765
ANALYSIS AND CONSIDERABLE 

3386
02:47:02,765 --> 02:47:03,866
HETEROGENEITY OF WHICH FOODS 

3387
02:47:03,866 --> 02:47:06,502
THEY CHOSE TO INCLUDE IN THE 

3388
02:47:06,502 --> 02:47:07,670
GROUPING OF FOODS WITHIN THE 

3389
02:47:07,670 --> 02:47:15,845
PROTEIN FOODS GROUP.

3390
02:47:15,845 --> 02:47:18,915
WE FELT THE BODY OF EVIDENCE WAS

3391
02:47:18,915 --> 02:47:20,249
NOT REPRESENTATIVE OF THE 

3392
02:47:20,249 --> 02:47:20,783
PROTEINS FOODS GROUP.

3393
02:47:20,783 --> 02:47:23,886
THE COMPARATORS IN STUDIES ALSO 

3394
02:47:23,886 --> 02:47:28,825
VARIED AS WE MENTIONED.

3395
02:47:28,825 --> 02:47:31,394
WITH TRIALS COMPARING MAY BE 

3396
02:47:31,394 --> 02:47:33,629
COMPARED TO INFANT CEREAL OR 

3397
02:47:33,629 --> 02:47:36,099
DAIRY AND THE COHORT STUDIES 

3398
02:47:36,099 --> 02:47:40,269
COMPARED DIFFERENT AMOUNTS OF 

3399
02:47:40,269 --> 02:47:42,305
FOODS OR FREQUENCY OF 

3400
02:47:42,305 --> 02:47:43,573
CONSUMPTION OF THE PROTEIN FOODS

3401
02:47:43,573 --> 02:47:46,709
AND SOME WERE LOOKING AT IT 

3402
02:47:46,709 --> 02:47:48,511
CATEGORICALLY WHILE OTHERS WERE 

3403
02:47:48,511 --> 02:47:49,979
LOOKING AT CONSUMPTION 

3404
02:47:49,979 --> 02:47:51,714
CONTINUOUSLY.

3405
02:47:51,714 --> 02:47:52,915
FOR DIRECTNESS, THERE WAS 

3406
02:47:52,915 --> 02:47:55,284
CONCERN DUE TO THE FEW STUDIES 

3407
02:47:55,284 --> 02:48:02,058
EXAMINING PROTEIN FOODS AS A 

3408
02:48:02,058 --> 02:48:04,627
FOOD GROUP AND AGAIN THERE WERE 

3409
02:48:04,627 --> 02:48:07,430
STUDIES LOOKING AT SMALLER 

3410
02:48:07,430 --> 02:48:08,898
SUBSETS WITHIN THIS AS WELL AS 

3411
02:48:08,898 --> 02:48:11,767
STUDIES THAT INCLUDED EGG OR 

3412
02:48:11,767 --> 02:48:15,705
PLANT PROTEIN SOURCES SO BEANS 

3413
02:48:15,705 --> 02:48:16,572
AND LEGUMES.

3414
02:48:16,572 --> 02:48:21,277
SO THAT'S PROTEIN FOODS.

3415
02:48:21,277 --> 02:48:23,379
FOR DAIRY, A CONCLUSION 

3416
02:48:23,379 --> 02:48:24,347
STATEMENT COULD NOT BE DRAWN 

3417
02:48:24,347 --> 02:48:27,316
ABOUT THE CONCLUSION OF DAIRY IN

3418
02:48:27,316 --> 02:48:29,552
INFANTS AND YOUNG CHILDREN DUE 

3419
02:48:29,552 --> 02:48:37,560
TO CONCERNS WITH CONSISTENCY.

3420
02:48:37,560 --> 02:48:41,230
PART OF THE PROBLEM OF THE 

3421
02:48:41,230 --> 02:48:42,465
EXPOSURES WERE MEASURED VARIED 

3422
02:48:42,465 --> 02:48:44,233
FROM BIRTH TO 24 MONTHS.

3423
02:48:44,233 --> 02:48:45,868
SO FOR INSTANCE SOME OF THE 

3424
02:48:45,868 --> 02:48:48,070
STUDIES WERE EXAMINING DAIRY 

3425
02:48:48,070 --> 02:48:50,406
CONSUMPTION PARTICULARLY COWS 

3426
02:48:50,406 --> 02:48:53,543
MILK EARLY IN INFANCY AND OTHERS

3427
02:48:53,543 --> 02:48:55,378
WERE EXAMINING DAIRY CONSUMPTION

3428
02:48:55,378 --> 02:48:57,547
IN THE UPPER AGES OF THE GROUP 

3429
02:48:57,547 --> 02:48:59,815
AROUND 18 MONTHS OF AGE.

3430
02:48:59,815 --> 02:49:01,517
THE COMPARATORS VARIED WIDELY.

3431
02:49:01,517 --> 02:49:03,619
SOME STUDIES COMPARED DAIRY OR 

3432
02:49:03,619 --> 02:49:06,389
COWS MILK TO DIFFERENT PRODUCTS 

3433
02:49:06,389 --> 02:49:12,962
COMPARED TO MEAT OR TODDLER MILK

3434
02:49:12,962 --> 02:49:15,464
WHILE OTHERS WERE COMPARING 

3435
02:49:15,464 --> 02:49:18,568
DIFFERENT AMOUNTS OF COW'S MILK 

3436
02:49:18,568 --> 02:49:21,571
OR DAIRY AND ACROSS FAT 

3437
02:49:21,571 --> 02:49:21,904
CONTENTS.

3438
02:49:21,904 --> 02:49:24,473
LASTLY THE STUDIES VARIED IN THE

3439
02:49:24,473 --> 02:49:25,541
OUTCOMES EXAMINING AND THE AGES 

3440
02:49:25,541 --> 02:49:29,545
AT WHICH THE OUTCOMES WERE BEING

3441
02:49:29,545 --> 02:49:32,848
MEASURED FROM 6 MONTHS TO 11½ 

3442
02:49:32,848 --> 02:49:34,817
YEARS OF AGE.

3443
02:49:34,817 --> 02:49:37,620
FOR 100% JUICE, A CONCLUSION 

3444
02:49:37,620 --> 02:49:39,822
STATEMENT COULD NOT BE DRAWN AND

3445
02:49:39,822 --> 02:49:41,791
AGAIN THIS IS DUE TO SUBSTANTIAL

3446
02:49:41,791 --> 02:49:48,497
CONCERNS WITH CONSISTENCY AND 

3447
02:49:48,497 --> 02:49:48,764
PRECISION.

3448
02:49:48,764 --> 02:49:50,733
SO, WITH CONSISTENCY THERE WAS 

3449
02:49:50,733 --> 02:49:51,767
CONCERNS WITH THE SIGNIFICANCE 

3450
02:49:51,767 --> 02:49:53,569
OF THE RESULTS AND OUTCOME THE 

3451
02:49:53,569 --> 02:49:55,137
STUDIES WERE EXAMINING.

3452
02:49:55,137 --> 02:49:57,807
EACH OF THE FOUR STUDIES 

3453
02:49:57,807 --> 02:50:00,276
EXAMINED A UNIQUE OUTCOME WHICH 

3454
02:50:00,276 --> 02:50:03,145
LIMITED OUR COMPARABILITY ACROSS

3455
02:50:03,145 --> 02:50:05,214
STUDIES AND PRECISION IS ALSO A 

3456
02:50:05,214 --> 02:50:07,350
CONCERN BECAUSE WE ONLY HAD FOUR

3457
02:50:07,350 --> 02:50:09,218
PROSPECTIVE STUDIES THAT WERE 

3458
02:50:09,218 --> 02:50:09,752
EXAMINING 100% JUICE 

3459
02:50:09,752 --> 02:50:19,962
CONSUMPTION.

3460
02:50:20,596 --> 02:50:21,564
FINALLY YOU SEE CONCLUSION 

3461
02:50:21,564 --> 02:50:22,965
STATEMENTS THAT COULD NOT BE 

3462
02:50:22,965 --> 02:50:25,234
DRAWN BECAUSE WE FELT THERE WAS 

3463
02:50:25,234 --> 02:50:27,903
NOT ENOUGH EVIDENCE AVAILABLE.

3464
02:50:27,903 --> 02:50:31,907
FOR GRAINS WE WERE NOT ABLE MAKE

3465
02:50:31,907 --> 02:50:33,542
A CONCLUSION STATEMENT REGARDING

3466
02:50:33,542 --> 02:50:34,477
BODY COMPOSITION.

3467
02:50:34,477 --> 02:50:37,446
FOR FRUIT AND VEGETABLES WE WERE

3468
02:50:37,446 --> 02:50:39,315
UNABLE TO MAKE STATEMENTS 

3469
02:50:39,315 --> 02:50:40,983
REGARDING BODY COMPOSITION AS 

3470
02:50:40,983 --> 02:50:43,219
WELL AS RISK OF OBESITY AND THEN

3471
02:50:43,219 --> 02:50:46,555
FOR FOOD SOURCES OF ADDED SUGARS

3472
02:50:46,555 --> 02:50:49,558
WE WERE NOT ABLE TO MAKE 

3473
02:50:49,558 --> 02:50:50,559
CONCLUSION STATEMENT FOR GROWTH 

3474
02:50:50,559 --> 02:50:54,263
BODY COMPOSITION OR RISK OF 

3475
02:50:54,263 --> 02:50:54,597
OBESITY.

3476
02:50:54,597 --> 02:50:56,899
NOW WE'RE GOING TO LOOK AT THE 

3477
02:50:56,899 --> 02:50:59,602
CONCLUSION STATEMENTS PERTAINING

3478
02:50:59,602 --> 02:51:01,604
TO TIMING OF INTRODUCTION OF 

3479
02:51:01,604 --> 02:51:05,841
THESE DIFFERENT COMPLIMENTARY 

3480
02:51:05,841 --> 02:51:06,475
FOODS.

3481
02:51:06,475 --> 02:51:09,545
JUST AS A REMINDER WE LOOKED AT 

3482
02:51:09,545 --> 02:51:11,747
STUDIES INTRODUCTION OF THE 

3483
02:51:11,747 --> 02:51:13,783
FOODS FROM BIRTH TO 24 MONTHS OF

3484
02:51:13,783 --> 02:51:15,751
AGE.

3485
02:51:15,751 --> 02:51:17,887
SO THIS IS OR ONE AND ONLY 

3486
02:51:17,887 --> 02:51:18,821
CONCLUSION STATEMENT.

3487
02:51:18,821 --> 02:51:22,458
SO FROM THIS GROUP SO WE FOUND 

3488
02:51:22,458 --> 02:51:24,960
LIMITED EVIDENCE SUGGESTS 

3489
02:51:24,960 --> 02:51:25,928
INTRODUCING GRAINS AT OR BEFORE 

3490
02:51:25,928 --> 02:51:28,531
FOUR MONTHS OF AGE IS ASSOCIATED

3491
02:51:28,531 --> 02:51:32,201
WITH HIGHER BMIZ SCORES DURING 

3492
02:51:32,201 --> 02:51:32,468
CHILDHOOD.

3493
02:51:32,468 --> 02:51:35,104
SO THIS STATEMENT WAS BASED ON 

3494
02:51:35,104 --> 02:51:38,474
EVIDENCE FROM SIX PROSPECTIVE 

3495
02:51:38,474 --> 02:51:40,042
COHORT STUDIES AND SO WITH 

3496
02:51:40,042 --> 02:51:41,210
CONSISTENCY THERE WAS A CONCERN 

3497
02:51:41,210 --> 02:51:43,779
ACROSS THE BODY OF EVIDENCE WITH

3498
02:51:43,779 --> 02:51:45,548
APPROXIMATELY HALF THE STUDIES 

3499
02:51:45,548 --> 02:51:48,684
REPORTING A MIX OF STATISTICALLY

3500
02:51:48,684 --> 02:51:50,319
SIGNIFICANT AND 

3501
02:51:50,319 --> 02:51:51,887
NON-STATISTICALLY SIGNIFICANT 

3502
02:51:51,887 --> 02:51:52,121
RESULTS.

3503
02:51:52,121 --> 02:51:54,390
AND HALF REPORTING EXCLUSIVELY 

3504
02:51:54,390 --> 02:51:55,791
NUL RESULTS HOWEVER, THE 

3505
02:51:55,791 --> 02:51:58,361
DIRECTION AND MAGNITUDE OF THE 

3506
02:51:58,361 --> 02:52:01,530
RESULTS THAT WERE STATISTICALLY 

3507
02:52:01,530 --> 02:52:02,131
SIGNIFICANT WERE CONSISTENT.

3508
02:52:02,131 --> 02:52:04,900
FOR PRECISION THERE WAS A 

3509
02:52:04,900 --> 02:52:07,103
CONCERN BECAUSE OF THE SMALL 

3510
02:52:07,103 --> 02:52:08,337
NUMBER OF STUDIES AS WELL AS 

3511
02:52:08,337 --> 02:52:10,406
SMALL EFFECT SIZES OBSERVED FOR 

3512
02:52:10,406 --> 02:52:16,045
RISK OF BIAS THERE US  -- WAS A 

3513
02:52:16,045 --> 02:52:20,616
CONCERN DUE TO CONFOUNDING AND 

3514
02:52:20,616 --> 02:52:22,418
EXPOSURE MEASUREMENT AND FOR 

3515
02:52:22,418 --> 02:52:23,352
DIRECTNESS BECAUSE MANY STUDIES 

3516
02:52:23,352 --> 02:52:25,354
LOOKED DIRECTLY AT THE QUESTION 

3517
02:52:25,354 --> 02:52:27,523
AND GENERALIZABILITY WAS A 

3518
02:52:27,523 --> 02:52:27,757
CONCERN.

3519
02:52:27,757 --> 02:52:29,558
THOUGH HALF THE STUDIES INCLUDED

3520
02:52:29,558 --> 02:52:30,860
PARTICIPANTS FROM THE UNITED 

3521
02:52:30,860 --> 02:52:33,562
STATES, THESE STUDIES OFTEN HAD 

3522
02:52:33,562 --> 02:52:37,500
POPULATIONS THAT TENDED TO BE 

3523
02:52:37,500 --> 02:52:39,702
HIGHER SOCIO ECONOMIC POSITIONS 

3524
02:52:39,702 --> 02:52:43,239
AS WELL AS PARTICIPANTS 

3525
02:52:43,239 --> 02:52:43,906
PREDOMINANTLY WHITE OR EUROPEAN 

3526
02:52:43,906 --> 02:52:46,542
WITH LITTLE REPRESENTATION FROM 

3527
02:52:46,542 --> 02:52:57,019
OTHER RACIAL OR ETHNIC GROUPS.

3528
02:52:57,019 --> 02:53:01,223
SIMILAR TO AMOUNTS AND THE 

3529
02:53:01,223 --> 02:53:08,564
TIMING OF INTERDICTION -- 

3530
02:53:08,564 --> 02:53:09,465
INTRODUCTION OF FOODS AND 

3531
02:53:09,465 --> 02:53:11,267
THERE'S FELT THERE WAS A LACK OF

3532
02:53:11,267 --> 02:53:11,934
EVIDENCE.

3533
02:53:11,934 --> 02:53:15,070
WHEN LOOKING AT PROTEIN FOODS, 

3534
02:53:15,070 --> 02:53:17,139
AGAIN A CONCLUSION STATEMENT 

3535
02:53:17,139 --> 02:53:18,641
COULDN'T BE DRAWN AND A LOT OF 

3536
02:53:18,641 --> 02:53:20,609
THIS HAD TO DO AGAIN WITH THE 

3537
02:53:20,609 --> 02:53:26,048
ISSUES OF CONSISTENCY I 

3538
02:53:26,048 --> 02:53:28,984
MENTIONED.

3539
02:53:28,984 --> 02:53:30,586
THERE WAS REGARD OF CONSISTENCY 

3540
02:53:30,586 --> 02:53:34,757
OF EXPOSURES AND HOW THEY WERE 

3541
02:53:34,757 --> 02:53:36,892
ASSESSED AND PROTEIN FOODS 

3542
02:53:36,892 --> 02:53:38,594
EXAMINED IN STUDIES EITHER 

3543
02:53:38,594 --> 02:53:44,500
LOOKING AT THEM CATEGORICALLY OR

3544
02:53:44,500 --> 02:53:49,171
CONTINUOU

3545
02:53:49,171 --> 02:53:50,239
CONTINUOUSLY MOST LOOKED AT EGGS

3546
02:53:50,239 --> 02:53:52,942
AND MEAT RATHER THAN 

3547
02:53:52,942 --> 02:53:54,577
INTRODUCTION TO HIGH PROTEIN 

3548
02:53:54,577 --> 02:53:55,945
FOODS MORE BROADLY AND AGAIN 

3549
02:53:55,945 --> 02:53:58,214
MOST THE STUDIES WERE LOOKING AT

3550
02:53:58,214 --> 02:54:00,683
INTRODUCTION CONTINUOUSLY RATHER

3551
02:54:00,683 --> 02:54:01,317
THAN LOOKING AT SPECIFIC TIME 

3552
02:54:01,317 --> 02:54:06,388
POINTS FOR INTRODUCTION.

3553
02:54:06,388 --> 02:54:09,158
FOR DAIRY A CONCLUSION STATEMENT

3554
02:54:09,158 --> 02:54:11,861
COULD NOT BE DRAWN WHEN LOOKING 

3555
02:54:11,861 --> 02:54:13,829
AT THE DAIRY FOOD GROUP AND 

3556
02:54:13,829 --> 02:54:16,599
OUTCOMES RELATED TO GROWTH 

3557
02:54:16,599 --> 02:54:18,167
PATTERNS AND RISK OF OBESITY 

3558
02:54:18,167 --> 02:54:19,768
BECAUSE THERE WAS NOT ENOUGH 

3559
02:54:19,768 --> 02:54:21,570
EVIDENCE AVAILABLE AND THE 

3560
02:54:21,570 --> 02:54:23,038
EVIDENCE THAT WAS AVAILABLE WE 

3561
02:54:23,038 --> 02:54:25,007
HAD SUBSTANTIAL CONCERNS 

3562
02:54:25,007 --> 02:54:27,510
REGARDING CONSISTENCY.

3563
02:54:27,510 --> 02:54:33,549
SO, CONSISTENCY WAS A CONCERN 

3564
02:54:33,549 --> 02:54:39,588
DUE TO HETEROGENEITY BECAUSE OF 

3565
02:54:39,588 --> 02:54:42,124
TIME POINTS ACROSS STUDIES AND 

3566
02:54:42,124 --> 02:54:44,059
THE ANALYSES CONSIDERED THE 

3567
02:54:44,059 --> 02:54:45,561
EXPOSURES CONTINUOUSLY.

3568
02:54:45,561 --> 02:54:47,997
ADDITIONALLY, THERE WAS MINIMAL 

3569
02:54:47,997 --> 02:54:49,198
EVIDENCE FOR CERTAIN EXPOSURES 

3570
02:54:49,198 --> 02:54:50,599
AND OUTCOMES OTHER THAN A LOT OF

3571
02:54:50,599 --> 02:54:56,372
THESE STUDIES FOCUSSED ON COW'S 

3572
02:54:56,372 --> 02:54:59,008
MILK AS WELL BODY COMPOSITION.

3573
02:54:59,008 --> 02:54:59,675
FOR SUGAR SWEETENED BEVERAGES WE

3574
02:54:59,675 --> 02:55:02,912
COULDN'T MAKE A CONCLUSION ON 

3575
02:55:02,912 --> 02:55:06,649
THIS AGAIN DUE TO CONCERNS WITH 

3576
02:55:06,649 --> 02:55:06,949
CONSISTENCY.

3577
02:55:06,949 --> 02:55:08,984
THERE WERE SEVERAL AREAS OF 

3578
02:55:08,984 --> 02:55:11,320
INCONSISTENCIES ACROSS THE BODY 

3579
02:55:11,320 --> 02:55:12,688
OF EVIDENCE.

3580
02:55:12,688 --> 02:55:15,958
FIRST, STUDIES VARIED IN 

3581
02:55:15,958 --> 02:55:17,259
EXPOSURES WITH HALF EXAMINING 

3582
02:55:17,259 --> 02:55:17,960
SUGAR SWEETENED BEVERAGES SUCH 

3583
02:55:17,960 --> 02:55:20,663
AS SODA AND SOFT DRINKS WHILE 

3584
02:55:20,663 --> 02:55:22,932
HALF ARE EXAMINING JUICE THAT 

3585
02:55:22,932 --> 02:55:27,937
WAS NOT DEFINED OR COULD NOT BE 

3586
02:55:27,937 --> 02:55:31,574
CONFIRMED AS BEING 100% JUICE 

3587
02:55:31,574 --> 02:55:34,076
THIS WENT TO AGE OF INTRODUCTION

3588
02:55:34,076 --> 02:55:38,280
ANALYZED AND CUT POINTS UP TO 

3589
02:55:38,280 --> 02:55:39,181
AGE 12 MONTHS AS WELL AS 

3590
02:55:39,181 --> 02:55:40,883
CONTINUOUS ASSESSMENT.

3591
02:55:40,883 --> 02:55:43,118
AND FINALLY THE OUTCOMES WERE 

3592
02:55:43,118 --> 02:55:43,752
ASSESSED ACROSS A LARGE RANGE OF

3593
02:55:43,752 --> 02:55:51,293
AGES.

3594
02:55:51,293 --> 02:55:53,495
FINALLY, SEVERAL CONCLUSION 

3595
02:55:53,495 --> 02:55:55,464
STATEMENTS COULDN'T BE DRAWN 

3596
02:55:55,464 --> 02:55:57,299
BECAUSE YOU DIDN'T HAVE ENOUGH 

3597
02:55:57,299 --> 02:56:01,403
EVIDENCE THERE WERE FEW STUDIES 

3598
02:56:01,403 --> 02:56:06,442
FOR THE REMAINING FOODS WE WERE 

3599
02:56:06,442 --> 02:56:07,876
LOOKING AT.

3600
02:56:07,876 --> 02:56:09,945
SO, WE WERE UNABLE TO LOOK AT 

3601
02:56:09,945 --> 02:56:13,749
THE AGE AT WHEN CHILDREN WERE 

3602
02:56:13,749 --> 02:56:15,484
INTRODUCED WITH BODY COMPOSITION

3603
02:56:15,484 --> 02:56:17,353
AND RISK OF OBESITY AND LOOKING 

3604
02:56:17,353 --> 02:56:20,990
AT FRUITS, VEGETABLE AND FOOD 

3605
02:56:20,990 --> 02:56:24,126
CONSUMPTION AND ADDED SUGARS 

3606
02:56:24,126 --> 02:56:25,260
RELATED TO GROWTH BODY 

3607
02:56:25,260 --> 02:56:35,804
COMPOSITION AND RISK OF OBESITY.

3608
02:56:40,743 --> 02:56:42,444
THAT WAS A LOT AND THANK YOU.

3609
02:56:42,444 --> 02:56:45,547
>> TRACY, YOU WANT TO GO
FIRST.

3610
02:56:45,547 --> 02:56:49,551
>> THE FIRST SET OF
RESULTS WITH

3611
02:56:49,551 --> 02:56:53,288
THE FOOD GROUPS AND LIMITED 

3612
02:56:53,288 --> 02:56:56,425
[INDISCERNIBLE] THE WORDINGS CAN

3613
02:56:56,425 --> 02:56:57,559
YOU EXPLAIN WHY YOU CHOSE 

3614
02:56:57,559 --> 02:56:58,293
THAT -- 

3615
02:56:58,293 --> 02:57:00,562
>> TALK INTO THE MIC.

3616
02:57:00,562 --> 02:57:01,163
I'M SORRY.

3617
02:57:01,163 --> 02:57:05,200
>> SO THE WORDING FOR THE 

3618
02:57:05,200 --> 02:57:06,568
LIMITED CONCLUSION STATEMENT 

3619
02:57:06,568 --> 02:57:08,137
THAT IS LIMITED EVIDENCE 

3620
02:57:08,137 --> 02:57:11,206
SUGGESTS THAT SUCH FOOD GROUP 

3621
02:57:11,206 --> 02:57:14,410
WAS NOT ASSOCIATED WITH 

3622
02:57:14,410 --> 02:57:19,982
UNFAVORABLE -- YOU MUST HAVE A 

3623
02:57:19,982 --> 02:57:24,620
REASON FOR THIS.

3624
02:57:24,620 --> 02:57:27,156
>> YES, WE SPENT A
SIGNIFICANT 

3625
02:57:27,156 --> 02:57:28,724
AMOUNT OF TIME DISCUSSING EVERY 

3626
02:57:28,724 --> 02:57:30,392
SINGLE WORD IN EACH OF THOSE 

3627
02:57:30,392 --> 02:57:33,962
STATEMENTS AND FOR THE MOST PART

3628
02:57:33,962 --> 02:57:37,566
I THINK IT'S JUST THE CHALLENGE 

3629
02:57:37,566 --> 02:57:40,069
IS RIGHT AS THE DISCUSSION 

3630
02:57:40,069 --> 02:57:45,040
YESTERDAY WHAT DO THESE METRICS 

3631
02:57:45,040 --> 02:57:48,377
MEAN IN TERMS OF OBVIOUSLY WE 

3632
02:57:48,377 --> 02:57:48,944
EXPECT YOUNG CHILDREN TO BE 

3633
02:57:48,944 --> 02:57:59,088
GROWING.

3634
02:58:05,627 --> 02:58:11,233
WE WANTED TO WORD THE STATEMENTS

3635
02:58:11,233 --> 02:58:17,039
SO THERE WAS NO LATEST 

3636
02:58:17,039 --> 02:58:18,407
INTERPRETABLE MISINFORMATION AND

3637
02:58:18,407 --> 02:58:19,808
FELT THAT USING THE PHRASE WAS 

3638
02:58:19,808 --> 02:58:25,547
BETTER THAN THE FLIP SIDE OF 

3639
02:58:25,547 --> 02:58:30,919
SHOWING EFFECTS ON UNFAVORABLE 

3640
02:58:30,919 --> 02:58:31,186
PATTERNS.

3641
02:58:31,186 --> 02:58:37,092
IT'S A LONG WAY OF SAYING WE 

3642
02:58:37,092 --> 02:58:39,461
FELT IT WAS THE BEST CONVEY NUL 

3643
02:58:39,461 --> 02:58:43,966
RESULT WITHOUT MAKING CONFUSING 

3644
02:58:43,966 --> 02:58:49,371
STATEMENTS ABOUT THE ROLE OF 

3645
02:58:49,371 --> 02:58:53,475
THESE.

3646
02:58:53,475 --> 02:58:54,610
>> WILL FANTASTIC
PRESENTATION.

3647
02:58:54,610 --> 02:58:59,615
JEN, AT THE BEGINNING YOU TALKED

3648
02:58:59,615 --> 02:59:02,284
ABOUT A LOT OF LIMITATIONS OF 

3649
02:59:02,284 --> 02:59:04,753
STUDIES THAT PARTICULARLY THE 

3650
02:59:04,753 --> 02:59:11,226
ONES THAT DROVE YOUR DECISION TO

3651
02:59:11,226 --> 02:59:16,431
EXCLUDE THEM FROM CONSIDERATION 

3652
02:59:16,431 --> 02:59:22,037
AND MEETING 3 WE HAD DISCUSSION 

3653
02:59:22,037 --> 02:59:24,807
ABOUT THE REALITY THERE IS A LOT

3654
02:59:24,807 --> 02:59:27,776
OF PUBLISHED STUDIES ON MANY 

3655
02:59:27,776 --> 02:59:29,945
TOPICS WE ARE REVIEWING HERE BUT

3656
02:59:29,945 --> 02:59:36,351
WHEN YOU COME TO THE SYSTEMATIC 

3657
02:59:36,351 --> 02:59:37,186
REVIEW PROCESS THEY DON'T MEET 

3658
02:59:37,186 --> 02:59:39,755
THE RIGOR WE NEED TO MAKE 

3659
02:59:39,755 --> 02:59:46,895
EVIDENCE-BASED DECISIONS.

3660
02:59:46,895 --> 02:59:52,334
ARE YOU GOING TO TAKE TIME IN 

3661
02:59:52,334 --> 02:59:54,269
THE FUTURE DIRECTION DISCUSSION 

3662
02:59:54,269 --> 02:59:57,539
AND IT SEEMS TO ME THIS IS A 

3663
02:59:57,539 --> 02:59:59,575
WONDERFUL OPPORTUNITY TO INFORM 

3664
02:59:59,575 --> 03:00:02,144
THE BROADER COMMUNITY AND 

3665
03:00:02,144 --> 03:00:03,846
FRANKLY FEDERAL FUNDING AGENCIES

3666
03:00:03,846 --> 03:00:06,281
ON WHAT NEEDS TO BE DONE BUT 

3667
03:00:06,281 --> 03:00:07,149
MORE IMPORTANTLY HOW IT SHOULD 

3668
03:00:07,149 --> 03:00:17,292
BE DONE.

3669
03:00:17,626 --> 03:00:20,863
>> WE SPENT A GOOD DEAL OF
TIME 

3670
03:00:20,863 --> 03:00:23,198
TALKING ABOUT THIS WITH ANOTHER 

3671
03:00:23,198 --> 03:00:25,400
REVIEW WE WERE IN FACT I THINK A

3672
03:00:25,400 --> 03:00:26,201
NUMBER OF US WERE SURPRISED 

3673
03:00:26,201 --> 03:00:28,604
THERE WERE SO FEW STUDIES.

3674
03:00:28,604 --> 03:00:34,042
THE EVIDENCE LOOKS LIKE IT BUT 

3675
03:00:34,042 --> 03:00:39,348
IN FACT THIS REVIEW AND WE'VE 

3676
03:00:39,348 --> 03:00:40,616
LOOKED AT ONE LENS AND THERE MAY

3677
03:00:40,616 --> 03:00:43,719
BE A WHOLE BODY WE LEFT OUT.

3678
03:00:43,719 --> 03:00:45,954
I THINK THEY'RE IMPORTANT 

3679
03:00:45,954 --> 03:00:49,558
MESSAGES THAT SHOULD BE CONVEYED

3680
03:00:49,558 --> 03:00:51,059
TO THE SCIENTIFIC COMMUNITY AS 

3681
03:00:51,059 --> 03:00:52,694
WELL AS THE NATIONAL INSTITUTES 

3682
03:00:52,694 --> 03:00:53,562
OF HABING AND OTHER 

3683
03:00:53,562 --> 03:00:55,998
ORGANIZATIONS THAT FUND THIS 

3684
03:00:55,998 --> 03:01:00,002
WORK BECAUSE -- THE OF HEALTH 

3685
03:01:00,002 --> 03:01:01,837
AND OTHER ORGANIZATIONS THAT 

3686
03:01:01,837 --> 03:01:05,540
FUND THIS WORK AND WHEN YOU LOOK

3687
03:01:05,540 --> 03:01:08,944
HEAT DESIGNS IT'S AN IMPERATIVE 

3688
03:01:08,944 --> 03:01:10,078
AND OPPORTUNITY TO CONVEY THE 

3689
03:01:10,078 --> 03:01:13,548
NEED FOR THESE TYPES OF RIGOROUS

3690
03:01:13,548 --> 03:01:22,858
DESIGNS.

3691
03:01:22,858 --> 03:01:24,459
ANYONE ELSE?

3692
03:01:24,459 --> 03:01:27,362
>> ON TOP OF THE
PERSPECTIVE OF 

3693
03:01:27,362 --> 03:01:28,530
THE CLINICAL TRIAL THAT ARE 

3694
03:01:28,530 --> 03:01:34,870
NEEDED HOW DO WE DEFINE EXPOSURE

3695
03:01:34,870 --> 03:01:38,941
AND OUTCOMES FOR DIFFERENT GROUP

3696
03:01:38,941 --> 03:01:41,009
IT WAS HARD TO UNDERSTAND THE 

3697
03:01:41,009 --> 03:01:45,180
GLOBAL TREND BECAUSE OF THE NEED

3698
03:01:45,180 --> 03:01:47,783
TO HAVE COW'S MILK AND THE 

3699
03:01:47,783 --> 03:01:49,818
COMPARATOR IS DIFFERENT.

3700
03:01:49,818 --> 03:01:52,054
WE HAD DISCUSSION ABOUT WHAT 

3701
03:01:52,054 --> 03:01:54,189
COWL BE THE GUIDELINES MOVING 

3702
03:01:54,189 --> 03:01:56,525
FORWARD FOR THE DESIGN AS WELL.

3703
03:01:56,525 --> 03:01:57,859
AND MEET THE RIGOR OF THE 

3704
03:01:57,859 --> 03:02:01,830
EXPERIMENTAL DESIGN BUT HOW DO 

3705
03:02:01,830 --> 03:02:04,466
WE STANDARDIZE AND OUTCOME IN A 

3706
03:02:04,466 --> 03:02:09,071
WAY THAT IS MORE FRUITFUL IN THE

3707
03:02:09,071 --> 03:02:10,172
FUTURE AND PUT IN THE 

3708
03:02:10,172 --> 03:02:10,706
RECOMMENDATION FOR FUTURE 

3709
03:02:10,706 --> 03:02:17,312
RESEARCH.

3710
03:02:17,312 --> 03:02:21,316
>> I ALSO THINK MOST THE
STUDIES

3711
03:02:21,316 --> 03:02:22,517
CAPTURED IN THE SEARCH WERE NOT 

3712
03:02:22,517 --> 03:02:23,385
DIRECTLY ASSESSING THIS.

3713
03:02:23,385 --> 03:02:28,991
WE ENDED UP LOOKING AT INCOME 

3714
03:02:28,991 --> 03:02:31,793
FORMULA WITH OR WITHOUT AND 

3715
03:02:31,793 --> 03:02:33,428
ENDED UP WITH STUDIES THAT WERE 

3716
03:02:33,428 --> 03:02:36,932
LIKE THIS IS NOT ACTUALLY 

3717
03:02:36,932 --> 03:02:39,368
RESPONDING BECAUSE OF THE SEARCH

3718
03:02:39,368 --> 03:02:40,569
THEY DIDN'T MAKE SENSE AND SO I 

3719
03:02:40,569 --> 03:02:43,171
THINK MOST THE BODY OF 

3720
03:02:43,171 --> 03:02:44,339
LITERATURE WERE NOT RESPONDING 

3721
03:02:44,339 --> 03:02:46,041
THEY WERE TRYING TO USE WHATEVER

3722
03:02:46,041 --> 03:02:47,743
THERE WAS TO SEE IF WE CAN 

3723
03:02:47,743 --> 03:02:52,047
ANSWER SOMETHING.

3724
03:02:52,047 --> 03:03:01,156
WE ENDED UP -- AND THIS IS SUCH 

3725
03:03:01,156 --> 03:03:05,160
AN INCREDIBLY DYNAMIC LIFE STAGE

3726
03:03:05,160 --> 03:03:06,762
AND SPAN OF DEVELOPMENT WHEN WE 

3727
03:03:06,762 --> 03:03:10,065
THINK ABOUT GOING FROM A SINGLE 

3728
03:03:10,065 --> 03:03:15,570
FOOD TO THE INTRODUCTION OF MANY

3729
03:03:15,570 --> 03:03:17,172
FOODS AND ONE MONTH OF THE YEAR 

3730
03:03:17,172 --> 03:03:21,543
AND THEN WE HAVE THE TREMENDOUS 

3731
03:03:21,543 --> 03:03:24,146
CHANGES IN DEVELOPMENT INCLUDING

3732
03:03:24,146 --> 03:03:25,547
SELF FEEDING AND VERBAL 

3733
03:03:25,547 --> 03:03:25,947
DEVELOPMENT.

3734
03:03:25,947 --> 03:03:27,883
I THINK ONE OF THE CHALLENGES IN

3735
03:03:27,883 --> 03:03:31,219
LOOKING AT THIS GENERAL QUESTION

3736
03:03:31,219 --> 03:03:34,756
IS THERE ARE MANY QUESTIONS 

3737
03:03:34,756 --> 03:03:35,957
WITHIN SPECIFIC STAGES SO FOR 

3738
03:03:35,957 --> 03:03:37,559
INSTANCE THERE WERE STUDIES 

3739
03:03:37,559 --> 03:03:40,295
LOOKING AT VERY EARLY 

3740
03:03:40,295 --> 03:03:41,730
INTRODUCTION TO FOODS RATHER 

3741
03:03:41,730 --> 03:03:44,499
THAN ASKING WHAT IS THE OPTIMAL 

3742
03:03:44,499 --> 03:03:49,538
TIMING OF INTRODUCTION.

3743
03:03:49,538 --> 03:03:57,546
AND SO WE LOOKED AT THE EVIDENCE

3744
03:03:57,546 --> 03:03:58,613
IN MULTIPLE WAYS IT SAY ARE 

3745
03:03:58,613 --> 03:04:01,550
THERE ANY WAYS WE CAN BRING 

3746
03:04:01,550 --> 03:04:04,052
THESE STUDIES TOGETHER 

3747
03:04:04,052 --> 03:04:11,993
CONCEPTUALLY THAT MAKES SENSE.

3748
03:04:11,993 --> 03:04:13,028
THERE WERE SO MANY DIFFERENT 

3749
03:04:13,028 --> 03:04:13,762
SCIENTIFIC QUESTIONS WITHIN THE 

3750
03:04:13,762 --> 03:04:16,364
GROUP OF STUDIES AND SO FEW 

3751
03:04:16,364 --> 03:04:20,202
STUDIES AT THE SAME TIME IT WAS 

3752
03:04:20,202 --> 03:04:20,969
CHALLENGING.

3753
03:04:20,969 --> 03:04:22,370
I THINK ONE OF THE FUTURE 

3754
03:04:22,370 --> 03:04:27,776
DIRECTIONS IS TO TRY TO OUTLINE 

3755
03:04:27,776 --> 03:04:31,179
SOME OF THESE IMPORTANT 

3756
03:04:31,179 --> 03:04:33,815
CONCEPTUAL QUESTIONS TO POINT 

3757
03:04:33,815 --> 03:04:35,617
THE RESEARCH TO THE AREAS WE'D 

3758
03:04:35,617 --> 03:04:37,719
LIKE TO INFORM THE GUIDELINES 

3759
03:04:37,719 --> 03:04:41,256
THAT WE THINK WOULD BE HELPFUL 

3760
03:04:41,256 --> 03:04:42,624
TO RAISE CHILDREN WITH OPTIMAL 

3761
03:04:42,624 --> 03:04:52,968
PATTERNS OF GROWTH.

3762
03:05:03,011 --> 03:05:03,712
>> OKAY.

3763
03:05:03,712 --> 03:05:05,547
SO WE ARE GOING TO START WITH 

3764
03:05:05,547 --> 03:05:08,049
THE DIETARY PATTERNS AND 

3765
03:05:08,049 --> 03:05:09,784
SPECIFIC DIETARY PATTERN 

3766
03:05:09,784 --> 03:05:11,686
COMPONENT ACROSS LIFE STAGES 

3767
03:05:11,686 --> 03:05:11,987
NOW.

3768
03:05:11,987 --> 03:05:13,555
SO WE'LL COVER ABOUT HALF OF IT 

3769
03:05:13,555 --> 03:05:14,689
NOW AND THEN THE REST OF IT 

3770
03:05:14,689 --> 03:05:18,360
AFTER LUNCH.

3771
03:05:18,360 --> 03:05:21,730
SO THE ADDITIONAL PRESENTERS 

3772
03:05:21,730 --> 03:05:27,736
WILL BE DOCTORS GIOVENICCI, 

3773
03:05:27,736 --> 03:05:32,207
DEARLINE AND TALAGWAKA AND CODY 

3774
03:05:32,207 --> 03:05:33,041
STANFORD AND I'LL BE PRESENTING 

3775
03:05:33,041 --> 03:05:35,877
ALONG WITH THEM.

3776
03:05:35,877 --> 03:05:40,081
SO THIS IS OUR COMMITTEE AS YOU 

3777
03:05:40,081 --> 03:05:45,554
CAN SEE SEVERAL ARE MEMBERS EF 

3778
03:05:45,554 --> 03:05:56,097
THE HEALTH EQUITY WORKING GROUP 

3779
03:06:03,438 --> 03:06:05,540
INCLUDING SAMEERA AND THE STAFF 

3780
03:06:05,540 --> 03:06:09,511
WHO SUPPORT US AND WHEN YOU SEE 

3781
03:06:09,511 --> 03:06:12,447
THIS THERE'S HUNDREDS OF 

3782
03:06:12,447 --> 03:06:14,382
ARTICLES THAT HAVE TO BE 

3783
03:06:14,382 --> 03:06:17,552
DISTILLED DOWN AND WITH CBD AND 

3784
03:06:17,552 --> 03:06:22,824
TYPE II DIABETES GETTING IN A 

3785
03:06:22,824 --> 03:06:32,367
WORKABLE FORMAT FOR US HE'S BEEN

3786
03:06:32,367 --> 03:06:33,535
A HEAVY LIFT.

3787
03:06:33,535 --> 03:06:41,276
AT MEETING 4 WE PRESENTED 

3788
03:06:41,276 --> 03:06:43,478
SEVERAL STATEMENTS UNDER PEER 

3789
03:06:43,478 --> 03:06:43,712
REVIEW.

3790
03:06:43,712 --> 03:06:45,680
WE HAD BEVERAGE PATTERNS AND 

3791
03:06:45,680 --> 03:06:51,186
GROWTH, BODY COMP AND RISK OF 

3792
03:06:51,186 --> 03:06:51,686
OBESITY.

3793
03:06:51,686 --> 03:06:54,789
WE LOOKED AT DAIRY MILK AND BODY

3794
03:06:54,789 --> 03:06:55,790
COMPOSITION AND RISK OF OBESITY.

3795
03:06:55,790 --> 03:07:00,061
LOW AND NO-CALORIE SWEETENED 

3796
03:07:00,061 --> 03:07:01,796
BEVERAGES AND THE GROWTH BODY 

3797
03:07:01,796 --> 03:07:02,831
COMPOSITION AND RISK OF OBESITY 

3798
03:07:02,831 --> 03:07:09,170
AND FINALLY 100% JUICE.

3799
03:07:09,170 --> 03:07:19,681
THOSE WERE SENT OUT FOR PEER 

3800
03:07:20,448 --> 03:07:25,020
REVIEW AND THE SECOND GROUP HAVE

3801
03:07:25,020 --> 03:07:26,855
DRAFTS INCLUDING LOW AND 

3802
03:07:26,855 --> 03:07:29,057
NO-CALORIE SWEETENED BEVERAGES 

3803
03:07:29,057 --> 03:07:32,327
AND RISK OF TYPE II DIABETES AND

3804
03:07:32,327 --> 03:07:32,961
SUGAR SWEETENED BEVERAGES AND 

3805
03:07:32,961 --> 03:07:37,532
RISK OF TYPE II DIABETES AND 

3806
03:07:37,532 --> 03:07:38,166
SUGAR SWEETENED BEVERAGES AND 

3807
03:07:38,166 --> 03:07:41,369
GROWTH BODY COMPOSITION AND RISK

3808
03:07:41,369 --> 03:07:44,439
OF OBESITY IN CHILDREN AND THAT 

3809
03:07:44,439 --> 03:07:45,540
HAS META-ANALYSIS ASSOCIATED 

3810
03:07:45,540 --> 03:07:54,816
WITH IT.

3811
03:07:54,816 --> 03:07:55,717
AND WE HAVE SUGAR SWEETENED 

3812
03:07:55,717 --> 03:07:56,885
BEVERAGES AND BODY COMPOSITION 

3813
03:07:56,885 --> 03:08:01,089
AND RISK OF OBESITY IN ADULTS 

3814
03:08:01,089 --> 03:08:02,724
AND OLDER ADULTS.

3815
03:08:02,724 --> 03:08:04,559
WE'LL CONTINUE WITH THE ADULT 

3816
03:08:04,559 --> 03:08:06,494
PART OF THAT AND WE'RE ALSO 

3817
03:08:06,494 --> 03:08:08,863
DOING FOOD SOURCES OF SATURATED 

3818
03:08:08,863 --> 03:08:09,497
FAT AND RISK OF CARDIOVASCULAR 

3819
03:08:09,497 --> 03:08:14,469
DISEASE.

3820
03:08:14,469 --> 03:08:16,671
SO DURING THE COURSE OF THE LAST

3821
03:08:16,671 --> 03:08:21,343
FEW MONTHS WE'VE MADE SEVERAL 

3822
03:08:21,343 --> 03:08:24,112
PROTOCOL REVISIONS THAT WE 

3823
03:08:24,112 --> 03:08:26,815
PRESENTED ON PROTOCOLS PRESENTED

3824
03:08:26,815 --> 03:08:28,049
PREVIOUSLY AND MAINLY TO 

3825
03:08:28,049 --> 03:08:29,718
STREAMLINE OUR REVIEWS AND FOCUS

3826
03:08:29,718 --> 03:08:36,458
ON THE HIGHEST QUALITY EVIDENCE.

3827
03:08:36,458 --> 03:08:39,761
THE FIRST WAS FOR DIETARY 

3828
03:08:39,761 --> 03:08:41,396
PATTERNS AND RISK OF TYPE II 

3829
03:08:41,396 --> 03:08:43,732
DIABETES.

3830
03:08:43,732 --> 03:08:44,766
THE REVISION THAT WAS DONE HERE 

3831
03:08:44,766 --> 03:08:49,571
WAS TO ALIGN THE OUTCOME 

3832
03:08:49,571 --> 03:08:50,205
CRITERIA FROM THIS SYSTEMATIC 

3833
03:08:50,205 --> 03:08:52,841
REVIEW ON DIETARY PATTERNS IN 

3834
03:08:52,841 --> 03:08:55,110
TYPE II DIABETES WITH THE 

3835
03:08:55,110 --> 03:08:59,581
CRITERIA USED FOR BEVERAGES AND 

3836
03:08:59,581 --> 03:09:00,148
TYPE II DIABETES BEFORE ANY 

3837
03:09:00,148 --> 03:09:08,990
EVERYDAY WAS SYNTHESIZED.

3838
03:09:08,990 --> 03:09:10,058
WE HAVE INTERMEDIATE OUTCOMES 

3839
03:09:10,058 --> 03:09:11,493
AND LOOK AT DISEASE OUTCOMES.

3840
03:09:11,493 --> 03:09:13,695
THAT'S WHAT WE ALIGN WITH OUR 

3841
03:09:13,695 --> 03:09:20,969
BEVERAGES.

3842
03:09:20,969 --> 03:09:23,238
THE SECOND IS ON FOOD SOURCES OF

3843
03:09:23,238 --> 03:09:25,006
SATURATED FAT AND RISK OF 

3844
03:09:25,006 --> 03:09:26,174
CARDIOVASCULAR DISEASE.

3845
03:09:26,174 --> 03:09:27,242
THOUGH THE WHOLE SUBCOMMITTEE 

3846
03:09:27,242 --> 03:09:29,944
MADE COMMENTS ON THESE I DID 

3847
03:09:29,944 --> 03:09:33,548
WANT TO PARTICULARLY THANK 

3848
03:09:33,548 --> 03:09:34,449
CHRISTOPHER GARDNER AND CHERYL 

3849
03:09:34,449 --> 03:09:38,253
ANDERSON BECAUSE WE HAD A COUPLE

3850
03:09:38,253 --> 03:09:39,487
EXTRA COMMITTEE MEMBERS TO 

3851
03:09:39,487 --> 03:09:40,422
REVIEW OVER THIS AND GET TO 

3852
03:09:40,422 --> 03:09:47,595
WHERE WE NEEDED TO BE.

3853
03:09:47,595 --> 03:09:48,997
WE HAD THREE REVISIONS.

3854
03:09:48,997 --> 03:09:53,802
IN LOOKING AT THIS WAS THE 

3855
03:09:53,802 --> 03:09:55,537
AMOUNT OF STUDIES ASSOCIATED 

3856
03:09:55,537 --> 03:09:57,539
WITH THIS WAS VAST.

3857
03:09:57,539 --> 03:09:58,440
HUNDREDS OF STUDIES.

3858
03:09:58,440 --> 03:10:01,476
WHEN WE LOOKED AT IT AND 

3859
03:10:01,476 --> 03:10:02,710
ESPECIALLY AFTER DOING ALL THE 

3860
03:10:02,710 --> 03:10:07,682
DIETARY PATTERNS REVIEWS WE KIND

3861
03:10:07,682 --> 03:10:09,551
OF CAME UP WITH A MORE FOCUSSED 

3862
03:10:09,551 --> 03:10:09,818
APPROACH.

3863
03:10:09,818 --> 03:10:13,555
THE FIRST PROTOCOL REVISION WAS 

3864
03:10:13,555 --> 03:10:17,158
WE REMOVED THE COMPARATOR THAT 

3865
03:10:17,158 --> 03:10:18,193
LOOKED AT CONSUMPTION OF 

3866
03:10:18,193 --> 03:10:19,294
DIFFERENT AMOUNTS OF THE SAME 

3867
03:10:19,294 --> 03:10:19,794
FOOD SOURCE.

3868
03:10:19,794 --> 03:10:21,129
FOR EXAMPLE, WE DIDN'T LOOK AT 

3869
03:10:21,129 --> 03:10:24,933
SOMETHING LIKE QUINTILES OF 

3870
03:10:24,933 --> 03:10:27,068
WHOLE MILK CONSUMPTION OR 

3871
03:10:27,068 --> 03:10:30,038
LOW-FAT MILK CONSUMPTION, THINGS

3872
03:10:30,038 --> 03:10:30,638
LIKE THAT.

3873
03:10:30,638 --> 03:10:32,674
WE MADE THAT REVISION TO FOCUS 

3874
03:10:32,674 --> 03:10:33,875
ON STUDIES THAT COMPARE SPECIFIC

3875
03:10:33,875 --> 03:10:35,844
FOOD SOURCES AND THEIR 

3876
03:10:35,844 --> 03:10:44,819
REPLACEMENT WITH OTHER FOODS.

3877
03:10:44,819 --> 03:10:46,087
WE HAVE ALREADY ADDRESSED THE 

3878
03:10:46,087 --> 03:10:47,922
DIFFERENT AMOUNTS OF THE FOOD 

3879
03:10:47,922 --> 03:10:49,157
SOURCE IN THE PREVIOUS WORK.

3880
03:10:49,157 --> 03:10:50,892
WE DIDN'T WANT TO REPLICATE THAT

3881
03:10:50,892 --> 03:10:54,362
WORK AND SO YOU CAN LOOK AT OUR 

3882
03:10:54,362 --> 03:10:55,697
PREVIOUS DIETARY PATTERS AND CAN

3883
03:10:55,697 --> 03:10:59,400
SEE THE FOODS POINTED OUT.

3884
03:10:59,400 --> 03:11:02,570
THE SECOND REVISION WAS THE 

3885
03:11:02,570 --> 03:11:03,271
INCLUSION/EXCLUSION CRITERIA 

3886
03:11:03,271 --> 03:11:07,175
WERE UPDATED TO BE MORE 

3887
03:11:07,175 --> 03:11:07,442
SPECIFIC.

3888
03:11:07,442 --> 03:11:11,045
SO WE EXCLUDED STUDIES THAT 

3889
03:11:11,045 --> 03:11:12,747
EVALUATED TOTAL CONSUMPTION OF 

3890
03:11:12,747 --> 03:11:16,718
DAIRY FOODS IF THEY COMBINED 

3891
03:11:16,718 --> 03:11:19,454
NON-FAT, WHOLE FAT AND LOW-FAT 

3892
03:11:19,454 --> 03:11:21,456
VERSIONS BECAUSE IT WAS HARD TO 

3893
03:11:21,456 --> 03:11:25,527
GET A READ ON THE EXACT 

3894
03:11:25,527 --> 03:11:28,496
SATURATED FAT CONTENT AND THOSE 

3895
03:11:28,496 --> 03:11:31,666
THAT COMBINE COW'S MILK WITH 

3896
03:11:31,666 --> 03:11:34,936
MILK ALTERNATIVES AND FINALLY 

3897
03:11:34,936 --> 03:11:37,338
STUDIES THAT EVALUATED TOTAL 

3898
03:11:37,338 --> 03:11:40,074
MILK CONSUMPTION WHERE THEY 

3899
03:11:40,074 --> 03:11:44,312
COMBINED MEAT WITH SEAFOOD OR 

3900
03:11:44,312 --> 03:11:48,583
COMBINED WITH RED OR PROCESSED 

3901
03:11:48,583 --> 03:11:49,017
MEAT.

3902
03:11:49,017 --> 03:11:52,086
WE WANTED TO ISOLATE THE 

3903
03:11:52,086 --> 03:11:52,754
SATURATED FATTY FOOD.

3904
03:11:52,754 --> 03:11:56,858
LAST IS REVISED THE INCLUSION 

3905
03:11:56,858 --> 03:11:58,493
AND EXCLUSION CRITERIA FOR STUDY

3906
03:11:58,493 --> 03:12:00,662
DESIGN TO INCLUDE MODELLING 

3907
03:12:00,662 --> 03:12:01,029
STUDIES.

3908
03:12:01,029 --> 03:12:02,030
SO WHILE WE REALIZED THAT WE'RE 

3909
03:12:02,030 --> 03:12:04,065
GOING TO LOOK AT ALL THE 

3910
03:12:04,065 --> 03:12:09,737
EVIDENCE ACROSS HERE SO THE FOOD

3911
03:12:09,737 --> 03:12:11,439
PATTERN MODELLING AND ALL THE 

3912
03:12:11,439 --> 03:12:13,107
OTHER WORK WE INCLUDED MODELLING

3913
03:12:13,107 --> 03:12:17,545
BECAUSE THERE'S STUDIES THAT DO 

3914
03:12:17,545 --> 03:12:22,350
MODEL SUBSTITUTION AND FOOD 

3915
03:12:22,350 --> 03:12:23,785
SOURCES OF SATURATED FATTY ACIDS

3916
03:12:23,785 --> 03:12:24,886
AND THOUGHT IT WAS IMPORTANT TO 

3917
03:12:24,886 --> 03:12:26,154
LOOK AT THE BODY OF EVIDENCE FOR

3918
03:12:26,154 --> 03:12:36,764
THIS PARTICULAR QUESTION.

3919
03:12:36,764 --> 03:12:37,966
SO ANY QUESTIONS ABOUT THE 

3920
03:12:37,966 --> 03:12:42,704
PROTOCOL REVISIONS?

3921
03:12:42,704 --> 03:12:44,238
>> GREAT PRESENTATION.

3922
03:12:44,238 --> 03:12:44,505
THANK YOU.

3923
03:12:44,505 --> 03:12:46,808
THE MODELLING, CAN YOU TALK A 

3924
03:12:46,808 --> 03:12:49,544
LITTLE BIT MORE ABOUT WHAT THE 

3925
03:12:49,544 --> 03:12:51,846
STUDIES ARE?

3926
03:12:51,846 --> 03:12:53,548
THAT YOU DECIDED TO INCLUDE TO 

3927
03:12:53,548 --> 03:12:54,449
YOUR LAST POINT?

3928
03:12:54,449 --> 03:12:56,517
>> A LOT OF THOSE STUDIES
DO A 

3929
03:12:56,517 --> 03:12:58,553
REPLACEMENT SO IT MIGHT BE 

3930
03:12:58,553 --> 03:13:00,888
BUTTER WITH OLIVE OIL.

3931
03:13:00,888 --> 03:13:02,790
I CAN'T REMEMBER THE EXACT 

3932
03:13:02,790 --> 03:13:04,926
REPLACEMENTS SO THEY DO AND I 

3933
03:13:04,926 --> 03:13:06,761
DON'T KNOW -- CHRISTOPHER, DIDI,

3934
03:13:06,761 --> 03:13:08,363
YOU MIGHT HAVE -- I CAN'T 

3935
03:13:08,363 --> 03:13:10,798
REMEMBER ALL THE EXAMPLES BUT 

3936
03:13:10,798 --> 03:13:12,233
IT'S LIKE YOU'RE REPLACING ONE 

3937
03:13:12,233 --> 03:13:14,535
SOURCE WITH ANOTHER IN THE 

3938
03:13:14,535 --> 03:13:14,802
MODELLING.

3939
03:13:14,802 --> 03:13:17,739
>> IT MAY BE RED MEAT WITH

3940
03:13:17,739 --> 03:13:20,708
LENTIL OR WITH CHICKEN OR WHOLE 

3941
03:13:20,708 --> 03:13:21,542
FAT BEVERAGE WITH SOMETHING 

3942
03:13:21,542 --> 03:13:21,843
ELSE.

3943
03:13:21,843 --> 03:13:22,677
A SET OF OPTIONS FOR 

3944
03:13:22,677 --> 03:13:28,016
REPLACEMENT.

3945
03:13:28,016 --> 03:13:31,252
ALL MODELS IN PROSPECTIVE COHORT

3946
03:13:31,252 --> 03:13:33,688
STUDIES NOT TRIALS WITH OUTCOMES

3947
03:13:33,688 --> 03:13:36,157
WHERE THEY SEE WHAT 

3948
03:13:36,157 --> 03:13:40,061
CARDIOVASCULAR HEART OUTCOMES 

3949
03:13:40,061 --> 03:13:46,934
OTHERWISE WE'VE MISSED THOSE.

3950
03:13:46,934 --> 03:13:49,303
>> I THINK YOU EXPLAINED
IT WELL

3951
03:13:49,303 --> 03:13:50,872
AND THE RATIONALE WAS TO AVOID 

3952
03:13:50,872 --> 03:13:53,241
THE STUDY THAT LOOKED AT A 

3953
03:13:53,241 --> 03:13:54,509
SINGLE FOOD WITHOUT 

3954
03:13:54,509 --> 03:13:57,078
CONSIDERATION OF WHAT THE 

3955
03:13:57,078 --> 03:13:58,046
COMPARATOR WAS AND IT GETS 

3956
03:13:58,046 --> 03:13:59,414
DIFFICULT TO INTERPRET IF YOU 

3957
03:13:59,414 --> 03:14:03,851
DON'T KNOW WHAT THE CONTRAST IS.

3958
03:14:03,851 --> 03:14:05,553
AND ANALYSES THAT INDICATES WHAT

3959
03:14:05,553 --> 03:14:08,990
THAT CONTRAST WAS BETWEEN TWO 

3960
03:14:08,990 --> 03:14:11,259
FOODS FOR WHAT THE MODELS ARE 

3961
03:14:11,259 --> 03:14:11,959
REFERRING TO.

3962
03:14:11,959 --> 03:14:13,161
IT'S DIFFERENT FROM SIMULATION 

3963
03:14:13,161 --> 03:14:15,129
STUDIES WHICH WE DIDN'T REALLY 

3964
03:14:15,129 --> 03:14:17,098
GET INTO IN DISCUSSION BUT I 

3965
03:14:17,098 --> 03:14:20,568
THINK WANTED TO AVOID ANYTHING 

3966
03:14:20,568 --> 03:14:22,570
NOT BASED ON THE ACTUAL DATA AND

3967
03:14:22,570 --> 03:14:26,307
OUTCOMES.

3968
03:14:26,307 --> 03:14:35,583
>> OTHER QUESTIONS?

3969
03:14:35,583 --> 03:14:36,517
THANK YOU.

3970
03:14:36,517 --> 03:14:39,921
WITH THAT WE'LL GO TO A SPECIFIC

3971
03:14:39,921 --> 03:14:41,789
DIETARY PATTERN COMPONENTS WITH 

3972
03:14:41,789 --> 03:14:52,133
BEVERAGES AND SO ED.

3973
03:14:57,972 --> 03:14:58,039
 

3974
03:14:58,039 --> 03:15:00,041
>> THIS IS THE ANALYTIC 

3975
03:15:00,041 --> 03:15:02,477
FRAMEWORK AND THE FIRST QUESTION

3976
03:15:02,477 --> 03:15:08,282
IS THE RELATIONSHIP BETWEEN LOW 

3977
03:15:08,282 --> 03:15:18,726
AND  NO-CALORIE SWEETENED 

3978
03:15:19,060 --> 03:15:21,262
BEVERAGE AND WE'RE LOOKING AT 

3979
03:15:21,262 --> 03:15:24,232
LOW AND NO-CALORIE SWEETENED 

3980
03:15:24,232 --> 03:15:26,367
BEVERAGE CONSUMPTION.

3981
03:15:26,367 --> 03:15:32,974
IN RANDOMIZED TRIALS YOU USUALLY

3982
03:15:32,974 --> 03:15:34,509
HAVE A COMPARATOR LIKE WATER AND

3983
03:15:34,509 --> 03:15:36,244
IN COHORT STUDIES THE COMPARISON

3984
03:15:36,244 --> 03:15:39,247
IS MORE LOOKING AT MORE VERSUS 

3985
03:15:39,247 --> 03:15:40,114
LOWER SO IT'S MORE LIKE A 

3986
03:15:40,114 --> 03:15:43,184
GRADIENT.

3987
03:15:43,184 --> 03:15:46,821
THE OUTCOMES YOU CAN SEE THE 

3988
03:15:46,821 --> 03:15:50,324
LIST AND TO KEEP IN MIND MOST 

3989
03:15:50,324 --> 03:15:55,296
THE PROSPECTIVE COHORT STUDIES 

3990
03:15:55,296 --> 03:15:56,197
HAVE DIABETES IN THE OUTCOME AND

3991
03:15:56,197 --> 03:16:00,501
ALMOST ALL THE RANDOMIZED TRIALS

3992
03:16:00,501 --> 03:16:03,404
LOOKED AT BIOMARKERS LIKE 

3993
03:16:03,404 --> 03:16:04,639
FASTING BLOOD GLUCOSE.

3994
03:16:04,639 --> 03:16:09,577
YOU CAN SEE THE CONFOUNDERS.

3995
03:16:09,577 --> 03:16:18,119
THIS IS THE FIRST CONCLUSION LOW

3996
03:16:18,119 --> 03:16:23,191
AND NO CALORIE SWEETENED 

3997
03:16:23,191 --> 03:16:27,128
BEVERAGES BY INFANTS, CHILDREN 

3998
03:16:27,128 --> 03:16:36,204
AND ADD LESS  -- ADOLESCENTS.

3999
03:16:36,204 --> 03:16:42,076
NOT ENOUGH EVERYDAY TO DRAW ANY 

4000
03:16:42,076 --> 03:16:46,814
KIND OF KWON COLLUSION.

4001
03:16:46,814 --> 03:16:52,086
THERE IS MORE DATA AND THE 

4002
03:16:52,086 --> 03:16:54,989
CONCLUDING STATEMENT IS EVIDENCE

4003
03:16:54,989 --> 03:16:57,558
SUGGESTS THAT LOW AND NO-CALORIE

4004
03:16:57,558 --> 03:16:59,093
SWEETENED BEVERAGE CONSUMPTION 

4005
03:16:59,093 --> 03:17:00,928
BY ADULTS AND OLDER ADULTS MAY 

4006
03:17:00,928 --> 03:17:09,837
NOT BE ASSOCIATED WITH RISK OF 

4007
03:17:09,837 --> 03:17:12,506
TYPE II DIABETES THE EVERYDAY 

4008
03:17:12,506 --> 03:17:13,207
WAS LIMITED.

4009
03:17:13,207 --> 03:17:17,211
THE BODY OF EVIDENCE IS FAIRLY 

4010
03:17:17,211 --> 03:17:22,950
EXTENSIVE WITH 11 RANDOMIZED 

4011
03:17:22,950 --> 03:17:26,020
TRIALS AND ARTICLES AND 21 

4012
03:17:26,020 --> 03:17:28,022
PROSPECTIVE COHORT STUDIES.

4013
03:17:28,022 --> 03:17:29,857
NCC IS A CONTROL STUDY 

4014
03:17:29,857 --> 03:17:36,264
ESSENTIALLY A PROSPECTIVE STUDY.

4015
03:17:36,264 --> 03:17:42,670
THERE WERE SEVERAL CONCERNS DUE 

4016
03:17:42,670 --> 03:17:43,571
TO VARIATION DIRECTION AND 

4017
03:17:43,571 --> 03:17:49,143
MAGNITUDE OF EFFECTS.

4018
03:17:49,143 --> 03:17:51,579
THE RANDOMIZED TRIALS WERE SHORT

4019
03:17:51,579 --> 03:17:53,814
TERM AND SOME SMALL LOOKED MORE 

4020
03:17:53,814 --> 03:17:55,616
AT THE BIOMARKERS.

4021
03:17:55,616 --> 03:17:57,752
THEY DIDN'T HAVE DIABETES AS THE

4022
03:17:57,752 --> 03:17:58,786
END POINT.

4023
03:17:58,786 --> 03:18:03,357
AMONG THE PROSPECTIVE COHORT 

4024
03:18:03,357 --> 03:18:04,959
STUDIES THERE WAS CONSIDERABLE 

4025
03:18:04,959 --> 03:18:05,559
VARIATION.

4026
03:18:05,559 --> 03:18:10,064
THE STUDIES TENDED TO SHOW NO 

4027
03:18:10,064 --> 03:18:10,798
ASSOCIATION OR SOME HAD A 

4028
03:18:10,798 --> 03:18:16,871
POSITIVE ASSOCIATION.

4029
03:18:16,871 --> 03:18:20,174
THERE WAS NO REAL ISSUE FROM THE

4030
03:18:20,174 --> 03:18:20,541
COHORT STUDIES.

4031
03:18:20,541 --> 03:18:26,547
THERE WERE LARGE STUDIES.

4032
03:18:26,547 --> 03:18:29,583
THE MAIN ISSUE LEADING TO 

4033
03:18:29,583 --> 03:18:33,587
LIMITED EVIDENCE IS THE 

4034
03:18:33,587 --> 03:18:41,562
POTENTIAL FOR CONFOUNDING.

4035
03:18:41,562 --> 03:18:48,035
AND THIS WAS MEASURED BY BMI AND

4036
03:18:48,035 --> 03:18:50,204
STUDIES CONTROL THE BMI 

4037
03:18:50,204 --> 03:18:52,106
ASSOCIATIONS GO WEAKER AND MAYBE

4038
03:18:52,106 --> 03:18:53,040
SOME POSITIVE ASSOCIATIONS MAY 

4039
03:18:53,040 --> 03:19:03,517
GO TO ORIGINAL CONFOUNDING.

4040
03:19:18,399 --> 03:19:19,000
SOME CATEGORIES WERE COMBINED 

4041
03:19:19,000 --> 03:19:21,569
WITH WATER AND THERE WERE ISSUES

4042
03:19:21,569 --> 03:19:23,237
WITH DIRECTEDNESS.

4043
03:19:23,237 --> 03:19:28,109
FOR GENERALIZABILITY I THINK 

4044
03:19:28,109 --> 03:19:34,015
HALF THE STUDIES WERE IN THE 

4045
03:19:34,015 --> 03:19:40,121
U.S. AND GENERALLY SKEWED 

4046
03:19:40,121 --> 03:19:44,525
TOWARDS NON-HISPANIC WHITE SO 

4047
03:19:44,525 --> 03:19:46,961
THERE WERE CONCERNS WITH 

4048
03:19:46,961 --> 03:19:49,563
GENERALIZABILITY.

4049
03:19:49,563 --> 03:19:51,632
THILS 

4050
03:19:51,632 --> 03:19:55,569
THIS IS A SUMMARY OF THE INFANTS

4051
03:19:55,569 --> 03:19:56,404
STUDIES AND A CONCLUSION 

4052
03:19:56,404 --> 03:19:58,739
STATEMENT COULD NOT BE DRAWN AND

4053
03:19:58,739 --> 03:20:04,145
LIMITED EVIDENCE SUGGESTS LOW OR

4054
03:20:04,145 --> 03:20:07,982
NO CALORIE SWEETENED BEVERAGE 

4055
03:20:07,982 --> 03:20:12,686
MAY NOT BE ASSOCIATED WITH TYPE 

4056
03:20:12,686 --> 03:20:13,354
II DIABETES WITH LIMITS.

4057
03:20:13,354 --> 03:20:15,823
THIS IS THE ANALYTIC FRAMEWORK 

4058
03:20:15,823 --> 03:20:17,858
LOOKING AT SUGAR-SWEETENED 

4059
03:20:17,858 --> 03:20:21,629
BEVERAGE CONSUMPTION AND RISK OF

4060
03:20:21,629 --> 03:20:26,033
TYPE II DIABETES.

4061
03:20:26,033 --> 03:20:31,105
IT'S VERY SIMILAR FOR THE LOW 

4062
03:20:31,105 --> 03:20:33,574
AND NO-CALORIE BEVERAGES.

4063
03:20:33,574 --> 03:20:40,147
THE ONLY POINT I'LL MAKE IS THE 

4064
03:20:40,147 --> 03:20:45,586
COMPARATOR IS A SUGAR SWEETENED 

4065
03:20:45,586 --> 03:20:48,055
BEVERAGE VERSUS LOW AND NO 

4066
03:20:48,055 --> 03:20:48,856
CALORIE SWEETENED BEVERAGES.

4067
03:20:48,856 --> 03:20:50,858
I SHOULD HAVE MENTIONED THAT FOR

4068
03:20:50,858 --> 03:20:53,427
THE LOW AND NO-CALORIE BEVERAGES

4069
03:20:53,427 --> 03:20:55,930
IF THE COMPARISON IS WITH SUGAR 

4070
03:20:55,930 --> 03:20:57,565
SWEETENED BEVERAGES IN THIS 

4071
03:20:57,565 --> 03:21:04,939
GROUP.

4072
03:21:04,939 --> 03:21:08,008
TO THE COMPARISON USUALLY LOOKS 

4073
03:21:08,008 --> 03:21:14,181
AT A GRADIENT OF CONSUMPTION.

4074
03:21:14,181 --> 03:21:18,919
SO THIS IS INFANTS AND YOUNG 

4075
03:21:18,919 --> 03:21:19,320
CHILDREN.

4076
03:21:19,320 --> 03:21:23,457
SEE IN THE STUDIES THIS TOOK 

4077
03:21:23,457 --> 03:21:29,130
WORK FOR US TO -- WE HAD MANY 

4078
03:21:29,130 --> 03:21:32,867
DISCUSSION ON THIS AND NO 

4079
03:21:32,867 --> 03:21:33,701
STATEMENT COULD BE MADE OR 

4080
03:21:33,701 --> 03:21:43,911
CONCLUSION.

4081
03:21:47,148 --> 03:21:49,750
BODY OF EVIDENCE AND FIVE 

4082
03:21:49,750 --> 03:21:51,919
ARTICLES ALL PROSPECTIVE COHORT 

4083
03:21:51,919 --> 03:21:56,357
STUDIES AND CONCERNS WITH 

4084
03:21:56,357 --> 03:21:57,258
DIRECTEDNESS AND STUDIES 

4085
03:21:57,258 --> 03:22:01,462
EXAMINING THE PRIMARY OUTCOME OF

4086
03:22:01,462 --> 03:22:01,729
INTEREST.

4087
03:22:01,729 --> 03:22:10,738
SO CONCLUDE COULD NOT BE DRAWN.

4088
03:22:10,738 --> 03:22:11,405
FOR SUGAR SWEETENED BEVERAGES IN

4089
03:22:11,405 --> 03:22:13,574
ADULTS AND OLDER ADULTS AND RISK

4090
03:22:13,574 --> 03:22:15,442
OF TYPE II DIABETES, THERE WERE 

4091
03:22:15,442 --> 03:22:21,582
A LOT OF MORE STUDIES AND THE 

4092
03:22:21,582 --> 03:22:24,785
CONCLUSION WAS MODERATE EVIDENCE

4093
03:22:24,785 --> 03:22:25,319
REFLECTS SUGAR SWEETENED 

4094
03:22:25,319 --> 03:22:26,720
BEVERAGES IN ADULTS AND OLDER 

4095
03:22:26,720 --> 03:22:30,925
ADULTS MAY BE ASSOCIATED WITH 

4096
03:22:30,925 --> 03:22:33,194
HIGHER RISK OF TYPE II DIABETES.

4097
03:22:33,194 --> 03:22:36,263
SEE A FAIRLY ROBUST BODY OF 

4098
03:22:36,263 --> 03:22:37,531
EVIDENCE AND 41 ARTICLES.

4099
03:22:37,531 --> 03:22:38,832
NONETHELESS THE EVIDENCE WAS 

4100
03:22:38,832 --> 03:22:40,167
LIMITED FROM RANDOMIZED TRIALS 

4101
03:22:40,167 --> 03:22:48,809
WITH FOUR STUDIES.

4102
03:22:48,809 --> 03:22:50,744
THERE WAS MINIMAL VARIATION IN 

4103
03:22:50,744 --> 03:22:51,946
THE DIRECTION AND SIGNIFICANCE 

4104
03:22:51,946 --> 03:22:58,052
OF THE FINDINGS MOST SHOW A 

4105
03:22:58,052 --> 03:23:05,559
POSITIVE ASSOCIATION THEY WERE 

4106
03:23:05,559 --> 03:23:07,962
LIMITED BY SAMPLE SIZE AND 

4107
03:23:07,962 --> 03:23:13,300
LIMITED DURATION IN SOME CASES.

4108
03:23:13,300 --> 03:23:16,237
FOR RISK OF BIAS THERE WERE SOME

4109
03:23:16,237 --> 03:23:19,740
CONCERNS AND SOME STUDIES DID A 

4110
03:23:19,740 --> 03:23:25,346
GOOD JOB IN CONFOUNDING.

4111
03:23:25,346 --> 03:23:30,684
FOR DIRECT ED NESS THERE WERE 

4112
03:23:30,684 --> 03:23:33,988
CONCERNS AND MOST STUDIES WERE 

4113
03:23:33,988 --> 03:23:35,823
DESIGN TO LOOK AT SUGAR 

4114
03:23:35,823 --> 03:23:36,257
SWEETENED BEVERAGES.

4115
03:23:36,257 --> 03:23:37,424
FOR GENERALIZABILITY HALF THE 

4116
03:23:37,424 --> 03:23:40,861
STUDIES WERE CONDUCTED IN 

4117
03:23:40,861 --> 03:23:42,696
U.S. POPULATION BUT THERE WERE 

4118
03:23:42,696 --> 03:23:47,034
SOME CONCERNS WITH LOW DIVERSITY

4119
03:23:47,034 --> 03:23:54,341
AND REPORT RACE.

4120
03:23:54,341 --> 03:23:56,910
THIS IS THE CONCLUSION OF SUGAR 

4121
03:23:56,910 --> 03:23:58,979
SWEETENED BEVERAGES, INFANT, 

4122
03:23:58,979 --> 03:23:59,513
CHILDREN, ADOLESCENTS, NO 

4123
03:23:59,513 --> 03:24:09,056
CONCLUSIONS.

4124
03:24:09,056 --> 03:24:10,157
MODERATE EVIDENCE INDICATES 

4125
03:24:10,157 --> 03:24:13,560
SUGAR SWEETENED CONSUMPTION IS 

4126
03:24:13,560 --> 03:24:15,062
ASSOCIATE WITH HIGHER RISK OF 

4127
03:24:15,062 --> 03:24:15,329
DIABETES.

4128
03:24:15,329 --> 03:24:19,933
I THINK THAT'S IT.

4129
03:24:19,933 --> 03:24:22,002
>> SO ON TO -- SO THIS
QUESTION 

4130
03:24:22,002 --> 03:24:25,039
WE'RE LOOKING AT THE 

4131
03:24:25,039 --> 03:24:28,142
RELATIONSHIP BETWEEN SUGAR 

4132
03:24:28,142 --> 03:24:28,809
SWEETENED BEVERAGES CONSUMPTION 

4133
03:24:28,809 --> 03:24:33,347
AND GROWTH BODY COMPOSITION AND 

4134
03:24:33,347 --> 03:24:37,284
RISK OF OBESITY WAS FOR 

4135
03:24:37,284 --> 03:24:38,519
META-ANALYSIS FOR INFANCY 

4136
03:24:38,519 --> 03:24:40,120
THROUGH ADOLESCENCE AND ADULTS 

4137
03:24:40,120 --> 03:24:41,455
AND OLDER ADULTS.

4138
03:24:41,455 --> 03:24:45,726
TODAY WE'LL BE PRESENTING THE 

4139
03:24:45,726 --> 03:24:48,429
CONCLUSION STATEMENT FOR INFANCY

4140
03:24:48,429 --> 03:24:50,631
THROUGH ADOLESCENCE AND THE 

4141
03:24:50,631 --> 03:24:51,632
REMAINING LIFE STAGES AND 

4142
03:24:51,632 --> 03:24:53,567
ADULTS, OLDER ADULTS AND 

4143
03:24:53,567 --> 03:24:54,468
INDIVIDUALS THROUGH PREGNANCY 

4144
03:24:54,468 --> 03:24:57,705
AND POSTPARTUM WILL BE AT THE 

4145
03:24:57,705 --> 03:25:01,842
NEXT MEETING.

4146
03:25:01,842 --> 03:25:07,114
HERE WE SEE THE AN HITT T TIC - 

4147
03:25:07,114 --> 03:25:09,083
ANALYTIC FRAMEWORK FOCUSSING ON 

4148
03:25:09,083 --> 03:25:17,591
CHILDREN AND ADD LESS -- 

4149
03:25:17,591 --> 03:25:19,993
ADOLESCENTS AN SUGAR SWEETENED 

4150
03:25:19,993 --> 03:25:21,428
BEVERAGES CONSUMPTION INCLUDED 

4151
03:25:21,428 --> 03:25:22,996
FRUIT DRINKS AND JUICE EXPOSURES

4152
03:25:22,996 --> 03:25:25,632
THAT WERE NOT VERIFIED AS 100% 

4153
03:25:25,632 --> 03:25:27,034
JUICE.

4154
03:25:27,034 --> 03:25:29,570
ANYTHING THAT WAS 100% JUICE 

4155
03:25:29,570 --> 03:25:31,472
WOULD NOT BE INCLUDED IN THIS.

4156
03:25:31,472 --> 03:25:33,340
LOOKING AT COMPARE TORS IN 

4157
03:25:33,340 --> 03:25:35,776
ADDITION TO COMPARATORS FOR 

4158
03:25:35,776 --> 03:25:36,810
OTHER BEVERAGE TYPES AND 

4159
03:25:36,810 --> 03:25:41,749
CONSUMPTION OF A DIFFERENT 

4160
03:25:41,749 --> 03:25:46,186
AMOUNT OR WATER WE DID INCLUDE 

4161
03:25:46,186 --> 03:25:48,622
STUDIES LOOKING AT SUGAR 

4162
03:25:48,622 --> 03:25:51,825
SWEETENED BEVERAGES TO LOW AND 

4163
03:25:51,825 --> 03:25:56,363
NO-CALORIE AND LOOK ING AT THE 

4164
03:25:56,363 --> 03:25:57,831
CONFOUNDERS THEY WERE DIFFERENT 

4165
03:25:57,831 --> 03:26:01,235
FOR CHILDREN AND ADOLESCENTS AND

4166
03:26:01,235 --> 03:26:07,641
YOU CAN SEE WE INCLUDED MILK 

4167
03:26:07,641 --> 03:26:14,615
FEEDING PRACTICES AND INCLUDED 

4168
03:26:14,615 --> 03:26:19,887
PHYSICAL ACTIVITY AS WELL AS 

4169
03:26:19,887 --> 03:26:21,789
DIET QUALITY.

4170
03:26:21,789 --> 03:26:24,091
SO FOR THE LIFE STAGES OF 

4171
03:26:24,091 --> 03:26:26,894
INFANCY THROUGH ADOLESCENCE WERE

4172
03:26:26,894 --> 03:26:27,795
SYNTHESIZED TOGETHER AND WE'RE 

4173
03:26:27,795 --> 03:26:31,999
ADDRESSING THEM WITH ONE 

4174
03:26:31,999 --> 03:26:33,567
CONCLUSION STATEMENT.

4175
03:26:33,567 --> 03:26:37,271
MODERATE EVIDENCE INDICATES 

4176
03:26:37,271 --> 03:26:37,805
SUGAR SWEETENED BEVERAGES 

4177
03:26:37,805 --> 03:26:39,640
CONSUMPTION IS ASSOCIATED WITH 

4178
03:26:39,640 --> 03:26:41,442
UNFAVORABLE GROWTH PATTERNS AND 

4179
03:26:41,442 --> 03:26:43,177
BODY COMPOSITION AND HIGHER RISK

4180
03:26:43,177 --> 03:26:44,912
OF OBESITY DURING CHILDHOOD AND 

4181
03:26:44,912 --> 03:26:49,316
UP THROUGH EARLY ADULTHOOD.

4182
03:26:49,316 --> 03:26:51,819
THE DEVELOPMENT CONSIDERED THE 

4183
03:26:51,819 --> 03:26:53,554
RESULTS FROM BOTH THE 

4184
03:26:53,554 --> 03:26:55,856
META-ANALYSIS AS WELL AS ALL THE

4185
03:26:55,856 --> 03:26:58,792
ARTICLES FROM SYSTEMIC REVIEW 

4186
03:26:58,792 --> 03:27:01,562
AND TWO-THIRDS IN THE EVIDENCE 

4187
03:27:01,562 --> 03:27:07,034
BASE WERE INCLUDED IN THE 

4188
03:27:07,034 --> 03:27:07,534
META-ANALYSIS.

4189
03:27:07,534 --> 03:27:13,373
YOU CAN SEE YOU'LL FIVE WERE 

4190
03:27:13,373 --> 03:27:15,876
INCLUDED AND THE OBSERVATIONAL 

4191
03:27:15,876 --> 03:27:16,743
STUDIES WERE INCLUDED IN THE 

4192
03:27:16,743 --> 03:27:24,384
META-ANALYSIS.

4193
03:27:24,384 --> 03:27:27,888
COMMON REASONS WHY AN ARTICLE 

4194
03:27:27,888 --> 03:27:29,690
NAY NOT BE INCLUDES IS RECORDING

4195
03:27:29,690 --> 03:27:36,830
ON LESS COMMON OUTCOMES AND 

4196
03:27:36,830 --> 03:27:45,105
SCORES AND  ADIPOSITY AND WHEN 

4197
03:27:45,105 --> 03:27:47,808
LOOKING AT AGE WITHIN THE 

4198
03:27:47,808 --> 03:27:52,579
EVIDENCE BASE, 17 ARTICLE WERE 

4199
03:27:52,880 --> 03:27:57,251
IN INFANTS AND CHILDREN UP TO 12

4200
03:27:57,251 --> 03:28:00,320
MONTHS AND EIGHT WERE INCLUDED 

4201
03:28:00,320 --> 03:28:01,555
IN THE META-ANALYSES.

4202
03:28:01,555 --> 03:28:03,323
THE REMAINDER OF ARTICLES WERE 

4203
03:28:03,323 --> 03:28:07,861
IN CHILDREN AND ADOLESCENTS AND 

4204
03:28:07,861 --> 03:28:10,330
16 ARTICLES INCLUDED FOLLOW-UP 

4205
03:28:10,330 --> 03:28:13,033
TIMES TO ADULTHOOD.

4206
03:28:13,033 --> 03:28:16,169
FOR THE SYSTEMATIC REVIEW 

4207
03:28:16,169 --> 03:28:18,038
FINDINGS AND IT SHOWED A 

4208
03:28:18,038 --> 03:28:19,439
CONSISTENT DIRECTIONALITY ACROSS

4209
03:28:19,439 --> 03:28:21,575
THE DIFFERENT OUTCOMES.

4210
03:28:21,575 --> 03:28:24,077
ALL ARTICLES FROM THE RANDOMIZED

4211
03:28:24,077 --> 03:28:25,579
CONTROL TRIALS REPORTED ONE 

4212
03:28:25,579 --> 03:28:27,614
DIRECT EFFECT OF SUGAR SWEETENED

4213
03:28:27,614 --> 03:28:33,554
BEVERAGE CONSUMPTION VERSUS THE 

4214
03:28:33,554 --> 03:28:37,090
COMPARATOR WITH THE OUTCOMES.

4215
03:28:37,090 --> 03:28:39,059
OVER HALF FOUND ONE DIRECT 

4216
03:28:39,059 --> 03:28:41,094
ASSOCIATION BETWEEN SUGAR 

4217
03:28:41,094 --> 03:28:43,030
SWEETENED BEVERAGE CONSUMPTION 

4218
03:28:43,030 --> 03:28:44,698
AND THE GROWTH BODY COMPOSITION 

4219
03:28:44,698 --> 03:28:46,166
AND RISK OF OBESITY OUTCOMES.

4220
03:28:46,166 --> 03:28:50,070
NO ARTICLES REPORTED AN INDIRECT

4221
03:28:50,070 --> 03:28:51,572
EFFECT OR ASSOCIATION.

4222
03:28:51,572 --> 03:28:56,176
THERE WEREN'T STUDIES THAT 

4223
03:28:56,176 --> 03:28:57,578
SHOWED SUGAR SWEETENED BEVERAGES

4224
03:28:57,578 --> 03:28:58,912
CONSUMPTION WAS RELATED TO 

4225
03:28:58,912 --> 03:29:02,249
FAVORABLE OUTCOMES FROM INFANCY 

4226
03:29:02,249 --> 03:29:04,184
THROUGH ADOLESCENCE.

4227
03:29:04,184 --> 03:29:06,420
FOR OUR META-ANALYSIS IT 

4228
03:29:06,420 --> 03:29:11,224
INCLUDED OUTCOME WITHIN EACH OF 

4229
03:29:11,224 --> 03:29:15,662
THE BUCKET S BUCKETS FINDINGS W 

4230
03:29:15,662 --> 03:29:17,598
CONSISTENT WITH THAT OF OUR OVER

4231
03:29:17,598 --> 03:29:20,367
ALL QUALITATIVE SYNTHESIS WITH 

4232
03:29:20,367 --> 03:29:21,001
GENERAL AGREEMENT IN DIRECTION 

4233
03:29:21,001 --> 03:29:22,102
OF FINDINGS AND LOW 

4234
03:29:22,102 --> 03:29:32,346
HETEROGENEITY.

4235
03:29:33,614 --> 03:29:40,087
PER -- PROPORTIONATELY THE 

4236
03:29:40,087 --> 03:29:43,724
OUTCOME WERE LESS FREQUENTLY 

4237
03:29:43,724 --> 03:29:46,126
REPORTED IN THE SCORE FOR 

4238
03:29:46,126 --> 03:29:46,426
ADOLESCENTS.

4239
03:29:46,426 --> 03:29:47,861
WHEN WE LOOK AT THE GRADING 

4240
03:29:47,861 --> 03:29:49,563
ELEMENT FOR CONSISTENCY FINDINGS

4241
03:29:49,563 --> 03:29:52,666
ACROSS THE ARTICLES WERE 

4242
03:29:52,666 --> 03:29:53,433
GENERALLY CONSISTENT IN THE 

4243
03:29:53,433 --> 03:29:55,769
DIRECT OF EFFECT WHILE THERE WAS

4244
03:29:55,769 --> 03:29:57,437
A MIX OF STATISTICALLY 

4245
03:29:57,437 --> 03:30:02,275
SIGNIFICANT AND NON-SIGNIFICANT 

4246
03:30:02,275 --> 03:30:03,677
FINDINGS WITHIN ARTICLES SUCH AS

4247
03:30:03,677 --> 03:30:06,380
REPORTING ON MORE THAN ONE 

4248
03:30:06,380 --> 03:30:09,549
OUTCOME OR SUBGROUP ANALYSES, 

4249
03:30:09,549 --> 03:30:11,385
FINDINGS WERE OF DIRECT OR 

4250
03:30:11,385 --> 03:30:14,388
DIRECT ASSOCIATION OR NO 

4251
03:30:14,388 --> 03:30:15,255
ASSOCIATION.

4252
03:30:15,255 --> 03:30:17,491
NO ARTICLES REPORTED IN DIRECT 

4253
03:30:17,491 --> 03:30:18,825
EFFECT OR ASSOCIATION AND WHEN 

4254
03:30:18,825 --> 03:30:21,928
WE LOOKED AT THE META-ANALYSIS 

4255
03:30:21,928 --> 03:30:24,998
RESULTS SHOWED SIMILAR 

4256
03:30:24,998 --> 03:30:26,900
CONSISTENCY IN THE MAGNITUDE OF 

4257
03:30:26,900 --> 03:30:27,401
FINDINGS.

4258
03:30:27,401 --> 03:30:29,970
FOR PRECISION THERE WERE NO 

4259
03:30:29,970 --> 03:30:31,304
OVERT CONCERNS WITH POWER 

4260
03:30:31,304 --> 03:30:33,140
ARTICLES FROM THE RANDOMIZED 

4261
03:30:33,140 --> 03:30:34,908
CONTROL TRIALS AND NEARLY HALF 

4262
03:30:34,908 --> 03:30:40,113
THE OBSERVATIONAL STUDIES HAD 

4263
03:30:40,113 --> 03:30:46,086
SAMPLE SIZES GREATER THAN 1,000 

4264
03:30:46,086 --> 03:30:48,355
AND ALL THE ANALYSES HAD A 

4265
03:30:48,355 --> 03:30:57,964
SAMPLE SIZE 15,000 TO 17,000 FOR

4266
03:30:57,964 --> 03:30:58,265
OBSERVATION.

4267
03:30:58,265 --> 03:31:00,467
THERE WAS A HIGH RISK OF BIAS 

4268
03:31:00,467 --> 03:31:02,869
DUE TO CONFOUNDING AND MISSING 

4269
03:31:02,869 --> 03:31:04,204
DATA.

4270
03:31:04,204 --> 03:31:09,576
TESTS OF ASYMMETRY SUGGESTED A 

4271
03:31:09,576 --> 03:31:13,413
FEW EFFECT SIZES MAY BE MISSING 

4272
03:31:13,413 --> 03:31:14,715
FROM THE DATA ANALYSIS AND COULD

4273
03:31:14,715 --> 03:31:18,218
BE DUE TO CHANCE BUT MORE LIKELY

4274
03:31:18,218 --> 03:31:21,922
THERE WAS SOME NONE-REPORTING 

4275
03:31:21,922 --> 03:31:24,458
BIAS INCLUDING PUBLICATION BIAS.

4276
03:31:24,458 --> 03:31:29,329
FOR DIRECTNESS MOST THE ARTICLES

4277
03:31:29,329 --> 03:31:29,996
CONSISTENTLY MEASURED THE 

4278
03:31:29,996 --> 03:31:32,065
RELATIONSHIP OF INTEREST AND 

4279
03:31:32,065 --> 03:31:33,500
LOOKING AT GENERALIZABILITY THE 

4280
03:31:33,500 --> 03:31:35,435
BODY OF EVIDENCE HAD GREATER 

4281
03:31:35,435 --> 03:31:40,540
DIVERSITY IN RAGE AND ETHNICITY 

4282
03:31:40,540 --> 03:31:42,175
AND SOCIO ECONOMIC CONDITIONS 

4283
03:31:42,175 --> 03:31:45,112
FROM THE OBSERVATIONAL STUDIES.

4284
03:31:45,112 --> 03:31:47,147
THERE WERE CONCERNS WITH 

4285
03:31:47,147 --> 03:31:49,349
GENERALIZABILITY INCLUDING A 

4286
03:31:49,349 --> 03:31:50,984
LACK OF TRIAL DATA FOR CHILDREN 

4287
03:31:50,984 --> 03:31:52,219
YOUNGER THAN 8 YEARS OF AGE AND 

4288
03:31:52,219 --> 03:31:56,256
THE FACT THERE WAS A SMALLER 

4289
03:31:56,256 --> 03:31:58,058
NUMBER AND SMALLER PER PORTION 

4290
03:31:58,058 --> 03:32:00,127
INCLUDED IN THE META-ANALYSIS 

4291
03:32:00,127 --> 03:32:01,862
FROM INFANTS AND YOUNG CHILDREN 

4292
03:32:01,862 --> 03:32:03,630
LIFE STAGE COMPARED TO THE OLDER

4293
03:32:03,630 --> 03:32:14,074
CHILDREN AND ADOLESCENTS.

4294
03:32:18,879 --> 03:32:25,218
>> SO ANY QUESTIONS OR
COMMENTS?

4295
03:32:25,218 --> 03:32:27,721
>> I HAVE AN OBSERVATION.

4296
03:32:27,721 --> 03:32:29,156
I'M SO STRUCK BY HOW LITTLE 

4297
03:32:29,156 --> 03:32:30,957
EVIDENCE THERE IS FOR YOU TO 

4298
03:32:30,957 --> 03:32:38,765
WORK WITH ON THESE TOPICS.

4299
03:32:38,765 --> 03:32:42,202
GIVEN HOW MUCH ATTENTION THEY'VE

4300
03:32:42,202 --> 03:32:45,572
BEEN RECEIVING I'M STRUCK.

4301
03:32:45,572 --> 03:32:47,808
I THINK IT'S MORE OF AN 

4302
03:32:47,808 --> 03:32:50,343
OBSERVATION AND BEFUDDLEMENT WHY

4303
03:32:50,343 --> 03:32:51,945
THERE ISN'T MORE LITERATURE.

4304
03:32:51,945 --> 03:32:53,079
I'M GOING TO SAY THE SAME THING 

4305
03:32:53,079 --> 03:32:57,551
I DID TO THE LAST GROUP, I HOPE 

4306
03:32:57,551 --> 03:32:59,786
THERE'S GOING TO BE DISCUSSION 

4307
03:32:59,786 --> 03:33:04,224
IN THE CHAPTER ON WHAT IS NEEDED

4308
03:33:04,224 --> 03:33:08,695
TO ANSWER THESE QUESTIONS.

4309
03:33:08,695 --> 03:33:11,731
>> WE HAVE LOTS OF IDEAS.

4310
03:33:11,731 --> 03:33:14,668
I DID WANT TO SAY ESPECIALLY 

4311
03:33:14,668 --> 03:33:19,706
WITH WHAT ANDREA PRESENTED AND 

4312
03:33:19,706 --> 03:33:23,276
THEN WHAT WE SAW WITH THE DATA 

4313
03:33:23,276 --> 03:33:28,348
ANALYSIS EARLIER ON THE SUGARY 

4314
03:33:28,348 --> 03:33:29,216
BEVERA

4315
03:33:29,216 --> 03:33:31,952
BEVERAGES IT'D PRETTY MUCH OUT 

4316
03:33:31,952 --> 03:33:32,452
OF BALANCE.

4317
03:33:32,452 --> 03:33:33,887
THAT'S INTERESTING GIVEN THE 

4318
03:33:33,887 --> 03:33:34,421
EVIDENCE WE'VE SEEN WITH 

4319
03:33:34,421 --> 03:33:44,598
CHILDREN.

4320
03:33:57,510 --> 03:33:59,079
>> I'LL TURN IT OVER TO
SARAH 

4321
03:33:59,079 --> 03:34:05,518
AND WE'LL HAVE I A BREAK AND 

4322
03:34:05,518 --> 03:34:06,019
FINISH WITH THE DIETARY 

4323
03:34:06,019 --> 03:34:18,362
PATTERNS.

4324
03:34:18,362 --> 03:34:20,765
>> WE'LL KNEW TAKE A BREAK
FOR 

4325
03:34:20,765 --> 03:34:21,232
LUNCH FOR 45 MINUTES.

4326
03:34:21,232 --> 03:34:21,499
THANK YOU.

4327
03:34:21,499 --> 03:34:21,565
 

4328
03:34:27,880 --> 03:34:32,251
>> OKAY.

4329
03:34:32,251 --> 03:34:37,422
WE'RE GOING TO RESUME WELCOME 

4330
03:34:37,422 --> 03:34:43,762
BACK.

4331
03:34:43,762 --> 03:34:44,663
DEANNA, I'M GOING TO HAND IT 

4332
03:34:44,663 --> 03:34:45,297
OVER TO YOU.

4333
03:34:45,297 --> 03:34:47,666
>> THANK YOU.

4334
03:34:47,666 --> 03:34:51,103
WE'RE GOING TO CONTINUE WITH 

4335
03:34:51,103 --> 03:34:54,172
DIETARY PATTERNS AND I JUST 

4336
03:34:54,172 --> 03:34:55,807
WANTED TO REMIND EVERYONE THAT 

4337
03:34:55,807 --> 03:34:57,609
THE CONCLUSION STATEMENTS THAT 

4338
03:34:57,609 --> 03:34:59,511
WE'RE GOING TO PRESENT TODAY ARE

4339
03:34:59,511 --> 03:35:01,747
GOING TO BE LOOKED AT 

4340
03:35:01,747 --> 03:35:03,615
COLLECTIVELY WITH FOOD PATTERN 

4341
03:35:03,615 --> 03:35:05,050
MODELLING AND DATA ANALYSIS 

4342
03:35:05,050 --> 03:35:08,020
FINDINGS TO INFORM THE 

4343
03:35:08,020 --> 03:35:08,787
RECOMMENDATIONS AND THE 

4344
03:35:08,787 --> 03:35:10,622
SCIENTIFIC REPORT SO JUST A 

4345
03:35:10,622 --> 03:35:12,090
REMINDER FOR EVERYONE.

4346
03:35:12,090 --> 03:35:14,993
BUT WE'VE MADE A LOT OF PROGRESS

4347
03:35:14,993 --> 03:35:18,463
SINCE MEETING 4.

4348
03:35:18,463 --> 03:35:22,200
THIS SLIDE SHOWS OUR PROGRESS SO

4349
03:35:22,200 --> 03:35:24,703
WE HAVE ONE SYSTEMATIC REVIEW 

4350
03:35:24,703 --> 03:35:26,004
UNDER PEER REVIEW.

4351
03:35:26,004 --> 03:35:27,272
RIGHT NOW WE'RE WORKING TO 

4352
03:35:27,272 --> 03:35:28,373
CONSIDER THE COMMENTS AND 

4353
03:35:28,373 --> 03:35:32,711
ADDRESS ALL OF THE REVISIONS.

4354
03:35:32,711 --> 03:35:34,880
AND THAT WAS DIETARY PATTERNS 

4355
03:35:34,880 --> 03:35:37,249
AND BODY COMPOSITION AND RISK OF

4356
03:35:37,249 --> 03:35:38,050
OBESITY.

4357
03:35:38,050 --> 03:35:39,785
DIFFERENT AGE CATEGORIES.

4358
03:35:39,785 --> 03:35:43,588
IT'S QUITE A BIG SYSTEMATIC 

4359
03:35:43,588 --> 03:35:44,256
REVIEW.

4360
03:35:44,256 --> 03:35:46,525
SO SINCE MEETING 4, WE HAVE 

4361
03:35:46,525 --> 03:35:49,294
COMPLETED THREE SYSTEMATIC 

4362
03:35:49,294 --> 03:35:52,798
REVIEWS DIETARY PATTERNS AND 

4363
03:35:52,798 --> 03:35:58,870
RISK OF TYPE II DIABETES, 

4364
03:35:58,870 --> 03:36:01,239
DIETARY PATTERNS AND ULTRA 

4365
03:36:01,239 --> 03:36:02,841
PROCESSED FOODS AND GROSS BODY 

4366
03:36:02,841 --> 03:36:10,482
COMPOSITION AND RISK OF OBESITY 

4367
03:36:10,482 --> 03:36:12,317
AND WE HAVE THREE SYSTEMATIC 

4368
03:36:12,317 --> 03:36:13,418
REVIEWS UNDERWAY WE'LL COMPLETE 

4369
03:36:13,418 --> 03:36:14,953
IN THE NEXT FEW MONTHS.

4370
03:36:14,953 --> 03:36:15,754
DIETARY PATTERNS AND RISK OF 

4371
03:36:15,754 --> 03:36:19,624
COGNITIVE DECLINE, DEMENTIA, 

4372
03:36:19,624 --> 03:36:20,792
ALZHEIMER'S DISEASE AND MILD 

4373
03:36:20,792 --> 03:36:21,860
COGNITIVE IMPAIRMENT.

4374
03:36:21,860 --> 03:36:25,464
DIETARY PATTERNS AND RISK OF 

4375
03:36:25,464 --> 03:36:27,766
BREAST CANCER AND DIETARY 

4376
03:36:27,766 --> 03:36:29,534
PATTERS AND RISK OF COLORECTAL 

4377
03:36:29,534 --> 03:36:30,168
CANCER.

4378
03:36:30,168 --> 03:36:32,004
IN LOOKING AT THE WORK THAT 

4379
03:36:32,004 --> 03:36:36,174
REMAINS TOCK DONE, WE HAVE 

4380
03:36:36,174 --> 03:36:37,242
DISCONTINUED ONE OF OUR 

4381
03:36:37,242 --> 03:36:39,044
SYSTEMATIC REVIEWS WE REMOVED AT

4382
03:36:39,044 --> 03:36:42,414
THE BEGINNING ON DIETARY 

4383
03:36:42,414 --> 03:36:43,815
PATTERNS AND BONE HEALTH.

4384
03:36:43,815 --> 03:36:47,152
THIS IS AN IMPORTANT OUTCOME AND

4385
03:36:47,152 --> 03:36:50,122
THE COMMITTEE PRIORITIZED IT BUT

4386
03:36:50,122 --> 03:36:51,857
THE LITERATURE ON DIETARY 

4387
03:36:51,857 --> 03:36:54,059
PATTERNS AND BONE HEALTH HAS NOT

4388
03:36:54,059 --> 03:36:54,826
GROWN SUBSTANTIALLY SINCE THE 

4389
03:36:54,826 --> 03:36:57,629
PREVIOUS REVIEWS CONDUCTED BY 

4390
03:36:57,629 --> 03:37:00,799
THE 2020 DIETARY GUIDELINES 

4391
03:37:00,799 --> 03:37:01,366
ADVISORY COMMITTEE.

4392
03:37:01,366 --> 03:37:03,835
SO WE DEPRIORITIZED IT COMPARED 

4393
03:37:03,835 --> 03:37:04,803
TO THE ONES THAT WE HAVE 

4394
03:37:04,803 --> 03:37:14,980
UNDERWAY.

4395
03:37:16,815 --> 03:37:19,151
THAT WE'LL LEAVE TO FUTURE 

4396
03:37:19,151 --> 03:37:20,052
COMMITTEES AND WITH THAT I'LL 

4397
03:37:20,052 --> 03:37:21,586
HAND IT TO SAMEERA.

4398
03:37:21,586 --> 03:37:25,824
>> I'LL BE AFTERNOON THE 

4399
03:37:25,824 --> 03:37:27,459
ASSOCIATIONS BETWEEN DIETARY 

4400
03:37:27,459 --> 03:37:29,428
PATTERNS AND TYPE II DIABETES.

4401
03:37:29,428 --> 03:37:33,565
THIS IS THE RELATIONSHIP BETWEEN

4402
03:37:33,565 --> 03:37:36,668
DIETARY PATTERNS AND RISK OF 

4403
03:37:36,668 --> 03:37:37,602
TYPE II DIABETES WE LOOKED AT 

4404
03:37:37,602 --> 03:37:42,140
THE QUESTION ACROSS ALL LIFE 

4405
03:37:42,140 --> 03:37:42,374
STAGES.

4406
03:37:42,374 --> 03:37:45,877
THE INTERVENTION OUR EXPOSURE OF

4407
03:37:45,877 --> 03:37:49,147
THE DIETARY PATTERN.

4408
03:37:49,147 --> 03:37:50,782
WE LOOKED AT CONSUMPTION LEVELS 

4409
03:37:50,782 --> 03:37:53,185
OF THE SAME DIETARY PATTERN.

4410
03:37:53,185 --> 03:37:58,390
JUST AS WE HAD SEEN FOR THE 

4411
03:37:58,390 --> 03:38:00,125
BEVERAGES THE SIMILAR AND SAME 

4412
03:38:00,125 --> 03:38:03,028
FOR THE KEY CONFOUNDERS.

4413
03:38:03,028 --> 03:38:04,896
WE ALSO HAVE MADE SURE WE 

4414
03:38:04,896 --> 03:38:07,566
ADDRESSED OR LOOKED AT FAMILY 

4415
03:38:07,566 --> 03:38:08,834
HISTORY OF DIABETES.

4416
03:38:08,834 --> 03:38:10,769
JUST TO ALSO NOTE THIS ACTUALLY 

4417
03:38:10,769 --> 03:38:15,874
IS AN UPDATE TO A SYSTEMATIC 

4418
03:38:15,874 --> 03:38:18,243
REVIEW THAT HAD BEEN DONE 

4419
03:38:18,243 --> 03:38:18,510
PREVIOUS.

4420
03:38:18,510 --> 03:38:21,646
SO THIS LISTS THE LIFE STAGES WE

4421
03:38:21,646 --> 03:38:22,948
EXAMINED INCLUDING CHILDREN AND 

4422
03:38:22,948 --> 03:38:24,549
ADULTS AND OLDER ADULTS.

4423
03:38:24,549 --> 03:38:26,485
I WILL BE PRESENTING OUR 

4424
03:38:26,485 --> 03:38:28,787
FINDINGS FOR THE FIRST TWO.

4425
03:38:28,787 --> 03:38:31,556
WE HAD NO ARTICLES THAT MET 

4426
03:38:31,556 --> 03:38:32,557
INCLUSION CRITERIA FOR INFANTS 

4427
03:38:32,557 --> 03:38:34,159
AND YOUNG CHILDREN UP TO AGE OF 

4428
03:38:34,159 --> 03:38:36,294
24 MONTHS, INDIVIDUALS DURING 

4429
03:38:36,294 --> 03:38:45,504
PREGNANCY AND DURING POSTPARTUM.

4430
03:38:45,504 --> 03:38:47,739
A CONCLUSION CANNOT BE DRAWN AND

4431
03:38:47,739 --> 03:38:50,609
THE RISK OF TYPE II DIABETES 

4432
03:38:50,609 --> 03:38:51,877
BECAUSE OF SUBSTANTIAL CONCERNS 

4433
03:38:51,877 --> 03:38:54,779
WITH DIRECTNESS.

4434
03:38:54,779 --> 03:38:59,918
WE HAD ABOUT 14 ARTICLES YOU, 

4435
03:38:59,918 --> 03:39:02,120
ONE RANDOMIZED AND A COHORT 

4436
03:39:02,120 --> 03:39:03,889
STUDY AND HAD VARIATION IN THE 

4437
03:39:03,889 --> 03:39:07,459
MAGNITUDE OF DEFECTS, LACK OF 

4438
03:39:07,459 --> 03:39:09,394
STATISTICAL SIGNIFICANCE OR THE 

4439
03:39:09,394 --> 03:39:12,130
WIDTH OF THE CONFIDENCE INTERVAL

4440
03:39:12,130 --> 03:39:15,600
YOU, RISK OF BIAS BECAUSE OF NOT

4441
03:39:15,600 --> 03:39:19,171
ACCOUNTING FOR FAMILY HISTORY OF

4442
03:39:19,171 --> 03:39:20,438
DIABETES AND EXPOSURE 

4443
03:39:20,438 --> 03:39:21,273
MISCLASSIFICATION AND HAD 

4444
03:39:21,273 --> 03:39:21,840
CONCERNS ABOUT DIRECTNESS 

4445
03:39:21,840 --> 03:39:23,575
BECAUSE THERE WERE NO STUDIES 

4446
03:39:23,575 --> 03:39:26,011
EXAMINING THE PRIMARY OUTCOMES.

4447
03:39:26,011 --> 03:39:29,281
AND HENCE WE HAD TO GO WITH THAT

4448
03:39:29,281 --> 03:39:35,520
NO CONCLUSION COULD BE DRAWN.

4449
03:39:35,520 --> 03:39:36,454
FOR THE ASSOCIATION BETWEEN 

4450
03:39:36,454 --> 03:39:37,455
DIETARY PATTERNS CONSUMED BY 

4451
03:39:37,455 --> 03:39:39,357
ADULTS AND OLDER ADULTS AND THE 

4452
03:39:39,357 --> 03:39:42,661
RISK OF DIABETES WE CONCLUDED 

4453
03:39:42,661 --> 03:39:44,129
THERE WERE STRONG EVIDENCE TO 

4454
03:39:44,129 --> 03:39:45,096
DEMONSTRATE DIETARY PATTERNS 

4455
03:39:45,096 --> 03:39:47,866
CONSUMED BY ADULTS AND OLDER 

4456
03:39:47,866 --> 03:39:49,601
ADULTS RELATIVELY HIGHER IN 

4457
03:39:49,601 --> 03:39:50,902
VEGETABLES, FRUITS AND WHOLE 

4458
03:39:50,902 --> 03:39:53,205
GRAINS, LEGUMES, NUTS AND FISH 

4459
03:39:53,205 --> 03:39:56,808
OR SEAFOOD AND LOWER IN 

4460
03:39:56,808 --> 03:40:00,779
PROCESSED MEATS,S HIGH FAT DAIRY

4461
03:40:00,779 --> 03:40:01,680
PRODUCTS, REFINED GRAINS AND 

4462
03:40:01,680 --> 03:40:03,715
SUGAR SWEETENED BEVERAGES ARE 

4463
03:40:03,715 --> 03:40:04,816
ASSOCIATED WITH A LOWER RISK OF 

4464
03:40:04,816 --> 03:40:05,750
TYPE II DIABETES.

4465
03:40:05,750 --> 03:40:07,452
WE HAD A ROBUST AMOUNT OF 

4466
03:40:07,452 --> 03:40:08,820
LITERATURE TO LOOK THROUGH FOR 

4467
03:40:08,820 --> 03:40:10,855
COMING UP WITH THE EVIDENCE.

4468
03:40:10,855 --> 03:40:12,791
WE HAD ABOUT 118 ARTICLES.

4469
03:40:12,791 --> 03:40:18,363
14 WERE INTERVENTIONS.

4470
03:40:18,363 --> 03:40:21,600
104 FROM OBSERVATIONAL STUDIES.

4471
03:40:21,600 --> 03:40:24,803
FINDING WERE CONSISTENT AND 

4472
03:40:24,803 --> 03:40:30,375
EFFECT SIZES HAD APPRECIABLE 

4473
03:40:30,375 --> 03:40:32,177
MAGNITUDE AND MOST SAW A 

4474
03:40:32,177 --> 03:40:34,813
SIGNIFICANT ASSOCIATION BETWEEN 

4475
03:40:34,813 --> 03:40:36,114
DIETARY PATTERNS AND TYPE II 

4476
03:40:36,114 --> 03:40:36,781
DIABETES AND MOST HAD CONFIDENCE

4477
03:40:36,781 --> 03:40:44,789
INTERVALS.

4478
03:40:44,789 --> 03:40:44,990
WR50ESHG  

4479
03:40:47,559 --> 03:40:50,895
THOUGH WE LOOKED AT RISK OF BIAS

4480
03:40:50,895 --> 03:40:55,333
WITH RESPECT TO GENERALIZABILITY

4481
03:40:55,333 --> 03:40:56,935
WE HAD CONCERNS WITH THE DIETARY

4482
03:40:56,935 --> 03:40:58,603
PATTERNS AND THE OUTCOME 

4483
03:40:58,603 --> 03:40:59,437
EXAMINED.

4484
03:40:59,437 --> 03:41:00,805
WE FOUND THEY WOULD BE EVEN IF 

4485
03:41:00,805 --> 03:41:03,908
THE STUDY HAD BEEN DONE OUTSIDE 

4486
03:41:03,908 --> 03:41:08,780
THE U.S. IT WOULD BE 

4487
03:41:08,780 --> 03:41:12,417
UNCOMPARABLE.

4488
03:41:12,417 --> 03:41:17,055
WHEN WE LOOKED AT THE STUDIES 

4489
03:41:17,055 --> 03:41:19,557
THERE WERE DIFFERENCES IN 

4490
03:41:19,557 --> 03:41:21,993
EDUCATION ETCETERA AND GAVE A 

4491
03:41:21,993 --> 03:41:29,134
GRADE OF STRONG.

4492
03:41:29,134 --> 03:41:30,368
THIS SLIDE SUMMARIZES THE 

4493
03:41:30,368 --> 03:41:32,737
RESULTS SO FAR.

4494
03:41:32,737 --> 03:41:36,775
FOR CHILDREN AND ADOLESCENTS FOR

4495
03:41:36,775 --> 03:41:38,576
THE FORMER WE HAD NO ARTICLES 

4496
03:41:38,576 --> 03:41:39,944
THAT MET THE INCLUSION CRITERIA 

4497
03:41:39,944 --> 03:41:42,981
SIMILAR FOR INDIVIDUALS PREGNANT

4498
03:41:42,981 --> 03:41:43,982
OR POSTPARTUM.

4499
03:41:43,982 --> 03:41:46,918
FOR CHILDREN AND ADULTS WE COULD

4500
03:41:46,918 --> 03:41:50,622
NOT DRAW CONCLUSION STATEMENT 

4501
03:41:50,622 --> 03:41:52,824
AND DID DRAW A STRONG EVIDENCE 

4502
03:41:52,824 --> 03:41:56,795
STATEMENT REGARDING THE PATTERNS

4503
03:41:56,795 --> 03:42:02,500
LINKING PATTERNS IN TYPE II 

4504
03:42:02,500 --> 03:42:03,935
DIABETES.

4505
03:42:03,935 --> 03:42:09,641
QUESTIONS?

4506
03:42:09,641 --> 03:42:12,777
>> GREAT JOB SAMEERA.

4507
03:42:12,777 --> 03:42:14,079
I'LL PRESENT CARDIOVASCULAR 

4508
03:42:14,079 --> 03:42:14,779
DISEASE.

4509
03:42:14,779 --> 03:42:17,449
SHUT OUT TO MY CO-LEAD 

4510
03:42:17,449 --> 03:42:19,250
DR. CHERYL ANDERSON AND I'LL 

4511
03:42:19,250 --> 03:42:23,221
GIVE OTHER THANKS TO THE 

4512
03:42:23,221 --> 03:42:23,822
COMMITTEE AND STAFF.

4513
03:42:23,822 --> 03:42:27,926
WE HAVE CHILDREN, ADOLESCENTS, 

4514
03:42:27,926 --> 03:42:30,295
ADULT AND OLDER ADULTS AND THE 

4515
03:42:30,295 --> 03:42:31,930
DIETARY PATTERN IS ALWAYS 

4516
03:42:31,930 --> 03:42:32,197
CONFUSING.

4517
03:42:32,197 --> 03:42:35,200
THERE'S LOTS OF ASPECTS OF THE 

4518
03:42:35,200 --> 03:42:36,034
DIETARY PATTERN.

4519
03:42:36,034 --> 03:42:39,137
YOU'LL SEE IN SUBTLE WORD BEING 

4520
03:42:39,137 --> 03:42:41,439
CHANGES IN OUR CONCLUSIONS SINCE

4521
03:42:41,439 --> 03:42:45,410
2015 WE MADE MODIFICATIONS BASED

4522
03:42:45,410 --> 03:42:49,447
ON THE UPDATE AND COMPARATORS 

4523
03:42:49,447 --> 03:42:51,549
AND IMPORTANT TO DIFFERENTIATE 

4524
03:42:51,549 --> 03:42:55,220
WE'LL BE LOOKING AT RCTs THAT 

4525
03:42:55,220 --> 03:42:56,788
PRIMARILY LOOK AT CARDIOVASCULAR

4526
03:42:56,788 --> 03:42:59,090
BIOMARKERS AND LOOKING AT 

4527
03:42:59,090 --> 03:43:01,393
PROSPECTIVE COHORT STUDIES WITH 

4528
03:43:01,393 --> 03:43:01,659
OUTCOMES.

4529
03:43:01,659 --> 03:43:03,194
WITH ALL THE SOCIAL MEDIA PEOPLE

4530
03:43:03,194 --> 03:43:04,662
WHO DON'T SEEM TO LIKE 

4531
03:43:04,662 --> 03:43:06,898
PROSPECTIVE COHORT STUDIES, THIS

4532
03:43:06,898 --> 03:43:08,166
IS JUST ANOTHER GREAT EXAMPLE IF

4533
03:43:08,166 --> 03:43:10,034
WE DON'T HAVE THOSE, WE DON'T 

4534
03:43:10,034 --> 03:43:11,770
HAVE OUTCOMES SO THOSE ARE 

4535
03:43:11,770 --> 03:43:13,705
HUGELY IMPORTANT IN PUTTING THIS

4536
03:43:13,705 --> 03:43:24,015
RECOMMENDATION TOGETHER.

4537
03:43:24,015 --> 03:43:27,619
KEY CONFOUNDERS ARE PRETTY MUCH 

4538
03:43:27,619 --> 03:43:27,819
USUAL.

4539
03:43:27,819 --> 03:43:28,920
WE'LL DO CHILDREN AND 

4540
03:43:28,920 --> 03:43:32,424
ADOLESCENTS AND AADULTS AND 

4541
03:43:32,424 --> 03:43:39,063
OLDER ADULTS AND COULDN'T FIND 

4542
03:43:39,063 --> 03:43:39,964
ANYTHING POSTPARTUM.

4543
03:43:39,964 --> 03:43:44,202
BACK IN 2014, 2015 THEY REMAIN 

4544
03:43:44,202 --> 03:43:45,603
LIMITED WE WENT THROUGH THIS 

4545
03:43:45,603 --> 03:43:47,405
AGAIN AND I FORGOT TO CHECK 

4546
03:43:47,405 --> 03:43:50,308
CHERYL BUT I DON'T FINK THE 

4547
03:43:50,308 --> 03:43:51,976
WORDING CHANGED BUT THE GRADING 

4548
03:43:51,976 --> 03:43:53,211
WAS LIMITED BEFORE.

4549
03:43:53,211 --> 03:43:55,113
WE FOUND 18 NEW ARTICLES.

4550
03:43:55,113 --> 03:43:56,247
AN IMPORTANT STATEMENT TO MAKE I

4551
03:43:56,247 --> 03:43:59,751
FORGOT TO MAKE AT THE BEGINNING,

4552
03:43:59,751 --> 03:44:05,390
THIS IS A DATA RICH ENVIRONMENT.

4553
03:44:05,390 --> 03:44:07,125
ESPECIALLY FOR ADULTS SO I 

4554
03:44:07,125 --> 03:44:08,626
SHOULD KEEP THE COMMENTS FOR THE

4555
03:44:08,626 --> 03:44:10,728
NEXT PHASE BUT THERE WERE A LOT 

4556
03:44:10,728 --> 03:44:12,163
OF STUDIES OUT THERE IN ADULTS 

4557
03:44:12,163 --> 03:44:15,967
AND OLDER ADULTS.

4558
03:44:15,967 --> 03:44:19,771
NOT SO MUCH IN KIDS.

4559
03:44:19,771 --> 03:44:23,208
WE DID FIND 18 NEW STUDIES SINCE

4560
03:44:23,208 --> 03:44:24,375
2018, ALL OBSERVATIONAL, MO 

4561
03:44:24,375 --> 03:44:25,677
RCTs.

4562
03:44:25,677 --> 03:44:27,979
YOU MAY NOT WONDER WHY.

4563
03:44:27,979 --> 03:44:29,581
WE'RE NOT BLEEDING A LOT OF KIDS

4564
03:44:29,581 --> 03:44:31,749
FOR THEIR BIOMARKERS OR WAITING 

4565
03:44:31,749 --> 03:44:32,183
TO SEE IF THEY HAVE 

4566
03:44:32,183 --> 03:44:33,785
CARDIOVASCULAR EVENTS.

4567
03:44:33,785 --> 03:44:36,488
SO WHEN YOU LOOK AT THE 18 THERE

4568
03:44:36,488 --> 03:44:40,792
WERE SERIOUS CONCERNS WITH 

4569
03:44:40,792 --> 03:44:41,125
CONSISTENCY.

4570
03:44:41,125 --> 03:44:43,261
SOME CONCERNS WITH WIDE 

4571
03:44:43,261 --> 03:44:44,429
CONFIDENCE INTERVALS AND SERIOUS

4572
03:44:44,429 --> 03:44:45,497
CONCERNS WITH MISSINGNESS OF 

4573
03:44:45,497 --> 03:44:49,067
DATA AND NOT ADJUSTING FOR 

4574
03:44:49,067 --> 03:44:50,702
CONFOUNDERS, A FEW OTHER 

4575
03:44:50,702 --> 03:44:52,704
CONCERNS FOR DIRECTNESS BUT 

4576
03:44:52,704 --> 03:44:54,072
MOSTLY GENERALIZABILITY OF THE 

4577
03:44:54,072 --> 03:44:55,673
18 TRIALS ONLY ONE WAS DONE IN 

4578
03:44:55,673 --> 03:44:56,307
THE U.S. POPULATION.

4579
03:44:56,307 --> 03:45:03,047
SO THIS REALLY DID NOT ADD TO 

4580
03:45:03,047 --> 03:45:06,618
THE LITERATURE VERY MUCH IT WAS 

4581
03:45:06,618 --> 03:45:09,454
LIMITED 10 YEARS AGO AND REMAINS

4582
03:45:09,454 --> 03:45:09,721
LIMITED.

4583
03:45:09,721 --> 03:45:13,191
NEXT FOR ADULTS BECAUSE THIS WAS

4584
03:45:13,191 --> 03:45:16,794
A FANTASTIC OPPORTUNITY, THERE 

4585
03:45:16,794 --> 03:45:17,862
WAS SO MUCH LITERATURE HERE TO 

4586
03:45:17,862 --> 03:45:19,764
LOOK AT THAT IN DISCUSSING THIS 

4587
03:45:19,764 --> 03:45:22,367
WITH THE GROUP, WE HAD TO 

4588
03:45:22,367 --> 03:45:25,603
RESTRICT ARTICLES TO ONLY THOSE 

4589
03:45:25,603 --> 03:45:26,170
IN THE U.S.

4590
03:45:26,170 --> 03:45:27,906
NOT SURE IF WE'VE EVER DONE THAT

4591
03:45:27,906 --> 03:45:29,140
BEFORE.

4592
03:45:29,140 --> 03:45:32,143
WE HAD 104 ARTICLES COMBINATION 

4593
03:45:32,143 --> 03:45:33,978
OF RCTs AND OBSERVATIONAL 

4594
03:45:33,978 --> 03:45:35,346
STUDIES JUST FROM THE U.S. AND 

4595
03:45:35,346 --> 03:45:36,981
IT WAS ALREADY A STRONG 

4596
03:45:36,981 --> 03:45:39,817
CONCLUSION A DECADE AGO.

4597
03:45:39,817 --> 03:45:42,120
SOME MIGHT ASK WHERE ARE WE 

4598
03:45:42,120 --> 03:45:44,055
TAKING A STRONG CONCLUSION AND 

4599
03:45:44,055 --> 03:45:47,258
LOOKING AT IT AGAIN AND THIS IS 

4600
03:45:47,258 --> 03:45:51,095
PART OF HAVING SAMEERA AND THE 

4601
03:45:51,095 --> 03:45:53,164
GROUP AND THOUGHT IF THERE'S 

4602
03:45:53,164 --> 03:45:54,365
THIS MANY STUDIES IT MAY BE A 

4603
03:45:54,365 --> 03:45:56,367
GOOD OPPORTUNITY TO DO THE 

4604
03:45:56,367 --> 03:45:58,236
DEEPER DIVE AND SEE TO WHAT 

4605
03:45:58,236 --> 03:46:01,272
EXTENT WE CAN EXPLORE THIS IN 

4606
03:46:01,272 --> 03:46:02,407
RACE ETHNIC GROUPS OR SOCIO 

4607
03:46:02,407 --> 03:46:02,807
ECONOMIC POSITION.

4608
03:46:02,807 --> 03:46:11,382
SO WE DID.

4609
03:46:11,382 --> 03:46:16,020
I'LL QUICKLY GO THROUGH THE 

4610
03:46:16,020 --> 03:46:22,026
CONSISTENCY IT WAS PRETTY 

4611
03:46:22,026 --> 03:46:24,796
CONSISTENT IN THE SAME 

4612
03:46:24,796 --> 03:46:30,401
DIRECTION.

4613
03:46:30,401 --> 03:46:34,038
OBSERVATION STUDIES WERE HUGE 

4614
03:46:34,038 --> 03:46:37,275
AND THE AND DONE WELL AND THIS 

4615
03:46:37,275 --> 03:46:42,280
IS FUN, ALL THE STUDIES FROM THE

4616
03:46:42,280 --> 03:46:44,782
U.S. SO THEY APPLIED.

4617
03:46:44,782 --> 03:46:46,618
THE UNIQUE THING WAS HOW MUCH 

4618
03:46:46,618 --> 03:46:47,752
DIFFERENT RACE ETHNIC GROUPS AND

4619
03:46:47,752 --> 03:46:57,962
DATA WE HAD.

4620
03:47:04,869 --> 03:47:06,504
YOU SHOULD SEE TO THE EXCEL 

4621
03:47:06,504 --> 03:47:08,339
SHEET AND IMAGINE THE TRIALS AND

4622
03:47:08,339 --> 03:47:10,274
SOME WITH MULTIPLE PAPERS.

4623
03:47:10,274 --> 03:47:13,177
THAT PART WAS PRETTY DAUNTING.

4624
03:47:13,177 --> 03:47:14,979
PICTURE DIETARY PATTERN.

4625
03:47:14,979 --> 03:47:16,214
THE WAY THE DATA IS EXTRACTED 

4626
03:47:16,214 --> 03:47:17,915
FOR US AND I DON'T THINK HAS 

4627
03:47:17,915 --> 03:47:20,118
BEEN DISCUSSED IN MUCH DETAIL, 

4628
03:47:20,118 --> 03:47:30,628
THERE ISN'T ONE DIET PATTERN.

4629
03:47:33,364 --> 03:47:35,133
WE HAD 30 COMPONENTS TO INCLUDE 

4630
03:47:35,133 --> 03:47:36,701
OR MIGHT HAVE BEEN PART OF THE 

4631
03:47:36,701 --> 03:47:39,103
PATTERN TO AVOID BUT WE'RE NOT 

4632
03:47:39,103 --> 03:47:40,805
CONSISTENT ACROSS EVERY STUDY.

4633
03:47:40,805 --> 03:47:43,174
SO THERE WERE COLOR CODED WITH A

4634
03:47:43,174 --> 03:47:45,743
BLUE ARROW UP AND RED ARROW DOWN

4635
03:47:45,743 --> 03:47:48,913
FOR WHAT EACH PATTERN WAS ACROSS

4636
03:47:48,913 --> 03:47:54,686
EVERY STUDY.

4637
03:47:54,686 --> 03:48:00,792
WE WERE TRYING TO SEE TO WHAT 

4638
03:48:00,792 --> 03:48:02,226
EXTENT COULD WE SEPARATE THOSE 

4639
03:48:02,226 --> 03:48:04,028
OUT WITH RACIAL GROUP AND THERE 

4640
03:48:04,028 --> 03:48:07,298
WAS A SORT BUTTON IN EXCEL AND 

4641
03:48:07,298 --> 03:48:10,068
WE COULD PUNCH IT AND THE FIRST 

4642
03:48:10,068 --> 03:48:14,272
SAID FIVE STUDIES WERE  100% 

4643
03:48:14,272 --> 03:48:15,273
AFRICAN AMERICAN OR ASIAN 

4644
03:48:15,273 --> 03:48:17,975
AMERICAN OR MEXICAN AND ONLY 

4645
03:48:17,975 --> 03:48:21,079
FIVE OF THE TOTAL ALL THE OTHER 

4646
03:48:21,079 --> 03:48:22,647
STUDIES HAD RACE ETHNIC 

4647
03:48:22,647 --> 03:48:24,182
DESCRIPTIONS TO FILL WHAT 

4648
03:48:24,182 --> 03:48:28,052
PROPORTIONS WERE IN EACH STUDY.

4649
03:48:28,052 --> 03:48:29,854
AS A FIRST CUT THROUGH THE SWATH

4650
03:48:29,854 --> 03:48:32,123
LOOKED AT ANYBODY WITH A STUDY 

4651
03:48:32,123 --> 03:48:35,026
WITH OR THE THAN 25% NON-WHITES.

4652
03:48:35,026 --> 03:48:38,362
I'M PRETTY SURE ANGELA WHO SAID 

4653
03:48:38,362 --> 03:48:41,499
A CUT OFF STRICTER THAN THAT AND

4654
03:48:41,499 --> 03:48:43,401
ADDED ANOTHER CUT-OFF IF THERE 

4655
03:48:43,401 --> 03:48:47,271
WERE NO MORE THAN 40% 

4656
03:48:47,271 --> 03:48:48,172
NON-HISPANIC CAUCASIANS IN THERE

4657
03:48:48,172 --> 03:48:53,511
AND THAT ENDED UP YIELDING 20 

4658
03:48:53,511 --> 03:48:54,879
STU

4659
03:48:54,879 --> 03:48:55,113
STUDIES.

4660
03:48:55,113 --> 03:48:57,615
THEN WE GOT TO LOOK AT THE SAME 

4661
03:48:57,615 --> 03:48:58,816
DIETARY PATTERN COMPONENTS TO 

4662
03:48:58,816 --> 03:48:59,684
SEE HOW CONSISTENT IT WAS WITH 

4663
03:48:59,684 --> 03:49:08,693
THE ORIGINAL STATEMENT.

4664
03:49:08,693 --> 03:49:10,495
HERE ARE SUBTLE WAYS IT CHANGED 

4665
03:49:10,495 --> 03:49:11,996
SINCE THEN AND DIDN'T HAVE THE 

4666
03:49:11,996 --> 03:49:13,464
WORDING SIDE BY SIDE.

4667
03:49:13,464 --> 03:49:15,399
ONE FACTOR WE CHANGED WAS IN THE

4668
03:49:15,399 --> 03:49:17,135
RACE ETHNIC GROUPS AND I HAVE TO

4669
03:49:17,135 --> 03:49:19,837
SAY WE DIDN'T GET A LOT OF 

4670
03:49:19,837 --> 03:49:21,973
DIVERSITY AROUND SOCIO ECONOMIC 

4671
03:49:21,973 --> 03:49:23,775
CONDITIONS AND RACE-ETHNICITY WE

4672
03:49:23,775 --> 03:49:26,377
DID AND FOUND MULTIPLE STUDIES 

4673
03:49:26,377 --> 03:49:28,780
FROM THAT PARTICULAR GROUP 

4674
03:49:28,780 --> 03:49:33,584
ACTUALLY HAD NOT ISOLATED LOW 

4675
03:49:33,584 --> 03:49:35,686
FAT DAIRY OR SEAFOOD AND FISH.

4676
03:49:35,686 --> 03:49:36,687
THOSE WERE PART OF THE MAIN 

4677
03:49:36,687 --> 03:49:37,522
CONCLUSION.

4678
03:49:37,522 --> 03:49:39,423
IF YOU LOOK AT THE STATEMENT, 

4679
03:49:39,423 --> 03:49:42,093
STRONG EVIDENCE WITH A STRONG 

4680
03:49:42,093 --> 03:49:44,595
GRADE WAS REALLY HARD TO PICK 

4681
03:49:44,595 --> 03:49:47,165
OUT IN THE FIRST LIST OF WHAT 

4682
03:49:47,165 --> 03:49:49,133
THE PATTERN IS, THAT IS CHANGED 

4683
03:49:49,133 --> 03:49:52,436
UP A PATTERN WAY AND NOW SAYS 

4684
03:49:52,436 --> 03:49:54,739
VEGETABLES, FRUITS, NUTS AND 

4685
03:49:54,739 --> 03:49:56,440
LEGUMES WEREN'T IN THERE.

4686
03:49:56,440 --> 03:49:57,775
THEY WERE DOWN BELOW AND I'LL 

4687
03:49:57,775 --> 03:49:59,377
SHOW YOU HOW THIS WORKS.

4688
03:49:59,377 --> 03:50:01,279
HANG ON A SEC.

4689
03:50:01,279 --> 03:50:05,650
AND SAID WHOLE GRAINS AND THE 

4690
03:50:05,650 --> 03:50:12,456
UNSATURATED FATS, LOWER SODIUM 

4691
03:50:12,456 --> 03:50:18,863
RED AND PROCESSED MEATS AND 

4692
03:50:18,863 --> 03:50:20,398
LEGUMES AND NUTS GOT PUSHED UP 

4693
03:50:20,398 --> 03:50:22,033
BECAUSE THE SEAFOOD WEREN'T IN 

4694
03:50:22,033 --> 03:50:25,002
THE RACIAL ETHNIC GROUPS AND 

4695
03:50:25,002 --> 03:50:27,104
THINK HOW MUCH THAT MAKES WITH 

4696
03:50:27,104 --> 03:50:30,341
LACTOSE IN TOLERANCE AND ONE 

4697
03:50:30,341 --> 03:50:32,410
EXAMPLE OF THE DAIRY ISN'T GONE 

4698
03:50:32,410 --> 03:50:34,078
BUT GOT MOVED TO THE BOTTOM 

4699
03:50:34,078 --> 03:50:36,681
WHERE IT SAYS SOME OF THE 

4700
03:50:36,681 --> 03:50:39,584
DIETARY PATTERNS INCLUDED 

4701
03:50:39,584 --> 03:50:41,652
LOW-FAT DAIRY AND SEAFOOD.

4702
03:50:41,652 --> 03:50:43,354
IT'S NOT GONE IT'S JUST LEGUMES 

4703
03:50:43,354 --> 03:50:45,489
AND NUTS GOT MOVED UP AND DAIRY 

4704
03:50:45,489 --> 03:50:55,967
AND SEAFOOD GOT MOVED DOWN.

4705
03:50:56,834 --> 03:50:59,937
THE FINDINGS WERE CONSISTENT 

4706
03:50:59,937 --> 03:51:01,539
AMONG SOCIO ECONOMIC POSITIONS.

4707
03:51:01,539 --> 03:51:03,608
WE DON'T USUALLY HAVE THE DATA 

4708
03:51:03,608 --> 03:51:06,777
TO PURSUE IT THAT FAR.

4709
03:51:06,777 --> 03:51:10,615
IT'S GREAT WORK WITH SAMEERA AND

4710
03:51:10,615 --> 03:51:12,750
WITH OUR WHOLE TEAM AND CHERYL 

4711
03:51:12,750 --> 03:51:17,088
WHO WORKED ON THIS AS COLEAD.

4712
03:51:17,088 --> 03:51:17,755
IT IS STRONG.

4713
03:51:17,755 --> 03:51:24,528
I THINK IT'S STRONGER NOW.

4714
03:51:24,528 --> 03:51:26,163
THE SUMMARY WAS LIMITED BEFORE 

4715
03:51:26,163 --> 03:51:32,403
FOR KIDS, STILL IS LIMITED 

4716
03:51:32,403 --> 03:51:34,338
THOUGH WE HAVE NEW STUDIES AND 

4717
03:51:34,338 --> 03:51:36,807
WHAT IS STRONG FOR ADULTS 

4718
03:51:36,807 --> 03:51:39,377
ADDRESSING HEALTH EQUITY TO AN 

4719
03:51:39,377 --> 03:51:40,444
EXTENT THAN BEFORE AND NOTHING 

4720
03:51:40,444 --> 03:51:45,549
FOR PREGNANCY AND POSTPARTUM.

4721
03:51:45,549 --> 03:51:47,451
THAT'S MY SUMMARY.

4722
03:51:47,451 --> 03:51:47,718
THANKS.

4723
03:51:47,718 --> 03:51:48,786
>> WE'VE GONE THROUGH
MEETINGS, 

4724
03:51:48,786 --> 03:51:54,091
1, 2, 3, AND NOW 5 AND PRESENT 

4725
03:51:54,091 --> 03:51:56,560
FOR THE FIRST TIME.

4726
03:51:56,560 --> 03:51:58,095
I FEEL LIKE I'M RUNNING 

4727
03:51:58,095 --> 03:52:00,831
ARCHINARCHING 

4728
03:52:00,831 --> 03:52:06,537
ER  ANCHOR AND BACK IN THE '90s 

4729
03:52:06,537 --> 03:52:09,573
AS WE TALK ABOUT A TOPIC WE ALL 

4730
03:52:09,573 --> 03:52:12,009
HEARD ABOUT AND TALKED ABOUT 

4731
03:52:12,009 --> 03:52:16,147
DIETARY PATTERNS PARTICULARLY 

4732
03:52:16,147 --> 03:52:20,952
ADDS WE TALK ABOUT ULT

4733
03:52:20,952 --> 03:52:21,786
ULTRAPROCESSED FOOD AND LOOKING 

4734
03:52:21,786 --> 03:52:23,988
AT THE BODY COMPOSITION AND RISK

4735
03:52:23,988 --> 03:52:25,957
OF OBESITY WE'RE LOOKING AT 

4736
03:52:25,957 --> 03:52:27,558
POPULATIONS AND INFANTS AND 

4737
03:52:27,558 --> 03:52:29,593
YOUNG CHILDREN UP TO THE AGE OF 

4738
03:52:29,593 --> 03:52:30,094
24 MONTHS.

4739
03:52:30,094 --> 03:52:32,496
CHILDREN AND ADOLESCENTS FROM 2 

4740
03:52:32,496 --> 03:52:35,466
AND 19, ADULTS AND OLDER ADULTS 

4741
03:52:35,466 --> 03:52:40,071
AND OF COURSE INDIVIDUALS DURING

4742
03:52:40,071 --> 03:52:41,339
PREGNANCY AND OR DURING 

4743
03:52:41,339 --> 03:52:45,609
POSTPARTUM AND IN LOOKING AT 

4744
03:52:45,609 --> 03:52:46,777
THIS I WANT US TO REALIZE WE'RE 

4745
03:52:46,777 --> 03:52:48,612
NOT JUST LOOKING AT ONE FOOD 

4746
03:52:48,612 --> 03:52:50,381
LOOKING AT ULTRA PROCESSED 

4747
03:52:50,381 --> 03:52:52,049
FOODS.

4748
03:52:52,049 --> 03:52:54,652
WE'RE LOOKING AT A WHOLE GROUP 

4749
03:52:54,652 --> 03:52:55,553
TOGETHER.

4750
03:52:55,553 --> 03:52:56,654
A PATTERN, NOT ONE INDIVIDUAL 

4751
03:52:56,654 --> 03:52:57,588
FOOD.

4752
03:52:57,588 --> 03:52:59,890
I ALSO WANT US TO RECOGNIZE WE 

4753
03:52:59,890 --> 03:53:01,892
HAD STRUGGLES BECAUSE THERE'S 

4754
03:53:01,892 --> 03:53:04,795
NOT ONE UNIFORM DEFINITION WHEN 

4755
03:53:04,795 --> 03:53:09,900
WE'RE LOOKING AT ULTRAPROCESSED 

4756
03:53:09,900 --> 03:53:12,803
FOOD AND WE'RE LOOKING AT THE 

4757
03:53:12,803 --> 03:53:13,938
REVIEW PRESENTED BASED ON GROWTH

4758
03:53:13,938 --> 03:53:24,482
AND BODY COMPOSITION AND THE KEY

4759
03:53:27,018 --> 03:53:29,520
CONFOUNDERS ARE LISTED.

4760
03:53:29,520 --> 03:53:32,790
YOU MAY BE AWARE ULTRA PROCESSED

4761
03:53:32,790 --> 03:53:37,795
FOODS ARE HIGHLY PREVALENT IN 

4762
03:53:37,795 --> 03:53:41,332
THE U.S. DIET AND ARE NUTRIENTS 

4763
03:53:41,332 --> 03:53:43,934
OF CONCERN FOR OVER CONSUMPTION.

4764
03:53:43,934 --> 03:53:45,536
AS YOU HEARD THROUGHOUT 

4765
03:53:45,536 --> 03:53:46,871
DISCUSSIONS THEY'RE NOT 

4766
03:53:46,871 --> 03:53:47,671
CONSISTENT WITH HEALTHY DIETARY 

4767
03:53:47,671 --> 03:53:57,848
PATTERNS.

4768
03:54:05,056 --> 03:54:06,957
AND THERE'S ADDED SUGARS AND 

4769
03:54:06,957 --> 03:54:07,625
SODIUM.

4770
03:54:07,625 --> 03:54:08,592
YOU NOTICE THAT FROM EARLIER 

4771
03:54:08,592 --> 03:54:14,565
TODAY AND ON YESTERDAY.

4772
03:54:14,565 --> 03:54:15,433
THIS NEW QUESTION HAS 

4773
03:54:15,433 --> 03:54:16,100
SUBSTANTIAL INTEREST BOTH FROM 

4774
03:54:16,100 --> 03:54:18,202
FEDERAL PARTNERS AND THE PUBLIC.

4775
03:54:18,202 --> 03:54:20,504
WE THANK THE PUBLIC FOR RAISING 

4776
03:54:20,504 --> 03:54:22,373
THIS CONCERN AND THE EVIDENCE 

4777
03:54:22,373 --> 03:54:24,241
SUGGESTS ASSOCIATION BETWEEN 

4778
03:54:24,241 --> 03:54:26,410
ULTRA PROCESSED FOODS AND HEALTH

4779
03:54:26,410 --> 03:54:31,782
OUTCOMES FROM LOOKING AT THE 

4780
03:54:31,782 --> 03:54:32,349
CHRONIC DISEASE HERE IN THE 

4781
03:54:32,349 --> 03:54:32,950
UNITED STATES AND SCIENTIFIC 

4782
03:54:32,950 --> 03:54:41,992
LITERATURE.

4783
03:54:41,992 --> 03:54:44,795
I WANT TO SHOW YOU HETEROGENEITY

4784
03:54:44,795 --> 03:54:47,198
IN THE LITERATURE AND HAD A HARD

4785
03:54:47,198 --> 03:54:49,033
TIME NAILING DOWN ONE PARTICULAR

4786
03:54:49,033 --> 03:54:52,670
DEFINITION LOOKING AT ULTRA 

4787
03:54:52,670 --> 03:54:55,072
PROCESSED FOOD AND SEE PEER 

4788
03:54:55,072 --> 03:54:57,241
REVIEWED ARTICLES INCLUDING FROM

4789
03:54:57,241 --> 03:54:59,977
A GUIDELINE MEMBER LOOKING AT 

4790
03:54:59,977 --> 03:55:01,745
THE SPECTRUM OF LEAST PROCESSED 

4791
03:55:01,745 --> 03:55:03,280
TO MOST PROCESSED FOODS.

4792
03:55:03,280 --> 03:55:08,586
LOOK AT WHAT WE'RE SEEING ON THE

4793
03:55:08,586 --> 03:55:09,620
SLIDE.

4794
03:55:09,620 --> 03:55:17,895
TAKING US FROM THINGS MINIMALLY 

4795
03:55:17,895 --> 03:55:23,033
TO MOST PROCESSED IN ARTICLES TO

4796
03:55:23,033 --> 03:55:23,367
2019.

4797
03:55:23,367 --> 03:55:24,869
SO THERE'S A GRADATION FROM 

4798
03:55:24,869 --> 03:55:26,704
LEAST PROCESSED TO MOST 

4799
03:55:26,704 --> 03:55:27,905
PROCESSED ACROSS TIME.

4800
03:55:27,905 --> 03:55:30,574
AS WE GET INTO MOST PROCESSED I 

4801
03:55:30,574 --> 03:55:32,710
WANT YOU TO NOTICE ON THE RIGHT 

4802
03:55:32,710 --> 03:55:36,046
SIDE YOU'LL SEE THINGS WITH 

4803
03:55:36,046 --> 03:55:37,748
PROCESS OF INDUSTRIAL ORIGIN 

4804
03:55:37,748 --> 03:55:42,720
READY TO CONSUME, INTENSE 

4805
03:55:42,720 --> 03:55:44,822
PROCESSING AND SUGARS YOU, FATS 

4806
03:55:44,822 --> 03:55:53,497
AN SALTS AND PROCESSED FOODS AND

4807
03:55:53,497 --> 03:55:53,764
DRINKS.

4808
03:55:53,764 --> 03:55:57,668
MOVE TO THE NEXT LABEL WE LOOK 

4809
03:55:57,668 --> 03:56:02,873
AT ULTRA PROCESSED TO SIMPLE 

4810
03:56:02,873 --> 03:56:05,910
PROCESSED AND IN THE ARTICLES 

4811
03:56:05,910 --> 03:56:08,445
THERE WAS NO SIGNIFICANT 

4812
03:56:08,445 --> 03:56:11,315
CONGRUENCE IN THE TRUE 

4813
03:56:11,315 --> 03:56:12,283
DEFINITION OF WHAT'S CONSIDERED 

4814
03:56:12,283 --> 03:56:13,984
TO BE ULTRA PROCESSED.

4815
03:56:13,984 --> 03:56:18,956
I WANTED TO SHOW THAT TO YOU SO 

4816
03:56:18,956 --> 03:56:20,791
WE'RE ABLE HAVE ONE DEFINITION 

4817
03:56:20,791 --> 03:56:22,626
BUT TO SHOW THERE'S DIFFERENCES 

4818
03:56:22,626 --> 03:56:24,328
BETWEEN WHAT'S CONSIDERED ULTRA 

4819
03:56:24,328 --> 03:56:27,998
PROCESSED TO WHAT'S CONSIDERED 

4820
03:56:27,998 --> 03:56:28,799
PROCESSED.

4821
03:56:28,799 --> 03:56:30,968
NOW, HERE'S EXAMPLE DESCRIPTIONS

4822
03:56:30,968 --> 03:56:33,637
OF DIETARY PATTERNS THAT VARY 

4823
03:56:33,637 --> 03:56:35,406
AND ULTRA PROCESSED IN THE 

4824
03:56:35,406 --> 03:56:36,140
REVIEW.

4825
03:56:36,140 --> 03:56:37,675
THE MOST COMMON THING WE SAW IN 

4826
03:56:37,675 --> 03:56:39,343
THE LITERATURE WAS THE NOVA 

4827
03:56:39,343 --> 03:56:40,945
CLASSIFICATION AND WE'RE GOING 

4828
03:56:40,945 --> 03:56:43,914
TO USE THE NOVA CLASSIFICATION 

4829
03:56:43,914 --> 03:56:44,782
MORE COMMONLY IN OUR DISCUSSION 

4830
03:56:44,782 --> 03:56:46,951
BECAUSE THAT'S WHAT WE SAW 

4831
03:56:46,951 --> 03:56:48,419
MOSTLY IN THE LITERATURE.

4832
03:56:48,419 --> 03:56:50,854
DIETARY PATTERNS INCLUDED IN THE

4833
03:56:50,854 --> 03:56:52,423
REVIEW COMPRISED OF ALL OR 

4834
03:56:52,423 --> 03:56:55,759
MOSTLY FOODS SPECIFICALLY ULTRA 

4835
03:56:55,759 --> 03:56:56,794
PROCESSED VERSUS NOT ULTRA 

4836
03:56:56,794 --> 03:56:59,330
PROCESSED AND HERE'S EXAMPLES.

4837
03:56:59,330 --> 03:57:00,731
IN THE FIRST EXAMPLE YOU COULD 

4838
03:57:00,731 --> 03:57:04,101
SEE SOFT DRINKS, SWEET OR SAVORY

4839
03:57:04,101 --> 03:57:10,774
SNACKS, CHOCOLATE CANDIES AND 

4840
03:57:10,774 --> 03:57:13,577
MAYONNAISE WHICH I THINK IS 

4841
03:57:13,577 --> 03:57:17,481
DISGUSTING AND PASTRIES AND 

4842
03:57:17,481 --> 03:57:23,887
PACKAGED SOUPS AND MY MOM IS 

4843
03:57:23,887 --> 03:57:25,356
LAUGHING BECAUSE SHE KNOWS HOW 

4844
03:57:25,356 --> 03:57:30,461
MUCH I HATE THAT AND COMPARED TO

4845
03:57:30,461 --> 03:57:33,664
EXAMPLE 2, FRESH, CHILLED FROZEN

4846
03:57:33,664 --> 03:57:34,965
DRIED, VACUUM PACKED FRUITS 

4847
03:57:34,965 --> 03:57:37,101
VEGETABLES FUNGI, TUBERS YOU, 

4848
03:57:37,101 --> 03:57:47,077
ROOTS, GRAINS, LEC YOU'LLS, 

4849
03:57:47,077 --> 03:57:50,080
UNSALTED NUTS AND THE REMAINDER 

4850
03:57:50,080 --> 03:57:50,547
OF THE LIST.

4851
03:57:50,547 --> 03:57:56,787
THIS IS A COMPARISON OF INTEREST

4852
03:57:56,787 --> 03:58:00,024
IN CONSUMING THE NOVA 4 

4853
03:58:00,024 --> 03:58:01,892
CLASSIFICATION VERSUS NOVA GROUP

4854
03:58:01,892 --> 03:58:04,161
2.

4855
03:58:04,161 --> 03:58:08,766
LET'S GO TO THE NEXT SLIDE.

4856
03:58:08,766 --> 03:58:12,202
AND WHAT VARY IN ULTRA PROCESSED

4857
03:58:12,202 --> 03:58:14,338
ARE THINGS THAT ARE AN EXAMPLE 

4858
03:58:14,338 --> 03:58:17,808
THREE POSITIVE LOADINGS FOR 

4859
03:58:17,808 --> 03:58:24,782
HAMBURGERS, DR. TOBIAS, HOTDOGS,

4860
03:58:33,891 --> 03:58:36,694
FALAFAL AND PROCESSED MEATS AND 

4861
03:58:36,694 --> 03:58:38,462
PRE COOKED FOOD AND PIZZA AND 

4862
03:58:38,462 --> 03:58:41,665
SOMETHING YOU KNOW I DON'T LIKE,

4863
03:58:41,665 --> 03:58:46,270
MAYONNAISE AND KETCHUP AND 

4864
03:58:46,270 --> 03:58:48,639
ADHERENCE OR CONSUMPTION LEVELS 

4865
03:58:48,639 --> 03:58:50,741
OF A DIETARY PATTERN LIKE 

4866
03:58:50,741 --> 03:58:51,275
EXAMPLES THREE OR FOUR IN 

4867
03:58:51,275 --> 03:58:55,012
RELATION TO OUTCOMES.

4868
03:58:55,012 --> 03:58:59,483
NOW, WHEN WE GET INTO LOOKING AT

4869
03:58:59,483 --> 03:59:03,821
THIS COMPARING LIKE EXAMPLE A TO

4870
03:59:03,821 --> 03:59:09,927
B WE LOOKED AT DIETARY PATTERNS 

4871
03:59:09,927 --> 03:59:13,464
VERIFIED ADDS  AS ULTRA 

4872
03:59:13,464 --> 03:59:16,800
PROCESSED FOOD AND COULD NOT BE 

4873
03:59:16,800 --> 03:59:20,204
DETERMINED IN EXAMPLE A, FOR 

4874
03:59:20,204 --> 03:59:21,972
EXAMPLE, HIGHER LOW FAT FOODS 

4875
03:59:21,972 --> 03:59:23,774
AND RICH IN VITAMINS OR WHOLE 

4876
03:59:23,774 --> 03:59:26,777
GRAINS TALKING ABOUT VITAMINS 

4877
03:59:26,777 --> 03:59:29,813
AND MINERALS WITH DR. MILLER AND

4878
03:59:29,813 --> 03:59:34,151
FRESH FRUITS FREE OF ADDED 

4879
03:59:34,151 --> 03:59:37,588
SUGAR, OATMEAL, MUESLI, 

4880
03:59:37,588 --> 03:59:39,523
UNSWEETENED PLAIN CEREALS AND 

4881
03:59:39,523 --> 03:59:42,593
MILK AND HIGH FAT PRODUCTS AND 

4882
03:59:42,593 --> 03:59:46,397
SWEETENED MILK, MAYONNAISE OR 

4883
03:59:46,397 --> 03:59:49,733
NUT-BASED SPREAD AND BISCUITS, 

4884
03:59:49,733 --> 03:59:53,971
PACKAGED PASTRIES OR EXAMPLE B A

4885
03:59:53,971 --> 03:59:56,173
POSITIVE SCORE WITH THIS LIST.

4886
03:59:56,173 --> 03:59:59,309
VEGETABLE OR ANIMAL PROTEIN AND 

4887
03:59:59,309 --> 04:00:00,778
NEGATIVELY SCORED WHEN WE SEE 

4888
04:00:00,778 --> 04:00:06,283
RED MEAT, PROCESSED MEAT, 

4889
04:00:06,283 --> 04:00:08,352
SATURATED FAT AND THE GRAIN 

4890
04:00:08,352 --> 04:00:11,655
CONSUMPTION WAS COMPOSED OF 

4891
04:00:11,655 --> 04:00:13,323
REFINED GRAINS AND ALCOHOL WHICH

4892
04:00:13,323 --> 04:00:18,962
IS BEER AND SPIRITS AND MOVING 

4893
04:00:18,962 --> 04:00:20,597
ON TO NEXT SLIDE.

4894
04:00:20,597 --> 04:00:22,766
WE'RE GOING TO LOOK AT LIFE 

4895
04:00:22,766 --> 04:00:24,401
STAGES AND EVERYTHING PREVIOUSLY

4896
04:00:24,401 --> 04:00:25,736
MENTIONED CHILDREN ADOLESCENTS 

4897
04:00:25,736 --> 04:00:29,373
AND OLDER ADULTS, INFANTS AND 

4898
04:00:29,373 --> 04:00:31,008
YOUNG CHILDREN UP TO 24 MONTHS 

4899
04:00:31,008 --> 04:00:32,476
AND INDIVIDUALS IN POST 

4900
04:00:32,476 --> 04:00:34,178
PREGNANCY OR THE POSTPARTUM 

4901
04:00:34,178 --> 04:00:36,180
PERIOD AND LOOK AT OUR 

4902
04:00:36,180 --> 04:00:36,713
CONCLUSIONS.

4903
04:00:36,713 --> 04:00:38,749
DON'T BE UNDER WHELMED WHEN WE 

4904
04:00:38,749 --> 04:00:40,617
GET TO THE CONCLUSION 

4905
04:00:40,617 --> 04:00:41,552
STATEMENTS.

4906
04:00:41,552 --> 04:00:45,222
IN TERMS OF OUR DIETARY PATTERNS

4907
04:00:45,222 --> 04:00:52,062
CONSUMPTION WAS 2 TO 19 YEARS OF

4908
04:00:52,062 --> 04:00:52,262
AGE.

4909
04:00:52,262 --> 04:00:54,298
AND THESE WILL FEEL ACADEMIC AND

4910
04:00:54,298 --> 04:00:55,566
THEY ARE.

4911
04:00:55,566 --> 04:00:57,734
THE SCORE ANALYSIS AND ARTICLES 

4912
04:00:57,734 --> 04:00:59,803
AND NOVA CLASSIFICATION I TOLD 

4913
04:00:59,803 --> 04:01:02,573
YOU ABOUT WAS THE MOST COMMONLY 

4914
04:01:02,573 --> 04:01:03,674
USED CLASSIFICATION SYSTEM USED 

4915
04:01:03,674 --> 04:01:06,810
TO DEFINE ULTRA PROCESSED FOODS.

4916
04:01:06,810 --> 04:01:11,715
THERE WAS A FACTOR OF CLUSTER 

4917
04:01:11,715 --> 04:01:15,052
ANALYSIS AND LATENT CLASS IN 

4918
04:01:15,052 --> 04:01:16,019
THREE ARTICLES.

4919
04:01:16,019 --> 04:01:18,021
DR. ENGLISH THANK YOU FOR THE 

4920
04:01:18,021 --> 04:01:24,194
WORK YOU'VE DONE AND THE AMOUNT 

4921
04:01:24,194 --> 04:01:26,497
OF ULTRAPROCESSED FOODS LOOKING 

4922
04:01:26,497 --> 04:01:28,298
AT THE CONTEXT OF ENERGY OR 

4923
04:01:28,298 --> 04:01:29,967
WEIGHT.

4924
04:01:29,967 --> 04:01:30,901
LOOKING AT 100 GRAM INCREASE 

4925
04:01:30,901 --> 04:01:33,537
WHEN WE LOOKED AT THE EXAMPLES.

4926
04:01:33,537 --> 04:01:35,405
THE NUMBERS AND TYPES OF ITEMS 

4927
04:01:35,405 --> 04:01:37,274
CLASSIFIED AS ULTRA PROCESSED 

4928
04:01:37,274 --> 04:01:38,509
WITHIN A DIETARY PATTERN VARIED 

4929
04:01:38,509 --> 04:01:40,644
ACROSS THE STUDIES.

4930
04:01:40,644 --> 04:01:50,654
THERE WAS LOSS OF INCONSISTENT 

4931
04:01:50,654 --> 04:01:52,322
ITEM AND SUGAR SWEETENED 

4932
04:01:52,322 --> 04:01:54,758
BEVERAGES AND MEAT PRODUCTS AND 

4933
04:01:54,758 --> 04:01:58,595
REFINED GRAIN PRODUCTS HAVE BEEN

4934
04:01:58,595 --> 04:02:00,797
A COMMON THREAD IN TODAY 

4935
04:02:00,797 --> 04:02:01,098
DISCUSSION.

4936
04:02:01,098 --> 04:02:03,066
NOW LET'S GET TO OUR CONCLUSION 

4937
04:02:03,066 --> 04:02:03,333
STATEMENT.

4938
04:02:03,333 --> 04:02:04,768
WE'RE GOING TO FIRST START WITH 

4939
04:02:04,768 --> 04:02:07,271
LOOKING AT THE DIETARY PATTERNS 

4940
04:02:07,271 --> 04:02:09,373
THAT VARY IN ULTRA PROCESSED 

4941
04:02:09,373 --> 04:02:11,108
FOOD AND GROWTH BODY COMPOSITION

4942
04:02:11,108 --> 04:02:13,210
AND THE RISK OF OBESITY LOOKING 

4943
04:02:13,210 --> 04:02:15,679
FIRST AT CHILDREN AND 

4944
04:02:15,679 --> 04:02:15,979
ADOLESCENTS.

4945
04:02:15,979 --> 04:02:17,814
THIS IS UP TO 19 YEARS OF AGE.

4946
04:02:17,814 --> 04:02:22,185
OUR CONCLUSION STATEMENT IS AS 

4947
04:02:22,185 --> 04:02:24,054
FOLLOWS, LIMITED EVIDENCE 

4948
04:02:24,054 --> 04:02:26,323
SUGGESTS DIETARY PATTERNS WITH 

4949
04:02:26,323 --> 04:02:28,792
HIGHER AMOUNTS OF FOODS 

4950
04:02:28,792 --> 04:02:31,562
CLASSIFIED AS ULTRA PROCESSED 

4951
04:02:31,562 --> 04:02:33,196
FOODS ARE ASSOCIATED WITH 

4952
04:02:33,196 --> 04:02:38,001
GREATER ADIPOSITY AND FAT MASS 

4953
04:02:38,001 --> 04:02:40,337
AND WAIST CIRCUMFERENCE AND HOW 

4954
04:02:40,337 --> 04:02:41,572
DID WE DISCERN THIS?

4955
04:02:41,572 --> 04:02:44,474
WE LOOKED AT 25 ARTICLES FROM 

4956
04:02:44,474 --> 04:02:46,209
PROSPECTIVE COHORT STUDIES.

4957
04:02:46,209 --> 04:02:49,146
I WILL TELL YOU WE USED 10 TOTAL

4958
04:02:49,146 --> 04:02:50,881
MEETINGS TO LOOK AT ALL THIS AND

4959
04:02:50,881 --> 04:02:53,016
THE CONSISTENCY WAS SUCH THERE 

4960
04:02:53,016 --> 04:02:53,884
WAS CONCERNS FOR VARIATION IN 

4961
04:02:53,884 --> 04:02:56,720
THE MAGNITUDE OF EFFECTS.

4962
04:02:56,720 --> 04:02:58,755
THERE WERE CONCERNS DUE TO 

4963
04:02:58,755 --> 04:03:00,123
SMALLER SAMPLE SIZE AND WIDE 

4964
04:03:00,123 --> 04:03:00,791
VARIANCE.

4965
04:03:00,791 --> 04:03:03,193
SOME CONCERNS DUE TO THE 

4966
04:03:03,193 --> 04:03:04,795
POTENTIAL FOR EXPOSURE 

4967
04:03:04,795 --> 04:03:06,530
MISCLASSIFICATION AND VARIANCE 

4968
04:03:06,530 --> 04:03:08,565
IN WHAT WAS CONSIDERED ULTRA 

4969
04:03:08,565 --> 04:03:12,035
PROCESS AND SERIOUS CONCERNS 

4970
04:03:12,035 --> 04:03:14,671
WITH STUDIES DESIGN TO COMPARE 

4971
04:03:14,671 --> 04:03:17,307
PATTERNS WITH ULTRA PROCESSED 

4972
04:03:17,307 --> 04:03:18,775
FOODS AND SERIOUS CONCERNS WITH 

4973
04:03:18,775 --> 04:03:20,310
ULTRA PROCESSED FOODS THROUGH 

4974
04:03:20,310 --> 04:03:23,013
THE U.S. POPULATION GIVEN GLOBAL

4975
04:03:23,013 --> 04:03:23,747
DIFFERENCES IN FOOD SUPPLY.

4976
04:03:23,747 --> 04:03:27,050
SO THIS IS HOW WE GOT TO A GRADE

4977
04:03:27,050 --> 04:03:27,884
OF LIMITED.

4978
04:03:27,884 --> 04:03:29,586
I WANT TO MAKE SURE YOU'RE AWARE

4979
04:03:29,586 --> 04:03:30,821
AS YOU'RE LISTENING AND 

4980
04:03:30,821 --> 04:03:32,823
WONDERING HOW WE GOT TO THIS 

4981
04:03:32,823 --> 04:03:35,025
LIMITED GRADE IN LIGHT OF WHAT 

4982
04:03:35,025 --> 04:03:36,059
HAS BEEN PRESENTED EARLIER TODAY

4983
04:03:36,059 --> 04:03:37,427
IN TERMS OF ALL TRA PROCESSED 

4984
04:03:37,427 --> 04:03:39,429
FOODS AND LOOKING AT WHAT THE 

4985
04:03:39,429 --> 04:03:40,130
U.S. DIET LOOKS LIKE.

4986
04:03:40,130 --> 04:03:42,933
I WANT TO MOVE ON TO OUR NEXT 

4987
04:03:42,933 --> 04:03:43,133
SLIDE.

4988
04:03:43,133 --> 04:03:45,969
AS WE LOOK AT ADULTS AND OLDER 

4989
04:03:45,969 --> 04:03:46,236
ADULTS.

4990
04:03:46,236 --> 04:03:48,872
WE'RE TALKING ABOUT THOSE UP TO 

4991
04:03:48,872 --> 04:03:50,540
75 YEARS OF AGE AND I DO WANT TO

4992
04:03:50,540 --> 04:03:52,943
TALK ABOUT WHAT WIRE LOOKING AT 

4993
04:03:52,943 --> 04:03:53,143
HERE.

4994
04:03:53,143 --> 04:03:56,279
WE'RE LOOKING AT THE CONSUMPTION

4995
04:03:56,279 --> 04:03:58,248
EXAMINE AND THE METHODS USED.

4996
04:03:58,248 --> 04:04:00,517
WE USED SCORE ANALYSIS IN 14 

4997
04:04:00,517 --> 04:04:00,784
ARTICLES.

4998
04:04:00,784 --> 04:04:02,452
YOU'RE SEEING THE NOVA 

4999
04:04:02,452 --> 04:04:04,221
CLASSIFICATION OF HERE AND 

5000
04:04:04,221 --> 04:04:08,492
DEFINING ULTRA PROCESSED FOODS.

5001
04:04:08,492 --> 04:04:12,229
A REDUCED RANK REGRESSION AND 

5002
04:04:12,229 --> 04:04:14,898
FACTOR ANALYSIS IN ONE ARTICLE.

5003
04:04:14,898 --> 04:04:19,569
THE AMOUNT OF ULTRAPROCESSED 

5004
04:04:19,569 --> 04:04:21,471
FOOD WITH A CONTRIBUTION OF 

5005
04:04:21,471 --> 04:04:23,473
ENERGY AND WEIGHT AND 10% 

5006
04:04:23,473 --> 04:04:24,775
INCREASE IN ENERGY AND INCREASE 

5007
04:04:24,775 --> 04:04:29,413
FROM 700 GRAMS A DAY VERSUS 234 

5008
04:04:29,413 --> 04:04:30,080
GRAMS PER DAY.

5009
04:04:30,080 --> 04:04:31,748
THE NUMBER AND TYPES OF ITEMS 

5010
04:04:31,748 --> 04:04:35,252
CLASSIFIED AS ULTRA PROCESSED 

5011
04:04:35,252 --> 04:04:36,687
FOOD WITHIN DIETARY PATTERN WAS 

5012
04:04:36,687 --> 04:04:38,422
VARIED ACROSS STUDIES AND HERE 

5013
04:04:38,422 --> 04:04:41,958
AGAIN NOT SURPRISINGLY THE TYPE 

5014
04:04:41,958 --> 04:04:43,360
OF ALL TRA PROCESSED FOOD 

5015
04:04:43,360 --> 04:04:45,062
CONTRIBUTED TO DIETARY PATTERNS 

5016
04:04:45,062 --> 04:04:48,765
AS SEEN PREVIOUSLY, REFINED 

5017
04:04:48,765 --> 04:04:51,601
GRAINS, PROCESSED MEAT PRODUCTS 

5018
04:04:51,601 --> 04:04:52,669
AND SUGAR SWEETENED BEVERAGES.

5019
04:04:52,669 --> 04:04:54,771
IN THE NEXT SLIDE WE'LL SEE THE 

5020
04:04:54,771 --> 04:04:56,773
CONCLUSION STATEMENT FOR ADULTS 

5021
04:04:56,773 --> 04:05:00,410
AND OLDER ADULTS LOOKING NOT 

5022
04:05:00,410 --> 04:05:02,946
DISSIMILAR TO BEFORE AND LIMITED

5023
04:05:02,946 --> 04:05:04,081
EVIDENCE SHOWING HIGHER AMOUNTS 

5024
04:05:04,081 --> 04:05:06,049
OF FOODS AND CLASSIFIED AS ULTRA

5025
04:05:06,049 --> 04:05:07,651
PROCESSED FOODS CONSUMED BY 

5026
04:05:07,651 --> 04:05:10,220
ADULTS AND OLDER ADULTS ARE 

5027
04:05:10,220 --> 04:05:12,756
ASSOCIATED WITH GREATER 

5028
04:05:12,756 --> 04:05:13,223
ADIPOSITY.

5029
04:05:13,223 --> 04:05:15,692
THAT THE FAT MASS, WAIST 

5030
04:05:15,692 --> 04:05:18,528
CIRCUMFERENCE AND BMI AND RISK 

5031
04:05:18,528 --> 04:05:20,063
OF OBESITY.

5032
04:05:20,063 --> 04:05:24,768
THE BODY OF LIMITED WAS 16 

5033
04:05:24,768 --> 04:05:25,202
ARTICLES.

5034
04:05:25,202 --> 04:05:26,636
15 FROM OBSERVATIONAL STUDY AND 

5035
04:05:26,636 --> 04:05:30,040
ONE RANDOMIZED CONTROL AND 

5036
04:05:30,040 --> 04:05:30,974
CONSISTENCY WAS MINIMAL 

5037
04:05:30,974 --> 04:05:33,477
VARIATION AND SIGNIFICANCE OF 

5038
04:05:33,477 --> 04:05:33,744
FINDINGS.

5039
04:05:33,744 --> 04:05:35,345
FEW CONCERNS WITH SAMPLE SIZE 

5040
04:05:35,345 --> 04:05:37,414
AND POWER OF VARIANCE.

5041
04:05:37,414 --> 04:05:39,316
THERE WERE SERIOUS CONCERNS FOR 

5042
04:05:39,316 --> 04:05:42,953
THE RISK OF BIAS DUE TO EXPOSURE

5043
04:05:42,953 --> 04:05:43,787
MISCLASSIFICATION AND CONCERNS 

5044
04:05:43,787 --> 04:05:47,758
WITH STUDIES NOT DIRECTLY 

5045
04:05:47,758 --> 04:05:50,894
COMPARING DIETARY PATTERNS WITH 

5046
04:05:50,894 --> 04:05:56,767
AMOUNTS OF ALL ULTRAPROCESSED 

5047
04:05:56,767 --> 04:05:58,602
FOODS AND WE HAD ALL 

5048
04:05:58,602 --> 04:06:00,771
U.S. STUDIES WE HAD ISSUES HERE 

5049
04:06:00,771 --> 04:06:02,739
ABOUT NOT HAVING AS MANY 

5050
04:06:02,739 --> 04:06:04,441
U.S. STUDIES REPRESENTED HERE.

5051
04:06:04,441 --> 04:06:13,717
LET'S MOVE ON TO THE NEXT SLIDE.

5052
04:06:13,717 --> 04:06:18,789
LET'S LOOK AT INFANTS AND YOUNG 

5053
04:06:18,789 --> 04:06:21,958
CHILDREN AND A CONCLUSION CANNOT

5054
04:06:21,958 --> 04:06:23,760
BE DRAWN BY CHILDREN UP TO 24 

5055
04:06:23,760 --> 04:06:26,663
MONTHS WITH A GRADE NOT 

5056
04:06:26,663 --> 04:06:26,963
ASSIGNABLE.

5057
04:06:26,963 --> 04:06:28,799
WE HAD FIVE ARTICLES AND FIVE 

5058
04:06:28,799 --> 04:06:32,435
PROSPECTIVE COHORT STUDIES AND 

5059
04:06:32,435 --> 04:06:34,237
LIMITATIONS IN THE CONSISTENCIES

5060
04:06:34,237 --> 04:06:36,239
IN ASSESSMENT AND TIMING AND 

5061
04:06:36,239 --> 04:06:38,909
OUTCOME REPORTING AND DIRECTION 

5062
04:06:38,909 --> 04:06:41,845
AND MAGNITUDE OF AFFECTS AND THE

5063
04:06:41,845 --> 04:06:44,047
METHODS AND DERIVED PATTERNS 

5064
04:06:44,047 --> 04:06:45,415
WERE NOT DESIGN TO QUANTIFY 

5065
04:06:45,415 --> 04:06:46,883
PROCESSED FOOD LIMITING THE 

5066
04:06:46,883 --> 04:06:49,052
DIRECTNESS OF THE EVIDENCE.

5067
04:06:49,052 --> 04:06:52,255
THERE WAS A GREAT NOT ASSIGNABLE

5068
04:06:52,255 --> 04:06:55,292
FOR THIS AGE COHORT.

5069
04:06:55,292 --> 04:06:58,195
AND YOU CAN ALSO SEE SOMETHING 

5070
04:06:58,195 --> 04:06:59,930
VERY SIMILAR SPECIFICALLY DURING

5071
04:06:59,930 --> 04:07:01,031
PREGNANCY AND DURING THE 

5072
04:07:01,031 --> 04:07:03,667
POSTPARTUM COHORT WHERE WE ALSO 

5073
04:07:03,667 --> 04:07:06,469
HAVE A GRADE NOT ASSIGNABLE FOR 

5074
04:07:06,469 --> 04:07:07,437
BOTH GROUPS.

5075
04:07:07,437 --> 04:07:08,672
YOU'LL NOTICE FOR ONE GROUP 

5076
04:07:08,672 --> 04:07:13,643
THERE WAS ONLY TWO ARTICLES BOTH

5077
04:07:13,643 --> 04:07:16,046
WERE PROSPECTIVE COHORT STUDIES 

5078
04:07:16,046 --> 04:07:17,781
DURING PREGNANCY AND DURING THE 

5079
04:07:17,781 --> 04:07:19,216
POSTPARTUM PERIOD AND 

5080
04:07:19,216 --> 04:07:20,584
PROSPECTIVE COHORT STUDY, GRADE 

5081
04:07:20,584 --> 04:07:22,652
NOT ASSIGNABLE AND BODY OF 

5082
04:07:22,652 --> 04:07:24,821
EVIDENCE COULD NOT BE ADEQUATELY

5083
04:07:24,821 --> 04:07:25,789
ASSESSED.

5084
04:07:25,789 --> 04:07:27,190
UNFORTUNATELY WE'RE NOT ABLE TO 

5085
04:07:27,190 --> 04:07:31,494
DRAW SIGNIFICANT CONCLUSION FOR 

5086
04:07:31,494 --> 04:07:36,366
EITHER OF THESE TWO IMPORTANT 

5087
04:07:36,366 --> 04:07:39,369
TIME PERIODS.

5088
04:07:39,369 --> 04:07:41,171
IF WE LOOK AT THE CONCLUSION 

5089
04:07:41,171 --> 04:07:42,439
STATEMENTS BY LIFE STAGE YOU CAN

5090
04:07:42,439 --> 04:07:43,540
SEE FOR CHILDREN AND ADOLESCENTS

5091
04:07:43,540 --> 04:07:47,010
FOR ADULTS AND OLDER ADULTS WE 

5092
04:07:47,010 --> 04:07:48,879
HAVE THOSE LIMITED CONCLUSIONS 

5093
04:07:48,879 --> 04:07:50,113
THAT WERE DRAWN BASED ON WHAT 

5094
04:07:50,113 --> 04:07:52,816
WAS PREVIOUSLY PRESENTED FOR THE

5095
04:07:52,816 --> 04:07:55,518
PREGNANCY AND POSTPARTUM PERIOD.

5096
04:07:55,518 --> 04:07:56,620
WE COULD NOT DRAW CONCLUSION 

5097
04:07:56,620 --> 04:07:58,655
STATEMENTS AND THE GRADE WAS NOT

5098
04:07:58,655 --> 04:08:00,790
ASSIGNABLE DUE TO THE LIMITED 

5099
04:08:00,790 --> 04:08:03,994
EVIDENCE PROVIDED DURING THOSE 

5100
04:08:03,994 --> 04:08:04,794
TIME PERIODS.

5101
04:08:04,794 --> 04:08:06,997
WHAT WE WANT TO SAY BECAUSE WE 

5102
04:08:06,997 --> 04:08:08,031
REALIZE IT'S A VERY IMPORTANT 

5103
04:08:08,031 --> 04:08:11,902
ISSUE PARTICULARLY AS WE LOOK AT

5104
04:08:11,902 --> 04:08:13,036
ULTRAPROCESSED FOODS, WE WANT TO

5105
04:08:13,036 --> 04:08:22,245
TEST THE EFFECTS OF DIETARY 

5106
04:08:22,245 --> 04:08:23,513
PATTERNS WITH WELL CONTROLLED 

5107
04:08:23,513 --> 04:08:25,715
TRIALS IN THE U.S.

5108
04:08:25,715 --> 04:08:28,151
THIS IS OF SIGNIFICANT 

5109
04:08:28,151 --> 04:08:28,985
IMPORTANCE WE RECOGNIZE HOW 

5110
04:08:28,985 --> 04:08:29,886
COMMON THESE ARE IN THE 

5111
04:08:29,886 --> 04:08:30,921
U.S. DIET.

5112
04:08:30,921 --> 04:08:31,955
REPORTS DETAILED INFORMATION ON 

5113
04:08:31,955 --> 04:08:34,090
THE STATUS OF FOODS AND FOOD 

5114
04:08:34,090 --> 04:08:36,793
GROUP ITEMS AS HOMEMADE OR 

5115
04:08:36,793 --> 04:08:40,697
COMMERCIAL AND INDUSTRIALIZED 

5116
04:08:40,697 --> 04:08:44,768
AND PROVIDES RATIONALE FOR 

5117
04:08:44,768 --> 04:08:45,669
ULTRAPROCESSED AND PROVIDES 

5118
04:08:45,669 --> 04:08:47,304
CLARITY ON THE DEGREE OF 

5119
04:08:47,304 --> 04:08:51,241
PROCESSING AND THE AMOUNT AND 

5120
04:08:51,241 --> 04:08:56,780
TYPE OF INGREDIENTS AND 

5121
04:08:56,780 --> 04:08:58,381
EMULSIFIERS AND PRECISE AMOUNTS 

5122
04:08:58,381 --> 04:09:01,184
OF INDIVIDUAL ULTRAPROCESSED 

5123
04:09:01,184 --> 04:09:02,819
FOODS IN DIETARY PATTERNS BY 

5124
04:09:02,819 --> 04:09:04,187
PARTICIPANTS IS THE TOTAL WEIGHT

5125
04:09:04,187 --> 04:09:06,222
OF GRAMS PER DAY AND 

5126
04:09:06,222 --> 04:09:07,791
CONTRIBUTION TO OVER ALL DIETARY

5127
04:09:07,791 --> 04:09:10,827
INTAKE WHICH IS THE PERCENT OF 

5128
04:09:10,827 --> 04:09:12,595
ENERGY SO THE LEVEL OF 

5129
04:09:12,595 --> 04:09:16,933
ULTRAPROCESS FOOD INTAKE CAN BE 

5130
04:09:16,933 --> 04:09:19,436
COMPARED AND HELP DEFINE LOW AND

5131
04:09:19,436 --> 04:09:20,136
HIGH PROCESSED FOOD.

5132
04:09:20,136 --> 04:09:21,204
WE RECOGNIZE IT'S IMPORTANT.

5133
04:09:21,204 --> 04:09:23,640
WE THINK MORE SHOULD BE DONE AND

5134
04:09:23,640 --> 04:09:26,409
COMMITTED TO DOING THAT WORK AND

5135
04:09:26,409 --> 04:09:27,444
KNOW THIS IS VERY IMPORTANT 

5136
04:09:27,444 --> 04:09:31,681
PARTICULARLY IN LIGHT OF WHAT 

5137
04:09:31,681 --> 04:09:33,149
HAS BEEN PRESENTED TODAY AND 

5138
04:09:33,149 --> 04:09:35,352
DONE SUBSEQUENTLY BY OTHER 

5139
04:09:35,352 --> 04:09:36,786
DIETARY GUIDELINE COMMITTEES.

5140
04:09:36,786 --> 04:09:47,197
THANK YOU FOR YOUR TIME.

5141
04:09:52,602 --> 04:09:56,272
>> ANY QUESTIONS OR
COMMENTS?

5142
04:09:56,272 --> 04:10:02,979
>> TELL US ABOUT YOUR
DISCUSSION

5143
04:10:02,979 --> 04:10:04,247
AND WHY YOU HAD SERIOUS CONCERNS

5144
04:10:04,247 --> 04:10:07,384
WITH THE CLASSIFICATION FOR THE 

5145
04:10:07,384 --> 04:10:07,584
U.S.?

5146
04:10:07,584 --> 04:10:12,789
CAN YOU ELABORATE WHAT THE 

5147
04:10:12,789 --> 04:10:15,492
COMMITTEE DISCUSSED?

5148
04:10:15,492 --> 04:10:16,760
>> WE DIDN'T HAVE AS MANY 

5149
04:10:16,760 --> 04:10:17,927
STUDIES WE THOUGHT SHOULD BE 

5150
04:10:17,927 --> 04:10:18,161
PRESENT.

5151
04:10:18,161 --> 04:10:21,297
THE NUMBER OF STUDIES FROM THE 

5152
04:10:21,297 --> 04:10:23,099
U.S. AUTO LONE WERE RELATIVELY 

5153
04:10:23,099 --> 04:10:24,768
LIMITED TO COMPARED TO THE TOTAL

5154
04:10:24,768 --> 04:10:25,602
NUMBER OF STUDIES.

5155
04:10:25,602 --> 04:10:30,874
COMPARING AN CONTRASTING TO WHAT

5156
04:10:30,874 --> 04:10:39,149
WE SAW FROM CHRISTOPHER'S BODY 

5157
04:10:39,149 --> 04:10:41,518
OF WORK AND LOOK AT U.S. STUDIES

5158
04:10:41,518 --> 04:10:44,421
ALONE WITH THE ROBUST NUMBER OF 

5159
04:10:44,421 --> 04:10:44,788
STUDIES.

5160
04:10:44,788 --> 04:10:47,257
SOME WE LOOKED AT WASN'T THE 

5161
04:10:47,257 --> 04:10:48,992
U.S. ALONE BUT SEVERAL DIFFERENT

5162
04:10:48,992 --> 04:10:49,559
COUNTRIES PULLING THAT DATA 

5163
04:10:49,559 --> 04:10:51,861
FROM.

5164
04:10:51,861 --> 04:10:52,796
DESPITE THE FACT THAT WE KNOW 

5165
04:10:52,796 --> 04:10:54,898
WHEN WE'RE LOOKING AT THE 

5166
04:10:54,898 --> 04:10:57,834
U.S. DATA OR JUST LOOKING AT THE

5167
04:10:57,834 --> 04:11:00,770
DATA THAT HAS BEEN ALREADY 

5168
04:11:00,770 --> 04:11:03,406
VIEWED FROM SEVERAL OTHER 

5169
04:11:03,406 --> 04:11:04,074
SUBCOMMITTEES WE KNOW OUR DIET 

5170
04:11:04,074 --> 04:11:05,508
COULD USE SOME WORK HERE IN THE 

5171
04:11:05,508 --> 04:11:05,942
UNITED STATES.

5172
04:11:05,942 --> 04:11:08,778
WE WOULD LIKE TO SEE OTHER 

5173
04:11:08,778 --> 04:11:15,185
STUDIES THAT REALLY GIVE US MORE

5174
04:11:15,185 --> 04:11:20,323
INFORMATION ABOUT ULTRA 

5175
04:11:20,323 --> 04:11:20,957
PROFES

5176
04:11:20,957 --> 04:11:21,958
PROCESSED FOODS IN THE UNITED 

5177
04:11:21,958 --> 04:11:22,258
STATES.

5178
04:11:22,258 --> 04:11:25,528
>> IN OTHER COUNTRIES THE
PO

5179
04:11:25,528 --> 04:11:28,665
PROPORTION IS MUCH LOWER AND IN 

5180
04:11:28,665 --> 04:11:30,600
THE U.S. IT'S 60% PROCESSED 

5181
04:11:30,600 --> 04:11:32,402
FOODS AND OTHERS 10% AND 20%.

5182
04:11:32,402 --> 04:11:34,804
IT'S NOT THE SAME QUESTION SO 

5183
04:11:34,804 --> 04:11:36,072
POOLING THEM BECOMES HARDER.

5184
04:11:36,072 --> 04:11:39,909
>> IT'S NOT ABOUT THE 

5185
04:11:39,909 --> 04:11:41,778
CLASSIFICATION INAPPROPRIATE FOR

5186
04:11:41,778 --> 04:11:43,746
THE U.S. BUT LESS STUDIES IN THE

5187
04:11:43,746 --> 04:11:44,180
U.S.

5188
04:11:44,180 --> 04:11:45,748
>> THAT PARTICULAR CONCERN
WAS 

5189
04:11:45,748 --> 04:11:47,617
THE DIFFERENT PROPORTIONS IN 

5190
04:11:47,617 --> 04:11:52,255
COUNTRIES MADE IT HARD TO 

5191
04:11:52,255 --> 04:11:55,992
ASSIMILATE AND COMBINE THE DATA.

5192
04:11:55,992 --> 04:11:57,060
>> THE CLASSIFICATION
SYSTEM WAS

5193
04:11:57,060 --> 04:11:57,393
DIFFERENT.

5194
04:11:57,393 --> 04:11:58,595
WE DIDN'T HAVE IT IN THE 

5195
04:11:58,595 --> 04:12:00,463
U.S. AND DIFFERENT FOODS WE WERE

5196
04:12:00,463 --> 04:12:02,765
LOOKING AT.

5197
04:12:02,765 --> 04:12:04,300
SO IT'S LARD TO LOOK ACROSS ALL 

5198
04:12:04,300 --> 04:12:08,771
THOSE STUDIES AND COME UP WITH A

5199
04:12:08,771 --> 04:12:18,414
CONSISTENT DEFINITION.

5200
04:12:18,414 --> 04:12:19,849
>> THANK YOU FOR THE 

5201
04:12:19,849 --> 04:12:20,283
PRESENTATION.

5202
04:12:20,283 --> 04:12:25,622
IN THINKING ABOUT THE ULTRA 

5203
04:12:25,622 --> 04:12:28,158
PROCESSED FOOD IS DIFFERENT AND 

5204
04:12:28,158 --> 04:12:33,830
WE HAVE NUTRIENTS AND HERE WE'RE

5205
04:12:33,830 --> 04:12:44,374
TALKING ABOUT A MIXTURE OF ALL 

5206
04:12:54,617 --> 04:12:57,487
OF THAT TOGETHER I'M TRYING TO 

5207
04:12:57,487 --> 04:12:59,689
SEE WHERE IT FITS WITH THE REST 

5208
04:12:59,689 --> 04:13:00,690
OF THE BODY WORK DONE BECAUSE 

5209
04:13:00,690 --> 04:13:03,660
YOU IDENTIFIED REFINED GRAINS 

5210
04:13:03,660 --> 04:13:06,629
AND SWEETS AND THINGS THAT WERE 

5211
04:13:06,629 --> 04:13:12,168
ALREADY MENTIONED AND HOW IS 

5212
04:13:12,168 --> 04:13:13,603
THAT A COMBINATION OF WORK 

5213
04:13:13,603 --> 04:13:14,904
ALREADY DONE IN A WAY?

5214
04:13:14,904 --> 04:13:19,509
>> SO A BIG PART, THERE'S
A HUGE

5215
04:13:19,509 --> 04:13:21,811
OVERLAP WITH THE SODIUM 

5216
04:13:21,811 --> 04:13:23,446
SATURATED FAT AND ADDED SUGAR 

5217
04:13:23,446 --> 04:13:24,781
BUT IT'S BEYOND THAT.

5218
04:13:24,781 --> 04:13:26,783
THE CLASSIFICATION OF UPF HAS 

5219
04:13:26,783 --> 04:13:29,519
MORE TO TO WITH COLORANTS, 

5220
04:13:29,519 --> 04:13:32,789
EMULSIFIERS, ADDITIVES.

5221
04:13:32,789 --> 04:13:34,190
THERE'S A STRANGE PHRASE THAT 

5222
04:13:34,190 --> 04:13:36,593
COMES UP IN THE INGREDIENTS OF 

5223
04:13:36,593 --> 04:13:40,763
RARE CULINARY USE.

5224
04:13:40,763 --> 04:13:44,234
AND AT ONE POINT HIGH FRUCTOSE 

5225
04:13:44,234 --> 04:13:48,905
SYRUP GOT INCLUDED IN THAT AND 

5226
04:13:48,905 --> 04:13:51,708
SOMEONE SAID IT'S NOT RARE AND 

5227
04:13:51,708 --> 04:13:54,577
IT'S RARE BECAUSE A HOME COOK 

5228
04:13:54,577 --> 04:13:56,546
WOULDN'T LIKELY USE HIGH 

5229
04:13:56,546 --> 04:13:58,915
FRUCTOSE CORN SYRUP.

5230
04:13:58,915 --> 04:14:02,418
THERE'S ADDITIVES IN COSMETICS 

5231
04:14:02,418 --> 04:14:04,687
AND GELLING AGENTS AND OTHERS 

5232
04:14:04,687 --> 04:14:09,959
THAT GO IN THE QUALIFICATION AND

5233
04:14:09,959 --> 04:14:16,266
IT'S HARD TO TEASING THAT AA 

5234
04:14:16,266 --> 04:14:21,037
PART AND IS IT NEW BEYOND WHAT 

5235
04:14:21,037 --> 04:14:24,274
WE SAID AND OTHER STUDIES 

5236
04:14:24,274 --> 04:14:26,142
ADJUSTED FOR THE SATURATED FAT 

5237
04:14:26,142 --> 04:14:32,282
AND SODIUM AND THERE'S STILL AN 

5238
04:14:32,282 --> 04:14:34,284
EFFECT THERE.

5239
04:14:34,284 --> 04:14:38,221
S -- WE SPOKE ABOUT OUR DATABASE

5240
04:14:38,221 --> 04:14:40,723
AND DO WE HAVE ACCURATE MINERALS

5241
04:14:40,723 --> 04:14:42,859
IN OUR DATABASE?

5242
04:14:42,859 --> 04:14:43,359
NOT ALWAYS.

5243
04:14:43,359 --> 04:14:48,765
DO WE HAVE DATA ON EMULSIFIERS 

5244
04:14:48,765 --> 04:14:51,434
AND COLORANTS?

5245
04:14:51,434 --> 04:14:54,370
AND WE DON'T AND MOST WEREN'T 

5246
04:14:54,370 --> 04:14:55,538
DESIGNED TO CAPTURE THOSE DATA 

5247
04:14:55,538 --> 04:14:59,175
SO WHAT WE HAVE TO RELY ON ARE 

5248
04:14:59,175 --> 04:15:00,610
PROXIES FOR THOSE WHICH ARE 

5249
04:15:00,610 --> 04:15:03,313
OFTEN THE FOOD IS HIGH IN 

5250
04:15:03,313 --> 04:15:05,114
SODIUM, SATURATED FAT AND ADDED 

5251
04:15:05,114 --> 04:15:06,516
SUGAR.

5252
04:15:06,516 --> 04:15:07,317
IT'S WRESTLING WITH A LOT SO 

5253
04:15:07,317 --> 04:15:09,285
IT'S A CALL OUT FOR OUR 

5254
04:15:09,285 --> 04:15:11,054
DATABASES TO GET UP TO SPEED ON 

5255
04:15:11,054 --> 04:15:13,523
SOME OF THOSE THINGS AND WORKING

5256
04:15:13,523 --> 04:15:15,858
WITH INDUSTRY TO HAVE SOME OF 

5257
04:15:15,858 --> 04:15:16,592
THAT INFORMATION MADE MORE 

5258
04:15:16,592 --> 04:15:20,196
TRANSPARENT SO WE CAN TRACK IT .

5259
04:15:20,196 --> 04:15:23,499
>> AND I THINK THIS
QUESTION IN 

5260
04:15:23,499 --> 04:15:24,901
PARTICULAR WAS ASKING ABOUT 

5261
04:15:24,901 --> 04:15:31,374
DIETARY PATTERNS WITH LOTS OF 

5262
04:15:31,374 --> 04:15:31,774
ULT

5263
04:15:31,774 --> 04:15:33,910
ULTRAPROCESSED FEUDS VERSUS 

5264
04:15:33,910 --> 04:15:34,143
FEWER.

5265
04:15:34,143 --> 04:15:36,779
IT PROVED TO BE MORE DIFFICULT 

5266
04:15:36,779 --> 04:15:47,056
THAN WE THOUGHT.

5267
04:15:48,524 --> 04:15:51,394
I'M WONDERING IF THERE'S ISSUES 

5268
04:15:51,394 --> 04:15:54,130
OF CONCERN WE SHOULD THINK ABOUT

5269
04:15:54,130 --> 04:15:58,267
FROM THE HEALTH EQUITY LENS.

5270
04:15:58,267 --> 04:15:58,801
>> ABSOLUTELY.

5271
04:15:58,801 --> 04:16:00,603
IT WAS BECAUSE WE WERE LIMITED 

5272
04:16:00,603 --> 04:16:04,307
UP OUR STUDIES WE HAD SOME 

5273
04:16:04,307 --> 04:16:06,843
STRUGGLES IN TRYING TO TEASE OUT

5274
04:16:06,843 --> 04:16:07,910
SOME OF THESE SPECIFIC HEALTH 

5275
04:16:07,910 --> 04:16:09,345
EQUITY ISSUES BUT IF WE GO BACK 

5276
04:16:09,345 --> 04:16:10,747
TO THE WORK THAT EACH OF YOU 

5277
04:16:10,747 --> 04:16:13,116
HAVE DONE IN YOUR RESPECTIVE 

5278
04:16:13,116 --> 04:16:14,050
SUBCOMMITTEES OR EVEN THE WORK 

5279
04:16:14,050 --> 04:16:15,618
WE'VE DONE IF WE GO BACK AND 

5280
04:16:15,618 --> 04:16:20,523
LOOK AT THE WORK SPECIFICALLY 

5281
04:16:20,523 --> 04:16:21,257
AROUND CARDIOVASCULAR DISEASE, 

5282
04:16:21,257 --> 04:16:25,695
TYPE II DIABETES, ETCETERA, WE 

5283
04:16:25,695 --> 04:16:27,864
KNOW THERE'S EQUITY ISSUES THAT 

5284
04:16:27,864 --> 04:16:29,065
PUSH CERTAIN GROUPS TO HAVING 

5285
04:16:29,065 --> 04:16:39,542
HIGHER ULTRA PROCESS FOODS 

5286
04:16:45,348 --> 04:16:46,282
VERSUS OTHERS.

5287
04:16:46,282 --> 04:16:50,253
WITH OUR STUDIES SO LIMITED IT 

5288
04:16:50,253 --> 04:16:51,954
WAS HARD TO CALL OUT ON THIS 

5289
04:16:51,954 --> 04:16:55,725
PARTICULAR TOPIC AND GETTING 

5290
04:16:55,725 --> 04:16:57,627
BACK TO THAT QUESTION ASKED BY 

5291
04:16:57,627 --> 04:16:59,695
CHRISTINA WHY DID WE SAY THIS 

5292
04:16:59,695 --> 04:17:01,898
WAS DIFFICULT TO LOOK AT FROM A 

5293
04:17:01,898 --> 04:17:02,231
U.S. LENS?

5294
04:17:02,231 --> 04:17:04,033
WE HAD FEWER STUDIES FROM THE 

5295
04:17:04,033 --> 04:17:05,768
U.S. LENS TO LOOK AT THIS TO GET

5296
04:17:05,768 --> 04:17:12,108
INTO SOME OF THESE ISSUES THAT 

5297
04:17:12,108 --> 04:17:15,978
SAMEERA WE HAD A HARDER TIME 

5298
04:17:15,978 --> 04:17:17,847
LOOKING AT THIS FROM THE 

5299
04:17:17,847 --> 04:17:19,916
U.S. BUT IT'S GERMANE TO THE 

5300
04:17:19,916 --> 04:17:20,349
U.S.

5301
04:17:20,349 --> 04:17:22,251
WE CAN MAP OUT WHERE CERTAIN 

5302
04:17:22,251 --> 04:17:27,723
RESTAURANTS ARE LOCATED IN 

5303
04:17:27,723 --> 04:17:31,060
CERTAIN COMMUNITY PROXIMITY AND 

5304
04:17:31,060 --> 04:17:32,161
THE PRICE POINTS IN CERTAIN 

5305
04:17:32,161 --> 04:17:35,598
MEALS IN CERTAIN COMMUNITIES.

5306
04:17:35,598 --> 04:17:38,334
LIKE MY COMMUNITY IN SOUTHWEST 

5307
04:17:38,334 --> 04:17:40,303
ATLANTA WHERE I GREW UP BUT IT'S

5308
04:17:40,303 --> 04:17:42,438
IMPORTANT TO CALL OUT AND THE 

5309
04:17:42,438 --> 04:17:51,547
FIRST TIME WE LOOKED AT THIS AND

5310
04:17:51,547 --> 04:17:53,850
THINGS IN STUDY YOU HAVE 

5311
04:17:53,850 --> 04:17:54,550
PERFORMED BUT THESE ARE 

5312
04:17:54,550 --> 04:17:58,287
IMPORTANT CALLOUTS AS WE LOOK AT

5313
04:17:58,287 --> 04:17:59,222
ULTRA PROCESS FOOD.

5314
04:17:59,222 --> 04:18:03,626
>> CAN I BUILD ON THAT AND
60% 

5315
04:18:03,626 --> 04:18:04,760
OF FOOD SUPPLY IS ULTRA PROCESS 

5316
04:18:04,760 --> 04:18:06,195
FOOD.

5317
04:18:06,195 --> 04:18:08,764
PART IS MAKING IT ECONOMICAL AND

5318
04:18:08,764 --> 04:18:12,502
ACCESSIBLE AND IF YOU WERE TO 

5319
04:18:12,502 --> 04:18:16,105
DEMONIZE IT WITHOUT ANYTHING TO 

5320
04:18:16,105 --> 04:18:20,376
REPLACE IT IT WOULD BE HUGELY 

5321
04:18:20,376 --> 04:18:21,677
PROBLEMATIC.

5322
04:18:21,677 --> 04:18:25,281
WE DON'T HAVE A CRISP CLEAR 

5323
04:18:25,281 --> 04:18:27,850
DEFINITION OF WHAT IT IS AND 

5324
04:18:27,850 --> 04:18:30,453
SOME WOULD GET TOSSED OUT 

5325
04:18:30,453 --> 04:18:33,990
INAPPROPRIATELY AND IN OUR 

5326
04:18:33,990 --> 04:18:35,691
GUIDELINES WE ALREADY SAY LIMIT 

5327
04:18:35,691 --> 04:18:38,794
THINGS TO THE EXTENT YOU CAN AND

5328
04:18:38,794 --> 04:18:41,264
IT'S A TOUCHY SUBJECT TO 

5329
04:18:41,264 --> 04:18:43,499
DEMONIZE THAT MASSIVE OF A 

5330
04:18:43,499 --> 04:18:44,567
CATEGORY OF FOOD GROUPS WITHOUT 

5331
04:18:44,567 --> 04:18:45,701
HAVING SOMETHING READY TO 

5332
04:18:45,701 --> 04:18:47,503
REPLACE IT WITH PEOPLE WITH 

5333
04:18:47,503 --> 04:18:49,872
LIMITED ACCESS SO WE HAVE TO 

5334
04:18:49,872 --> 04:18:56,212
VERY SENSITIVE HERE.

5335
04:18:56,212 --> 04:18:58,548
>> ALONG THE LINES OF WHAT
ALINA

5336
04:18:58,548 --> 04:19:01,150
ASKED BUT ONE OF THE CONCERNS 

5337
04:19:01,150 --> 04:19:04,387
THAT I CAN KIND OF SEE WITH THE 

5338
04:19:04,387 --> 04:19:08,691
LABELLING OF THE USE OF THE 

5339
04:19:08,691 --> 04:19:15,398
LABELLING OF ULTRAPROCESSED TO 

5340
04:19:15,398 --> 04:19:16,766
PATTERNS LIKE IF IT'S MORE ABOUT

5341
04:19:16,766 --> 04:19:25,374
THE ADDED SUGARS AND SODIUM AND 

5342
04:19:25,374 --> 04:19:28,778
SATURATED FAT WE HAVE LINKS TO 

5343
04:19:28,778 --> 04:19:31,981
CHRONIC DISEASE WITH THOSE 

5344
04:19:31,981 --> 04:19:33,916
NUTRITIONAL COMPONENTS.

5345
04:19:33,916 --> 04:19:36,352
IF IT'S ABOUT THE TRADITIONAL 

5346
04:19:36,352 --> 04:19:39,722
THINGS ADDED TO FOODS, IT'S SO 

5347
04:19:39,722 --> 04:19:46,295
VAGUE AND WHY NOT JUST LOOK AT 

5348
04:19:46,295 --> 04:19:56,839
EVIDENCE SPECIFICALLY FOCUSSED 

5349
04:19:57,707 --> 04:19:59,609
ON THOSE THINGS AND GUIDING THE 

5350
04:19:59,609 --> 04:20:05,348
POPULATION TO CONSIDER WHAT'S IN

5351
04:20:05,348 --> 04:20:06,616
THEIR FOOD AS FAR AS THE 

5352
04:20:06,616 --> 04:20:09,352
NUTRIENTS AND FEEL LIKE THIS 

5353
04:20:09,352 --> 04:20:11,887
SHIFT TO THINKING OF PROCESSING 

5354
04:20:11,887 --> 04:20:12,755
COULD TAKE PEOPLE'S ATTENTION 

5355
04:20:12,755 --> 04:20:13,589
AWAY FROM THINKING ABOUT THE 

5356
04:20:13,589 --> 04:20:23,766
NUTRIENTS.

5357
04:20:24,834 --> 04:20:29,939
>> MOST THE INGREDIENTS OF
FOOD 

5358
04:20:29,939 --> 04:20:31,073
THAT WOULD PUSH FOOD TO ULTRA 

5359
04:20:31,073 --> 04:20:33,776
PROCESS FOOD IS NOT ON THE 

5360
04:20:33,776 --> 04:20:34,043
LABELLING.

5361
04:20:34,043 --> 04:20:35,845
AS A TOOL FOR CONSUMERS THAT 

5362
04:20:35,845 --> 04:20:38,481
WOULDN'T BE APPLICABLE.

5363
04:20:38,481 --> 04:20:40,783
MOST THESE INGREDIENTS ARE NOT 

5364
04:20:40,783 --> 04:20:43,152
LISTED BECAUSE THEY'RE EITHER 

5365
04:20:43,152 --> 04:20:45,388
NOT PREVALENT WHERE YOU HAVE TO 

5366
04:20:45,388 --> 04:20:51,260
DISCLOSE OR MAYBE IT'S A FEATURE

5367
04:20:51,260 --> 04:20:51,961
OF WHAT HAPPENS DURING 

5368
04:20:51,961 --> 04:20:53,763
MANUFACTURING NOT NECESSARILY A 

5369
04:20:53,763 --> 04:20:59,035
PHYSICAL ADDITIVE.

5370
04:20:59,035 --> 04:21:00,770
I CAN'T WALK BACK AND REQUIRE 

5371
04:21:00,770 --> 04:21:05,574
EVERYONE TO GET THEIR FOOD FROM 

5372
04:21:05,574 --> 04:21:07,576
COOKING MEAL AT HOME BUT IT'S 

5373
04:21:07,576 --> 04:21:09,845
DIFFICULT TO SEPARATE PROCESSING

5374
04:21:09,845 --> 04:21:12,782
FROM FOOD CHOICE BECAUSE THE 

5375
04:21:12,782 --> 04:21:15,885
FOOD SUPPLY IS DRIVEN BY THE 

5376
04:21:15,885 --> 04:21:18,020
NEED TO PROCESS FOR CERTAIN 

5377
04:21:18,020 --> 04:21:21,891
REASONS TO HAVE AFFORDABLE AND 

5378
04:21:21,891 --> 04:21:24,026
CONVENIENT AND SHELF STABLE 

5379
04:21:24,026 --> 04:21:25,061
OPTIONS WHERE YOU CAN GET THINGS

5380
04:21:25,061 --> 04:21:28,764
ON THE FLY AND READY TO EAT.

5381
04:21:28,764 --> 04:21:29,598
THE SAME FOODS SHOULDN'T BE 

5382
04:21:29,598 --> 04:21:34,303
MAKING YOU SICK EITHER.

5383
04:21:34,303 --> 04:21:35,738
RETAINING THE BENEFITS OF 

5384
04:21:35,738 --> 04:21:39,875
PROCESSING WHILE ELIMINATING THE

5385
04:21:39,875 --> 04:21:40,776
RAPIDLY EVOLVING NATURE OF THESE

5386
04:21:40,776 --> 04:21:42,311
FOODS THAT ARE REALLY NOT THERE 

5387
04:21:42,311 --> 04:21:45,715
FOR THE CONSUMER BUT FOR 

5388
04:21:45,715 --> 04:21:47,483
REDUCING THE PRICE AND 

5389
04:21:47,483 --> 04:21:48,751
CONVENIENCE OF THE ITEMS I THINK

5390
04:21:48,751 --> 04:21:51,420
IS A PRIORITY.

5391
04:21:51,420 --> 04:21:54,090
YOU CAN'T SEPARATE THAT FROM THE

5392
04:21:54,090 --> 04:21:54,457
NUTRIENTS.

5393
04:21:54,457 --> 04:21:56,759
EVEN IF THEY'RE DIFFERENT 

5394
04:21:56,759 --> 04:22:06,469
CONSTRUCTS.

5395
04:22:06,469 --> 04:22:12,775
I WANT TO ADD TO WHAT DIDI IS 

5396
04:22:12,775 --> 04:22:19,115
SAYING THE METHODOLOGICAL ISSUES

5397
04:22:19,115 --> 04:22:21,250
AND WHAT'S RAISED IS VALUABLE.

5398
04:22:21,250 --> 04:22:22,918
THE OTHER COMPONENT TO OUR 

5399
04:22:22,918 --> 04:22:24,286
CHARGE IS WE ANSWER QUESTIONS OR

5400
04:22:24,286 --> 04:22:28,491
LOOK AT THE SCIENCE AROUND 

5401
04:22:28,491 --> 04:22:30,559
QUESTIONS REACHING GREAT FEDERAL

5402
04:22:30,559 --> 04:22:31,827
INTEREST AND STAKEHOLDER 

5403
04:22:31,827 --> 04:22:32,094
INTEREST.

5404
04:22:32,094 --> 04:22:33,863
RIGHT NOW WE'VE COME TO THE 

5405
04:22:33,863 --> 04:22:36,332
CONCLUSION THAT WE'VE COME TO 

5406
04:22:36,332 --> 04:22:39,702
BECAUSE IT'S A NOVEL TOPIC AREA 

5407
04:22:39,702 --> 04:22:43,038
AND THE SCIENCE ISN'T RIPE YET.

5408
04:22:43,038 --> 04:22:44,907
SO WE'VE TALKED ABOUT THINGS WE 

5409
04:22:44,907 --> 04:22:46,475
NEED TO SHIFT WITH REGARDS TO 

5410
04:22:46,475 --> 04:22:48,544
DATABASES AND HOW WE APPROACH 

5411
04:22:48,544 --> 04:22:49,345
THIS QUESTION.

5412
04:22:49,345 --> 04:22:54,383
OUR CHARGE AS A COMMITTEE IS TO 

5413
04:22:54,383 --> 04:22:57,386
PURSUE THINGS THAT HAVE INTEREST

5414
04:22:57,386 --> 04:22:58,254
FOR A FEDERAL TEAM AS WELL AS 

5415
04:22:58,254 --> 04:23:00,556
SHAREHOLDERS AND THAT'S PART OF 

5416
04:23:00,556 --> 04:23:05,261
WHAT IS PUTTING THIS ON THE 

5417
04:23:05,261 --> 04:23:05,494
TABLE.

5418
04:23:05,494 --> 04:23:08,197
>> I WOULD SAY AS AN
EXTENSION 

5419
04:23:08,197 --> 04:23:10,933
AT THE BEGINNING OF THE ULTRA 

5420
04:23:10,933 --> 04:23:12,768
PROCESS FOOD STORY WHAT IS 

5421
04:23:12,768 --> 04:23:15,638
PRESENTED HERE IS ON THE GROWTH 

5422
04:23:15,638 --> 04:23:18,107
AND BODY COMPOSITION AND 

5423
04:23:18,107 --> 04:23:18,340
OBESITY.

5424
04:23:18,340 --> 04:23:19,275
THERE'S LITERATURE ON ULTRA 

5425
04:23:19,275 --> 04:23:22,378
PROCESS FOOD AND DIABETES AND 

5426
04:23:22,378 --> 04:23:23,679
CARDIOVASCULAR DISEASE AND OTHER

5427
04:23:23,679 --> 04:23:24,780
CHRONIC HEALTH CONDITIONS.

5428
04:23:24,780 --> 04:23:30,519
TODAY IS ONLY THE BEGINNING AND 

5429
04:23:30,519 --> 04:23:32,054
BROUGHT OTHER ISSUES HOW DO YOU 

5430
04:23:32,054 --> 04:23:36,759
SEPARATE OUT THE NUTRIENTS OUT 

5431
04:23:36,759 --> 04:23:40,863
FROM THE INGREDIENTS AND A LOT 

5432
04:23:40,863 --> 04:23:43,632
OF AND MANY FOODS ARE HIGH IN 

5433
04:23:43,632 --> 04:23:44,733
SODIUM AND SATURATED FAT AND 

5434
04:23:44,733 --> 04:23:47,036
ADDED SUGAR.

5435
04:23:47,036 --> 04:23:51,407
THERE'S A DIET QUALITY ISSUE AS 

5436
04:23:51,407 --> 04:23:51,607
WELL.

5437
04:23:51,607 --> 04:23:56,779
NOT ALL HAVE TRIED TO CONTROL 

5438
04:23:56,779 --> 04:23:59,648
FOR BAD QUALITY UP ONE WAY OR 

5439
04:23:59,648 --> 04:24:01,884
ANOTHER AND GETS TO TRYING TO 

5440
04:24:01,884 --> 04:24:04,987
TEASE OUT IS ULTRA PROCESSED 

5441
04:24:04,987 --> 04:24:09,258
FOODS IS IT REPRESENTATIVE OF A 

5442
04:24:09,258 --> 04:24:10,893
LOW-QUALITY DIET IN SOME IT'S 

5443
04:24:10,893 --> 04:24:17,366
NOT AS DRAMATICALLY HIGH AS ONE 

5444
04:24:17,366 --> 04:24:21,503
WOULD EXPECT.

5445
04:24:21,503 --> 04:24:24,240
ANOTHER THING THERE'S ULTRA 

5446
04:24:24,240 --> 04:24:28,143
PROCESSED FOODS WITH LITTLE 

5447
04:24:28,143 --> 04:24:29,578
NUTRITIONAL VALUE AND THERE'S 

5448
04:24:29,578 --> 04:24:32,681
WHOLE GRAIN CEREALS.

5449
04:24:32,681 --> 04:24:34,283
IT WILL STILL BE CLASSIFIED AS 

5450
04:24:34,283 --> 04:24:34,783
ULTRA PROCESS FOOD.

5451
04:24:34,783 --> 04:24:36,118
ONE OF THE RESEARCH IDEAS TO 

5452
04:24:36,118 --> 04:24:39,355
PASS ON TO OTHER INVESTIGATORS 

5453
04:24:39,355 --> 04:24:44,126
IS TO LOOK DEEPER INTO THE 

5454
04:24:44,126 --> 04:24:47,496
DIFFERENT FOOD GROUPS WITHIN 

5455
04:24:47,496 --> 04:24:49,131
ULTRA PROCESS FOOD, THE ULTRA 

5456
04:24:49,131 --> 04:24:52,067
PROCESS FOOD CEREALS AND WHOLE 

5457
04:24:52,067 --> 04:24:53,836
GRAIN CEREALS AND LOOKING DEEPER

5458
04:24:53,836 --> 04:24:57,806
AND SEE MAYBE THERE'S A 

5459
04:24:57,806 --> 04:24:59,375
DIFFERENCE BETWEEN THE ULTRA 

5460
04:24:59,375 --> 04:25:04,013
PROCESS FOOD AND LOW-NUTRIENT 

5461
04:25:04,013 --> 04:25:05,981
QUALITY FOODS VERSUS THE ULTRA 

5462
04:25:05,981 --> 04:25:12,354
PROCESS FOOD AND THE MINIMALLY 

5463
04:25:12,354 --> 04:25:14,290
PROCESSED AND HIGH NUTRITION AND

5464
04:25:14,290 --> 04:25:18,894
A DEEPER DIVE IN THAT AND MAY 

5465
04:25:18,894 --> 04:25:22,364
HELP REFINE A METRIC OF LEVEL OF

5466
04:25:22,364 --> 04:25:28,037
PROCESSING IN THE FOOD SUPPLY.

5467
04:25:28,037 --> 04:25:28,704
>> THERE'S METHODOLOGICAL 

5468
04:25:28,704 --> 04:25:29,972
CONSIDERATION BECAUSE IF YOU 

5469
04:25:29,972 --> 04:25:33,876
TALK ABOUT DIET QUALITY MOST OUR

5470
04:25:33,876 --> 04:25:34,476
OPERATIONALIZATION OF DIET 

5471
04:25:34,476 --> 04:25:39,548
QUALITY AND THE AGI SCORE OF 

5472
04:25:39,548 --> 04:25:40,382
FOOD GROUPS SO QUANTITIES P

5473
04:25:40,382 --> 04:25:48,757
PPER  

5474
04:25:48,757 --> 04:25:52,194
1,000 CALORIES AND TALK ABOUT 

5475
04:25:52,194 --> 04:25:53,162
DIET QUALITY SCORES AND DESIGNS 

5476
04:25:53,162 --> 04:25:54,897
FOR DIFFERENT LEVELS OF QUALITY 

5477
04:25:54,897 --> 04:25:56,665
BUT A LOT OF WHAT THAT IS HOW 

5478
04:25:56,665 --> 04:26:01,971
MUCH OF A FOOD GROUP ARE ARE YOU

5479
04:26:01,971 --> 04:26:03,072
PUTTING IN.

5480
04:26:03,072 --> 04:26:04,707
IF ULTRAPROCESSED IS MORE 

5481
04:26:04,707 --> 04:26:06,942
REFINED GRAINS IT'S GOING TO HIT

5482
04:26:06,942 --> 04:26:09,845
A REFINE GRAIN SCORE WITH 

5483
04:26:09,845 --> 04:26:13,349
MODERATION AND SATURATED FAT 

5484
04:26:13,349 --> 04:26:16,685
WILL HAVE A DIET QUALITY SCORE.

5485
04:26:16,685 --> 04:26:19,188
AND IT WILL BE BASED ON THE FOOD

5486
04:26:19,188 --> 04:26:22,324
GROUPS WE TALKED ABOUT AROUND 

5487
04:26:22,324 --> 04:26:24,426
NOT SO MUCH ABOUT THE LEVEL OF 

5488
04:26:24,426 --> 04:26:25,928
PROCESSING BECAUSE ON OUR LIST 

5489
04:26:25,928 --> 04:26:28,764
WE HAD TWO TYPES OF FRUITS AND 

5490
04:26:28,764 --> 04:26:34,903
VEGETABLES ON WHAT WERE 

5491
04:26:34,903 --> 04:26:36,772
ULTRAPROCESSED AND ADDITIVES AND

5492
04:26:36,772 --> 04:26:37,406
NOT.

5493
04:26:37,406 --> 04:26:40,042
THERE'S AN IDEA OF DIET QUALITY 

5494
04:26:40,042 --> 04:26:42,144
AND HOW WE ASSESS ISN'T ALWAYS 

5495
04:26:42,144 --> 04:26:45,881
TIED TO THE ELEMENTS BEING 

5496
04:26:45,881 --> 04:26:46,815
ASSESSED WITHIN ULTRA PROCESS 

5497
04:26:46,815 --> 04:26:47,583
FOOD.

5498
04:26:47,583 --> 04:26:49,818
THERE'S NUANCE THERE THAT WHEN 

5499
04:26:49,818 --> 04:26:50,652
YOU'RE CAPTURING FRUIT AND 

5500
04:26:50,652 --> 04:26:53,489
VEGETABLE INTAKE YOU MAY NOT BE 

5501
04:26:53,489 --> 04:26:57,793
CAPTURING THAT BREADTH AND TYPE 

5502
04:26:57,793 --> 04:26:59,728
OF PROCESSING THAT GETS IN 

5503
04:26:59,728 --> 04:26:59,928
THERE.

5504
04:26:59,928 --> 04:27:04,400
IT'S DIFFICULT TO PULL APART 

5505
04:27:04,400 --> 04:27:14,810
THAT DIET QUALITY IDEA.

5506
04:27:24,353 --> 04:27:26,221
>> I THINK THE NUTRIENT
VERSUS 

5507
04:27:26,221 --> 04:27:28,023
PROCESSING DISCUSSION I WANTED 

5508
04:27:28,023 --> 04:27:30,292
TO REMIND AND I KNOW WE TALKED 

5509
04:27:30,292 --> 04:27:35,798
ABOUT THE ONE TRIAL THAT'S BEEN 

5510
04:27:35,798 --> 04:27:37,566
CONDUCTED ON ULTRA PROCESS FOOD 

5511
04:27:37,566 --> 04:27:45,307
TO UNDERSTAND AND THE CONSTRUCT 

5512
04:27:45,307 --> 04:27:47,209
OF THE CLASSIFICATION DOES NOT 

5513
04:27:47,209 --> 04:27:49,078
INCLUDE A SINGLE NUTRIENT IN THE

5514
04:27:49,078 --> 04:27:51,346
DEFINITION OF HOW IT CATEGORIZES

5515
04:27:51,346 --> 04:27:52,381
AND BASED ENTIRELY ON PROCESSING

5516
04:27:52,381 --> 04:28:00,656
TECHNIQUE.

5517
04:28:00,656 --> 04:28:06,462
IT'S NOT SODIUM AND HOW IT'S 

5518
04:28:06,462 --> 04:28:13,869
APPLIED TO OUR FOOD SUPPLY AND 

5519
04:28:13,869 --> 04:28:15,304
THE TRIAL WAS SHORT TERM.

5520
04:28:15,304 --> 04:28:19,608
I DON'T KNOW THE RCT LISTED WAS 

5521
04:28:19,608 --> 04:28:22,444
KEVIN HALL MATCHED THE CROSSOVER

5522
04:28:22,444 --> 04:28:27,549
DIET FOR ALL THESE NUTRIENTS OF 

5523
04:28:27,549 --> 04:28:27,783
CONCERN.

5524
04:28:27,783 --> 04:28:32,788
ALL SATURATED FAT, REFINED SUGAR

5525
04:28:32,788 --> 04:28:34,356
AND MACRO NUTRIENT COMPOSITION 

5526
04:28:34,356 --> 04:28:35,657
WERE MATCHED CAREFULLY.

5527
04:28:35,657 --> 04:28:38,827
THE ONLY THING ALLOWED TO DIFFER

5528
04:28:38,827 --> 04:28:42,498
FROM THE MENUS WERE THE DEGREE 

5529
04:28:42,498 --> 04:28:48,103
OF PROCESSING SO UNPROCESSED 

5530
04:28:48,103 --> 04:28:49,938
VERSUS ULTRA PROCESSING AND IT 

5531
04:28:49,938 --> 04:28:53,809
LED TO HIGHER CALORIE INTAKE AND

5532
04:28:53,809 --> 04:28:56,044
WEIGHT GAIN AND ARTIFICIAL AND 

5533
04:28:56,044 --> 04:28:56,812
METABOLIC SETTING.

5534
04:28:56,812 --> 04:28:58,380
YOU TAKE AWAY THE CONVENIENCE 

5535
04:28:58,380 --> 04:29:00,182
AND AFFORDABILITY AND I HAVE TO 

5536
04:29:00,182 --> 04:29:03,585
RUSH BETWEEN JOBS, WHATEVER IT 

5537
04:29:03,585 --> 04:29:07,923
MIGHT BE YOU MAY THINK AS 

5538
04:29:07,923 --> 04:29:10,058
CONFOUNDERS LEANING TOWARDS 

5539
04:29:10,058 --> 04:29:11,293
ULTRA PROCESS FOODS AND TAKE 

5540
04:29:11,293 --> 04:29:17,699
AWAY THE SUGAR, SALT AND FAT AND

5541
04:29:17,699 --> 04:29:19,668
THE PROCESSING WAS DRIVING 

5542
04:29:19,668 --> 04:29:21,803
SEVERAL HUNDRED CALORIES MORE 

5543
04:29:21,803 --> 04:29:23,438
PER DAY OF CONSUMPTION AND 

5544
04:29:23,438 --> 04:29:24,006
WEIGHT GAIN.

5545
04:29:24,006 --> 04:29:32,548
SO WHAT THAT IS WE DON'T KNOW.

5546
04:29:32,548 --> 04:29:36,785
MORE RESEARCH WILL ELUCIDATE BUT

5547
04:29:36,785 --> 04:29:39,755
THE PROCESSING DOES SEEM TO HAVE

5548
04:29:39,755 --> 04:29:40,856
AN IMPORTANCE ABOVE AND BEYOND 

5549
04:29:40,856 --> 04:29:45,327
WHAT OTHER ASPECTS OF DIET 

5550
04:29:45,327 --> 04:29:49,064
QUALITY, CLUSTER IN THE FOODS IN

5551
04:29:49,064 --> 04:29:51,600
THE U.S. AND ARE IN THE 

5552
04:29:51,600 --> 04:29:51,934
U.S. CATEGORY.

5553
04:29:51,934 --> 04:29:56,805
OVER TO YOU NOW.

5554
04:29:56,805 --> 04:30:01,944
>> MY QUESTION I
CONSEQUENT 

5555
04:30:01,944 --> 04:30:03,011
REMEMBER THE RECOMMENDATIONS FOR

5556
04:30:03,011 --> 04:30:05,881
RESEARCH BUT ARE YOU COMMENTING 

5557
04:30:05,881 --> 04:30:07,482
ON WHAT SHOULD RESEARCHERS USE 

5558
04:30:07,482 --> 04:30:08,917
AND WHICH CLASSIFICATION TO USE 

5559
04:30:08,917 --> 04:30:10,953
BECAUSE I THINK IT'S A BIG 

5560
04:30:10,953 --> 04:30:12,788
DEBATE AND MAYBE IF YOU SAW 

5561
04:30:12,788 --> 04:30:14,323
DIFFERENCES IN THE LITERATURE 

5562
04:30:14,323 --> 04:30:15,257
YOU CAN PROVIDE LIGHT THAT WOULD

5563
04:30:15,257 --> 04:30:23,398
BE GREAT.

5564
04:30:23,398 --> 04:30:26,501
>> A QUICK COMMENT TO
FOLLOW ON 

5565
04:30:26,501 --> 04:30:27,269
THE TRIAL.

5566
04:30:27,269 --> 04:30:29,671
THE INTERESTING THING ABOUT THE 

5567
04:30:29,671 --> 04:30:32,507
TRIAL WAS I THINK THE ONE BIG 

5568
04:30:32,507 --> 04:30:35,377
FACTOR WAS OBVIOUSLY WAS FIBER.

5569
04:30:35,377 --> 04:30:38,747
I THINK THE CONTROL GROUP HAD 

5570
04:30:38,747 --> 04:30:40,515
AROUND 40 GRAMS A DAY OF FIBER 

5571
04:30:40,515 --> 04:30:50,859
WHICH IS VERY HIGH.

5572
04:30:52,527 --> 04:30:59,368
THAT'S THREE TIMES HIGHER AND 

5573
04:30:59,368 --> 04:31:04,273
FIBER IS A BIG COMPONENT OF 

5574
04:31:04,273 --> 04:31:05,907
HAVING A DIET NATURALLY HIGH IN 

5575
04:31:05,907 --> 04:31:11,713
FIBER AND I DON'T THINK MAKING 

5576
04:31:11,713 --> 04:31:13,081
MAKING WOOD WITH SUBSTITUTE 

5577
04:31:13,081 --> 04:31:14,249
FIBER WOULD BE A GOOD SUBSTITUTE

5578
04:31:14,249 --> 04:31:15,217
FOR THAT.

5579
04:31:15,217 --> 04:31:18,053
>> COMING BACK TO
CHRISTINA, WE 

5580
04:31:18,053 --> 04:31:21,390
DIDN'T WANT TO ENDORSE ONE 

5581
04:31:21,390 --> 04:31:22,257
CLASSIFICATION OVER ANOTHER BUT 

5582
04:31:22,257 --> 04:31:24,793
STATED NOVA SEEMS TO BE THE MOST

5583
04:31:24,793 --> 04:31:25,861
COMMONLY USED CLASSIFICATION.

5584
04:31:25,861 --> 04:31:27,696
WE THINK THAT WILL STILL EMERGE 

5585
04:31:27,696 --> 04:31:32,367
AS BEING THE MOST COMMONLY USED 

5586
04:31:32,367 --> 04:31:33,635
CLASSIFICATION FOR EVALUATING 

5587
04:31:33,635 --> 04:31:34,069
ULTRA PROCESS FOODS.

5588
04:31:34,069 --> 04:31:36,071
I THINK THAT WILL CONTINUE TO BE

5589
04:31:36,071 --> 04:31:36,805
THE CASE.

5590
04:31:36,805 --> 04:31:39,541
WE DIDN'T WANT TO ENDORSE ONE 

5591
04:31:39,541 --> 04:31:42,377
VERSUS ANOTHER BUT WILL STILL 

5592
04:31:42,377 --> 04:31:43,945
EMERGE AS THE MOST COMMONLY USED

5593
04:31:43,945 --> 04:31:46,481
AND WOULD LIKE MORE STUDIES 

5594
04:31:46,481 --> 04:31:48,050
PERFORMED IN THE UNITED STATES 

5595
04:31:48,050 --> 04:31:50,052
WHETHER THAT CLASSIFICATION OR 

5596
04:31:50,052 --> 04:31:53,188
ANOTHER BUT DON'T ENDORSE ONE 

5597
04:31:53,188 --> 04:31:53,789
OVER THE OTHER.

5598
04:31:53,789 --> 04:31:56,792
>> I WANT TO BRING UP THE
SEGA 

5599
04:31:56,792 --> 04:32:02,164
CLASSIFICATION THAT BUILDS ON 

5600
04:32:02,164 --> 04:32:02,364
NOVA.

5601
04:32:02,364 --> 04:32:06,635
IF YOU HAVE AN EMULSIFIER OR 

5602
04:32:06,635 --> 04:32:08,303
ANTI-GELLING AGENT YOU SHIFT 

5603
04:32:08,303 --> 04:32:11,707
OVER AND SEGA SAYS HOW MANY DO 

5604
04:32:11,707 --> 04:32:12,474
YOU HAVE?

5605
04:32:12,474 --> 04:32:16,478
ONE, TWO, THREE, FOUR SO IT'S 

5606
04:32:16,478 --> 04:32:18,213
MORE COMPLICATED BUT MORE 

5607
04:32:18,213 --> 04:32:20,816
SPECIFIC BUT HASN'T BEEN TESTED 

5608
04:32:20,816 --> 04:32:23,251
NEARLY AS MUCH AS NOVA.

5609
04:32:23,251 --> 04:32:23,385
.

5610
04:32:23,385 --> 04:32:29,024
I THINK IT COULD BE BETTER BUT 

5611
04:32:29,024 --> 04:32:36,798
HASN'T BEEN TESTED BUT THERE 

5612
04:32:36,798 --> 04:32:37,466
WILL SURELY BE OTHER CHALLENGES 

5613
04:32:37,466 --> 04:32:47,642
FOR THIS.

5614
04:32:52,881 --> 04:32:55,550
>> THERE HAVE BEEN
VIRTUALLY ALL

5615
04:32:55,550 --> 04:32:57,886
INGREDIENTS ADDED TO FOODS GO 

5616
04:32:57,886 --> 04:32:59,287
THROUGH THE REGULATORY SYSTEM 

5617
04:32:59,287 --> 04:33:01,957
HOWEVER, I THINK THE INTENT WAS 

5618
04:33:01,957 --> 04:33:03,592
NOT TO HAVE PEOPLE CONSUME SO 

5619
04:33:03,592 --> 04:33:06,128
MUCH OF THEIR DIET FROM THESE SO

5620
04:33:06,128 --> 04:33:07,863
MAY BE MORE UNINTENDED 

5621
04:33:07,863 --> 04:33:08,930
CONSEQUENCES SO WE DON'T KNOW 

5622
04:33:08,930 --> 04:33:09,931
THAT YET.

5623
04:33:09,931 --> 04:33:10,732
THERE'S STILL A LOT OF 

5624
04:33:10,732 --> 04:33:14,336
UNANSWERED QUESTIONS.

5625
04:33:14,336 --> 04:33:16,304
WE DO KNOW THE ENHANCED FLAVORS 

5626
04:33:16,304 --> 04:33:20,675
YOU CAN MAKE A BANANA FLAVORING 

5627
04:33:20,675 --> 04:33:23,545
THAT WILL TASTE BETTER THAN ANY 

5628
04:33:23,545 --> 04:33:24,746
BANANA YOU'LL EAT WITH SEASONAL 

5629
04:33:24,746 --> 04:33:28,483
VARIATION THAT DOES ELICIT MORE 

5630
04:33:28,483 --> 04:33:29,117
CONSUMPTION DIDI TALKED A LITTLE

5631
04:33:29,117 --> 04:33:34,523
BIT ABOUT THAT.

5632
04:33:34,523 --> 04:33:36,591
>> IT'S NOT ALWAYS
ADDITIVE AND 

5633
04:33:36,591 --> 04:33:42,264
I DON'T THINK IT SHOULD BE A 

5634
04:33:42,264 --> 04:33:47,068
SCARE TACTIC OF FOOD ADDITIVES 

5635
04:33:47,068 --> 04:33:48,837
BECAUSE THERE'S OTHER FEATURES 

5636
04:33:48,837 --> 04:33:54,009
OF CONCERN LIKE ENERGY DENSITY 

5637
04:33:54,009 --> 04:33:56,645
AND YOU HAVE A CONDENSED CALORIE

5638
04:33:56,645 --> 04:33:59,181
VERSION OF IT AGAIN PROBABLY 

5639
04:33:59,181 --> 04:34:00,949
REMOVING FIBER AND OTHER ASPECTS

5640
04:34:00,949 --> 04:34:03,618
OF HOW THE FOOD ORIGINALLY 

5641
04:34:03,618 --> 04:34:06,254
LOOKED AND HOW IT LOOKS NOW AS A

5642
04:34:06,254 --> 04:34:10,225
PRODUCT ON THE SHELF.

5643
04:34:10,225 --> 04:34:13,195
THAT MAY NOT NECESSARILY BE 

5644
04:34:13,195 --> 04:34:16,531
ADDITIVE BUT ANOTHER FEATURE FOR

5645
04:34:16,531 --> 04:34:20,068
PARAMETER THAT CAN BE QUANTIFIED

5646
04:34:20,068 --> 04:34:21,570
BUT MAYBE NOT A TANGIBLE 

5647
04:34:21,570 --> 04:34:22,537
INGREDIENT.

5648
04:34:22,537 --> 04:34:24,072
JUST TO REMIND IT'S NOT JUST 

5649
04:34:24,072 --> 04:34:26,475
INGREDIENTS BUT MANY OTHER 

5650
04:34:26,475 --> 04:34:28,810
ASPECTS THAT COULD BE AS 

5651
04:34:28,810 --> 04:34:29,177
RELEVANT.

5652
04:34:29,177 --> 04:34:30,912
>> I RESPECTFULLY
DISAGREE.

5653
04:34:30,912 --> 04:34:32,714
NOVA, IF YOU READ IT BECAUSE I'M

5654
04:34:32,714 --> 04:34:34,850
WRITING A PAPER ON THIS RIGHT 

5655
04:34:34,850 --> 04:34:39,788
NOW THE PROCESSING ASPECT ISN'T 

5656
04:34:39,788 --> 04:34:41,122
NECESSARY BUT THE ADDITIVES ARE.

5657
04:34:41,122 --> 04:34:42,624
I DON'T WANT TO HAGGLE OVER THAT

5658
04:34:42,624 --> 04:34:44,659
I JUST WANT TO BUILD ON YOUR 

5659
04:34:44,659 --> 04:34:48,797
GRASS THING.

5660
04:34:48,797 --> 04:34:54,069
I KNOW THERE'S A RECENT BROMATED

5661
04:34:54,069 --> 04:34:55,203
VEGETABLE OIL IN 2023 THEY 

5662
04:34:55,203 --> 04:34:56,838
APPROVED TO TAKE IT OFF THE 

5663
04:34:56,838 --> 04:34:57,305
GRASS LIST.

5664
04:34:57,305 --> 04:35:00,509
IN THOSE 20 YEARS THE NUMBER OF 

5665
04:35:00,509 --> 04:35:04,045
GRASS ITEMS INCREASED FROM 80 TO

5666
04:35:04,045 --> 04:35:06,214
8,000 AND THE IDEA IT TOOK 20 

5667
04:35:06,214 --> 04:35:08,016
YEARS TO GET ONE ITEM OFF THE 

5668
04:35:08,016 --> 04:35:10,051
GRASS LIST IS DAUNTING WHEN THE 

5669
04:35:10,051 --> 04:35:10,819
GRASS LIST GROWS AND GROWS AND 

5670
04:35:10,819 --> 04:35:20,929
GROWS.

5671
04:35:21,363 --> 04:35:24,032
>> IT I'M GOING TO
INTERJECT.

5672
04:35:24,032 --> 04:35:25,534
THIS HAS BEEN A GREAT DISCUSSION

5673
04:35:25,534 --> 04:35:28,537
AND I THINK I'M GOING TO HAND IT

5674
04:35:28,537 --> 04:35:31,940
OVER TO ARCHING LA.

5675
04:35:31,940 --> 04:35:32,240
-- ANGELA.

5676
04:35:32,240 --> 04:35:34,809
>> THIS IS A SHORT COMMENT
ABOUT

5677
04:35:34,809 --> 04:35:37,279
THE RESEARCH RECOMMENDATIONS.

5678
04:35:37,279 --> 04:35:39,614
I KNOW YOU ALL HAVEN'T INCLUDED 

5679
04:35:39,614 --> 04:35:41,283
THE RESEARCH RECOMMENDATIONS 

5680
04:35:41,283 --> 04:35:42,918
THOSE WILL BE FORTHCOMING 

5681
04:35:42,918 --> 04:35:45,320
ESSENTIALLY AND WE TALKED ABOUT 

5682
04:35:45,320 --> 04:35:47,355
IT FROM THE PERSPECTIVE.

5683
04:35:47,355 --> 04:35:51,860
WHAT I THINK IS STRIKING ACROSS 

5684
04:35:51,860 --> 04:35:53,929
THIS ENTIRE PRESENTATION WHICH 

5685
04:35:53,929 --> 04:35:56,264
IS EXCELLENT IS THERE'S TWO 

5686
04:35:56,264 --> 04:36:00,001
CATEGORIES, CHILDREN AND 

5687
04:36:00,001 --> 04:36:01,102
ADOLESCENTS OF WHICH WE SAW A 

5688
04:36:01,102 --> 04:36:02,103
HUGE CONCERN ABOUT.

5689
04:36:02,103 --> 04:36:04,539
THE OTHER IS EXCESS WEIGHT GAIN 

5690
04:36:04,539 --> 04:36:07,976
AND PREGNANCY AND ALSO ANYTHING 

5691
04:36:07,976 --> 04:36:11,246
RELATED TO PREGNANCY AND 

5692
04:36:11,246 --> 04:36:11,546
POSTPARTUM.

5693
04:36:11,546 --> 04:36:12,781
MAYBE IT'S MORE OF A COMMENT 

5694
04:36:12,781 --> 04:36:16,651
THAN A QUESTION, ARE THERE 

5695
04:36:16,651 --> 04:36:17,586
CERTAIN RESEARCH RECOMMENDATIONS

5696
04:36:17,586 --> 04:36:19,621
YOU SEE IN THOSE TWO POPULATIONS

5697
04:36:19,621 --> 04:36:23,825
BECAUSE WE JUST HEARD THAT THE 

5698
04:36:23,825 --> 04:36:27,062
DIETARY QUALITY IN ADOLESCENCE 

5699
04:36:27,062 --> 04:36:32,500
LOOKING AT CERTAIN POPULATIONS 

5700
04:36:32,500 --> 04:36:33,268
SPECIFICALLY, WERE THERE THINGS 

5701
04:36:33,268 --> 04:36:36,204
I'M ASSUMING A LOT OF THE DATA 

5702
04:36:36,204 --> 04:36:40,609
IS CROSS-SECTIONAL AND THEY 

5703
04:36:40,609 --> 04:36:44,779
DON'T JUST DON'T EXIST.

5704
04:36:44,779 --> 04:36:47,782
>> NOT JUST IN ULTRA
PROCESS 

5705
04:36:47,782 --> 04:36:50,518
FOOD BUT ACROSS THE BOARD AND 

5706
04:36:50,518 --> 04:36:53,054
PREGNANCY AND POSTPARTUM.

5707
04:36:53,054 --> 04:36:54,689
>> THERE WERE ONE OR TWO
IN 

5708
04:36:54,689 --> 04:36:57,292
ALMOST ALL THE THINGS 

5709
04:36:57,292 --> 04:36:58,193
REPRESENTED.

5710
04:36:58,193 --> 04:37:00,562
>> I MEAN IN THE BROADER 

5711
04:37:00,562 --> 04:37:00,862
LITERATURE.

5712
04:37:00,862 --> 04:37:05,834
I'M QUITE SURPRISED WITH THESE 

5713
04:37:05,834 --> 04:37:16,378
GIVEN THE AMOUNT OF DISCUSSION 

5714
04:37:16,645 --> 04:37:18,146
AROUND EXPRESS WEIGHT GAIN AND 

5715
04:37:18,146 --> 04:37:18,413
PREGNANCY.

5716
04:37:18,413 --> 04:37:20,382
>> I'M GOING TO PUT ON MY 

5717
04:37:20,382 --> 04:37:22,217
CLINICAL HAT.

5718
04:37:22,217 --> 04:37:24,886
SO I FIND IN THE OB-GYN SPACE 

5719
04:37:24,886 --> 04:37:27,622
AND IT'S ONE OF THE THINGS I DID

5720
04:37:27,622 --> 04:37:30,091
NOT DO, THERE'S JUST NOT MUCH 

5721
04:37:30,091 --> 04:37:31,760
ATTENTION IN THIS PARTICULAR 

5722
04:37:31,760 --> 04:37:32,160
TIME.

5723
04:37:32,160 --> 04:37:32,827
THERE'S ATTENTION TO THE FETUS 

5724
04:37:32,827 --> 04:37:37,599
AND THE MOM AND HEALTH OF THAT 

5725
04:37:37,599 --> 04:37:41,703
PERIOD BUT NOT NECESSARILY TO 

5726
04:37:41,703 --> 04:37:42,837
THE PATTERN EXCEPT A HEALTHY 

5727
04:37:42,837 --> 04:37:44,739
CHILD AND THE MOM SURVIVING THAT

5728
04:37:44,739 --> 04:37:45,240
PERIOD.

5729
04:37:45,240 --> 04:37:46,875
I THINK THE REASON WHY YOU'RE 

5730
04:37:46,875 --> 04:37:48,076
NOT SEEING MUCH IN THE SPACE IS 

5731
04:37:48,076 --> 04:37:51,846
THE FACT THAT MOST THE PEOPLE 

5732
04:37:51,846 --> 04:37:52,714
DOING THE RESEARCH ARE NOT 

5733
04:37:52,714 --> 04:37:54,449
BETTER TRAINED IN THIS DOMAIN.

5734
04:37:54,449 --> 04:37:56,351
I THINK THE PEOPLE SITTING 

5735
04:37:56,351 --> 04:37:57,452
AROUND THIS TABLE NEED TO 

5736
04:37:57,452 --> 04:37:59,621
CONSIDER PARTNERING WITH THOSE 

5737
04:37:59,621 --> 04:38:03,124
IN THE OB-GYN SPACE TO DO THAT 

5738
04:38:03,124 --> 04:38:04,159
WORK.

5739
04:38:04,159 --> 04:38:05,593
THEY AREN'T TRAINED AND THIS 

5740
04:38:05,593 --> 04:38:06,761
ISN'T THEIR AREA OF RESEARCH AND

5741
04:38:06,761 --> 04:38:07,562
THEY'RE NOT THINKING ABOUT THAT 

5742
04:38:07,562 --> 04:38:08,797
TYPE OF WORK.

5743
04:38:08,797 --> 04:38:10,565
THEY NEED THOSE PEOPLE THAT HAVE

5744
04:38:10,565 --> 04:38:11,599
THAT EXPERTISE WHICH ARE THE 

5745
04:38:11,599 --> 04:38:14,836
PEOPLE SITTING AT THE TABLE NOT 

5746
04:38:14,836 --> 04:38:16,471
JUST AT THE TABLE BUT MAYBE 

5747
04:38:16,471 --> 04:38:18,506
LISTENING TO MY VOICE TO PARTNER

5748
04:38:18,506 --> 04:38:19,774
TO DO THIS WORK.

5749
04:38:19,774 --> 04:38:21,443
THE PAUCITY OF STUDIES COME FROM

5750
04:38:21,443 --> 04:38:25,046
THE LACK OF KNOWLEDGE IN THAT 

5751
04:38:25,046 --> 04:38:26,347
SPACE AND ACROSS ALL THE DOMAINS

5752
04:38:26,347 --> 04:38:28,550
OF THE LAST TWO DAYS THERE'S 

5753
04:38:28,550 --> 04:38:30,819
LIMITED LITERATURE DUE TO THE 

5754
04:38:30,819 --> 04:38:31,886
LIMITED KNOWLEDGE WE'RE SEEING 

5755
04:38:31,886 --> 04:38:33,888
AND LIMITED CONCENTRATION IN 

5756
04:38:33,888 --> 04:38:36,791
THAT SPACE.

5757
04:38:36,791 --> 04:38:41,096
>> WE HAVE A HUGE MCA
NUTRITION 

5758
04:38:41,096 --> 04:38:46,401
COMMUNITY AND I'M CURIOUS 

5759
04:38:46,401 --> 04:38:50,105
BECAUSE THIS IS UNEXPECTED AND I

5760
04:38:50,105 --> 04:38:52,774
KNOW THERE'S PAPERS BUT CURIOUS 

5761
04:38:52,774 --> 04:38:55,343
IF THEY DON'T MEET OR IS IT JUST

5762
04:38:55,343 --> 04:38:56,478
MISSING?

5763
04:38:56,478 --> 04:38:57,579
I THINK THAT'S A KEY 

5764
04:38:57,579 --> 04:39:00,782
RECOMMENDATION BUT CURIOUS GIVEN

5765
04:39:00,782 --> 04:39:03,184
THE EMPHASIS IN INVESTMENT 

5766
04:39:03,184 --> 04:39:05,820
AROUND MCA AND NUTRITION IN MOST

5767
04:39:05,820 --> 04:39:08,623
OF THESE WE DIDN'T HAVE ENOUGH 

5768
04:39:08,623 --> 04:39:09,858
STUDIES TO DEVELOP A CONCLUSION.

5769
04:39:09,858 --> 04:39:15,396
I'M CURIOUS WHY.

5770
04:39:15,396 --> 04:39:24,672
>> WHEN WE WENT BACK IN
THE 

5771
04:39:24,672 --> 04:39:27,342
ORIGINAL STATEMENT LOOKING AT 

5772
04:39:27,342 --> 04:39:28,243
GESTATIONAL WEIGHT GAIN AND THAT

5773
04:39:28,243 --> 04:39:31,513
PERIOD IS HARD TO CAPTURE.

5774
04:39:31,513 --> 04:39:32,680
PEOPLE DON'T KNOW THEY'RE 

5775
04:39:32,680 --> 04:39:37,185
PREGNANT IN THE LATER IN THE 

5776
04:39:37,185 --> 04:39:37,452
PREGNANCY.

5777
04:39:37,452 --> 04:39:38,553
DIETS CHANGE FROM WHAT PEOPLE 

5778
04:39:38,553 --> 04:39:40,155
ARE EATING FIRST, SECOND AND 

5779
04:39:40,155 --> 04:39:42,223
THIRD TRIMESTER AND TRYING TO 

5780
04:39:42,223 --> 04:39:43,324
CAPTURE THE DIFFERENCES IS 

5781
04:39:43,324 --> 04:39:45,693
DIFFICULT AND THINKING ABOUT THE

5782
04:39:45,693 --> 04:39:47,462
COHORTS YOU CAN CAPTURE YOU'RE 

5783
04:39:47,462 --> 04:39:48,730
RECRUITING IN THE FIRST 

5784
04:39:48,730 --> 04:39:51,099
TRIMESTER AND GETTING THAT 

5785
04:39:51,099 --> 04:39:53,301
INFORMATION VERSUS PEOPLE WHO 

5786
04:39:53,301 --> 04:39:56,004
MIGHT BE FINDING OUT THEY'RE 

5787
04:39:56,004 --> 04:39:56,971
PREGNANT LATER AND BEING 

5788
04:39:56,971 --> 04:39:58,039
CAPTURED THAT WAY.

5789
04:39:58,039 --> 04:40:00,008
THE OTHER THING THAT CAME UP 

5790
04:40:00,008 --> 04:40:03,878
WHEN WE LOOKED AT OFFSETTING 

5791
04:40:03,878 --> 04:40:04,779
GESTATIONAL WEIGHT GAIN DATA FOR

5792
04:40:04,779 --> 04:40:08,516
THE COHORTS THEY END UP 

5793
04:40:08,516 --> 04:40:10,351
MEASURING DIET DURING THIS TIME 

5794
04:40:10,351 --> 04:40:12,520
PERIOD AND CAPTURING TIME 

5795
04:40:12,520 --> 04:40:15,056
PERIODS PRIOR TO PREGNANCY.

5796
04:40:15,056 --> 04:40:17,192
OR SPECIFIC TRIMESTER OR DON'T 

5797
04:40:17,192 --> 04:40:21,796
LINE UP WITH SOME OUTCOMES WE'RE

5798
04:40:21,796 --> 04:40:22,263
LOOKING AT.

5799
04:40:22,263 --> 04:40:23,965
OR THE DIETARY TOOLS ARE NOT 

5800
04:40:23,965 --> 04:40:26,067
REALLY ACCURATELY MEASURING WHAT

5801
04:40:26,067 --> 04:40:27,135
WE NEED THEM TO.

5802
04:40:27,135 --> 04:40:30,939
AND ALSO THINKING ABOUT THE 

5803
04:40:30,939 --> 04:40:34,108
GESTATIONAL WEIGHT GAIN 

5804
04:40:34,108 --> 04:40:35,643
GUIDELINES SIMILAR TO CHILDREN 

5805
04:40:35,643 --> 04:40:38,046
NEEDING TO GROW, PERSONS 

5806
04:40:38,046 --> 04:40:39,681
PREGNANT NEED TO GAIN WEIGHT 

5807
04:40:39,681 --> 04:40:43,518
DURING PREGNANCY OR OFTEN SHOULD

5808
04:40:43,518 --> 04:40:45,920
GAIN WEIGHT DURING PREGNANCY.

5809
04:40:45,920 --> 04:40:48,790
COMING OUT OF THIS -- I THINK 

5810
04:40:48,790 --> 04:40:50,692
IT'S STRIKING ALSO THERE'S 

5811
04:40:50,692 --> 04:40:54,762
PRETTY MUCH NOTHING ON 

5812
04:40:54,762 --> 04:40:55,063
POSTPARTUM.

5813
04:40:55,063 --> 04:40:58,099
POSTPARTUM WEIGHT CHANGE AND THE

5814
04:40:58,099 --> 04:41:00,802
IMPLICATIONS FOR THAT FOR 

5815
04:41:00,802 --> 04:41:05,306
WOMEN'S HEALTH GOING FORWARD.

5816
04:41:05,306 --> 04:41:09,143
>> THERE'S NOTHING ON
TODDLERS.

5817
04:41:09,143 --> 04:41:12,046
THERE'S AN EXPLOSION OF SNACKS 

5818
04:41:12,046 --> 04:41:14,515
FOR BABIES, ALL THESE LITTLE 

5819
04:41:14,515 --> 04:41:18,720
FOODS FOR BABIES THAT ARE 

5820
04:41:18,720 --> 04:41:19,387
ULTRAPROCESSED AND COULD BE 

5821
04:41:19,387 --> 04:41:20,788
ANOTHER OPPORTUNITY TO DO 

5822
04:41:20,788 --> 04:41:21,456
RESEARCH ON ALL THOSE NEW FOODS 

5823
04:41:21,456 --> 04:41:28,096
OUT THERE.

5824
04:41:28,096 --> 04:41:29,964
>> ALSO DURING PREGNANCY
WE LIKE

5825
04:41:29,964 --> 04:41:32,567
TO SEE MEASUREMENT OF DIET 

5826
04:41:32,567 --> 04:41:35,103
THROUGHOUT AND PREGNANCY IS KIND

5827
04:41:35,103 --> 04:41:38,006
OF QUICK AND TURNING AROUND TWO 

5828
04:41:38,006 --> 04:41:40,475
MONTHS LATER AND ASKING FOR 

5829
04:41:40,475 --> 04:41:42,844
ANOTHER FOOD FREQUENCY 

5830
04:41:42,844 --> 04:41:44,145
QUESTIONNAIRE AND IT'S AN EXTRA 

5831
04:41:44,145 --> 04:41:44,712
BURDEN ON TOP OF EVERYTHING 

5832
04:41:44,712 --> 04:41:51,152
ELSE.

5833
04:41:51,152 --> 04:41:52,553
IT'S DEFINITELY NEEDS TO BE AN 

5834
04:41:52,553 --> 04:41:54,188
AREA EXAMINED AND GIVEN 

5835
04:41:54,188 --> 04:41:55,657
GESTATIONAL DIABETES FOLLOWING 

5836
04:41:55,657 --> 04:41:58,326
THAT IN THE POSTPARTUM PERIOD 

5837
04:41:58,326 --> 04:41:59,861
WHAT HAPPENS WITH WEIGHT LOSS 

5838
04:41:59,861 --> 04:42:00,962
AND DIET AFTER THAT.

5839
04:42:00,962 --> 04:42:06,968
WE HAVE A LOT OF WORK TO DO.

5840
04:42:06,968 --> 04:42:07,602
>> ANY OTHER QUESTIONS OR 

5841
04:42:07,602 --> 04:42:11,472
COMMENTS?

5842
04:42:11,472 --> 04:42:11,940
OKAY.

5843
04:42:11,940 --> 04:42:12,941
SO OUR NEXT STEPS ARE WE'RE 

5844
04:42:12,941 --> 04:42:16,778
GOING TO CONTINUE TO WORK ON OUR

5845
04:42:16,778 --> 04:42:18,046
SYSTEMATIC REVIEWS SO OUR 

5846
04:42:18,046 --> 04:42:23,251
DIETARY PATTERNS WE'RE GOING TO 

5847
04:42:23,251 --> 04:42:25,987
START ON RISK OF AND WE ALREADY 

5848
04:42:25,987 --> 04:42:28,523
GOT THE PAPERS LINED UP SO 

5849
04:42:28,523 --> 04:42:29,991
THAT'S KIND OF EXCITING TO WORK 

5850
04:42:29,991 --> 04:42:31,793
ON THAT AND THEN WE'LL LOOK AT 

5851
04:42:31,793 --> 04:42:36,164
DIETARY PATTERNS AND RISK OF 

5852
04:42:36,164 --> 04:42:39,767
BREAST CANCER AND COLORECTAL 

5853
04:42:39,767 --> 04:42:42,370
CANCER AND WAS NICE TO SEE THE 

5854
04:42:42,370 --> 04:42:43,771
DATA ON THAT AND WITH SPECIFIC 

5855
04:42:43,771 --> 04:42:46,741
DIETARY PATTERN COMPONENTS WE'LL

5856
04:42:46,741 --> 04:42:47,542
BE DOING THE SUGAR SWEETENED 

5857
04:42:47,542 --> 04:42:48,810
BEVERAGES AND BODY COMP AND RISK

5858
04:42:48,810 --> 04:42:51,813
OF OBESITY IN ADULTS AND OLDER 

5859
04:42:51,813 --> 04:42:55,783
ADULTS AND THEN OUR FOOD SOURCES

5860
04:42:55,783 --> 04:42:56,384
OF SATURATED FAT AND RISK OF 

5861
04:42:56,384 --> 04:42:58,219
CARDIOVASCULAR DEED.

5862
04:42:58,219 --> 04:42:59,187
-- DISEASE.

5863
04:42:59,187 --> 04:43:02,056
SO LOTS OF WORK REMAINING BUT 

5864
04:43:02,056 --> 04:43:06,894
WE'RE VERY PROUD OF THE 

5865
04:43:06,894 --> 04:43:08,096
COMMITTEE AND THE GROUPS AND 

5866
04:43:08,096 --> 04:43:18,406
WHAT DONE TO DATE.

5867
04:43:32,787 --> 04:43:34,155
>> WE HAVE A CHANGE IN THE

5868
04:43:34,155 --> 04:43:35,623
AGENDA AND WE'RE GOING TO WRAP 

5869
04:43:35,623 --> 04:43:36,891
UP BECAUSE SOME COMMITTEE 

5870
04:43:36,891 --> 04:43:38,726
MEMBERS HAVE EARLIER FLIGHTS 

5871
04:43:38,726 --> 04:43:41,863
BECAUSE OF TRAVEL DELAYS, 

5872
04:43:41,863 --> 04:43:42,130
ETCETERA.

5873
04:43:42,130 --> 04:43:44,432
SO WHAT I'D LIKE TO DO IS WHAT 

5874
04:43:44,432 --> 04:43:46,634
WE ALWAYS DO BECAUSE I FIND THIS

5875
04:43:46,634 --> 04:43:50,638
SOME OF THE RICHEST DISCUSSION 

5876
04:43:50,638 --> 04:43:54,175
IS ONE IMPRESSION EACH OF THIS 

5877
04:43:54,175 --> 04:43:54,842
MEETING, SOMETHING THAT'S REALLY

5878
04:43:54,842 --> 04:43:57,812
MADE AN IMPRESSION ON YOU.

5879
04:43:57,812 --> 04:43:58,613
CHERYL, I'M GOING TO START WITH 

5880
04:43:58,613 --> 04:43:58,780
YOU.

5881
04:43:58,780 --> 04:44:01,015
PLEASE GO AHEAD.

5882
04:44:01,015 --> 04:44:02,583
>> THANK YOU, SARAH.

5883
04:44:02,583 --> 04:44:04,619
I WANT IT SAY THANK YOU TO 

5884
04:44:04,619 --> 04:44:10,224
EVERYONE FOR WHAT'S REALLY BEEN 

5885
04:44:10,224 --> 04:44:12,193
AN INTERESTING AND FRUITFUL TWO 

5886
04:44:12,193 --> 04:44:12,960
DAYS OF DISCUSSION.

5887
04:44:12,960 --> 04:44:15,730
WE HEARD IT SAID A COUPLE TIMES 

5888
04:44:15,730 --> 04:44:16,597
DURING THE DISCUSSION THAT 

5889
04:44:16,597 --> 04:44:18,666
CONTEXT MATTERS AND I WANT TO 

5890
04:44:18,666 --> 04:44:20,301
JUST SAY THAT AS WE'VE BEEN 

5891
04:44:20,301 --> 04:44:22,370
DOING OUR WORK SINCE THE LAST 

5892
04:44:22,370 --> 04:44:25,807
MEETING AND THIS MEETING, THE 

5893
04:44:25,807 --> 04:44:26,641
CONTEXT FOR ME AROUND WHAT'S 

5894
04:44:26,641 --> 04:44:29,177
BEEN GOING ON IN THE WORLD HAS 

5895
04:44:29,177 --> 04:44:34,615
REALLY BEEN CRITICAL TO HOW I'VE

5896
04:44:34,615 --> 04:44:36,818
BEEN EXPERIENCING THE PROCESS.

5897
04:44:36,818 --> 04:44:40,421
AND YOU CAN'T REALLY LOOK AT THE

5898
04:44:40,421 --> 04:44:42,990
NEWS MEDIA RIGHT NOW AND NOT BE 

5899
04:44:42,990 --> 04:44:44,225
STRUCK BY HOW MUCH DISTRESS 

5900
04:44:44,225 --> 04:44:47,428
THERE IS GOING ON IN OUR NATION 

5901
04:44:47,428 --> 04:44:49,630
AS WELL AS ACROSS THE GLOBE.

5902
04:44:49,630 --> 04:44:51,666
WE ALL KNOW THAT HAS 

5903
04:44:51,666 --> 04:44:52,767
IMPLICATIONS FOR HOW PEOPLE EAT 

5904
04:44:52,767 --> 04:44:56,270
AND ACCESS FOOD AND NUTRITION 

5905
04:44:56,270 --> 04:44:58,539
BUT FOR ME, JUST LISTENING TO 

5906
04:44:58,539 --> 04:45:01,109
HOW FAR WE'VE COME AND WHAT 

5907
04:45:01,109 --> 04:45:02,777
WE'VE BEEN DOING IT'S BEEN NICE 

5908
04:45:02,777 --> 04:45:05,113
TO HAVE A PLACE AND A PROCESS 

5909
04:45:05,113 --> 04:45:09,450
AND A GROUP OF COLLEAGUES THAT 

5910
04:45:09,450 --> 04:45:11,285
ARE DIVERSE UP YOUR BACKGROUNDS 

5911
04:45:11,285 --> 04:45:12,520
AND THINKING.

5912
04:45:12,520 --> 04:45:15,756
WE HAVE TO DEAL WITH COMPLEX AND

5913
04:45:15,756 --> 04:45:17,692
STICKY SUBJECTS AND WE DO IT 

5914
04:45:17,692 --> 04:45:19,760
WITH SUCH RIGOR AND RESPECT FOR 

5915
04:45:19,760 --> 04:45:20,728
EACH OTHER.

5916
04:45:20,728 --> 04:45:23,331
I JUST WANTED TO CALL THAT OUT 

5917
04:45:23,331 --> 04:45:23,898
AS AN IMPRESSION FROM THIS 

5918
04:45:23,898 --> 04:45:29,203
SESSION.

5919
04:45:29,203 --> 04:45:31,706
>> GREAT IMPRESSION.

5920
04:45:31,706 --> 04:45:33,641
THE IMPREG I'VE HAD AND AT MOST 

5921
04:45:33,641 --> 04:45:38,813
THE MEETINGS WE'VE HAD IS OUR 

5922
04:45:38,813 --> 04:45:40,114
DATA ARE VERY RICH BUT NOT 

5923
04:45:40,114 --> 04:45:41,082
ANSWERING THE QUESTIONS WE'RE 

5924
04:45:41,082 --> 04:45:42,116
TRYING TO ANSWER.

5925
04:45:42,116 --> 04:45:44,785
WE NEED A CALL TO ACTION I THINK

5926
04:45:44,785 --> 04:45:46,621
FOR ALL OF OUR COLLEAGUES ABOUT 

5927
04:45:46,621 --> 04:45:49,724
REPLICATING SOME OF THESE 

5928
04:45:49,724 --> 04:45:52,560
STUDIES, IMPROVING OUR 

5929
04:45:52,560 --> 04:45:54,495
METHODOLOGY AND STANDARDIZING IT

5930
04:45:54,495 --> 04:45:56,297
TO ANSWER THESE QUESTIONS IN THE

5931
04:45:56,297 --> 04:45:56,898
NEXT COMMITTEE AND COMMITTEES 

5932
04:45:56,898 --> 04:45:57,999
AFTER THAT.

5933
04:45:57,999 --> 04:46:01,169
>> I KNOW WE'VE SAID THIS 

5934
04:46:01,169 --> 04:46:02,503
MULTIPLE TIMES BUT I JUST WANTED

5935
04:46:02,503 --> 04:46:08,776
TO GIVE A SHOUT OUT TO THE 

5936
04:46:08,776 --> 04:46:09,644
NESSER TEAM.

5937
04:46:09,644 --> 04:46:12,280
I THINK ESPECIALLY NOW THAT 

5938
04:46:12,280 --> 04:46:13,848
WE'RE GETTING CRUNCHED FOR TIME 

5939
04:46:13,848 --> 04:46:16,617
AND JUST SEEING THE VOLUME OF 

5940
04:46:16,617 --> 04:46:20,021
DATA PRESENTED AND THE NICE WAY 

5941
04:46:20,021 --> 04:46:21,556
THAT THEY VISUALIZE IT AND HELP 

5942
04:46:21,556 --> 04:46:24,425
US IN WHATEVER WE ASK FOR THEY 

5943
04:46:24,425 --> 04:46:27,495
GET US SO I DON'T KNOW HOW Y'ALL

5944
04:46:27,495 --> 04:46:29,697
SLEEP AT NIGHT BUT I JUST WANTED

5945
04:46:29,697 --> 04:46:31,933
TO SAY WE'RE VERY GRATEFUL FOR 

5946
04:46:31,933 --> 04:46:32,800
EVERYTHING Y'ALL DO TO SUPPORT 

5947
04:46:32,800 --> 04:46:37,572
US.

5948
04:46:37,572 --> 04:46:40,775
>> MY TAKE IS I'M
IMPRESSED WITH

5949
04:46:40,775 --> 04:46:42,443
THE COLLABORATIONS BETWEEN 

5950
04:46:42,443 --> 04:46:44,378
GROUPS AND PRESENTED ON SNACKS 

5951
04:46:44,378 --> 04:46:46,547
AND BREAKFAST AND THEN HAD THE 

5952
04:46:46,547 --> 04:46:47,481
PREVALENCE OF SNACK AND 

5953
04:46:47,481 --> 04:46:49,650
BREAKFAST AND BEING IN TUNE WITH

5954
04:46:49,650 --> 04:46:51,385
EACH OTHER AND COLLABORATING AND

5955
04:46:51,385 --> 04:46:53,287
ADDING INFORMATION WE'LL NEED SO

5956
04:46:53,287 --> 04:46:57,725
I THINK THAT'S AWESOME.

5957
04:46:57,725 --> 04:47:00,328
>> I'M STILL STRUCK BY
SOMETHING

5958
04:47:00,328 --> 04:47:07,201
YOU GUYS BROUGHT UP IS THE 

5959
04:47:07,201 --> 04:47:08,903
DATABASE FOR FREQUENCY TO AGE 2 

5960
04:47:08,903 --> 04:47:11,572
IS LESS THAN THE OTHER YEARS OF 

5961
04:47:11,572 --> 04:47:14,542
LIFE AND THAT HASN'T CHANGED AND

5962
04:47:14,542 --> 04:47:15,610
THAT'S AN AREA OF FOCUS AND MAKE

5963
04:47:15,610 --> 04:47:19,213
A PITCH AS WE THINK ABOUT THE 

5964
04:47:19,213 --> 04:47:23,050
NEXT DIETARY GUIDELINES 10% OF 

5965
04:47:23,050 --> 04:47:24,785
BABIES ARE BORN LOW BIRTH WEIGHT

5966
04:47:24,785 --> 04:47:27,888
AND PREMATURE AND DON'T SAY ONE 

5967
04:47:27,888 --> 04:47:30,958
WORD AND I UNDERSTAND THERE'S 

5968
04:47:30,958 --> 04:47:31,993
DIFFERENT PROCESSES ABOUT THEM 

5969
04:47:31,993 --> 04:47:36,564
BUT I DO THINK WE NEED TO 

5970
04:47:36,564 --> 04:47:38,299
CONSIDER THAT IN UTERO TIME 

5971
04:47:38,299 --> 04:47:43,571
PERIOD AND WHAT COMES OUT OF 

5972
04:47:43,571 --> 04:47:46,674
THAT TIME PERIOD AND THE 

5973
04:47:46,674 --> 04:47:52,446
CONCLUSIONS AND DATABASE ARE 

5974
04:47:52,446 --> 04:47:53,281
VASTLY DIFFERENT FOR THAT TIME 

5975
04:47:53,281 --> 04:47:53,514
PERIOD.

5976
04:47:53,514 --> 04:47:56,817
>> I WAS GOING TO SAY
SOMETHING 

5977
04:47:56,817 --> 04:47:58,686
VERY SIMILAR.

5978
04:47:58,686 --> 04:48:03,758
IT IS IMPOSSIBLE ON THE JOURNEY 

5979
04:48:03,758 --> 04:48:04,959
OF COMPLEMENTARY FEEDING WITHOUT

5980
04:48:04,959 --> 04:48:12,566
BEING PROFOUNDLY STRUCK BY HOW 

5981
04:48:12,566 --> 04:48:16,370
LITTLE AND UNDER REPRESENTED 

5982
04:48:16,370 --> 04:48:17,738
EARLY DEVELOPMENT IS IN OUR 

5983
04:48:17,738 --> 04:48:20,775
UNDERSTANDING OF HOW DIET 

5984
04:48:20,775 --> 04:48:21,976
INFLUENCES HEALTH.

5985
04:48:21,976 --> 04:48:23,277
WHAT STRUCK ME ALSO IS GOING 

5986
04:48:23,277 --> 04:48:26,547
BACK TO ANGELA AND OTHERS' 

5987
04:48:26,547 --> 04:48:28,249
COMMENTS I THINK THERE NEEDS TO 

5988
04:48:28,249 --> 04:48:29,750
BE STRONG MESSAGES ABOUT THE 

5989
04:48:29,750 --> 04:48:31,952
TYPE OF SCIENCE THAT WILL HELP 

5990
04:48:31,952 --> 04:48:39,260
US MAKE MOVEMENT FORWARD AND 

5991
04:48:39,260 --> 04:48:44,799
I'VE PUBLISHED A BAZILLION CROSS

5992
04:48:44,799 --> 04:48:46,300
SECTIONAL STUDIES BUT THE 

5993
04:48:46,300 --> 04:48:47,835
SCIENCE HAS NEVER BEEN DONE IN 

5994
04:48:47,835 --> 04:48:49,804
THIS DISCUSSION AND I THINK 

5995
04:48:49,804 --> 04:48:52,940
THAT'S AN IMPORTANT MESSAGE IN 

5996
04:48:52,940 --> 04:48:55,509
TERMS OF HOW WE MOVE FORWARD IN 

5997
04:48:55,509 --> 04:48:59,914
SCIENCE AND TO MAKE HEADWAY.

5998
04:48:59,914 --> 04:49:02,883
I THANK YOU FOR MAKING THOSE 

5999
04:49:02,883 --> 04:49:04,251
COMMENTS IN AN ARTICULATE WAY 

6000
04:49:04,251 --> 04:49:07,221
AND I WANT TO SEE US MAKE THE 

6001
04:49:07,221 --> 04:49:08,823
PUSH FOR RIGOROUS SCIENCE IN 

6002
04:49:08,823 --> 04:49:14,161
SOME OF THESE AREAS.

6003
04:49:14,161 --> 04:49:16,030
>> I THINK WHAT I'LL TAKE
TODAY 

6004
04:49:16,030 --> 04:49:20,701
IS THE RIGOR AND THOUGHTFULNESS 

6005
04:49:20,701 --> 04:49:23,571
OF ALL THE COMMITTEE AND THE 

6006
04:49:23,571 --> 04:49:26,173
PROCESS THAT'S INCREDIBLE TO 

6007
04:49:26,173 --> 04:49:28,109
BRING ALL THOSE RESULTS OVER THE

6008
04:49:28,109 --> 04:49:29,910
PAST TWO DAYS IT WAS INCREDIBLE 

6009
04:49:29,910 --> 04:49:30,845
TO SEE HOW MUCH WORK HAS BEEN 

6010
04:49:30,845 --> 04:49:37,118
DONE.

6011
04:49:37,118 --> 04:49:38,953
I THINK ANOTHER MESSAGE I'M 

6012
04:49:38,953 --> 04:49:43,758
GOING TO TAKE AWAY IS WE HAVE 

6013
04:49:43,758 --> 04:49:46,894
WORK TO DO ON COMMITTEE AND WE 

6014
04:49:46,894 --> 04:49:48,729
ASK THE QUESTION AFTER EVERY 

6015
04:49:48,729 --> 04:49:50,631
PRESENTATION WHAT ABOUT CULTURAL

6016
04:49:50,631 --> 04:49:51,999
FOOD AND DARK GREENS EVEN WITHIN

6017
04:49:51,999 --> 04:49:53,067
THE DATA ANALYSIS SECTION.

6018
04:49:53,067 --> 04:49:55,870
I THINK THERE'S A LOT OF TO DO 

6019
04:49:55,870 --> 04:49:56,604
AND RECOMMENDATION WITHIN THAT 

6020
04:49:56,604 --> 04:49:57,905
ON HOW TO APPROACH IT WILL BE 

6021
04:49:57,905 --> 04:50:04,645
CRITICAL.

6022
04:50:04,645 --> 04:50:07,982
>> I WOULD SAY A HUGE
THANK YOU 

6023
04:50:07,982 --> 04:50:10,718
AGAIN TO OUR COMMITTEE 

6024
04:50:10,718 --> 04:50:13,254
CO-CHAIRS, SARAH AND ANGELA AND 

6025
04:50:13,254 --> 04:50:19,326
SAMEERA LEADING UP OUR HEALTH 

6026
04:50:19,326 --> 04:50:20,795
EQUITY GROUP.

6027
04:50:20,795 --> 04:50:22,696
YOU'RE SO EXCELLENT SO THANK YOU

6028
04:50:22,696 --> 04:50:24,665
FOR ALL YOU DO.

6029
04:50:24,665 --> 04:50:26,734
I WAS SAD AND DISHEARTENED AT 

6030
04:50:26,734 --> 04:50:30,671
HOW WE'RE DOING IN THIS COUNTRY.

6031
04:50:30,671 --> 04:50:32,773
THESE DATA ARE REALLY DE 

6032
04:50:32,773 --> 04:50:35,409
PRESSING.

6033
04:50:35,409 --> 04:50:38,579
THEY REPRESENTS STORIES OF 

6034
04:50:38,579 --> 04:50:41,382
INEQUITY AND THERE'S SOME 

6035
04:50:41,382 --> 04:50:42,283
SIGNIFICANT DISPARITIES.

6036
04:50:42,283 --> 04:50:51,659
SO I REALLY HOPE THAT WE CAN GET

6037
04:50:51,659 --> 04:50:53,060
GREATER COMMUNITY ENGAGED 

6038
04:50:53,060 --> 04:50:53,961
SCIENCE AND HEAR FROM THE 

6039
04:50:53,961 --> 04:50:54,995
COMMUNITIES MOST IMPACTED FROM 

6040
04:50:54,995 --> 04:50:57,765
THE ISSUES, WHAT PEOPLE ARE 

6041
04:50:57,765 --> 04:51:01,702
EATING, WHAT ARE THE NEEDS AND 

6042
04:51:01,702 --> 04:51:04,371
HOW WE CAN MAKE MAJOR CHANGES 

6043
04:51:04,371 --> 04:51:10,244
BECAUSE WE NEED THOSE CHANGES.

6044
04:51:10,244 --> 04:51:13,214
>> I THINK WE SAW NOT A
LOT OF 

6045
04:51:13,214 --> 04:51:14,849
RESULT INS PATTERN MODELLING AND

6046
04:51:14,849 --> 04:51:16,717
LOOKING AT IT POSITIVELY AND 

6047
04:51:16,717 --> 04:51:18,219
WOULD BE NICE TO PUT EVERYTHING 

6048
04:51:18,219 --> 04:51:20,788
TOGETHER NOW THAT WE HAVE A LOT 

6049
04:51:20,788 --> 04:51:24,191
OF THIS INFORMATION TO SEE HOW 

6050
04:51:24,191 --> 04:51:25,926
WE CAN PUT FORTH OUR 

6051
04:51:25,926 --> 04:51:26,961
RECOMMENDATIONS TO THE 

6052
04:51:26,961 --> 04:51:27,361
DEPARTMENTS.

6053
04:51:27,361 --> 04:51:28,729
THAT IS WHAT I'M LOOK BEING 

6054
04:51:28,729 --> 04:51:29,497
FORWARD TO.

6055
04:51:29,497 --> 04:51:31,265
I THINK OF IT AS POSITIVE.

6056
04:51:31,265 --> 04:51:32,333
WE HAVE GOOD DISCUSSION AND 

6057
04:51:32,333 --> 04:51:34,935
LOOKING FORWARD TO THE NEXT 

6058
04:51:34,935 --> 04:51:35,469
STEPS.

6059
04:51:35,469 --> 04:51:36,770
THE NEXT FEW MONTHS WILL BE 

6060
04:51:36,770 --> 04:51:46,914
CRUCIAL.

6061
04:51:51,785 --> 04:51:53,687
>> ONE THING THAT STRUCK
ME IS 

6062
04:51:53,687 --> 04:51:59,293
THERE ARE LOTS OF SCIENTIFIC 

6063
04:51:59,293 --> 04:52:02,263
QUESTIONS AND THERE'S TONS OF 

6064
04:52:02,263 --> 04:52:04,632
DATA OVER ALL AND SOME TOPICS 

6065
04:52:04,632 --> 04:52:07,701
HAVE A LOT OF DATA AND SOME HAVE

6066
04:52:07,701 --> 04:52:08,769
ALMOST ZERO.

6067
04:52:08,769 --> 04:52:10,471
THE ONE THING THAT'S CONSISTENT 

6068
04:52:10,471 --> 04:52:12,907
IS THE TEAM DOES AN INCREDIBLE 

6069
04:52:12,907 --> 04:52:14,808
JOB IN ORGANIZING AND 

6070
04:52:14,808 --> 04:52:18,012
SYNTHESIZING THE DATA FOR US.

6071
04:52:18,012 --> 04:52:22,349
SO, THAT MAKES OUR JOB EASIER 

6072
04:52:22,349 --> 04:52:24,485
BUT IT IS SOMEWHAT -- THERE'S 

6073
04:52:24,485 --> 04:52:28,956
TWO IMPREG  -- IMPRESSIONS THAT 

6074
04:52:28,956 --> 04:52:30,291
WAS THE FIRST.

6075
04:52:30,291 --> 04:52:32,860
THE SECOND IS THOUGH I SORT OF 

6076
04:52:32,860 --> 04:52:34,728
KNEW IT THIS MORNING WAS PRETTY 

6077
04:52:34,728 --> 04:52:36,997
DE PRESSING LOOKING AT THE DATA.

6078
04:52:36,997 --> 04:52:39,099
MY SON TEXTED ME THIS MORNING 

6079
04:52:39,099 --> 04:52:40,601
AND HE'S IN HIGH SCHOOL AND SAID

6080
04:52:40,601 --> 04:52:42,002
WHAT ARE YOU LEARNING ABOUT AT 

6081
04:52:42,002 --> 04:52:44,805
YOUR MEETING AND I RESPONDED HOW

6082
04:52:44,805 --> 04:52:47,441
POOR THE AMERICAN DIET IS.

6083
04:52:47,441 --> 04:52:52,212
I GUESS THAT'S ALL I CAN SAY.

6084
04:52:52,212 --> 04:52:57,585
WE HAVE A LOT OF WORK TO DO.

6085
04:52:57,585 --> 04:53:00,020
THE FIRST MEETING I SAID TODAY'S

6086
04:53:00,020 --> 04:53:00,754
THURSDAY AND TODAY'S THURSDAY 

6087
04:53:00,754 --> 04:53:02,690
AGAIN AND THE REASON I SAY THAT 

6088
04:53:02,690 --> 04:53:07,761
ALWAYS IS BECAUSE TODAY'S THE 

6089
04:53:07,761 --> 04:53:12,800
DAY MY FAMILY IS AT THE FOOD 

6090
04:53:12,800 --> 04:53:15,336
PANTRY LIVE IN ATLANTA, GEORGIA 

6091
04:53:15,336 --> 04:53:19,273
AND THE CHURCH IN MY HOMETOWN.

6092
04:53:19,273 --> 04:53:20,774
I LIVE IN BOSTON BUT ATLANTA 

6093
04:53:20,774 --> 04:53:22,843
WILL ALWAYS BE HOME SO THANK YOU

6094
04:53:22,843 --> 04:53:23,377
GUYS THERE IN ATLANTA FOR 

6095
04:53:23,377 --> 04:53:30,451
WATCHING.

6096
04:53:30,451 --> 04:53:31,986
THEY'RE A FOOD PANTRY WHERE 

6097
04:53:31,986 --> 04:53:33,253
PERSONS WHO ARE FOOD INSECURE GO

6098
04:53:33,253 --> 04:53:34,722
TO OBTAIN FOOD.

6099
04:53:34,722 --> 04:53:39,593
I THINK ABOUT THIS ALSO THROUGH 

6100
04:53:39,593 --> 04:53:41,161
A LENS OF THOSE PEOPLE WHO HAVE 

6101
04:53:41,161 --> 04:53:43,931
TO GO TO THE FOOD PANTRY EVERY 

6102
04:53:43,931 --> 04:53:44,131
WEEK.

6103
04:53:44,131 --> 04:53:46,233
MANY OF WHOM HAVE GONE YEAR 

6104
04:53:46,233 --> 04:53:46,634
AFTER YEAR.

6105
04:53:46,634 --> 04:53:47,801
THEY'RE ALSO HOUSING INSECURE 

6106
04:53:47,801 --> 04:53:52,840
AND LOOK LIKE ME AND MOSTLY 

6107
04:53:52,840 --> 04:53:56,710
ABOUT 95% NON HISPANIC BLACK 

6108
04:53:56,710 --> 04:53:58,746
INDIVIDUALS BEING GIVEN FOOD 

6109
04:53:58,746 --> 04:54:00,781
DISTRIBUTED BY MY PARENTS EACH 

6110
04:54:00,781 --> 04:54:05,686
AND EVERY WEEK.

6111
04:54:05,686 --> 04:54:06,787
IT HURTS WHEN I THINK ABOUT WHAT

6112
04:54:06,787 --> 04:54:11,425
WE HAVE TO DISCUSS HERE FROM A 

6113
04:54:11,425 --> 04:54:15,362
LENS OF RELATIVE POWER AND FROM 

6114
04:54:15,362 --> 04:54:20,234
THE HOUSE OF ACADEMIA.

6115
04:54:20,234 --> 04:54:21,669
HOW DO THESE GUIDELINES AFFECT 

6116
04:54:21,669 --> 04:54:24,772
THEM AND HOW ARE WE GOING TO 

6117
04:54:24,772 --> 04:54:25,773
CHANGE WHAT WE HAVE LEARNED 

6118
04:54:25,773 --> 04:54:28,342
THROUGH THE LAST TWO DAYS AND 

6119
04:54:28,342 --> 04:54:30,077
FIVE MEETINGS AND ULTIMATELY IN 

6120
04:54:30,077 --> 04:54:31,512
OUR 2025 GUIDELINES?

6121
04:54:31,512 --> 04:54:34,715
HOW DO WE FIX THE STATUS QUO?

6122
04:54:34,715 --> 04:54:36,250
THE DONATIONS THAT COME INTO THE

6123
04:54:36,250 --> 04:54:39,053
FOOD PANTRY DO REFLECT A DIET 

6124
04:54:39,053 --> 04:54:40,721
THAT IS DIFFERENT FROM WHAT WE 

6125
04:54:40,721 --> 04:54:45,259
HAVE ACTUALLY TALKED ABOUT 

6126
04:54:45,259 --> 04:54:45,526
TODAY.

6127
04:54:45,526 --> 04:54:48,662
IT IS NOT THE BURKERS AND 

6128
04:54:48,662 --> 04:54:52,433
SANDWICHES DR. TOBIAS TALKED 

6129
04:54:52,433 --> 04:54:55,569
ABOUT SEVEN TIMES TODAY IN HER 

6130
04:54:55,569 --> 04:54:57,838
PRESENTATION OR REFINED GRAINS 

6131
04:54:57,838 --> 04:55:00,774
BUT THESE PEOPLE ARE HOUSING 

6132
04:55:00,774 --> 04:55:02,409
INSECURE AND CAN'T STORE THE 

6133
04:55:02,409 --> 04:55:04,745
LOVELY FRUITS AND VEGETABLES 

6134
04:55:04,745 --> 04:55:06,547
HIGH IN VITAMINS AND THE 

6135
04:55:06,547 --> 04:55:08,849
NUTRIENTS WE ESPOUSE AND THE 

6136
04:55:08,849 --> 04:55:12,986
THINGS WE WANT AND ULTIMATELY 

6137
04:55:12,986 --> 04:55:16,757
THE CHRONIC BURDEN IS HIGH TO 

6138
04:55:16,757 --> 04:55:19,259
THE FOOD PANTRY.

6139
04:55:19,259 --> 04:55:21,261
FROM AN EMOTIONAL STANDPOINT I 

6140
04:55:21,261 --> 04:55:22,996
STILL COME WITH LOTS OF HURT AND

6141
04:55:22,996 --> 04:55:24,631
PAIN TO THESE MEETINGS AS I 

6142
04:55:24,631 --> 04:55:30,604
THINK ABOUT HOW CAN I ULTIMATELY

6143
04:55:30,604 --> 04:55:33,540
TRY TO INFLUENCE THE AMERICAN 

6144
04:55:33,540 --> 04:55:36,310
DIET STARTING WITH THE FOOD 

6145
04:55:36,310 --> 04:55:37,411
PANTRY AT THE CHURCH.

6146
04:55:37,411 --> 04:55:41,448
AND THE THING IS I CAN KEEP 

6147
04:55:41,448 --> 04:55:42,549
DONATING AND KEEP DOING THIS 

6148
04:55:42,549 --> 04:55:44,485
WORK BUT ULTIMATELY HOPING TO 

6149
04:55:44,485 --> 04:55:46,186
MAKE A CHANGE AND WHERE I LEAVE 

6150
04:55:46,186 --> 04:55:51,391
THIS AND PASS IT ON TO YOU, 

6151
04:55:51,391 --> 04:55:51,792
CHRIS TAYLOR.

6152
04:55:51,792 --> 04:55:55,362
>> I THINK ONCE AGAIN I'M
STRUCK

6153
04:55:55,362 --> 04:56:01,001
WITH THE VOLUME OF INFORMATION 

6154
04:56:01,001 --> 04:56:03,370
THAT BASICALLY THE 20 BRAINS HAD

6155
04:56:03,370 --> 04:56:06,106
TO PROCESS AFTER IT HAD BEEN 

6156
04:56:06,106 --> 04:56:07,875
PROCESSED BY THE CAPABLE HANDS 

6157
04:56:07,875 --> 04:56:11,445
OF OUR STAFF TO MAKE IT VIABLE.

6158
04:56:11,445 --> 04:56:14,882
WE'VE ALSO GOT A SERIES OF 

6159
04:56:14,882 --> 04:56:17,251
QUESTIONS THAT BASICALLY OVERLAY

6160
04:56:17,251 --> 04:56:18,886
ACROSS EACH OF THE GROUPS IN THE

6161
04:56:18,886 --> 04:56:19,386
HEALTH EQUITY LENS.

6162
04:56:19,386 --> 04:56:23,824
ALL THE CONVERSATIONS ARE BEING 

6163
04:56:23,824 --> 04:56:25,692
INFLUENCED BY THE EVIDENCE AND 

6164
04:56:25,692 --> 04:56:28,095
THE HEALTH EQUITY QUESTION AND 

6165
04:56:28,095 --> 04:56:31,331
HEALTH EQUITY LENS AND I THINK 

6166
04:56:31,331 --> 04:56:32,766
IT'S BETWEEN NOW AND SEPTEMBER 

6167
04:56:32,766 --> 04:56:34,468
WHEN WE SEE THE SYNTHESIS IS 

6168
04:56:34,468 --> 04:56:39,773
WHERY YOU ARE  -- IS WHERE 

6169
04:56:39,773 --> 04:56:41,508
YOU'LL SEE ALL THE SYSTEMIC 

6170
04:56:41,508 --> 04:56:44,778
REVIEWS AND DATA ANALYSIS AND 

6171
04:56:44,778 --> 04:56:46,213
WE'RE TALKING ABOUT THIS MUCH OF

6172
04:56:46,213 --> 04:56:49,016
GREEN LEAFY VEGETABLES BUT THE 

6173
04:56:49,016 --> 04:56:51,318
CONSUMPTION IS THIS MUCH.

6174
04:56:51,318 --> 04:56:54,321
IT'S NOT AN OVERWHELMING HURDLE 

6175
04:56:54,321 --> 04:56:55,556
AS IT IS GETTING THE VARIETY.

6176
04:56:55,556 --> 04:56:56,990
WE'RE BUILDING THIS PATTERN THAT

6177
04:56:56,990 --> 04:57:01,361
ISN'T UNACHIEVABLE BUT IT 

6178
04:57:01,361 --> 04:57:02,162
REQUIRES ATTENTION AND WE'RE 

6179
04:57:02,162 --> 04:57:04,431
LINKING THIS NOW BACK TO THE 

6180
04:57:04,431 --> 04:57:05,899
HEALTH OUTCOMES AND THE 

6181
04:57:05,899 --> 04:57:06,400
EVIDENCE.

6182
04:57:06,400 --> 04:57:07,968
THAT'S WHY I THINK ALL THIS 

6183
04:57:07,968 --> 04:57:09,903
SYNTHESIS WE'LL BE DOING BETWEEN

6184
04:57:09,903 --> 04:57:12,206
NOW AND THE NEXT TIME WE'RE 

6185
04:57:12,206 --> 04:57:12,973
SITTING IN THESE CHAIRS IS GOING

6186
04:57:12,973 --> 04:57:18,679
TO BE OUTSTANDING.

6187
04:57:18,679 --> 04:57:19,880
>>  I APPRECIATED
LISTENING TO 

6188
04:57:19,880 --> 04:57:21,515
EVERYONE'S COMMENTS SO FAR AND 

6189
04:57:21,515 --> 04:57:26,420
AT THE END IT'S ALWAYS LIKE WHAT

6190
04:57:26,420 --> 04:57:28,455
DO I SAY THAT'S NEW.

6191
04:57:28,455 --> 04:57:29,823
ONE THING I NOTICED JUST 

6192
04:57:29,823 --> 04:57:32,626
LISTENING TODAY AND IN THE DATA 

6193
04:57:32,626 --> 04:57:34,228
WE PRESENTED IS I WANT TO LIFT 

6194
04:57:34,228 --> 04:57:38,465
UP THAT AGE GROUP THAT'S LIKE 

6195
04:57:38,465 --> 04:57:41,001
MIDDLE CHILDHOOD THROUGH 

6196
04:57:41,001 --> 04:57:44,238
ADOLESCENCE AND YOUNGER TOO BUT 

6197
04:57:44,238 --> 04:57:48,742
I FEEL LIKE THEY'RE STRUGGLING 

6198
04:57:48,742 --> 04:57:50,611
WITH SO MUCH BEING ABLE TO 

6199
04:57:50,611 --> 04:57:52,779
CHOOSE HEALTHFUL DIETS AND 

6200
04:57:52,779 --> 04:57:54,748
THEY'RE KIDS.

6201
04:57:54,748 --> 04:57:56,149
I DON'T THINK -- WE SHOULDN'T 

6202
04:57:56,149 --> 04:57:58,485
THINK ABOUT THEM SO MUCH AS 

6203
04:57:58,485 --> 04:58:00,787
THEIR CHOICE BUT WHAT WE'VE 

6204
04:58:00,787 --> 04:58:02,456
CREATED HERE FOR THEM.

6205
04:58:02,456 --> 04:58:06,593
AND WHAT KIND OF ENVIRONMENTS 

6206
04:58:06,593 --> 04:58:09,830
ARE THEY IN AND ABLE TO GET FOOD

6207
04:58:09,830 --> 04:58:12,132
FROM AND WE'RE THE ADULTS.

6208
04:58:12,132 --> 04:58:12,633
WE'RE IN CHARGE.

6209
04:58:12,633 --> 04:58:17,471
I JUST FEEL LIKE WE HAVE A 

6210
04:58:17,471 --> 04:58:18,505
RESPONSIBILITY TO TRIO MAKE 

6211
04:58:18,505 --> 04:58:22,242
THINGS BETTER FOR OUR KIDS AND 

6212
04:58:22,242 --> 04:58:26,313
ADOLESCENTS AS THEIR STILL 

6213
04:58:26,313 --> 04:58:28,782
MAKING THEIR WAY AND THAT'S WHAT

6214
04:58:28,782 --> 04:58:31,752
I THINK WE NEED MORE SERIOUS 

6215
04:58:31,752 --> 04:58:34,788
ATTENTION AND SHOWS UP IN THE 

6216
04:58:34,788 --> 04:58:36,189
SYSTEMATIC REVIEWS, IT SHOWS UP 

6217
04:58:36,189 --> 04:58:37,291
EVERYWHERE CUTTING ACROSS ALL 

6218
04:58:37,291 --> 04:58:40,360
THE DIFFERENT THINGS WE LOOKED 

6219
04:58:40,360 --> 04:58:40,527
AT.

6220
04:58:40,527 --> 04:58:44,765
SO THAT'S ONE THING I WANT TO BE

6221
04:58:44,765 --> 04:58:51,138
MORE MINDFUL OF AS WELL.

6222
04:58:51,138 --> 04:58:53,774
>> THIS IS MEETING 5 AND
WHERE 

6223
04:58:53,774 --> 04:58:55,909
WE'RE SHIFTING THE FOCUS OF WHAT

6224
04:58:55,909 --> 04:58:56,944
WE'RE TALKING ABOUT.

6225
04:58:56,944 --> 04:58:58,779
THE FIRST FEW MEETINGS ARE WHAT 

6226
04:58:58,779 --> 04:59:00,781
WE'RE GOING TO DO AND THE 

6227
04:59:00,781 --> 04:59:02,783
METHODOLOGY AND PROTOCOL.

6228
04:59:02,783 --> 04:59:04,151
LAST MEETING THERE WAS SOME 

6229
04:59:04,151 --> 04:59:07,754
CONCLUSION STATEMENTS PRESENTED 

6230
04:59:07,754 --> 04:59:11,558
AND THIS MEETING WE ARE A LITTLE

6231
04:59:11,558 --> 04:59:13,627
OVERWHELMED WITH THE DATA WITH 

6232
04:59:13,627 --> 04:59:15,762
MIXED RESULTS.

6233
04:59:15,762 --> 04:59:17,297
WE'RE TURNING FROM FIGURING OUT 

6234
04:59:17,297 --> 04:59:19,833
DOING THINGS TO WE HAVE RESULTS 

6235
04:59:19,833 --> 04:59:23,403
AND A LOT OF RESULTS TO PRESENT.

6236
04:59:23,403 --> 04:59:28,942
SO MY FEELING IS THAT THINGS ARE

6237
04:59:28,942 --> 04:59:34,448
COMING TOGETHER WE HAVE DATA AND

6238
04:59:34,448 --> 04:59:36,783
SOME SYSTEMIC RESULT AND 

6239
04:59:36,783 --> 04:59:38,885
CONCLUSION STATEMENT AND 

6240
04:59:38,885 --> 04:59:40,787
PROVIDING RECOMMENDATIONS AND 

6241
04:59:40,787 --> 04:59:42,622
MODELLING DIRECTIONS IN WHICH WE

6242
04:59:42,622 --> 04:59:43,690
CAN START PUTTING TOGETHER 

6243
04:59:43,690 --> 04:59:45,325
THINGS AND CONSIDER EVERYTHING 

6244
04:59:45,325 --> 04:59:52,699
CONSIDER TO MODIFY AND ADJUST 

6245
04:59:52,699 --> 04:59:52,966
PATTERNS.

6246
04:59:52,966 --> 04:59:55,569
SO WE HAVE SOMETHING THAT WE CAN

6247
04:59:55,569 --> 04:59:58,205
HAND OVER TO THE PEOPLE WHO ARE 

6248
04:59:58,205 --> 04:59:59,206
GOING TO ESTABLISH THE NEXT 

6249
04:59:59,206 --> 05:00:05,579
GUIDELINES TO WORK ON IT.

6250
05:00:05,579 --> 05:00:08,448
>> YES, SO FINALLY THIS IS
THE 

6251
05:00:08,448 --> 05:00:10,784
END AND I KEEP THINKING OF 

6252
05:00:10,784 --> 05:00:12,486
THINGS AND LOSE TRACK OR 

6253
05:00:12,486 --> 05:00:14,788
SOMEBODY SAYS SOMETHING AND I 

6254
05:00:14,788 --> 05:00:16,156
CAN'T THINK OF ANYTHING ANYMORE.

6255
05:00:16,156 --> 05:00:17,958
THE FIRST IMPRESSION I WAS GOING

6256
05:00:17,958 --> 05:00:20,394
TO SAY ORIGINALLY IS IT HAS 

6257
05:00:20,394 --> 05:00:21,928
BEEN -- I'M ALWAYS STRUCK AROUND

6258
05:00:21,928 --> 05:00:24,531
THERE'S BEEN COMMENTS MADE HOW 

6259
05:00:24,531 --> 05:00:26,033
COLLABORATIVE EVERYBODY IS AND 

6260
05:00:26,033 --> 05:00:28,769
HOW EVERYBODY'S PUTTING A LOT OF

6261
05:00:28,769 --> 05:00:32,539
ENERGY INTO THIS WORK SO 

6262
05:00:32,539 --> 05:00:32,806
EVERYBODY.

6263
05:00:32,806 --> 05:00:37,778
I COMMEND EVERYBODY FOR THAT AND

6264
05:00:37,778 --> 05:00:40,047
HEATHER BROUGHT UP LOOKING AT 

6265
05:00:40,047 --> 05:00:42,249
THE PATTERNS AT THE ATI OVER 

6266
05:00:42,249 --> 05:00:44,451
TIME AND HOW IT DIPS.

6267
05:00:44,451 --> 05:00:46,787
I'M BIASSED BECAUSE I'M MORE 

6268
05:00:46,787 --> 05:00:51,024
INTERESTED IN PREGNANCY BUT WE 

6269
05:00:51,024 --> 05:00:52,726
ALSO THINK ABOUT PRECEPTIN

6270
05:00:52,726 --> 05:00:58,832
PRECEPTINGTIONTION  -- 

6271
05:00:58,832 --> 05:01:01,001
PRECONCEPTION HEALTH AND WE 

6272
05:01:01,001 --> 05:01:02,903
CAN'T EXPECT PEOPLE TO CHANGE 

6273
05:01:02,903 --> 05:01:04,237
ALL THEIR DIETARY PATTERNS AT 

6274
05:01:04,237 --> 05:01:05,605
THAT POINT.

6275
05:01:05,605 --> 05:01:07,074
THAT STRUCK ME AS WELL.

6276
05:01:07,074 --> 05:01:09,109
I THINK WHAT WE'LL BE TALKING 

6277
05:01:09,109 --> 05:01:12,779
ABOUT LATER IN THE NEXT MEETING 

6278
05:01:12,779 --> 05:01:14,648
FOR SUBCOMMITTEE 2 WE'LL TALK 

6279
05:01:14,648 --> 05:01:16,183
ABOUT THE FEEDING PRACTICES.

6280
05:01:16,183 --> 05:01:17,717
MAYBE THAT'S ALSO SOMETHING 

6281
05:01:17,717 --> 05:01:22,456
WE'VE BEEN ABLE TO ADD TO THIS 

6282
05:01:22,456 --> 05:01:24,591
IN TERMS OF HELPING TO CHOOSE 

6283
05:01:24,591 --> 05:01:27,194
AND IMPROVE THEIR DIETARY 

6284
05:01:27,194 --> 05:01:27,461
PATTERNS.

6285
05:01:27,461 --> 05:01:29,329
THAT'S ALL I COULD THINK OF AT 

6286
05:01:29,329 --> 05:01:31,298
THIS MOMENT.

6287
05:01:31,298 --> 05:01:39,606
>> I THINK FOR ME I ALSO
FEEL 

6288
05:01:39,606 --> 05:01:40,774
LIKE THERE'S A SHIFT OF WHAT 

6289
05:01:40,774 --> 05:01:42,242
WE'RE HEARING IN OUR MEETINGS.

6290
05:01:42,242 --> 05:01:49,950
FOR ME IT FEELS LIKE THE FIRST 

6291
05:01:49,950 --> 05:01:53,286
MEETING WHERE I CAN SEE HOW IT 

6292
05:01:53,286 --> 05:01:56,189
STARTS TO COME TOGETHER.

6293
05:01:56,189 --> 05:01:57,190
GENERALLY IN OUR SUBCOMMITTEE 

6294
05:01:57,190 --> 05:02:00,160
MEETINGS WE'RE FOCUSSED IN ONE 

6295
05:02:00,160 --> 05:02:01,528
AREA TO HEAR EVERYTHING COME 

6296
05:02:01,528 --> 05:02:04,798
TOGETHER IS NICE AND EXCITING 

6297
05:02:04,798 --> 05:02:05,565
AND INTERESTING.

6298
05:02:05,565 --> 05:02:09,336
I APPRECIATED THAT.

6299
05:02:09,336 --> 05:02:11,938
ON THE OTHER HAND I REALLY SEE 

6300
05:02:11,938 --> 05:02:15,342
THERE NEEDS TO BE A CALL TO 

6301
05:02:15,342 --> 05:02:18,979
ACTION FOR ALL NUTRITION 

6302
05:02:18,979 --> 05:02:19,246
SCHOLARS.

6303
05:02:19,246 --> 05:02:25,719
WE JUST REALLY NEED TO ADDRESS 

6304
05:02:25,719 --> 05:02:28,155
SO MANY THINGS BUT AT THIS POINT

6305
05:02:28,155 --> 05:02:30,223
IN TIME I ONLY HAVE ONE 

6306
05:02:30,223 --> 05:02:32,626
RECOMMENDATION THAT HAS EMBEDDED

6307
05:02:32,626 --> 05:02:34,294
IN IT ANYTHING ABOUT HEALTH 

6308
05:02:34,294 --> 05:02:35,195
EQUITY SPEAKS TO OUR FIELD AND 

6309
05:02:35,195 --> 05:02:38,832
WHAT WE THESE TO WORK ON.

6310
05:02:38,832 --> 05:02:44,271
ALSO AS AN EXPERIMENTAL 

6311
05:02:44,271 --> 05:02:47,741
BEHAVIORIST I LOOK AT THE DATA 

6312
05:02:47,741 --> 05:02:51,711
TO SAY WE IS SO MUCH TO FIGURE 

6313
05:02:51,711 --> 05:02:54,281
OUT TO OUR SOCIETY MAKING 

6314
05:02:54,281 --> 05:02:55,348
CHANGES IN REGARDS TO DIETARY 

6315
05:02:55,348 --> 05:02:57,918
INTAKE AND HOW WE NEED TO DESIGN

6316
05:02:57,918 --> 05:03:03,089
STUDIES ESPECIALLY EXPERIMENTAL 

6317
05:03:03,089 --> 05:03:05,959
STUDIES TO HELP US ANSWER THESE 

6318
05:03:05,959 --> 05:03:06,860
QUESTIONS.

6319
05:03:06,860 --> 05:03:08,428
HOPEFULLY THOSE WATCHING WILL 

6320
05:03:08,428 --> 05:03:11,198
REALLY READ THE REPORT SO THEY 

6321
05:03:11,198 --> 05:03:12,766
CAN SEE THESE RESEARCH 

6322
05:03:12,766 --> 05:03:15,735
RECOMMENDATIONS.

6323
05:03:15,735 --> 05:03:18,572
>> I GET TO THE LITERALLY
LAST 

6324
05:03:18,572 --> 05:03:20,774
EXCEPT FOR THE CHAIR.

6325
05:03:20,774 --> 05:03:23,276
SO DITTO TO WHAT EVERYBODY SAID 

6326
05:03:23,276 --> 05:03:27,881
AND THANK YOU FOR BEING 

6327
05:03:27,881 --> 05:03:30,584
ARTICULATE AND I'LL CLOSE SAYING

6328
05:03:30,584 --> 05:03:31,384
BEANS, PEAS AND LENTILS IS 

6329
05:03:31,384 --> 05:03:32,919
WORKING THE CROSS SECTION OF 

6330
05:03:32,919 --> 05:03:35,255
PATTERNS AND HEALTH EQUITY AND 

6331
05:03:35,255 --> 05:03:37,991
NUTRITION AND NOW AND WHOLE 

6332
05:03:37,991 --> 05:03:38,191
GRAIN.

6333
05:03:38,191 --> 05:03:43,430
THANK YOU, ALL.

6334
05:03:43,430 --> 05:03:44,931
>> SO THIS IS SO EXCITING.

6335
05:03:44,931 --> 05:03:53,573
I THINK IN A VARIETY OF WAYS IT 

6336
05:03:53,573 --> 05:03:56,910
PROVIDES A LOT OF INSIGHT FROM A

6337
05:03:56,910 --> 05:03:58,878
PRACTITIONER HAT ON AND WE THINK

6338
05:03:58,878 --> 05:04:04,284
OF INDIVIDUAL PEOPLE BUT WE HAVE

6339
05:04:04,284 --> 05:04:08,255
VERY LARGE FOOD AND NUTRITION 

6340
05:04:08,255 --> 05:04:13,426
PROGRAMS PEOPLE WORK ON THE 

6341
05:04:13,426 --> 05:04:17,998
FRONT LINES WITH COMMUNITIES AND

6342
05:04:17,998 --> 05:04:20,767
WHEN I LOOK AT THIS FROM A 

6343
05:04:20,767 --> 05:04:22,869
RESEARCHER'S HAT AND TRY TO 

6344
05:04:22,869 --> 05:04:24,638
SHIFT IN MY MIND AS A 

6345
05:04:24,638 --> 05:04:26,172
PRACTITIONER OR THINKING ABOUT 

6346
05:04:26,172 --> 05:04:32,145
PEOPLE I'M WORKING WITH OR 

6347
05:04:32,145 --> 05:04:32,345
CACFP.

6348
05:04:32,345 --> 05:04:33,780
IT'S STRIKING HOW IMPORTANT IT 

6349
05:04:33,780 --> 05:04:34,914
IS WE HAVE RECOMMENDATIONS 

6350
05:04:34,914 --> 05:04:36,783
PEOPLE CAN TAKE AND REALLY PUT 

6351
05:04:36,783 --> 05:04:40,787
INTO PRACTICE.

6352
05:04:40,787 --> 05:04:46,359
KUDOS TO ALL THE WORK BUT 

6353
05:04:46,359 --> 05:04:52,065
KEEPING THAT IN OUR MINDS IT 

6354
05:04:52,065 --> 05:04:55,669
GOES OUT INTO ACTION AND PEOPLE 

6355
05:04:55,669 --> 05:04:58,505
ARE IMPLEMENTING THIS AND IT'S 

6356
05:04:58,505 --> 05:05:01,808
IMPORTANT WE FILL THE GAPS IN 

6357
05:05:01,808 --> 05:05:08,615
RESEARCH SO PEOPLE CAN TAKE 

6358
05:05:08,615 --> 05:05:09,549
STRONG SCIENTIFIC-BASED 

6359
05:05:09,549 --> 05:05:10,383
RECOMMENDATION OF 

6360
05:05:10,383 --> 05:05:12,118
RECOMMENDATIONS AND CHANGE 

6361
05:05:12,118 --> 05:05:12,719
PEOPLE'S LIVES.

6362
05:05:12,719 --> 05:05:13,887
THANK YOU SO MUCH.

6363
05:05:13,887 --> 05:05:14,788
>> I GET THE LAST WORD.

6364
05:05:14,788 --> 05:05:21,761
I WANT TO THANK ALL OF YOU.

6365
05:05:21,761 --> 05:05:23,430
I WANT THANK ALL THE PEOPLE 

6366
05:05:23,430 --> 05:05:24,898
BEHIND THE STAFF WHO SHOULD BE 

6367
05:05:24,898 --> 05:05:30,670
IN THE FRONT.

6368
05:05:30,670 --> 05:05:32,105
AND TO ECHO WHAT A NUMBER OF YOU

6369
05:05:32,105 --> 05:05:33,506
ARE SAYING, I FEEL THE 

6370
05:05:33,506 --> 05:05:34,974
PREPARATION FOR THIS MEETING WAS

6371
05:05:34,974 --> 05:05:36,810
WHERE THE RUBBER HIT THE ROAD 

6372
05:05:36,810 --> 05:05:41,448
AND WHERE OUR ASPIRATIONS CAME 

6373
05:05:41,448 --> 05:05:43,850
INTO CLASHING WITH REALITY AND I

6374
05:05:43,850 --> 05:05:46,886
JUST WANT TO COMMEND ALL OF YOU 

6375
05:05:46,886 --> 05:05:51,057
FOR THE GRACE, THE HARD WORK, 

6376
05:05:51,057 --> 05:05:52,792
THE DETERMINATION UP GETTING 

6377
05:05:52,792 --> 05:05:54,260
THIS ALL DONE AND -- IN GETTING 

6378
05:05:54,260 --> 05:05:58,898
THIS ALL DONE AND I GET TO LAUGH

6379
05:05:58,898 --> 05:06:00,767
WHEN I MOVE FROM THE MICROPHONE 

6380
05:06:00,767 --> 05:06:01,568
INCLUDING THE STAFF.

6381
05:06:01,568 --> 05:06:03,770
IT WAS AMAZING TO SEE HOW 

6382
05:06:03,770 --> 05:06:06,039
EVERYBODY CAME TOGETHER WITH 

6383
05:06:06,039 --> 05:06:07,841
SUCH GRACE AND RESPECT FOR EACH 

6384
05:06:07,841 --> 05:06:08,308
OTHER.

6385
05:06:08,308 --> 05:06:08,775
SO THANK YOU.

6386
05:06:08,775 --> 05:06:14,247
I DON'T THINK THERE IS A 

6387
05:06:14,247 --> 05:06:20,787
COMMITTEE ON THE PLANET AND TWO 

6388
05:06:20,787 --> 05:06:28,762
GDAC2025.

6389
05:06:28,762 --> 05:06:36,202
>> I AGREE.

6390
05:06:36,202 --> 05:06:38,872
CONGRATULATIONS TO YOU IN 

6391
05:06:38,872 --> 05:06:40,373
MEETING 5 AND THE REVIEW OF THE 

6392
05:06:40,373 --> 05:06:42,442
EVIDENCE IS SO APPRECIATED.

6393
05:06:42,442 --> 05:06:43,877
ON BEHALF OF TEAM IT'S A 

6394
05:06:43,877 --> 05:06:46,379
PLEASURE AND HONOR TO BE 

6395
05:06:46,379 --> 05:06:50,183
SUPPORTING YOU IN YOUR REPORT 

6396
05:06:50,183 --> 05:06:50,517
DEVELOPMENT.

6397
05:06:50,517 --> 05:06:52,252
THANK YOU FOR BEING WONDERFUL 

6398
05:06:52,252 --> 05:06:53,887
HUMAN BEINGS THAT YOU ARE.

6399
05:06:53,887 --> 05:06:56,756
IT MAKES OUR JOBS THAT MUCH MORE

6400
05:06:56,756 --> 05:06:57,023
WONDERFUL.

6401
05:06:57,023 --> 05:07:01,995
THANK YOU SO MUCH.

6402
05:07:01,995 --> 05:07:04,664
NOW WE'LL TALK ABOUT NEXT STEPS.

6403
05:07:04,664 --> 05:07:07,700
I CAN'T BELIEVE YOU'VE COMPLETED

6404
05:07:07,700 --> 05:07:09,636
MEETING 5.

6405
05:07:09,636 --> 05:07:10,403
WHEW.

6406
05:07:10,403 --> 05:07:13,239
IT'S BEEN A LONG HAUL BUT THE 

6407
05:07:13,239 --> 05:07:16,276
NEXT STEPS WILL BE PRETTY MO

6408
05:07:16,276 --> 05:07:17,210
MOMENTMOM

6409
05:07:17,210 --> 05:07:20,413
MOMENTOUS THE NEXT MEETING WILL 

6410
05:07:20,413 --> 05:07:22,081
BE SEPTEMBER 25 AND 26 TWO DAY 

6411
05:07:22,081 --> 05:07:26,686
MEETING AND YOUR REPORT IS 

6412
05:07:26,686 --> 05:07:28,788
EXPECTED LATER THIS FALL.

6413
05:07:28,788 --> 05:07:32,792
FOLLOWING THAT -- 

6414
05:07:32,792 --> 05:07:39,399
>> END OF OCTOBER JANET.

6415
05:07:39,399 --> 05:07:40,767
>> MARK HER WORD.

6416
05:07:40,767 --> 05:07:43,503
THE DEPARTMENTS WILL USE YOUR 

6417
05:07:43,503 --> 05:07:46,206
WONDERFUL REPORT AND OTHER 

6418
05:07:46,206 --> 05:07:48,541
SOURCES DESCRIBED TO DEVELOP THE

6419
05:07:48,541 --> 05:07:53,947
DATA DIETARY GUIDELINES IN 2025.

6420
05:07:53,947 --> 05:07:54,714
MORE NEXT STEPS.

6421
05:07:54,714 --> 05:07:55,915
SO NEXT MONTH SINCE WE'RE AT THE

6422
05:07:55,915 --> 05:08:00,653
END OF THIS MONTH AND THE 

6423
05:08:00,653 --> 05:08:02,388
UPDATED SYSTEM REVIEW AND FOOD 

6424
05:08:02,388 --> 05:08:04,757
MODELLING PROTOCOLS OVER THE 

6425
05:08:04,757 --> 05:08:08,928
LAST TWO DAYS WILL BE POSTED ON 

6426
05:08:08,928 --> 05:08:19,439
DG.gov AND THE NESR .USDA.gov 

6427
05:08:23,810 --> 05:08:27,480
AND MEETING 6, SEPTEMBER 25 AND 

6428
05:08:27,480 --> 05:08:27,981
26.

6429
05:08:27,981 --> 05:08:31,484
SO WITH THAT, I WANT TO THANK 

6430
05:08:31,484 --> 05:08:34,921
YOU ALL AND THANK THE PUBLIC OF 

6431
05:08:34,921 --> 05:08:37,156
COURSE FOR TUNING IN, THANK THE 

6432
05:08:37,156 --> 05:08:37,891
COMMITTEE AND OUR WONDERFUL 

6433
05:08:37,891 --> 05:08:40,793
STAFF TEAM AND HOPE YOU HAVE A 

6434
05:08:40,793 --> 05:08:42,362
WONDERFUL REST OF THE DAY.

6435
05:08:42,362 --> 05:08:44,764
I WILL ADJOURN THE MEETING.

6436
05:08:44,764 --> 05:08:44,831