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GOOD MORNING IT IS MY 

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PLEASURE TO WELCOME YOU TO THE 

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FINAL MEETING OF THE 2025 

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DIETARY GUIDELINES ADVISORY 

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COMMITTEE.

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I'M JANET DEJESUS THE DESIGNATED

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FEDERAL OFFICER OF THE COMMITTEE

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FROM THE OFFICE OF THE ASSISTANT

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FOR HEALTH AT THE DEPARTMENT OF 

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HEALTH AND HUMAN SERVICES.

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TODAY'S MEETING WILL INCLUDE A 

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DISCUSSION OF THE COMMITTEE'S 

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DRAFT SCIENTIFIC REPORT WHICH 

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THEN WE'LL FINALIZE AFTER THE 

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MEETING AND SUBMIT TO THE 

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SECRETARIES OF HHS AND USDA.

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TODAY IS A VIRTUAL MEETING FOR 

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EVERYONE.

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WE HAVE 17 OF 20 MEMBERS JOINING

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US REMOTELY FOR THIS MEETING.

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TODAY WE DO NOT HAVE DR. STEVE 

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ABRAMS, VALERIE BLUEBIRD AND 

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TERESA FUNG.

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AS A REMINDER THIS IS THE CHARGE

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FOR THE 2025 DIETARY GUIDELINES 

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ADVISORY COMMITTEE.

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WE ASK THEM TO EXAMINE THE 

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EVIDENCE ON NUTRITION AND HEALTH

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ACROSS THE LIFE SPAN, DEVELOP A 

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REPORT THAT OUTLINES SCIENTIFIC 

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FINDINGS WHICH CONTAINS THEIR 

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INDEPENDENT SCIENCE-BASED ADVICE

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AND FINALLY AS I MENTIONED 

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THEY'LL SUBMIT THE REPORT TO THE

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SECRETARIES FOR CONSIDERATION AS

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THE DEPARTMENT'S UPDATE THE 

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DIETARY GUIDELINES FOR THE NEXT 

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EDITION.

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WE STARTED WITH THE FIRST 

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MEETING IN FEBRUARY 2023 AND NOW

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AT THE IS SEVENTH AND FINAL 

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MEETING AND APPRECIATIVE OF THE 

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WONDERFUL WORK THAT'S BEEN 

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HAPPENING.

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IT IS NOW MY PLEASURE TO 

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INTRODUCE SECRETARY XAVIER 

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00:02:04,978 --> 00:02:06,180
BECERRA FROM DEPARTMENT OF 

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HEALTH AND HUMAN SERVICES AND 

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FOLLOWING THAT WE'LL HAVE 

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REMARKS FROM SECRETARY VILSACK 

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FROM THE DEPARTMENT OF 

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AGRICULTURE.

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THANK YOU.

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GOOD MORNING AND THANK YOU FOR 

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00:02:31,071 --> 00:02:33,407
BEING OF THE SCIENTIFIC REPORT 

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MEETING OF THE 2025 DIETARY 

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GUIDELINES ADVISORY COMMITTEE AN

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HONOR TO BE A PARTNER WITH TOM 

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VILSACK AND HIS TEAM AS WE MOVE 

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TO PUT INTO PRACTICE THE WORK OF

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THIS ESTEEMED COMMITTEE AND 

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SPECIAL THANKS TO THE MEMBERS 

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FOR YOUR TIME, DEDICATION AND 

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YOUR INVALUABLE DIRECTION.

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THE DIETARY GUIDELINES SERVE AS 

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THE FOUNDATION FOR OUR NATION'S 

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NUTRITION PROGRAMS, STANDARDS 

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AND EDUCATION.

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THEY PROVIDE HEALTH 

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PROFESSIONALS WITH THE GUIDANCE 

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AND RESOURCES TO ASSIST THE 

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PUBLIC IN CHOOSING AN OVER ALL 

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HEALTHY DIET THAT WORKS FOR 

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THEM.

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00:03:05,739 --> 00:03:08,709
AND THESE GUIDELINES HELP USDA, 

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HHS AND SO MANY OTHERS TO TAILOR

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OUR POLICIES TO BEST SERVE THE 

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AMERICAN PEOPLE.

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YOUR WORK OVER THE PAST 20 

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MONTHS AND EXPERTISE YOU 

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CONTRIBUTED, WELL, THEY 

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LITERALLY WILL SHAPE AMERICA.

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THE REPORT YOU DELIVER WILL 

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00:03:25,159 --> 00:03:27,494
ENSURE THE NEXT EDITION IS BASED

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ON THE MOST CURRENT SCIENTIFIC 

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EVIDENCE AND MEDICAL KNOWLEDGE 

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AND FUTURE GUIDELINES FACTOR IN 

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SOCIO ECONOMIC, STATUS, RACE, 

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ETHNICITY AND CULTURE.

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NOW FOR ME THIS IS VERY 

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00:03:40,707 --> 00:03:40,974
PERSONAL.

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00:03:40,974 --> 00:03:42,242
WHEN HE WAS YOUNG, MY FATHER WAS

93
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A FARM WORKER.

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00:03:43,844 --> 00:03:46,213
MANY OF THE FRESH FRUITS AND 

95
00:03:46,213 --> 00:03:47,247
VEGETABLES HE HARVESTED WERE OUT

96
00:03:47,247 --> 00:03:48,749
OF HIS REACH AT THE GROCERY 

97
00:03:48,749 --> 00:03:48,949
STORE.

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00:03:48,949 --> 00:03:51,652
LIKE YOU'RE WORK, HIS WORK WAS 

99
00:03:51,652 --> 00:03:52,820
INDISPENSABLE AND BECAUSE OF 

100
00:03:52,820 --> 00:03:56,056
YOUR WORK, WE WILL CONTINUE TO 

101
00:03:56,056 --> 00:03:58,358
REINFORCE THE FUNDAMENTAL 

102
00:03:58,358 --> 00:04:00,093
PRINCIPLE THAT EVERY FAMILY 

103
00:04:00,093 --> 00:04:01,962
DESERVES ACCESS TO THE 

104
00:04:01,962 --> 00:04:03,130
NUTRITIOUS FOODS THAT OPEN THE 

105
00:04:03,130 --> 00:04:04,765
DOOR TO GOOD HEALTH AND BETTER 

106
00:04:04,765 --> 00:04:05,199
LIFE.

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00:04:05,199 --> 00:04:06,867
THANK YOU AGAIN TO THE COMMITTEE

108
00:04:06,867 --> 00:04:09,136
MEMBERS FOR CONTRIBUTING SO MUCH

109
00:04:09,136 --> 00:04:12,306
OF YOUR ENERGY AND EXPERTISE TO 

110
00:04:12,306 --> 00:04:14,007
THIS IMPORTANT PROCESS AND TO 

111
00:04:14,007 --> 00:04:14,908
THE AMERICAN PEOPLE, THANK YOU 

112
00:04:14,908 --> 00:04:16,577
FOR SHARING YOUR VOICES WITH US 

113
00:04:16,577 --> 00:04:17,444
IN THIS PROCESS.

114
00:04:17,444 --> 00:04:20,614
THE COMMITTEE RECEIVED MORE THAN

115
00:04:20,614 --> 00:04:22,883
9900 PUBLIC COMMENTS.

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00:04:22,883 --> 00:04:25,285
THE MOST EVER RECEIVED BY A 

117
00:04:25,285 --> 00:04:27,087
DIETARY GUIDELINES COMMITTEE.

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ONCE THE COMMITTEE DELIVERS IT'S

119
00:04:29,656 --> 00:04:31,024
REPORT TO HHS AND USDA, BE 

120
00:04:31,024 --> 00:04:32,593
ANOTHER OPPORTUNITY FOR THE 

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00:04:32,593 --> 00:04:33,660
PUBLIC TO COMMENT.

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00:04:33,660 --> 00:04:36,163
THESE WILL BE CONSIDERED AS WE 

123
00:04:36,163 --> 00:04:40,067
WORK TO DEVELOP THE NEXT EDITION

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OF THE DIETARY GUIDELINES FOR 

125
00:04:41,802 --> 00:04:42,069
AMERICANS.

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00:04:42,069 --> 00:04:43,804
AT THE DEPARTMENT OF HEALTH AND 

127
00:04:43,804 --> 00:04:44,938
HUMAN SERVICES WE'RE BIG 

128
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BELIEVERS THAT FOOD IS MEDICINE.

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ACCESS TO HEALTHY FOOD IS LIFE 

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CHANGING AND OFTEN LIFE SAVING.

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I'M PROUD TO BE DOING THIS 

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00:04:54,248 --> 00:04:56,517
IMPORTANT WORK ALONGSIDE ALL OF 

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00:04:56,517 --> 00:04:58,018
YOU TO HELP AMERICANS ACCESS AND

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ENJOY A HEALTHY DIET AND THE 

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00:04:59,853 --> 00:05:00,954
HEALTH BENEFITS THAT RESULT.

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THANK YOU AND I LOOK FORWARD TO 

137
00:05:02,356 --> 00:05:12,733
RECEIVING YOUR REPORT.

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00:05:17,337 --> 00:05:20,274
>> GOOD MORNING, EVERYONE.

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I JOIN SECRETARY BECERRA IN DEEP

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APPRECIATE FOR THE ADVISORY 

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COMMITTEE FOR YOUR SCIENTIFIC 

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EXPERTISE, THOUGHTFUL 

143
00:05:29,550 --> 00:05:30,651
DELIBERATION AND UNWAVERING 

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DEDICATION SINCE YOU FIRST 

145
00:05:31,952 --> 00:05:37,024
CONVENED IN FEBRUARY OF 2023.

146
00:05:37,024 --> 00:05:39,860
AS YOU PREPARE TO SUBMIT YOUR 

147
00:05:39,860 --> 00:05:41,695
REPORT, THANK YOU FOR CARVING 

148
00:05:41,695 --> 00:05:44,231
OUT TIME TODAY FOR PREVIEWING 

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00:05:44,231 --> 00:05:44,398
IT.

150
00:05:44,398 --> 00:05:45,766
THE SCIENTIFIC QUESTION WE 

151
00:05:45,766 --> 00:05:47,134
OPPOSED TO YOU COVERED MANY 

152
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TOPICS AND GROUND.

153
00:05:47,768 --> 00:05:49,670
IT WAS A TALL ORDER BUT A 

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NECESSARY ONE REFLECTING THE 

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NEEDS OF THIS COUNTRY AND 

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FEDERAL AGENCIES INCLUDING 

157
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USDA'S 16 ASSISTANCE PROGRAMS 

158
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THAT SERVE ONE IN FOUR AMERICANS

159
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ANNUALLY.

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WE WORKED TO ENSURE CHILDREN, 

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INDIVIDUALS AND FAMILIES ACROSS 

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THE COUNTRY HAVE EQUITABLE 

163
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ACCESS TO HEALTHY, SAFE AND 

164
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AFFORDABLE FOODS THAT PROMOTE 

165
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HEALTH AND WELL BEING WHILE 

166
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BUILDING A MORE RESILIENT FOOD 

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SYSTEM.

168
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THE DIETARY GUIDELINES HELP MANY

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UP DATE THE WIC PACKAGE THAT 

170
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INCREASE ACCESS TO FRUITS AND 

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VEGETABLES AND REDUCE ADDED 

172
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SUGAR IN OUR SCHOOL MEALS.

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FOR SNAP BENEFITS WE'RE MAKING 

174
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IT EASIER TO ACCESS HEALTHY 

175
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FOODS AND MODERNIZE TO REFLECT 

176
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REALITIES AND DIETARY GUIDANCE 

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AND WORKING TO PROVIDE NUTRITION

178
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EDUCATION RESOURCES TO HELP 

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FAMILIES MAXIMIZE THEIR BENEFITS

180
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AND PREPARE NUTRITIOUS, BUDGET 

181
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FRIENDLY MEALS.

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STRUCTURAL INEQUITIES MAKE IT 

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DIFFICULT FOR MANY TO EAT 

184
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HEALTHY AND I THANK YOU 

185
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UNDERWORK FOR AN EQUITY LENS.

186
00:07:04,011 --> 00:07:05,879
THANK YOU FOR CONSIDERING SOCIO 

187
00:07:05,879 --> 00:07:07,114
ECONOMIC POSITION, RACE, 

188
00:07:07,114 --> 00:07:08,782
ETHNICITY AND CULTURE.

189
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AND FOR FORMING THE HEALTH 

190
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EQUITY WORKING GROUP TO WORK 

191
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ACROSS ALL OUR SUBCOMMITTEES SO 

192
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EQUITY BECOMES INTRINSIC IN ALL 

193
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YOU DO.

194
00:07:17,724 --> 00:07:20,193
YOUR WORK MATTERS.

195
00:07:20,193 --> 00:07:21,261
IT WILL INFORM EVIDENCE-BASED 

196
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UPDATES TO THE NEXT EDITION OF 

197
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THE DIETARY GUIDELINES FOR 

198
00:07:24,731 --> 00:07:24,998
AMERICANS.

199
00:07:24,998 --> 00:07:27,401
THE AREAS YOU'VE IDENTIFIED FOR 

200
00:07:27,401 --> 00:07:28,335
FURTHER NUTRITION RESEARCH ARE 

201
00:07:28,335 --> 00:07:32,272
EQUALLY IMPORTANT FOR FUTURE 

202
00:07:32,272 --> 00:07:32,572
GUIDELINES.

203
00:07:32,572 --> 00:07:35,175
YOU'VE ALSO REVIEWED 9900 PUBLIC

204
00:07:35,175 --> 00:07:36,410
COMMENTS OVER TWO YEARS.

205
00:07:36,410 --> 00:07:38,145
MORE THAN ANY PREVIOUS 

206
00:07:38,145 --> 00:07:38,412
COMMITTEE.

207
00:07:38,412 --> 00:07:40,614
THANK YOU TO THE PUBLIC AND TO 

208
00:07:40,614 --> 00:07:41,782
THE ORGANIZATIONS AND 

209
00:07:41,782 --> 00:07:42,849
INDIVIDUALS WHO SUBMITTED 

210
00:07:42,849 --> 00:07:44,818
COMMENTS AND YOUR VOICE IS 

211
00:07:44,818 --> 00:07:45,952
ESSENTIAL TO THIS MULTI-YEAR 

212
00:07:45,952 --> 00:07:46,820
PROCESS.

213
00:07:46,820 --> 00:07:48,622
FINALLY, A BIG THANK YOU TO THE 

214
00:07:48,622 --> 00:07:51,024
HHS AND USDA STAFF WHO HAVE 

215
00:07:51,024 --> 00:07:54,461
SUPPORTED THIS COMMITTEE'S WORK.

216
00:07:54,461 --> 00:07:57,130
I KNOW WHAT THIS TEAM DOES EVERY

217
00:07:57,130 --> 00:08:00,367
DAY REQUIRES MANY AREAS OF 

218
00:08:00,367 --> 00:08:02,335
EXPERTISE AND STEADFAST 

219
00:08:02,335 --> 00:08:02,602
COMMITTEE.

220
00:08:02,602 --> 00:08:03,270
THANK YOU FOR THE ROLES YOU'VE 

221
00:08:03,270 --> 00:08:05,672
HAD IN THE DEVELOP, OF THE 

222
00:08:05,672 --> 00:08:07,207
2025-2030 EDITION OF THE DIETARY

223
00:08:07,207 --> 00:08:07,841
GUIDELINES FOR AMERICANS.

224
00:08:07,841 --> 00:08:10,477
I LOOK FORWARD TO RECEIVING THIS

225
00:08:10,477 --> 00:08:11,978
COMMITTEE'S SCIENTIFIC REPORT.

226
00:08:11,978 --> 00:08:14,314
THIS IS AN EXTRAORDINARILY 

227
00:08:14,314 --> 00:08:16,116
IMPORTANT SET OF RECOMMENDATIONS

228
00:08:16,116 --> 00:08:16,883
YOU'LL MAKE.

229
00:08:16,883 --> 00:08:20,120
AND IT WILL HELP GUIDE SO MANY 

230
00:08:20,120 --> 00:08:21,321
OPPORTUNITIES FOR BETTER 

231
00:08:21,321 --> 00:08:23,523
NUTRITION FOR ALL AMERICA.

232
00:08:23,523 --> 00:08:24,524
SO THANK YOU FOR EVERYTHING 

233
00:08:24,524 --> 00:08:25,926
YOU'VE DONE AND EVERYTHING YOU 

234
00:08:25,926 --> 00:08:27,060
WILL CONTINUE TO DO IN THE 

235
00:08:27,060 --> 00:08:36,870
FORMATION OF THESE GUIDELINES.

236
00:08:36,870 --> 00:08:39,539
>> THANK YOU FOR THOSE
REMARKS.

237
00:08:39,539 --> 00:08:44,611
AND NOW I'D LIKE TO TURN IT OVER

238
00:08:44,611 --> 00:08:47,948
TO DR. ANGELA ODOMS-YOUNG FOR 

239
00:08:47,948 --> 00:08:50,350
THE CHAIR'S REMARKS AND 

240
00:08:50,350 --> 00:08:53,620
INTRODUCTION.

241
00:08:53,620 --> 00:08:54,688
>> THANK YOU SO MUCH,
JANET.

242
00:08:54,688 --> 00:09:00,093
THIS IS REALLY AN EXCITING 

243
00:09:00,093 --> 00:09:02,062
MEETING.

244
00:09:02,062 --> 00:09:05,132
SINCE WE MET IN FOR MEETING 

245
00:09:05,132 --> 00:09:06,466
SEVEN OF COURSE A LOT OF HAS 

246
00:09:06,466 --> 00:09:06,733
HAPPENED.

247
00:09:06,733 --> 00:09:10,337
IT'S REALLY OUR PLEASURE TO HAVE

248
00:09:10,337 --> 00:09:13,673
AN OPPORTUNITY TO PARENT THE 

249
00:09:13,673 --> 00:09:14,007
REPORT.

250
00:09:14,007 --> 00:09:14,741
SO WELCOME.

251
00:09:14,741 --> 00:09:18,845
IT'S COMING DOWN TO A CLOSE 

252
00:09:18,845 --> 00:09:22,282
AFTER TWO YEARS OF WORK AND 

253
00:09:22,282 --> 00:09:26,353
ENGAGEMENT AND VERY VIBRANT 

254
00:09:26,353 --> 00:09:36,563
DISCUSSIONS.

255
00:09:46,173 --> 00:09:47,841
 ME PREVIOUS EVIDENCE WAS REVIEW

256
00:09:47,841 --> 00:09:49,342
OF THE EVIDENCE AND THIS MEETING

257
00:09:49,342 --> 00:09:51,144
WILL INCLUDE A BRIEF OVERVIEW OF

258
00:09:51,144 --> 00:09:52,913
EACH CHAPTER DESCRIBING THE 

259
00:09:52,913 --> 00:09:54,781
EVIDENCE ON DIET AND HEALTH AND 

260
00:09:54,781 --> 00:09:57,884
OUTLINE OUR ADVICE TO HHS, USDA 

261
00:09:57,884 --> 00:10:02,189
FOR THE NEXT EDITION OF THE 

262
00:10:02,189 --> 00:10:02,856
DIETARY GUIDELINES.

263
00:10:02,856 --> 00:10:05,892
THE INFORMATION INCLUDING 

264
00:10:05,892 --> 00:10:07,027
REPORTINGS, PREVIOUS MEETING ARE

265
00:10:07,027 --> 00:10:09,329
AVAILABLE AT DIETARY 

266
00:10:09,329 --> 00:10:10,831
GUIDELINES.gov AND THE WORK WE 

267
00:10:10,831 --> 00:10:12,365
PRESENTED THIS MEETING IS A 

268
00:10:12,365 --> 00:10:15,202
DRAFT AND I WANT THE PUBLIC TO 

269
00:10:15,202 --> 00:10:16,703
JUST TAKE NOTE OF THAT.

270
00:10:16,703 --> 00:10:20,173
IT CAN BE REVISED BASED ON 

271
00:10:20,173 --> 00:10:20,841
DISCUSSIONS AT THE MEETINGS AND 

272
00:10:20,841 --> 00:10:22,275
THE REPORT IS CONSIDERED A DRAFT

273
00:10:22,275 --> 00:10:23,743
UNTIL IT'S SUBMITTED TO HHS AND 

274
00:10:23,743 --> 00:10:32,719
USDA.

275
00:10:32,719 --> 00:10:35,689
 SO JUST A REMINDER WE HAD 

276
00:10:35,689 --> 00:10:36,990
SEVERAL APPROACHES TO EXAMINE 

277
00:10:36,990 --> 00:10:37,791
THE EVIDENCE.

278
00:10:37,791 --> 00:10:41,628
DATA ANALYSIS WHICH REALLY 

279
00:10:41,628 --> 00:10:43,997
CENTERED ON USE OF STATISTICAL 

280
00:10:43,997 --> 00:10:45,866
METHODS FOCUSSED ON NATIONAL 

281
00:10:45,866 --> 00:10:48,168
DATA SETS LITHE NHANES TO 

282
00:10:48,168 --> 00:10:49,469
DESCRIBE THE CURRENT HEALTH AND 

283
00:10:49,469 --> 00:10:50,670
DIETARY INTAKES IN THE U.S.

284
00:10:50,670 --> 00:10:54,107
THIS APPROACH HELPS THE 

285
00:10:54,107 --> 00:10:54,975
COMMITTEE ENSURE ITS 

286
00:10:54,975 --> 00:10:57,911
RECOMMENDATIONS ARE PRACTICAL, 

287
00:10:57,911 --> 00:10:59,779
RELEVANT AND ACHIEVABLE.

288
00:10:59,779 --> 00:11:01,882
AS SECRETARY VILSACK MENTIONED 

289
00:11:01,882 --> 00:11:03,917
THE IDEA OF EQUITABLE OR 

290
00:11:03,917 --> 00:11:09,890
EQUITABLE ACCESS TO A SAFE AND 

291
00:11:09,890 --> 00:11:13,026
HEALTHY FEDERAL HEALTHY AND SAFE

292
00:11:13,026 --> 00:11:14,794
ACCESS TO HEALTHY AND SAFE 

293
00:11:14,794 --> 00:11:17,764
OPTIONS, SORRY, I CAN'T, BUT 

294
00:11:17,764 --> 00:11:20,200
THIS IDEA OF HAVING 

295
00:11:20,200 --> 00:11:20,834
RECOMMENDATIONS THAT ARE 

296
00:11:20,834 --> 00:11:23,203
PRACTICAL, RELEVANT AND 

297
00:11:23,203 --> 00:11:25,572
ACHIEVABLE REALLY HELPS US THINK

298
00:11:25,572 --> 00:11:27,908
ABOUT THAT AND ALSO OUR 

299
00:11:27,908 --> 00:11:29,542
COMMITTEE REALLY APPLIED A 

300
00:11:29,542 --> 00:11:32,779
HEALTH EQUITY LENS TO ALL THESE 

301
00:11:32,779 --> 00:11:33,079
APPROACHES.

302
00:11:33,079 --> 00:11:34,881
THE SECOND WAS SYSTEMATIC 

303
00:11:34,881 --> 00:11:37,550
REVIEWS, GOLD STANDARD WHERE WE 

304
00:11:37,550 --> 00:11:39,920
DID AN EVIDENCE SYNTHESIS TO 

305
00:11:39,920 --> 00:11:42,088
REALLY LOOK AT ANSWERS TO 

306
00:11:42,088 --> 00:11:45,225
NUTRITION QUESTIONS OF PUBLIC 

307
00:11:45,225 --> 00:11:47,661
HEALTH IMPORTANCE, USES 

308
00:11:47,661 --> 00:11:49,296
SYSTEMATIC, RIGOROUS PROTOCOLS 

309
00:11:49,296 --> 00:11:51,932
ALSO POSTED AT DIETARY 

310
00:11:51,932 --> 00:11:53,166
GUIDELINES.gov.

311
00:11:53,166 --> 00:11:56,102
REALLY THIS IDEA OF PROTOCOL 

312
00:11:56,102 --> 00:11:59,306
DRIVEN METHODS TO SEARCH FOR AND

313
00:11:59,306 --> 00:12:02,342
EVALUATE SYNTHESIZING AND GRADE 

314
00:12:02,342 --> 00:12:03,944
THE STRENGTH OF THE ELIGIBLE 

315
00:12:03,944 --> 00:12:04,911
BODY OF EVIDENCE.

316
00:12:04,911 --> 00:12:06,346
WE'LL TALK A LOT ABOUT THIS 

317
00:12:06,346 --> 00:12:08,248
THROUGHOUT THE MEETING AND ALSO 

318
00:12:08,248 --> 00:12:11,651
AS WE GET TO OUR INTEGRATION 

319
00:12:11,651 --> 00:12:13,420
DISCUSSION.

320
00:12:13,420 --> 00:12:15,188
THIS APPROACH ALLOWS ANSWERING 

321
00:12:15,188 --> 00:12:16,890
THE SCIENTIFIC QUESTIONS BY 

322
00:12:16,890 --> 00:12:18,358
REVIEWING THE EVIDENCE FOR ALL 

323
00:12:18,358 --> 00:12:21,795
RELEVANT STUDIES PUBLISHED ON A 

324
00:12:21,795 --> 00:12:22,195
PARTICULAR TOPIC.

325
00:12:22,195 --> 00:12:26,199
AND THEN LASTLY FOOD PATTERN 

326
00:12:26,199 --> 00:12:27,300
MODELLING USED TO ILLUSTRATE 

327
00:12:27,300 --> 00:12:28,868
CHANGES HOW THE AMOUNTS AND 

328
00:12:28,868 --> 00:12:30,337
TYPES OF FOODS AND BEVERAGES IN 

329
00:12:30,337 --> 00:12:33,974
THE DIETARY PATTERNS INCLUDING 

330
00:12:33,974 --> 00:12:35,942
FLEXIBILITIES MIGHT AFFECT 

331
00:12:35,942 --> 00:12:37,177
MEETING NUTRIENT NEEDS.

332
00:12:37,177 --> 00:12:39,813
AND IT'S USED TO DEVELOP 

333
00:12:39,813 --> 00:12:41,781
QUANTITATIVE DIETARY PATTERNS 

334
00:12:41,781 --> 00:12:45,352
THAT REFLECT HEALTH-PROMOTING 

335
00:12:45,352 --> 00:12:46,653
PATTERNS IDENTIFIED IN 

336
00:12:46,653 --> 00:12:48,521
SYSTEMATIC REVIEWS AND MEET 

337
00:12:48,521 --> 00:12:49,356
ENERGY AND NUTRIENT 

338
00:12:49,356 --> 00:12:49,923
REQUIREMENTS.

339
00:12:49,923 --> 00:12:51,992
SO THIS APPROACH ALLOWS THE 

340
00:12:51,992 --> 00:12:53,159
COMMITTEE TO MAKE 

341
00:12:53,159 --> 00:12:54,361
RECOMMENDATIONS TO INFORM THE 

342
00:12:54,361 --> 00:12:57,998
DEVELOPMENT OF DIETARY PATTERNS 

343
00:12:57,998 --> 00:13:02,235
FOR THE U.S. POPULATION.

344
00:13:02,235 --> 00:13:04,270
SO, A LOT OF WHAT WE'RE DOING TO

345
00:13:04,270 --> 00:13:06,339
DO TODAY IS REALLY THINK ABOUT 

346
00:13:06,339 --> 00:13:09,175
THE INTEGRATION ACROSS THE 

347
00:13:09,175 --> 00:13:10,677
DIFFERENT APPROACHES AS WELL AS 

348
00:13:10,677 --> 00:13:12,145
THE DIFFERENT TOPIC AREAS.

349
00:13:12,145 --> 00:13:14,414
SO WE HAVE REALLY SEVERAL LEVELS

350
00:13:14,414 --> 00:13:15,415
OF INTEGRATION.

351
00:13:15,415 --> 00:13:18,918
SO INTEGRATION AS I MENTIONED 

352
00:13:18,918 --> 00:13:21,855
AND WHEN WE THINK ABOUT THOSE 

353
00:13:21,855 --> 00:13:28,028
KEY TOPICS, INTEGRATION ACROSS 

354
00:13:28,028 --> 00:13:29,829
FOOD PATTERN MODELLING AND 

355
00:13:29,829 --> 00:13:33,833
SYSTEMATIC REVIEWS AND ULTIMATE 

356
00:13:33,833 --> 00:13:35,735
INTEGRATION ACROSS ALL THE WORK 

357
00:13:35,735 --> 00:13:36,136
OF THE COMMITTEE.

358
00:13:36,136 --> 00:13:38,271
IT WILL ALLOW US TO THINK MORE 

359
00:13:38,271 --> 00:13:43,143
BROADLY HOW THE PUZZLE PIECES 

360
00:13:43,143 --> 00:13:43,743
FIT TOGETHER.

361
00:13:43,743 --> 00:13:46,446
SO FROM CONCLUSION STATEMENTS TO

362
00:13:46,446 --> 00:13:49,983
ADVICE, THE IDEA OF THE 

363
00:13:49,983 --> 00:13:51,651
INTEGRATION OF EVIDENCE SO THE 

364
00:13:51,651 --> 00:13:53,820
COMMITTEE LOOKS ACROSS ALL OF 

365
00:13:53,820 --> 00:13:54,754
THE CONCLUSION STATEMENTS AND 

366
00:13:54,754 --> 00:13:56,790
WE'RE GOING TO TALK A LOT ABOUT 

367
00:13:56,790 --> 00:13:59,492
THAT TODAY TO THINK ABOUT THE 

368
00:13:59,492 --> 00:14:01,361
TOTALITY OF OUR SCIENTIFIC 

369
00:14:01,361 --> 00:14:03,363
REVIEW TO DEVELOP THE 

370
00:14:03,363 --> 00:14:05,632
OVERARCHING ADVICE FOR HHS AND 

371
00:14:05,632 --> 00:14:06,766
USDA TO CONSIDER WHEN THEY 

372
00:14:06,766 --> 00:14:09,002
DEVELOP THE DIETARY GUIDELINES.

373
00:14:09,002 --> 00:14:11,271
REALLY THIS IDEA OF INTEGRATION 

374
00:14:11,271 --> 00:14:13,973
WILL HELP INFORM THAT 

375
00:14:13,973 --> 00:14:16,876
DEVELOPMENT AS WELL AS THE IDEA 

376
00:14:16,876 --> 00:14:18,912
OF THINKING ABOUT FUTURE 

377
00:14:18,912 --> 00:14:21,714
DIRECTIONS, ADVICE TO 

378
00:14:21,714 --> 00:14:24,184
AGENCIES -- SO AS WE LOOK ACROSS

379
00:14:24,184 --> 00:14:25,785
CONCLUSION STATEMENTS WE CAN 

380
00:14:25,785 --> 00:14:26,486
THINK MORE BROADLY AND 

381
00:14:26,486 --> 00:14:30,623
HOLISTICALLY.

382
00:14:30,623 --> 00:14:33,626
SO JUST A REMINDER OF THE 

383
00:14:33,626 --> 00:14:36,796
SUBCOMMITTEE STRUCTURE, THE 

384
00:14:36,796 --> 00:14:38,031
COMMITTEE FORMED FOUR 

385
00:14:38,031 --> 00:14:40,033
SUBCOMMITTEES, DIETARY PATTERNS 

386
00:14:40,033 --> 00:14:42,135
AND SPECIFIC DIETARY COMPONENTS 

387
00:14:42,135 --> 00:14:43,870
ACROSS LIFE STAGES, DIET AND 

388
00:14:43,870 --> 00:14:45,705
PREGNANCY AND BIRTH THROUGH 

389
00:14:45,705 --> 00:14:48,141
ADOLESCENCE, FOOD PATTERN 

390
00:14:48,141 --> 00:14:49,476
MODELLING AND DATA ANALYSIS AND 

391
00:14:49,476 --> 00:14:52,011
STRATEGIES FOR INDIVIDUALS AND 

392
00:14:52,011 --> 00:14:53,913
FAMILIES RELATED TO DIETARY 

393
00:14:53,913 --> 00:14:55,215
QUALITY AND WEIGHT MANAGEMENT.

394
00:14:55,215 --> 00:14:57,350
ADDITIONALLY, WE HAD TWO 

395
00:14:57,350 --> 00:15:00,386
CROSS-CUTTING WORKING GROUPS, 

396
00:15:00,386 --> 00:15:01,654
HEALTH EQUITY WORKING GROUP AND 

397
00:15:01,654 --> 00:15:04,858
THE IDEA OF EQUITABLE GUIDANCE 

398
00:15:04,858 --> 00:15:07,393
THAT APPLIES TO ALL AMERICANS.

399
00:15:07,393 --> 00:15:10,363
IT HELPS SUPPORT PEOPLE ACROSS 

400
00:15:10,363 --> 00:15:13,133
THE LIFE STAGE CONTINUUM IN 

401
00:15:13,133 --> 00:15:17,036
MEETING THEIR DIETARY NEEDS AND 

402
00:15:17,036 --> 00:15:18,004
META-ANALYSIS WORKING GROUP 

403
00:15:18,004 --> 00:15:19,672
WHICH ADDRESSED TOPICS WHICH 

404
00:15:19,672 --> 00:15:21,975
WERE RELEVANT TO THE MULTIPLE 

405
00:15:21,975 --> 00:15:22,342
SUBCOMMITTEES.

406
00:15:22,342 --> 00:15:24,110
SO EACH SUBCOMMITTEE AND WORKING

407
00:15:24,110 --> 00:15:26,012
GROUP WAS COMPRISED OF SIX TO 

408
00:15:26,012 --> 00:15:27,914
EIGHT COMMITTEE MEMBERS WITH ONE

409
00:15:27,914 --> 00:15:30,350
MEMBER SERVING AS THE CHAIR OF 

410
00:15:30,350 --> 00:15:32,152
EACH SUBCOMMITTEE OR WORKING 

411
00:15:32,152 --> 00:15:32,952
GROUP.

412
00:15:32,952 --> 00:15:37,123
REALLY THE WORK WAS DIVIDED 

413
00:15:37,123 --> 00:15:38,358
ACROSS WHERE DIFFERENT 

414
00:15:38,358 --> 00:15:43,196
SUBCOMMITTEE MEMBERS TOOK THE 

415
00:15:43,196 --> 00:15:46,032
LEAD ON DIFFERENT AREAS REALLY 

416
00:15:46,032 --> 00:15:46,966
DEMONSTRATING THE BROAD 

417
00:15:46,966 --> 00:15:49,102
EXPERTISE INCLUDED ON THIS 

418
00:15:49,102 --> 00:15:49,369
COMMITTEE.

419
00:15:49,369 --> 00:15:50,336
EACH SUBCOMMITTEE INCLUDED 

420
00:15:50,336 --> 00:15:53,406
MEMBERS FROM THE HEALTH EQUITY 

421
00:15:53,406 --> 00:15:54,908
WORKING GROUP TO APPLY THE 

422
00:15:54,908 --> 00:15:55,742
HEALTH EQUITY LENS AND THE 

423
00:15:55,742 --> 00:15:58,011
WORKING GROUPS CONDUCTED THEIR 

424
00:15:58,011 --> 00:16:00,613
WORK BETWEEN COMMITTEE MEETINGS 

425
00:16:00,613 --> 00:16:02,315
AND PROVIDED UPDATES AT 

426
00:16:02,315 --> 00:16:02,949
COMMITTEE MEETINGS FOR THE FULL 

427
00:16:02,949 --> 00:16:12,659
COMMITTEE DISCUSSION.

428
00:16:12,659 --> 00:16:14,661
SO THANK YOU, THANK YOU, THANK 

429
00:16:14,661 --> 00:16:14,827
YOU.

430
00:16:14,827 --> 00:16:16,829
WE CAN'T SAY THANK YOU ENOUGH TO

431
00:16:16,829 --> 00:16:19,866
THE PEER REVIEWERS AS WELL AS 

432
00:16:19,866 --> 00:16:22,335
THOSE WHO SUBMITTED PUBLIC 

433
00:16:22,335 --> 00:16:22,602
COMMENTS.

434
00:16:22,602 --> 00:16:24,871
THE COMMITTEE SYSTEMATIC REVIEWS

435
00:16:24,871 --> 00:16:27,073
INCLUDING FOOD PATTERN MODELLING

436
00:16:27,073 --> 00:16:28,508
REPORTS HAVE UNDER GONE EXTERNAL

437
00:16:28,508 --> 00:16:35,582
PEER REVIEW AND PEER REVIEWERS 

438
00:16:35,582 --> 00:16:36,683
REALLY COME FROM A BROAD 

439
00:16:36,683 --> 00:16:37,584
PERSPECTIVE THAT IS RELEVANT TO 

440
00:16:37,584 --> 00:16:43,957
THE COMMITTEE'S WORK.

441
00:16:43,957 --> 00:16:45,825
ADDITIONALLY ALL REVIEWS ARE 

442
00:16:45,825 --> 00:16:49,095
REVIEWED BY INTERAGENCY PARTNERS

443
00:16:49,095 --> 00:16:52,966
AND AS FAR AS PUBLIC COMMENTS, 

444
00:16:52,966 --> 00:16:54,367
APPROXIMATELY 9,900 COMMENTS 

445
00:16:54,367 --> 00:16:56,636
WERE RECEIVED DURING THIS 

446
00:16:56,636 --> 00:16:57,237
COMMENT PERIOD.

447
00:16:57,237 --> 00:17:00,640
SO WE REALLY APPRECIATE THE 

448
00:17:00,640 --> 00:17:01,941
ACTIVE ENGAGEMENT BY THE PUBLIC.

449
00:17:01,941 --> 00:17:03,776
THE PUBLIC WAS INVITED TO 

450
00:17:03,776 --> 00:17:04,744
PROVIDE COMMENTS TO THE 

451
00:17:04,744 --> 00:17:10,049
COMMITTEE ON ALL ASPECTS OF OUR 

452
00:17:10,049 --> 00:17:19,292
WORK FROM JANUARY 19, 2023 TO 

453
00:17:19,292 --> 00:17:20,727
OCTOBER 2024.

454
00:17:20,727 --> 00:17:22,028
WE APPRECIATE YOUR CONSISTENT 

455
00:17:22,028 --> 00:17:23,730
ENGAGEMENT.

456
00:17:23,730 --> 00:17:27,700
SO THE REPORT OUTLINE IS AS 

457
00:17:27,700 --> 00:17:28,067
FOLLOWS.

458
00:17:28,067 --> 00:17:33,506
THE FIRST IS EXECUTIVE SUMMARY 

459
00:17:33,506 --> 00:17:38,211
AND THEN WE'RE SETTING THE 

460
00:17:38,211 --> 00:17:40,380
STABLE IN CROSS-CUTTING THEMES 

461
00:17:40,380 --> 00:17:41,948
WITH HEALTH EQUITY AND 

462
00:17:41,948 --> 00:17:42,949
NUTRITION.

463
00:17:42,949 --> 00:17:49,088
IN C WE DIG DEEPER IN THE 

464
00:17:49,088 --> 00:17:56,195
METHODOLOGY USED TO INFORM THE 

465
00:17:56,195 --> 00:17:57,864
COMMITTEE'S WORK AND FUTURE 

466
00:17:57,864 --> 00:18:04,070
DIRECTIONS AND THE APPENDICES 

467
00:18:04,070 --> 00:18:06,072
INCLUDING COMMENTS, GLOSSARY OF 

468
00:18:06,072 --> 00:18:09,575
TERMS AND BIO SKETCHES OF OUR 

469
00:18:09,575 --> 00:18:10,610
COMMITTEE, MEMBERS OF THE 

470
00:18:10,610 --> 00:18:12,612
SUBCOMMITTEES AND WORKING GROUPS

471
00:18:12,612 --> 00:18:21,321
AND ACKNOWLEDGEMENTS.

472
00:18:21,321 --> 00:18:23,156
SO CHAPTER 1 CURRENT DIETARY 

473
00:18:23,156 --> 00:18:26,359
INTAKES AND PREVALENCE OF 

474
00:18:26,359 --> 00:18:27,093
NUTRIENT-RELATED CHRONIC HEALTH 

475
00:18:27,093 --> 00:18:30,530
CONDITIONS, DIETARY PATTERNS, 

476
00:18:30,530 --> 00:18:34,067
BEVERAGES, FOOD SOURCES OF 

477
00:18:34,067 --> 00:18:35,401
SATURATED FAT, COMPLIMENTARY 

478
00:18:35,401 --> 00:18:37,003
FEEDING AND FEEDING STYLES AND 

479
00:18:37,003 --> 00:18:38,204
PRACTICES DURING CHILDHOOD.

480
00:18:38,204 --> 00:18:43,409
SO YOU'LL SEE IN THE COMMITTEE'S

481
00:18:43,409 --> 00:18:48,414
WORK IT'S NOT ONLY ABOUT THE 

482
00:18:48,414 --> 00:18:49,949
COMPOSITION OF FOODS SEVERAL SUB

483
00:18:49,949 --> 00:18:54,087
GROUPS LOOK AT THE HOW.

484
00:18:54,087 --> 00:18:57,690
SO COMPLIMENTARY FEEDING AND 

485
00:18:57,690 --> 00:19:01,027
FEEDING STYLES DURING CHILDHOOD 

486
00:19:01,027 --> 00:19:02,862
IS ONE OF THE SUBCOMMITTEE 

487
00:19:02,862 --> 00:19:06,632
CONSIDERING QUESTIONS AND 

488
00:19:06,632 --> 00:19:09,068
FREQUENCY OF MEALS AND PORTION 

489
00:19:09,068 --> 00:19:10,970
SIDE AND CHAPTER 8, CULTURALLY 

490
00:19:10,970 --> 00:19:13,005
TAILORED DIETARY INTERVENTIONS 

491
00:19:13,005 --> 00:19:16,075
AND 9, PROFILE DEVELOPMENT AND 

492
00:19:16,075 --> 00:19:19,045
10, FOOD GROUP AND SUB GROUP 

493
00:19:19,045 --> 00:19:21,080
ANALYSTSES AND SIMULATIONS AND 

494
00:19:21,080 --> 00:19:22,348
CHAPTER 12, THE PROPOSED DIETARY

495
00:19:22,348 --> 00:19:32,525
PATTERNS.

496
00:19:36,162 --> 00:19:40,066
WE'LL TALK ABOUT CHAPTER B OUR 

497
00:19:40,066 --> 00:19:41,401
HEALTH EQUITY LENS AND 

498
00:19:41,401 --> 00:19:41,768
NUTRITION.

499
00:19:41,768 --> 00:19:43,936
 B, CHAPTER 12 THE CURRENT 

500
00:19:43,936 --> 00:19:47,206
INTAKES OF PREVALENCE OF 

501
00:19:47,206 --> 00:19:49,409
NUTRITION-RELATED CHRONIC 

502
00:19:49,409 --> 00:19:49,709
CONDITIONS.

503
00:19:49,709 --> 00:19:59,752
 D PARTB, CHAPTER 12 THE CURREN 

504
00:19:59,752 --> 00:20:00,286
INTAKES OF PREVALENCE OF 

505
00:20:00,286 --> 00:20:00,820
NUTRITION-RELATED CHRONIC 

506
00:20:00,820 --> 00:20:02,355
CONDITIONS.

507
00:20:02,355 --> 00:20:10,730
PARTDPARTPART D AND SIMULATIONS 

508
00:20:10,730 --> 00:20:16,068
AND PART D PROPOSED DIETARY P

509
00:20:16,068 --> 00:20:16,602
PATTE

510
00:20:16,602 --> 00:20:16,869
PATTERNS.

511
00:20:16,869 --> 00:20:18,971
I'M GOING TO TURN IT OVER TO 

512
00:20:18,971 --> 00:20:20,673
SAMEERA TO TALK ABOUT THE HEALTH

513
00:20:20,673 --> 00:20:22,608
EQUITY LENS DISCUSSED AND 

514
00:20:22,608 --> 00:20:25,111
DESCRIBED IN PART B, CHAPTER 3.

515
00:20:25,111 --> 00:20:25,778
I'LL TURN IT OVER TO YOU.

516
00:20:25,778 --> 00:20:27,680
THANK YOU SO MUCH.

517
00:20:27,680 --> 00:20:30,049
>> THANK YOU, ANGELA.

518
00:20:30,049 --> 00:20:33,619
GOOD MORNING, I'M SAMIRA 

519
00:20:33,619 --> 00:20:34,520
TALEGAWKAR AND I CHAIR THE 

520
00:20:34,520 --> 00:20:35,488
HEALTH EQUITY WORKING GROUP.

521
00:20:35,488 --> 00:20:38,324
I WANT TO TAKE THE OPPORTUNITY 

522
00:20:38,324 --> 00:20:48,701
TO THANK ALL COMMITTEE MEMBERS 

523
00:20:48,701 --> 00:20:51,537
AND EXPRESS OUR GRATITUDE TO THE

524
00:20:51,537 --> 00:20:53,439
WONDERFUL HHS STAFF FOR UNENDING

525
00:20:53,439 --> 00:20:55,141
SUPPORT AND ASSISTANCE AS WE 

526
00:20:55,141 --> 00:21:05,618
CONDUCTED OUR DELIBERATIONS.

527
00:21:08,287 --> 00:21:15,361
AND OUR GOAL OF CENTERING HEALTH

528
00:21:15,361 --> 00:21:17,296
EQUITY IN THE SCIENTIFIC REVIEW 

529
00:21:17,296 --> 00:21:18,531
WAS TO HELP DEPARTMENTS OF 

530
00:21:18,531 --> 00:21:20,766
HEALTH AND HUMAN SERVICES AND 

531
00:21:20,766 --> 00:21:22,502
AGRICULTURE TO DEVELOP 

532
00:21:22,502 --> 00:21:27,540
GUIDELINES THAT CAN SUPPORT 

533
00:21:27,540 --> 00:21:30,977
PEOPLE ACROSS ALL BACKGROUNDS IN

534
00:21:30,977 --> 00:21:33,112
ACHIEVING A HEALTHY DIETARY 

535
00:21:33,112 --> 00:21:33,446
PATTERN.

536
00:21:33,446 --> 00:21:35,615
THIS LENS WAS APPLIED PRIOR TO 

537
00:21:35,615 --> 00:21:37,183
THE COMMITTEE BEING APPOINTED 

538
00:21:37,183 --> 00:21:39,485
MEANING HHS AND USDA SELECTED 

539
00:21:39,485 --> 00:21:41,387
THIS COMMITTEE BASED NOT JUST ON

540
00:21:41,387 --> 00:21:43,122
ITS PROFESSIONAL CREDENTIALS BUT

541
00:21:43,122 --> 00:21:46,325
REFLECTION OF THE GENDER, 

542
00:21:46,325 --> 00:21:51,931
RACIAL, ETHNIC AND GEOGRAPHIC 

543
00:21:51,931 --> 00:21:58,170
DIVERSITY OF THE U.S. AND SPA 

544
00:21:58,170 --> 00:21:59,105
EXPERTISE IN RESEARCH AND 

545
00:21:59,105 --> 00:21:59,572
PRACTICE WITH DIVERSE 

546
00:21:59,572 --> 00:22:08,981
POPULATIONS.

547
00:22:08,981 --> 00:22:12,251
IT'S STRUCTURED BY ECONOMIC, 

548
00:22:12,251 --> 00:22:14,353
SOCIAL, CULTURAL AND BIOLOGICAL 

549
00:22:14,353 --> 00:22:15,922
FACTORS OFTEN OUTSIDE AN 

550
00:22:15,922 --> 00:22:18,057
INDIVIDUAL'S CONTROL.

551
00:22:18,057 --> 00:22:19,392
THEREFORE CENTERING EQUITY MEANS

552
00:22:19,392 --> 00:22:22,628
PROVIDING GUIDANCE TO PROMOTE 

553
00:22:22,628 --> 00:22:25,231
PATTERNS FOR INDIVIDUALS, 

554
00:22:25,231 --> 00:22:26,065
FAMILIES AND ORGANIZATIONS 

555
00:22:26,065 --> 00:22:27,266
ACROSS DIFFERENT ENVIRONMENTS 

556
00:22:27,266 --> 00:22:34,540
AND CONTEXTS INCLUDING THOSE WHO

557
00:22:34,540 --> 00:22:38,544
CHOOSE HEALTHFUL FOODS.

558
00:22:38,544 --> 00:22:39,579
AFTER CONSIDERING OTHER CONCEPTS

559
00:22:39,579 --> 00:22:43,449
AND FRAMEWORKS SUCH AS FROM THE 

560
00:22:43,449 --> 00:22:45,585
WHITE HOUSE HEALTH EQUITY TASK 

561
00:22:45,585 --> 00:22:48,254
FORCE AND CDC AND USDA THEY 

562
00:22:48,254 --> 00:22:50,790
COMMITTEE USED HEALTH EQUITY 

563
00:22:50,790 --> 00:22:52,091
EXPERTISE TO DEVELOP ITS OWN 

564
00:22:52,091 --> 00:22:55,561
DEFINITION OF HEALTH EQUITY.

565
00:22:55,561 --> 00:22:56,529
 IT IS STATED HERE.

566
00:22:56,529 --> 00:22:57,330
THE COMMITTEE DEFINED HEALTH 

567
00:22:57,330 --> 00:22:59,599
EQUITY AS A STATE IN WHICH 

568
00:22:59,599 --> 00:23:01,133
EVERYONE HAS A FAIR AND JUST 

569
00:23:01,133 --> 00:23:02,535
OPPORTUNITY TO ATTAIN THE 

570
00:23:02,535 --> 00:23:04,637
HIGHEST LEVEL OF HEALTH.

571
00:23:04,637 --> 00:23:06,672
THIS INCLUDES THE CONSISTENT AND

572
00:23:06,672 --> 00:23:08,574
SYSTEMATIC TREATMENT OF ALL 

573
00:23:08,574 --> 00:23:11,510
INDIVIDUALS IN A FAIR, JUST AND 

574
00:23:11,510 --> 00:23:12,612
IMPARTIAL MANNER.

575
00:23:12,612 --> 00:23:13,546
INCLUDING INDIVIDUALS WHO BELONG

576
00:23:13,546 --> 00:23:17,116
TO COMMUNITIES NA HAVE OFTEN 

577
00:23:17,116 --> 00:23:21,253
BEEN DENIED TREATMENT SUCH AS 

578
00:23:21,253 --> 00:23:23,889
BLACK, HISPANIC, LATINO, ASIAN 

579
00:23:23,889 --> 00:23:25,491
AMERICAN, NATIVE HAWAIIAN AND 

580
00:23:25,491 --> 00:23:26,392
PACIFIC ISLANDER PERSONS AND 

581
00:23:26,392 --> 00:23:29,929
OTHER PERSONS OF COLOR, MEMBERS 

582
00:23:29,929 --> 00:23:32,732
OF RELIGIOUS MINORITIES, WOMEN 

583
00:23:32,732 --> 00:23:43,275
AND GIRLS AND PERSONS AFFECTED 

584
00:23:46,746 --> 00:23:51,851
BY PERSISTENT INEQUALITY AND 

585
00:23:51,851 --> 00:23:54,353
POVERTY OR INDIVIDUALS THAT 

586
00:23:54,353 --> 00:23:55,788
BELONG TO MULTIPLE SUCH 

587
00:23:55,788 --> 00:23:56,155
COMMUNITIES.

588
00:23:56,155 --> 00:23:59,158
WHILE THERE'S A CHAPTER 

589
00:23:59,158 --> 00:24:00,092
DEDICATED HEALTH EQUITY AND 

590
00:24:00,092 --> 00:24:03,095
NUTRITION I WANT TO EXPLAIN THE 

591
00:24:03,095 --> 00:24:05,698
HEALTH EQUITY YOU'LL SEE AT 

592
00:24:05,698 --> 00:24:09,669
OTHER REPORTS SUCH AS THE ONE ON

593
00:24:09,669 --> 00:24:10,102
THE SLIDE.

594
00:24:10,102 --> 00:24:13,906
THIS IS EXAMPLES OF WORK HEALTH 

595
00:24:13,906 --> 00:24:15,207
EQUITY CONSIDERATIONS STRONGLY 

596
00:24:15,207 --> 00:24:17,476
FACTORED INTO THE COMMITTEE'S 

597
00:24:17,476 --> 00:24:18,778
CONCLUSIONS REFLECTING THE 

598
00:24:18,778 --> 00:24:20,446
APPROACH THE COMMITTEE TOOK TO 

599
00:24:20,446 --> 00:24:21,747
INCORPORATING LEATH EQUITY IN 

600
00:24:21,747 --> 00:24:27,119
THE REVIEW OF THE SCIENCE.

601
00:24:27,119 --> 00:24:30,022
SINCE A PICTURE'S WORTH A 

602
00:24:30,022 --> 00:24:32,925
THOUSAND WORDS THE COMMITTEE 

603
00:24:32,925 --> 00:24:34,060
DEVELOPED AN INFO GRAPHIC TO 

604
00:24:34,060 --> 00:24:35,428
VISUALIZE THE HEALTH EQUITY INTO

605
00:24:35,428 --> 00:24:35,695
REVIEW.

606
00:24:35,695 --> 00:24:38,197
WE PREVIOUSLY REVIEWED THIS 

607
00:24:38,197 --> 00:24:39,999
VISUAL AND BEEN UPDATED BASED ON

608
00:24:39,999 --> 00:24:40,800
ONGOING FEEDBACK.

609
00:24:40,800 --> 00:24:42,301
I WOULD LIKE TO DRAW YOUR 

610
00:24:42,301 --> 00:24:43,469
ATTENTION TO NEW TEXT ADDED TO 

611
00:24:43,469 --> 00:24:46,105
THE TOP BOX ON THE RIGHT TO 

612
00:24:46,105 --> 00:24:47,506
INTRODUCE THE VISUAL.

613
00:24:47,506 --> 00:24:50,076
THE TEXT I'LL READ WHAT IT SAYS 

614
00:24:50,076 --> 00:24:51,310
IN THE GREEN BOX IT STATES OUR 

615
00:24:51,310 --> 00:24:52,945
DEFINITION WHICH IS THE 

616
00:24:52,945 --> 00:24:54,146
COMMITTEE DEFINES HEALTH EQUITY 

617
00:24:54,146 --> 00:24:56,182
AS A STATE IN WHICH EVERYONE HAS

618
00:24:56,182 --> 00:24:57,483
A FAIR AND JUST OPPORTUNITY TO 

619
00:24:57,483 --> 00:24:59,685
ATTAIN THE HIGHEST LEVEL OF 

620
00:24:59,685 --> 00:24:59,952
HEALTH.

621
00:24:59,952 --> 00:25:01,987
THROUGHOUT ITS REVIEW OF THE 

622
00:25:01,987 --> 00:25:02,888
SCIENCE, THE COMMITTEE CENTERED 

623
00:25:02,888 --> 00:25:06,358
HEALTH EQUITY AS A GUIDING 

624
00:25:06,358 --> 00:25:07,560
PRINCIPLE REVIEWING EVIDENCE ON 

625
00:25:07,560 --> 00:25:09,662
NUTRITION AND HEALTH THROUGH A 

626
00:25:09,662 --> 00:25:10,896
LENS OF HEALTH EQUITY AMONG 

627
00:25:10,896 --> 00:25:12,264
DIFFERENT POPULATION GROUPS AND 

628
00:25:12,264 --> 00:25:13,999
ACROSS THE LIFE SPAN WILL 

629
00:25:13,999 --> 00:25:16,102
INCREASE THE POTENTIAL OF THE 

630
00:25:16,102 --> 00:25:17,536
DIETARY GUIDELINES FOR AMERICANS

631
00:25:17,536 --> 00:25:20,372
TO PROVIDE GUIDANCE AND SUPPORTS

632
00:25:20,372 --> 00:25:21,474
THE U.S. POPULATION ACROSS 

633
00:25:21,474 --> 00:25:24,910
DIVERSE, RACIAL AND/OR ETHNIC 

634
00:25:24,910 --> 00:25:26,612
SOCIO ECONOMIC AND BACKGROUNDS 

635
00:25:26,612 --> 00:25:29,849
TO MEET DIETARY NEEDS.

636
00:25:29,849 --> 00:25:35,187
IN ADDITION TO DEFINITION, 

637
00:25:35,187 --> 00:25:36,255
YOU'LL ALSO NOTICE THE WHOLE 

638
00:25:36,255 --> 00:25:38,591
PROCESS WHERE HEALTH EQUITY WAS 

639
00:25:38,591 --> 00:25:39,692
APPLIED DURING OUR 

640
00:25:39,692 --> 00:25:40,559
DELIBERATIONS.

641
00:25:40,559 --> 00:25:44,296
THE FIRST ONE IS WHERE WE LIST 

642
00:25:44,296 --> 00:25:46,098
OUT HOW THE HEALTH EQUITY LENS 

643
00:25:46,098 --> 00:25:48,234
WAS APPLIED CONSIDERING SOCIO 

644
00:25:48,234 --> 00:25:49,401
ECONOMIC POSITION, RACE, 

645
00:25:49,401 --> 00:25:52,338
ETHNICITY AND CULTURE.

646
00:25:52,338 --> 00:25:54,273
ON THE USING RIGOROUS SCIENTIFIC

647
00:25:54,273 --> 00:25:56,142
APPROACHES WHICH ANGELA 

648
00:25:56,142 --> 00:25:58,043
PREVIOUSLY MENTIONED THE 

649
00:25:58,043 --> 00:25:59,211
COMMITTEE EXAMINES THE 

650
00:25:59,211 --> 00:26:04,116
RELATIONSHIP BETWEEN HEALTH 

651
00:26:04,116 --> 00:26:07,086
THROUGH THE LIFE SPAN, STUDIES 

652
00:26:07,086 --> 00:26:09,288
AND NATIONALLY REPRESENTATIVE 

653
00:26:09,288 --> 00:26:10,890
SURVEYS AND SURVEILLANCE 

654
00:26:10,890 --> 00:26:11,490
PROVIDED THE INFORMATION AND 

655
00:26:11,490 --> 00:26:13,425
DATA FOR THE PROCESS.

656
00:26:13,425 --> 00:26:14,593
FOR THE DISCUSSION THE SYNTHESIS

657
00:26:14,593 --> 00:26:17,296
OF THE COMMITTEE'S FINDINGS AND 

658
00:26:17,296 --> 00:26:19,765
CONSIDERATION OF PUBLIC FINDINGS

659
00:26:19,765 --> 00:26:22,902
LED TO THE DIETARY PATTERNS 

660
00:26:22,902 --> 00:26:24,837
AFTER WHICH DIET STIMULATIONS 

661
00:26:24,837 --> 00:26:27,540
WERE EXAMINED TO EVALUATE THE 

662
00:26:27,540 --> 00:26:29,241
PROPOSED DIETARY PATTERNS 

663
00:26:29,241 --> 00:26:30,176
CONSIDERING AVAILABILITY AND THE

664
00:26:30,176 --> 00:26:33,679
SELECTION AND CONSUMPTION OF 

665
00:26:33,679 --> 00:26:35,014
FOODS AND BEVERAGES.

666
00:26:35,014 --> 00:26:38,017
THIS HAS BUILD UP TO THE 

667
00:26:38,017 --> 00:26:40,085
DEVELOPMENT OF OUR SCIENTIFIC 

668
00:26:40,085 --> 00:26:42,354
REPORT WITH ADVICE FOR 

669
00:26:42,354 --> 00:26:45,357
CONSIDERATION TO FEDERAL 

670
00:26:45,357 --> 00:26:45,591
ACTIONS.

671
00:26:45,591 --> 00:26:47,827
-- FEDERAL AGENCIES.

672
00:26:47,827 --> 00:26:52,097
NOW, BELOW THE INFO GRAPHIC WE 

673
00:26:52,097 --> 00:26:54,166
PROVIDE AN EXAMPLE OF EACH 

674
00:26:54,166 --> 00:26:55,935
APPROACH IN REVIEWING THE 

675
00:26:55,935 --> 00:26:56,602
EVIDENCE RELATED TO 

676
00:26:56,602 --> 00:26:57,603
CARDIOVASCULAR DISEASE.

677
00:26:57,603 --> 00:27:01,307
SO FOR DATA ANALYSIS, WE 

678
00:27:01,307 --> 00:27:03,242
UTILIZED NATIONALLY 

679
00:27:03,242 --> 00:27:04,176
REPRESENTATIVE DATA TO 

680
00:27:04,176 --> 00:27:04,844
UNDERSTAND CARDIOVASCULAR HEALTH

681
00:27:04,844 --> 00:27:12,985
ACROSS LIFE STAGES AND SOCIO 

682
00:27:12,985 --> 00:27:14,019
DEMOGRAPHIC GROUPS.

683
00:27:14,019 --> 00:27:15,754
WITHIN SYSTEMATIC REVIEWS WE 

684
00:27:15,754 --> 00:27:17,590
UPDATED THE SYSTEMATIC REVIEW ON

685
00:27:17,590 --> 00:27:18,924
THE RELATIONSHIP BETWEEN 

686
00:27:18,924 --> 00:27:19,725
PATTERNS AND CARDIOVASCULAR 

687
00:27:19,725 --> 00:27:23,162
DISEASE AND CONFIRMED THE 

688
00:27:23,162 --> 00:27:25,097
CONCLUSION STATEMENT TO BE 

689
00:27:25,097 --> 00:27:25,497
GRADED AS STRONG.

690
00:27:25,497 --> 00:27:26,465
GIVEN THE LARGE BODY OF EVIDENCE

691
00:27:26,465 --> 00:27:30,269
ON THE TOPIC, WE CONDUCTED 

692
00:27:30,269 --> 00:27:31,904
ADDITIONAL ANALYSES WHICH 

693
00:27:31,904 --> 00:27:34,373
ALLOWED US FOR THE EXAMINATION 

694
00:27:34,373 --> 00:27:37,710
OF A SUBSET OF STUDIES FOR 

695
00:27:37,710 --> 00:27:39,078
GREATER ETHNIC AND SOCIO 

696
00:27:39,078 --> 00:27:40,312
ECONOMIC DIVERSITY AND THE 

697
00:27:40,312 --> 00:27:42,214
FINDINGS WERE CONSISTENT WITH 

698
00:27:42,214 --> 00:27:46,018
THE OVER ALL CONCLUSION.

699
00:27:46,018 --> 00:27:47,386
LASTLY, FOR FOOD PATTERN 

700
00:27:47,386 --> 00:27:48,854
MODELLING TO INVESTIGATE HOW A 

701
00:27:48,854 --> 00:27:50,656
PATTERN ASSOCIATED WITH A LOWER 

702
00:27:50,656 --> 00:27:52,558
RISK OF CARDIOVASCULAR DISEASE 

703
00:27:52,558 --> 00:27:54,326
COULD BE ACHIEVED WITH A VARIETY

704
00:27:54,326 --> 00:27:56,395
OF FOODS INCLUDING THOSE 

705
00:27:56,395 --> 00:27:57,630
IDENTIFIED FOR SELECT AMERICAN 

706
00:27:57,630 --> 00:28:02,935
INDIAN AND NATIVE ALASKAN DIETS.

707
00:28:02,935 --> 00:28:05,671
SO IN SUMMARY, THIS COMMITTEE 

708
00:28:05,671 --> 00:28:08,707
WAS THE FIRST TO EMPLOY A 

709
00:28:08,707 --> 00:28:10,376
COMPREHENSIVE AND SYSTEMATIC 

710
00:28:10,376 --> 00:28:12,778
APPROACH TO INCORPORATING HEALTH

711
00:28:12,778 --> 00:28:16,081
EQUITY BY CONSIDERING FACTORS 

712
00:28:16,081 --> 00:28:18,150
REFLECTING SOCIAL DETERMINATES 

713
00:28:18,150 --> 00:28:18,517
OF HEALTH.

714
00:28:18,517 --> 00:28:22,054
HOWEVER, IT WAS LIMITED BY THE 

715
00:28:22,054 --> 00:28:24,623
EXTENT TO WHICH FACTORS SUCH AS 

716
00:28:24,623 --> 00:28:25,457
RACE, ETHNICITY AND SOCIO 

717
00:28:25,457 --> 00:28:28,093
ECONOMIC POSITION AND CULTURE 

718
00:28:28,093 --> 00:28:30,062
ARE AVAILABLE IN RESEARCH 

719
00:28:30,062 --> 00:28:31,730
EXAMINING DIET AND HEALTH.

720
00:28:31,730 --> 00:28:32,598
THESE POINT TO THE NEED FOR 

721
00:28:32,598 --> 00:28:34,199
RESEARCH MORE INCLUSIVE OF 

722
00:28:34,199 --> 00:28:34,800
POPULATION GROUPS IN THE 

723
00:28:34,800 --> 00:28:37,970
U.S. AND TO THE IMPORTANCE OF 

724
00:28:37,970 --> 00:28:39,004
STANDARDIZED CONSISTENT 

725
00:28:39,004 --> 00:28:41,340
MEASURING AND REPORTING ON 

726
00:28:41,340 --> 00:28:42,541
FACTORS THAT CHARACTERIZE THE 

727
00:28:42,541 --> 00:28:44,310
POPULATIONS BEING STUDIED.

728
00:28:44,310 --> 00:28:48,247
SUFFICIENT FUNDING AS WELL AS 

729
00:28:48,247 --> 00:28:49,315
ENGAGEMENT WITH PARTNERS THROUGH

730
00:28:49,315 --> 00:28:50,950
ALL STAGES OF THE RESEARCH 

731
00:28:50,950 --> 00:28:53,485
PROCESS ARE CRITICAL SUPPORTS 

732
00:28:53,485 --> 00:28:55,154
FOR ACHIEVING INCLUSIVE 

733
00:28:55,154 --> 00:28:55,421
RESEARCH.

734
00:28:55,421 --> 00:28:58,090
HOWEVER, DESPITE THESE 

735
00:28:58,090 --> 00:29:01,593
LIMITATIONS THE COMMITTEE HAS 

736
00:29:01,593 --> 00:29:02,962
CONFIDENCE IT WAS ABLE TO CENTER

737
00:29:02,962 --> 00:29:04,596
HEALTH EQUITY TO SUPPORT ALL 

738
00:29:04,596 --> 00:29:06,632
PEOPLE IN THE U.S. ACROSS 

739
00:29:06,632 --> 00:29:09,335
RACIAL, ETHNIC AND SOCIO 

740
00:29:09,335 --> 00:29:12,471
ECONOMIC BACKGROUNDS IN 

741
00:29:12,471 --> 00:29:14,406
ACHIEVING A HEALTHY DIETARY 

742
00:29:14,406 --> 00:29:15,107
PATTERNS.

743
00:29:15,107 --> 00:29:18,410
ACHIEVING THIS WORK FALLS ON 

744
00:29:18,410 --> 00:29:19,411
FUTURE ADVISORY COMMITTEES, 

745
00:29:19,411 --> 00:29:20,412
FEDERAL AGENCIES AND THE FIELD 

746
00:29:20,412 --> 00:29:24,350
OF NUTRITION AS A WHOLE.

747
00:29:24,350 --> 00:29:31,590
SO IF THERE'S ANY DISCUSSION I'M

748
00:29:31,590 --> 00:29:32,992
HAPPY TO TAKE QUESTIONS OR 

749
00:29:32,992 --> 00:29:33,525
DISCUSS ANYTHING.

750
00:29:33,525 --> 00:29:36,295
>> I'M GOING TO ASK THE 

751
00:29:36,295 --> 00:29:40,866
COMMITTEE TURN ON THEIR CAMERAS 

752
00:29:40,866 --> 00:29:42,334
SO WE CAN SEE THEM I'M GOING TO 

753
00:29:42,334 --> 00:29:48,040
TAKE THE LEAD AND THANK YOU, 

754
00:29:48,040 --> 00:29:52,111
SAMEERA FOR OUTSTANDING 

755
00:29:52,111 --> 00:29:54,346
LEADERSHIP OF HEALTH EQUITY 

756
00:29:54,346 --> 00:29:55,114
WORKING GROUP.

757
00:29:55,114 --> 00:29:56,582
THOUGH WE'RE ON ZOOM WE CAN 

758
00:29:56,582 --> 00:29:58,984
STILL BE ANIMATED, GUYS.

759
00:29:58,984 --> 00:30:01,854
SO WE'RE GOING TO OPEN IT UP NOW

760
00:30:01,854 --> 00:30:04,857
FOR QUESTIONS AND DISCUSSIONS.

761
00:30:04,857 --> 00:30:10,095
ARE THERE ANY QUESTIONS OR 

762
00:30:10,095 --> 00:30:14,800
COMMENTS FOR SAMEERA OR THE 

763
00:30:14,800 --> 00:30:15,934
WORKING GROUP IN GENERAL?

764
00:30:15,934 --> 00:30:19,071
WELL, WHILE PEOPLE ARE THINKING,

765
00:30:19,071 --> 00:30:22,341
SAMEERA, I'M GOING TO ASK YOU A 

766
00:30:22,341 --> 00:30:22,808
QUESTION.

767
00:30:22,808 --> 00:30:26,278
YOU COMMENTED ON THE INTENT AND 

768
00:30:26,278 --> 00:30:28,480
ENTHUSIASM AND WILL OF THE 

769
00:30:28,480 --> 00:30:33,118
WORKING GROUP TO REALLY BE ALL 

770
00:30:33,118 --> 00:30:36,221
INCLUSIVE IN THEIR EXAMINATION 

771
00:30:36,221 --> 00:30:36,955
OF THE EVIDENCE.

772
00:30:36,955 --> 00:30:39,625
BUT THE COMMITTEE WAS 

773
00:30:39,625 --> 00:30:43,662
CONSTRAINED BY THE EVIDENCE 

774
00:30:43,662 --> 00:30:45,097
AVAILABLE.

775
00:30:45,097 --> 00:30:48,267
WERE THERE PARTICULAR AREAS 

776
00:30:48,267 --> 00:30:51,236
WHERE YOU FEEL IF YOU HAD THE 

777
00:30:51,236 --> 00:30:52,337
EARS OF THE FEDERAL GOVERNMENT 

778
00:30:52,337 --> 00:30:54,907
AND YOU HAD THE EARS OF THE 

779
00:30:54,907 --> 00:30:58,110
PRIVATE SECTOR, WHERE WOULD YOU 

780
00:30:58,110 --> 00:31:03,315
BE DIRECTING  RESOURCES TO FILL 

781
00:31:03,315 --> 00:31:04,850
IN THE GAP?

782
00:31:04,850 --> 00:31:07,252
>> I WOULD SAY PRIORITIZE
THE 

783
00:31:07,252 --> 00:31:07,920
NHANES.

784
00:31:07,920 --> 00:31:10,722
THAT IS AN IMMENSE FEDERAL 

785
00:31:10,722 --> 00:31:11,390
RESOURCE.

786
00:31:11,390 --> 00:31:13,225
UNFORTUNATELY FOR SOME OF THE 

787
00:31:13,225 --> 00:31:14,059
POPULATION GROUPS WE WERE 

788
00:31:14,059 --> 00:31:16,995
INTERESTED IN STUDYING, WE DID 

789
00:31:16,995 --> 00:31:18,764
NOT HAVE ENOUGH REPRESENTATION 

790
00:31:18,764 --> 00:31:21,033
SO THERE IS ANY WAY IN WHICH IT 

791
00:31:21,033 --> 00:31:23,135
CAN BE EXPANDED TO INCLUDE MORE 

792
00:31:23,135 --> 00:31:26,572
POPULATION GROUPS THAT WOULD BE 

793
00:31:26,572 --> 00:31:26,805
HELPFUL.

794
00:31:26,805 --> 00:31:29,274
I THINK THAT WOULD ALSO HELP IN 

795
00:31:29,274 --> 00:31:32,945
CAPTURING SOME OF OUR CULTURAL 

796
00:31:32,945 --> 00:31:34,446
FOODS SINCE CERTAIN POPULATION 

797
00:31:34,446 --> 00:31:35,581
GROUPS DO EASE DIFFERENTLY FROM 

798
00:31:35,581 --> 00:31:36,949
THE GENERAL POPULATION.

799
00:31:36,949 --> 00:31:40,085
I THINK FUNDING NHANES OR 

800
00:31:40,085 --> 00:31:43,922
PRIORITIZING NHANES IS REALLY 

801
00:31:43,922 --> 00:31:45,724
IMPORTANT.

802
00:31:45,724 --> 00:31:46,358
OTHER CONSIDERATIONS INCLUDE FOR

803
00:31:46,358 --> 00:31:50,362
EXAMPLE IN SYSTEMATIC REVIEWS WE

804
00:31:50,362 --> 00:31:52,965
FOUND WE STARTED OUT WITH 

805
00:31:52,965 --> 00:31:55,067
WANTING TO EXAMINE EVERYTHING BY

806
00:31:55,067 --> 00:31:58,470
ALL THESE OR CONSIDER SOCIO 

807
00:31:58,470 --> 00:32:01,106
ECONOMIC POSITION AND GEOGRAPHY 

808
00:32:01,106 --> 00:32:03,609
AND WE REALIZED EARLY ON WE DID 

809
00:32:03,609 --> 00:32:06,044
NOT HAVE THE ABILITY TO ACTUALLY

810
00:32:06,044 --> 00:32:08,580
LOOK AT THE DATA IN THAT MANNER.

811
00:32:08,580 --> 00:32:11,250
SO EXCEPT FOR CBD WHERE WE MADE 

812
00:32:11,250 --> 00:32:13,018
A CONCERTED EFFORT AND WE HAD 

813
00:32:13,018 --> 00:32:15,821
ALL THE STUDIES WHERE WE COULD 

814
00:32:15,821 --> 00:32:17,723
LOOK AT THE DIFFERENT GROUPS 

815
00:32:17,723 --> 00:32:18,824
REPRESENTED IN THE U.S., WE 

816
00:32:18,824 --> 00:32:21,527
ACTUALLY I THINK WERE 

817
00:32:21,527 --> 00:32:23,996
CONSTRAINED BY LACK OF DATA IN 

818
00:32:23,996 --> 00:32:24,296
OTHERS.

819
00:32:24,296 --> 00:32:28,901
I GUESS, HOLLY, YOU HAVE -- 

820
00:32:28,901 --> 00:32:30,802
>> I JUST WANTED TO ADD
AND 

821
00:32:30,802 --> 00:32:32,771
THANK YOU, SAMEERA.

822
00:32:32,771 --> 00:32:33,539
GREAT RESPONSE.

823
00:32:33,539 --> 00:32:37,209
SARAH, I THINK THIS IS A GREAT 

824
00:32:37,209 --> 00:32:38,076
QUESTION AND I THINK ONE THAT 

825
00:32:38,076 --> 00:32:39,378
WE'LL PROBABLY TALK ABOUT OVER 

826
00:32:39,378 --> 00:32:41,113
THE NEXT TWO DAYS.

827
00:32:41,113 --> 00:32:43,749
I ALSO WOULD THINK THAT WE 

828
00:32:43,749 --> 00:32:46,118
SHOULD THANK OUR FUNDING 

829
00:32:46,118 --> 00:32:47,619
AGENCIES AND PUBLICATION OUTLETS

830
00:32:47,619 --> 00:32:49,588
THAT WORK IN THE AREA OF HEALTH 

831
00:32:49,588 --> 00:32:51,890
TO REALLY THINK ABOUT SHOULD 

832
00:32:51,890 --> 00:32:54,359
THERE BE SOME RECOMMENDATIONS 

833
00:32:54,359 --> 00:32:56,395
FOR RESEARCHERS ABOUT THE 

834
00:32:56,395 --> 00:32:58,430
BROADNESS OF THE MEASURES THAT 

835
00:32:58,430 --> 00:33:00,499
WE COLLECT TO BETTER UNDERSTAND 

836
00:33:00,499 --> 00:33:01,733
THE POPULATIONS THAT WE ARE 

837
00:33:01,733 --> 00:33:03,035
WORKING WITH IN THE RESEARCH 

838
00:33:03,035 --> 00:33:06,338
THAT'S BEING CONDUCTED.

839
00:33:06,338 --> 00:33:09,308
THAT WOULD BE SOMETHING ELSE FOR

840
00:33:09,308 --> 00:33:13,312
THE BROADER SCIENTIFIC COMMUNITY

841
00:33:13,312 --> 00:33:14,346
TO THINK ABOUT.

842
00:33:14,346 --> 00:33:15,614
>> ABSOLUTELY.

843
00:33:15,614 --> 00:33:16,448
THANK YOU SO MUCH.

844
00:33:16,448 --> 00:33:19,451
I APPRECIATE THE FACT WE'RE 

845
00:33:19,451 --> 00:33:22,087
LOOKING AT DIVERSITY AND ACROSS 

846
00:33:22,087 --> 00:33:23,021
METRICS.

847
00:33:23,021 --> 00:33:24,423
HAVE YOU THOUGHT ABOUT OR 

848
00:33:24,423 --> 00:33:28,126
CONSIDERED USING THE ALL OF US 

849
00:33:28,126 --> 00:33:29,928
DATA SETS WHICH GETS INTO 

850
00:33:29,928 --> 00:33:33,966
GENOMIC DATA AND BEYOND RACE AS 

851
00:33:33,966 --> 00:33:37,769
A SOCIAL CONSTRUCT AND HIGHER 

852
00:33:37,769 --> 00:33:42,007
LEVEL OF CONSIDERING 

853
00:33:42,007 --> 00:33:43,909
CONSIDERATION AS WE LOOK AT 

854
00:33:43,909 --> 00:33:44,576
SOCIAL DETERMINATES AND HEALTH 

855
00:33:44,576 --> 00:33:49,548
AND THAT IN TERMS OF 

856
00:33:49,548 --> 00:33:53,485
CONSIDERATION AS WE LOOK AT THE 

857
00:33:53,485 --> 00:33:53,719
METRIC.

858
00:33:53,719 --> 00:33:56,722
>> I DON'T THINK WE HAVE
DATA I 

859
00:33:56,722 --> 00:33:57,356
THINK IT'S STILL IN THE DATA 

860
00:33:57,356 --> 00:33:57,856
COLLECTION PHASE.

861
00:33:57,856 --> 00:34:00,826
I KNOW YOU MIGHT HAVE SOME MORE 

862
00:34:00,826 --> 00:34:04,029
KNOWLEDGE REGARDING ALL OF US.

863
00:34:04,029 --> 00:34:10,335
I THINK THIS IS A REALLY 

864
00:34:10,335 --> 00:34:11,837
INTERESTING FUTURE DIRECTION 

865
00:34:11,837 --> 00:34:14,706
RECOMMENDATION BECAUSE SO 

866
00:34:14,706 --> 00:34:16,541
SAMEERA'S POINT, IT'S AT THE 

867
00:34:16,541 --> 00:34:18,143
DATA COLLECTION STAGE AND MY 

868
00:34:18,143 --> 00:34:21,113
UNDERSTANDING, I DON'T KNOW IF 

869
00:34:21,113 --> 00:34:23,415
THEY'VE EVEN STARTED COLLECTION 

870
00:34:23,415 --> 00:34:24,983
ON NON-CHILDREN.

871
00:34:24,983 --> 00:34:27,252
I BELIEVE RIGHT NOW THE FOCUS IS

872
00:34:27,252 --> 00:34:32,557
ON ADULTS WITH THE INTENT OF 

873
00:34:32,557 --> 00:34:32,991
INCLUDING CHILDREN.

874
00:34:32,991 --> 00:34:38,797
I THINK THERE IS A GOOD 

875
00:34:38,797 --> 00:34:43,902
RECOMMENDATION TO EXPAND OUR 

876
00:34:43,902 --> 00:34:47,639
DATABASES LEVERAGE.

877
00:34:47,639 --> 00:34:48,407
GREAT SUGGESTION.

878
00:34:48,407 --> 00:34:50,142
THANK YOU, FATIMA.

879
00:34:50,142 --> 00:34:51,743
>> GREAT PRESENTATION,
SAMEERA.

880
00:34:51,743 --> 00:34:58,350
I JUST WANTED TO FOLLOW-UP ON 

881
00:34:58,350 --> 00:35:02,087
WHAT WE CAN DO IN THE FUTURE FOR

882
00:35:02,087 --> 00:35:04,056
MORE STANDARDIZED MEASURES FOR 

883
00:35:04,056 --> 00:35:05,590
SOCIO ECONOMIC CONDITION.

884
00:35:05,590 --> 00:35:10,495
ESPECIALLY ONES THAT COULD BE 

885
00:35:10,495 --> 00:35:12,030
UNDERSTOOD BY LOW LITERACY 

886
00:35:12,030 --> 00:35:14,366
POPULATIONS DOING CHILD OR A

887
00:35:14,366 --> 00:35:18,003
ADOLESCENT WORK.

888
00:35:18,003 --> 00:35:18,637
THAT'S SOMETHING THAT'S MISSING 

889
00:35:18,637 --> 00:35:19,304
RIGHT NOW.

890
00:35:19,304 --> 00:35:26,345
>> THANK YOU.

891
00:35:26,345 --> 00:35:28,747
>> ANYMORE QUESTIONS FOR 

892
00:35:28,747 --> 00:35:29,247
SAMEERA?

893
00:35:29,247 --> 00:35:29,681
OKAY.

894
00:35:29,681 --> 00:35:31,583
WELL, SAMEERA, THANK YOU FOR 

895
00:35:31,583 --> 00:35:34,119
YOUR LEADERSHIP.

896
00:35:34,119 --> 00:35:36,154
I'M SURE WE WILL BE HEARING FROM

897
00:35:36,154 --> 00:35:37,489
YOU THROUGHOUT THE TWO DAYS AND 

898
00:35:37,489 --> 00:35:42,361
I AM NOW GOING TO HAND IT OVER 

899
00:35:42,361 --> 00:35:46,131
TO HEATHER TO DISCUSS DATA 

900
00:35:46,131 --> 00:35:46,498
ANALYSIS.

901
00:35:46,498 --> 00:35:50,335
I ASK THE COMMITTEE TO TURN 

902
00:35:50,335 --> 00:35:51,103
THEIR CAMERA OFF.

903
00:35:51,103 --> 00:35:53,739
>> THANK YOU SO MUCH,
SARAH.

904
00:35:53,739 --> 00:35:58,777
SO BEFORE I GET STARTED, I'M 

905
00:35:58,777 --> 00:36:03,448
HEATHER EICHER-MILLER.

906
00:36:03,448 --> 00:36:05,550
I AM CO-LEADING THE SUBCOMMITTEE

907
00:36:05,550 --> 00:36:08,153
3, WHICH IS FOCUSSED ON DIETARY 

908
00:36:08,153 --> 00:36:13,492
ANALYSIS AND FOOD PATTERN 

909
00:36:13,492 --> 00:36:14,726
MODELLING AND CO-LEADING WITH 

910
00:36:14,726 --> 00:36:19,731
CHRIS TAYLOR, WHO WE'LL HEAR 

911
00:36:19,731 --> 00:36:20,665
FROM LATER TODAY.

912
00:36:20,665 --> 00:36:22,200
MY PORTION IS HEADING THE 

913
00:36:22,200 --> 00:36:24,369
DIETARY INTAKE AND DATA ANALYSIS

914
00:36:24,369 --> 00:36:25,871
PART OF THE WORK THAT WE DID.

915
00:36:25,871 --> 00:36:31,243
AND I REALLY WANTED TO RECOGNIZE

916
00:36:31,243 --> 00:36:33,011
ALL OF OUR SUBCOMMITTEE MEMBERS 

917
00:36:33,011 --> 00:36:34,079
WHO HAVE PUT SO MUCH INTO THIS 

918
00:36:34,079 --> 00:36:42,354
AND REALLY BEEN ENGAGED AND 

919
00:36:42,354 --> 00:36:52,898
ADDED ALONG WITH OUR STOOF FROM 

920
00:37:00,005 --> 00:37:04,009
HHS AND FDA AND I'LL PROVIDE AN 

921
00:37:04,009 --> 00:37:06,111
UPDATE ON DIETARY INTAKES AND 

922
00:37:06,111 --> 00:37:11,650
PREVALENCE OF NUTRITION RELATED 

923
00:37:11,650 --> 00:37:15,086
CHRONIC HEALTH CONDITIONS PART 

924
00:37:15,086 --> 00:37:15,220
D.

925
00:37:15,220 --> 00:37:16,321
WE PRESENTED SUMMARY EVIDENCE 

926
00:37:16,321 --> 00:37:17,889
AND DRAFT CONCLUSION STATEMENTS 

927
00:37:17,889 --> 00:37:19,391
AT SOME OF THOSE PRIOR MEETINGS.

928
00:37:19,391 --> 00:37:25,697
SO TODAY WE'RE GOING TO FOCUS ON

929
00:37:25,697 --> 00:37:27,766
OUR DISCUSSION AND TAKE AWAY 

930
00:37:27,766 --> 00:37:28,467
MESSAGES FROM THAT.

931
00:37:28,467 --> 00:37:34,172
ALSO OUR DRAFT ADVICE TO THE 

932
00:37:34,172 --> 00:37:34,739
DEPARTMENT AND OUR FUTURE 

933
00:37:34,739 --> 00:37:39,077
DIRECTION SECTION FOR THIS 

934
00:37:39,077 --> 00:37:39,878
CHAPTER.

935
00:37:39,878 --> 00:37:41,913
SO WE CAN MOVE ON.

936
00:37:41,913 --> 00:37:47,285
JUST TO KIND OF REMIND YOU OF 

937
00:37:47,285 --> 00:37:53,758
ABOUT WHAT WE WORKED ON WITH 

938
00:37:53,758 --> 00:37:55,527
DATA ANALYSIS AND APPROACHES 

939
00:37:55,527 --> 00:37:58,763
THAT GO IN THE EVIDENCE WE 

940
00:37:58,763 --> 00:37:59,097
REVIEWED.

941
00:37:59,097 --> 00:38:04,035
SO FOR DATA ANALYSIS, WE 

942
00:38:04,035 --> 00:38:05,470
EVALUATED DIETARY INTAKES AND 

943
00:38:05,470 --> 00:38:09,207
PATTERNS WHICH ARE THE 

944
00:38:09,207 --> 00:38:10,108
CONSUMPTION OF NUTRIENT FOODS 

945
00:38:10,108 --> 00:38:12,777
AND BEVERAGES CRITICAL TO 

946
00:38:12,777 --> 00:38:13,778
MEETING NUTRIENT NEEDS ESSENTIAL

947
00:38:13,778 --> 00:38:14,412
FOR HEALTH THROUGHOUT OUR LIFE 

948
00:38:14,412 --> 00:38:17,883
SPAN.

949
00:38:17,883 --> 00:38:19,551
WE ALSO EVALUATED THE PREVALENCE

950
00:38:19,551 --> 00:38:26,191
OF NUTRITION-RELATED CHRONIC 

951
00:38:26,191 --> 00:38:26,958
HEALTH CONDITIONS.

952
00:38:26,958 --> 00:38:29,127
AND SO THESE CONDITIONS AND 

953
00:38:29,127 --> 00:38:31,396
THEIR RISK FACTORS ARE 

954
00:38:31,396 --> 00:38:32,731
PRESENTING MAJOR CHALLENGES TO 

955
00:38:32,731 --> 00:38:35,867
US AND OUR PUBLIC HEATH AS A 

956
00:38:35,867 --> 00:38:36,167
POPULATION.

957
00:38:36,167 --> 00:38:39,571
BUT WE DO HAVE THE POTENTIAL TO 

958
00:38:39,571 --> 00:38:40,539
PREVENT THESE.

959
00:38:40,539 --> 00:38:45,310
SO WE ARE REVIEWING THAT.

960
00:38:45,310 --> 00:38:48,179
WE REVIEWED THAT PREVALENCE 

961
00:38:48,179 --> 00:38:49,748
INFORMATION IN OUR REPORT.

962
00:38:49,748 --> 00:38:51,983
THE THIRD THING WE DID WAS 

963
00:38:51,983 --> 00:38:54,953
EVALUATE AND CLASSIFY NUTRIENTS 

964
00:38:54,953 --> 00:38:59,357
OF PUBLIC HEALTH CONCERNS.

965
00:38:59,357 --> 00:39:02,360
SO, IN ORDER TO DO THIS AS A 

966
00:39:02,360 --> 00:39:03,695
CLASSIFICATION OF NUTRIENT OF 

967
00:39:03,695 --> 00:39:05,297
PUBLIC HEALTH CONCERN IS A WAY 

968
00:39:05,297 --> 00:39:13,405
TO HIGHLIGHT CERTAIN NUTRIENT 

969
00:39:13,405 --> 00:39:15,540
THAT WE NEED GREATER ATTENTION 

970
00:39:15,540 --> 00:39:18,310
OF IN THE U.S. AND BASED ON POOR

971
00:39:18,310 --> 00:39:22,180
INTAKE OR UNDER OR OVER 

972
00:39:22,180 --> 00:39:25,383
CONSUMPTION AND THEN THE 

973
00:39:25,383 --> 00:39:26,718
MANIFESTATION OF PREVALENCE OF 

974
00:39:26,718 --> 00:39:28,520
CHRONIC HEALTH CONDITIONS IN THE

975
00:39:28,520 --> 00:39:35,860
U.S. THAT ARE RELATED HERE.

976
00:39:35,860 --> 00:39:37,729
WE CAN PUT THESE TOGETHER TO 

977
00:39:37,729 --> 00:39:38,997
HIGHLIGHT THE CERTAIN NUTRIENTS 

978
00:39:38,997 --> 00:39:42,000
THAT ARE AFFECTING A LARGE 

979
00:39:42,000 --> 00:39:46,171
PORTION OF THE POPULATION AT 

980
00:39:46,171 --> 00:39:49,574
CRITICAL TIMES.

981
00:39:49,574 --> 00:39:50,575
THEN WE CONSIDERED HEALTH EQUITY

982
00:39:50,575 --> 00:39:54,179
IN OUR EVALUATION OF THE DATA.

983
00:39:54,179 --> 00:39:57,449
SO AS SAMEERA JUST GAVE AN 

984
00:39:57,449 --> 00:39:59,017
EXCELLENT OVERVIEW OF THE WORK, 

985
00:39:59,017 --> 00:40:02,721
WE ALSO USED THIS APPROACH IN 

986
00:40:02,721 --> 00:40:09,828
OUR DATA ANALYSIS  TO EXPAND 

987
00:40:09,828 --> 00:40:12,864
LOOKING AT DIFFERENT GROUPS BY 

988
00:40:12,864 --> 00:40:14,332
SOCIO DEMOGRAPHIC STATUS, 

989
00:40:14,332 --> 00:40:23,508
SEVERAL KINDS OF CHARACTERISTICS

990
00:40:23,508 --> 00:40:26,011
ALONG WITH LIFE STAGE APPROACH 

991
00:40:26,011 --> 00:40:27,912
CARRIED FORWARD FROM THE LAST 

992
00:40:27,912 --> 00:40:28,179
COMMITTEE.

993
00:40:28,179 --> 00:40:33,652
SO NOW LET'S MOVE ON TO REVIEW 

994
00:40:33,652 --> 00:40:36,755
FOR YOU THE FOUR QUESTIONS THAT 

995
00:40:36,755 --> 00:40:38,356
WE ANSWERED USING THE DATA 

996
00:40:38,356 --> 00:40:41,493
ANALYSIS APPROACH.

997
00:40:41,493 --> 00:40:43,528
THE FIRST WAS WHAT ARE THE 

998
00:40:43,528 --> 00:40:45,463
CURRENT PATTERNS OF FOOD AND 

999
00:40:45,463 --> 00:40:46,731
BEVERAGE INTAKE.

1000
00:40:46,731 --> 00:40:48,933
ALSO, WHAT ARE THE CURRENT 

1001
00:40:48,933 --> 00:40:50,935
INTAKES OF FOOD GROUPS, 

1002
00:40:50,935 --> 00:40:53,938
NUTRIENTS AND DIETARY COMPONENTS

1003
00:40:53,938 --> 00:40:58,910
AND WHAT IS THE CURRENT 

1004
00:40:58,910 --> 00:41:02,280
PREVALENCE OF NUTRITION-RELATED 

1005
00:41:02,280 --> 00:41:04,616
CHRONIC HEALTH CONDITIONS AND 

1006
00:41:04,616 --> 00:41:06,017
WHICH COMPONENTS REPRESENT A 

1007
00:41:06,017 --> 00:41:07,485
SUBSTANTIAL PUBLIC HEALTH 

1008
00:41:07,485 --> 00:41:08,887
CONCERN BECAUSE OF EITHER UNDER 

1009
00:41:08,887 --> 00:41:10,488
CONSUMPTION OR OVER CONSUMPTION?

1010
00:41:10,488 --> 00:41:13,291
THOSE ARE THE ONES THAT ARE THEN

1011
00:41:13,291 --> 00:41:19,431
HIGHLIGHTED AS NUTRIENTS OF 

1012
00:41:19,431 --> 00:41:24,102
PUBLIC HEALTH CONCERN.

1013
00:41:24,102 --> 00:41:29,908
WE CONDUCTED THE ANALYSES TO 

1014
00:41:29,908 --> 00:41:31,810
GATHER THE INFORMATION TO 

1015
00:41:31,810 --> 00:41:34,179
ADDRESS THESE QUESTIONS AND 

1016
00:41:34,179 --> 00:41:36,347
RELIED HEAVILY ON THE NATIONAL 

1017
00:41:36,347 --> 00:41:39,284
HEALTH AND NUTRITION EXAMINATION

1018
00:41:39,284 --> 00:41:41,252
SURVEY OR NHANES ALONG WITH 

1019
00:41:41,252 --> 00:41:43,088
OTHER DATA SOURCES FOR 

1020
00:41:43,088 --> 00:41:44,756
ADDRESSING THESE QUESTIONS.

1021
00:41:44,756 --> 00:41:48,693
AND WE'VE ALREADY IN PRIOR 

1022
00:41:48,693 --> 00:41:49,728
MEETINGS DISCUSSED OVERVIEWED 

1023
00:41:49,728 --> 00:41:52,964
THE STRENGTH AND LIMITATIONS OF 

1024
00:41:52,964 --> 00:41:57,869
THAT DATA SO I WON'T GO THROUGH 

1025
00:41:57,869 --> 00:41:58,169
THAT TODAY.

1026
00:41:58,169 --> 00:41:59,838
I ALSO WANTED TO MENTION THE 

1027
00:41:59,838 --> 00:42:04,209
WORK WE PRESENTED BEFORE IS 

1028
00:42:04,209 --> 00:42:06,211
AVAILABLE TO REVIEW AND THAT 

1029
00:42:06,211 --> 00:42:10,181
WILL ALSO BE IN OUR SCIENTIFIC 

1030
00:42:10,181 --> 00:42:11,783
REPORT AS WELL.

1031
00:42:11,783 --> 00:42:16,721
SO, NOW I WANT TO REVIEW THE KEY

1032
00:42:16,721 --> 00:42:19,858
THEMES THAT CAME OUT OF 

1033
00:42:19,858 --> 00:42:22,193
SUMMARIZING ALL THAT DATA 

1034
00:42:22,193 --> 00:42:24,829
ANALYSIS WORK AND OUR DISCUSSION

1035
00:42:24,829 --> 00:42:28,166
AND OUR HIGHLIGHTING OF CERTAIN 

1036
00:42:28,166 --> 00:42:31,870
OF THE RESULTS.

1037
00:42:31,870 --> 00:42:36,007
SO, TO START OUR OVER ARCHING 

1038
00:42:36,007 --> 00:42:38,309
TAKE HOME MESSAGE FROM ALL OF 

1039
00:42:38,309 --> 00:42:40,912
THIS WORK WAS THAT DIETARY 

1040
00:42:40,912 --> 00:42:43,848
INTAKE IN THE U.S. DOES NOT 

1041
00:42:43,848 --> 00:42:45,083
ALIGN WITH THE RECOMMENDATIONS 

1042
00:42:45,083 --> 00:42:48,086
IN THE DIETARY GUIDELINES FOR 

1043
00:42:48,086 --> 00:42:50,188
AMERICANS 2020 TO 2025.

1044
00:42:50,188 --> 00:42:53,591
AMONG ANY OF THE LIFE STAGES OR 

1045
00:42:53,591 --> 00:43:03,802
ANY OF THE SOCIO DEMOGRAPHIC 

1046
00:43:03,802 --> 00:43:06,171
GROUPS WE LOOKED AT AND DESPITE 

1047
00:43:06,171 --> 00:43:09,207
OUR AGE OR WHAT OTHER 

1048
00:43:09,207 --> 00:43:10,008
CHARACTERISTICS WE HAVE, WE'RE 

1049
00:43:10,008 --> 00:43:20,418
ALL HAVING A POOR DIET.

1050
00:43:41,806 --> 00:43:44,375
WE ALSO HAVE CONDITIONS AND RISK

1051
00:43:44,375 --> 00:43:45,443
FACTORS THROUGHOUT OUR LIFE 

1052
00:43:45,443 --> 00:43:45,643
SPANS.

1053
00:43:45,643 --> 00:43:46,978
IT'S NOT JUST AT THE ENDS OF 

1054
00:43:46,978 --> 00:43:50,648
LIFE THESE ARE EFFECTING US, 

1055
00:43:50,648 --> 00:43:57,589
IT'S THROUGHOUT OUR LIVES 

1056
00:43:57,589 --> 00:43:58,923
STARTING UP CHILDHOOD AND 

1057
00:43:58,923 --> 00:44:03,728
ADOLESCENCE AND IT'S A BIG 

1058
00:44:03,728 --> 00:44:06,331
CONCERN FOR THE FUTURE OF OUR 

1059
00:44:06,331 --> 00:44:08,333
COUNTRY AND FUTURE HEALTH.

1060
00:44:08,333 --> 00:44:10,034
SECONDLY, WE WANTED TO HIGHLIGHT

1061
00:44:10,034 --> 00:44:12,770
THOUGH WE DIDN'T FIND MAJOR 

1062
00:44:12,770 --> 00:44:16,875
DIFFERENCES IN DIETARY INTAKE, 

1063
00:44:16,875 --> 00:44:22,747
SINCE THE 2020 COMMITTEE'S 

1064
00:44:22,747 --> 00:44:27,151
REVIEWS, THERE WERE SOME THINGS 

1065
00:44:27,151 --> 00:44:32,390
AND CHANGES WE WANTED TO REVIEW.

1066
00:44:32,390 --> 00:44:34,092
ONE THING IN CHILDREN, 

1067
00:44:34,092 --> 00:44:36,327
ADOLESCENCE AND RESULTS THERE 

1068
00:44:36,327 --> 00:44:41,032
WAS A POSITIVE SHIFT IN BEVERAGE

1069
00:44:41,032 --> 00:44:44,202
PATTERNS TO HAVE MORE WATER AND 

1070
00:44:44,202 --> 00:44:46,137
LESS SUGAR SWEETENED BEVERAGES.

1071
00:44:46,137 --> 00:44:51,476
THIS IS SOMETHING WE WANT TO 

1072
00:44:51,476 --> 00:44:52,176
BUILD ON.

1073
00:44:52,176 --> 00:44:54,545
PERHAPS WE CAN USE WHAT WE'VE 

1074
00:44:54,545 --> 00:44:55,513
ACCOMPLISHED TO GAIN MORE IN 

1075
00:44:55,513 --> 00:44:58,983
THIS WAY.

1076
00:44:58,983 --> 00:45:09,394
WE ALSO FOUND THAT FOR 

1077
00:45:10,228 --> 00:45:12,664
ADOLESCENTS THIS WAS AN INCREASE

1078
00:45:12,664 --> 00:45:16,534
IN VEGETABLE BUT DAIRY AND 

1079
00:45:16,534 --> 00:45:18,336
FORTIFIED SOY INTAKE WAS LOWER 

1080
00:45:18,336 --> 00:45:22,173
FOR ADOLESCENTS AND ALSO FOR 

1081
00:45:22,173 --> 00:45:29,213
ADULTS.

1082
00:45:29,213 --> 00:45:31,316
AND OUR INTAKE OF NUTRIENTS WERE

1083
00:45:31,316 --> 00:45:41,426
LOWER.

1084
00:45:42,827 --> 00:45:45,863
I WANTED TO SHOW A PORTRAYAL OF 

1085
00:45:45,863 --> 00:45:46,864
WHAT THE INTAKE DATA LOOKED LIKE

1086
00:45:46,864 --> 00:45:49,000
AND FAMILIAR TO RESULTS WE 

1087
00:45:49,000 --> 00:45:50,568
SHOWED BEFORE BUT JUST TO REMIND

1088
00:45:50,568 --> 00:45:53,237
YOU OF OUR LOOK AT THESE FOOD 

1089
00:45:53,237 --> 00:45:56,507
GROUP INTAKES AND THEIR SUBGROUP

1090
00:45:56,507 --> 00:45:59,310
INTAKES AND THE THIS IS FOR THE 

1091
00:45:59,310 --> 00:46:01,612
ENTIRE POPULATION AGES 1 AND 

1092
00:46:01,612 --> 00:46:01,813
OLDER.

1093
00:46:01,813 --> 00:46:04,382
HERE YOU CAN SEE ALL THOSE 

1094
00:46:04,382 --> 00:46:09,754
DIFFERENT GROUPS SHOWN ON THE X 

1095
00:46:09,754 --> 00:46:11,856
AXIS AND THE BARS REPRESENT 100%

1096
00:46:11,856 --> 00:46:12,957
OF THE POPULATION.

1097
00:46:12,957 --> 00:46:16,160
THEIR ORIENTATION AROUND THE 

1098
00:46:16,160 --> 00:46:17,929
ZERO LINE THAT'S IN THE MIDDLE 

1099
00:46:17,929 --> 00:46:25,403
OF THE Y AXIS IS SHOWING YOU HOW

1100
00:46:25,403 --> 00:46:27,038
MUCH OF THE POPULATION IS 

1101
00:46:27,038 --> 00:46:28,172
CONSUMING UNDER THE 

1102
00:46:28,172 --> 00:46:29,807
RECOMMENDATION WHICH IS SHOWN IN

1103
00:46:29,807 --> 00:46:31,542
THE COLORS BLUE OR YELLOW OF 

1104
00:46:31,542 --> 00:46:34,178
THOSE BARS OR AT OR ABOVE THE 

1105
00:46:34,178 --> 00:46:36,014
RECOMMENDATION WHICH ARE SHOWN 

1106
00:46:36,014 --> 00:46:38,349
IN GREEN AND ORANGE IN THOSE 

1107
00:46:38,349 --> 00:46:39,250
BARS.

1108
00:46:39,250 --> 00:46:42,353
SO, JUST TO INTERPRET THIS THEN,

1109
00:46:42,353 --> 00:46:44,889
WE SAW THAT MOST INDIVIDUALS 1 

1110
00:46:44,889 --> 00:46:47,425
AND OLDER WERE CONSUMING BELOW 

1111
00:46:47,425 --> 00:46:50,194
THE RECOMMENDATIONS FOR FRUITS, 

1112
00:46:50,194 --> 00:46:52,897
VEGETABLES, WHOLE GRAINS, SEED 

1113
00:46:52,897 --> 00:46:55,333
FOOD, NUTS, SEEDS AND SOY AND 

1114
00:46:55,333 --> 00:46:57,835
FORTIFIED SOY ALTERNATIVES.

1115
00:46:57,835 --> 00:46:59,904
THESE ARE KEY FOOD GROUPS THAT 

1116
00:46:59,904 --> 00:47:02,707
ARE GIVING US REALLY IMPORTANT 

1117
00:47:02,707 --> 00:47:05,076
NUTRIENTS THAT WERE WE'RE NOT 

1118
00:47:05,076 --> 00:47:07,078
GETTING ENOUGH OF.

1119
00:47:07,078 --> 00:47:09,647
ALSO, I WANT TO POINT OUT HERE 

1120
00:47:09,647 --> 00:47:12,850
TOO THAT WE HAVE THESE TWO 

1121
00:47:12,850 --> 00:47:16,788
GROUPS FOR REFINED GRAINS AND 

1122
00:47:16,788 --> 00:47:18,589
OILS WE SHOULDN'T CONSUME IN 

1123
00:47:18,589 --> 00:47:19,857
EXCESS OF CERTAIN AMOUNTS BUT 

1124
00:47:19,857 --> 00:47:24,429
FOR THOSE YOU CAN SEE THAT MOST 

1125
00:47:24,429 --> 00:47:26,731
INDIVIDUALS ARE CONSUMING AT OR 

1126
00:47:26,731 --> 00:47:28,566
ABOVE THE RECOMMENDATION.

1127
00:47:28,566 --> 00:47:30,368
SO FOR EXAMPLE FOR REFINED 

1128
00:47:30,368 --> 00:47:32,470
GRAINS WE WANT TO MAKE ONLY HALF

1129
00:47:32,470 --> 00:47:36,407
OF OUR GRAINS REFINED.

1130
00:47:36,407 --> 00:47:40,178
SO, JUST TO POINT OUT THAT IN 

1131
00:47:40,178 --> 00:47:41,279
COMPARISON TO WHOLE GRAINS WHICH

1132
00:47:41,279 --> 00:47:43,481
IS RIGHT BESIDE IT ON THE LEFT 

1133
00:47:43,481 --> 00:47:45,283
YOU CAN SEE THOSE TWO ARE KIND 

1134
00:47:45,283 --> 00:47:47,118
OF MIRROR IMAGES OF EACH OTHER 

1135
00:47:47,118 --> 00:47:50,521
FLIPPED IN A SENSE.

1136
00:47:50,521 --> 00:47:53,491
SO THOSE TWO THINGS ARE THINGS 

1137
00:47:53,491 --> 00:47:55,359
THAT IN ALL THESE PATTERNS WE'D 

1138
00:47:55,359 --> 00:47:57,762
LIKE TO MAKE SOME SHIFTS.

1139
00:47:57,762 --> 00:48:02,233
GET MORE WHOLE GRAINS, GET LESS 

1140
00:48:02,233 --> 00:48:04,569
REFINED GRAINS, FOR EXAMPLE.

1141
00:48:04,569 --> 00:48:06,337
FINALLY IN THIS GRAPH, I ALSO 

1142
00:48:06,337 --> 00:48:09,140
WANT TO POINT OUT THAT MOST OF 

1143
00:48:09,140 --> 00:48:13,578
US ARE ALSO MEETING OR EXCEEDING

1144
00:48:13,578 --> 00:48:14,679
RECOMMENDATIONS FOR MEET, 

1145
00:48:14,679 --> 00:48:17,148
POULTRY AND EGGS WHICH IS 

1146
00:48:17,148 --> 00:48:19,283
DRIVING OUR TOTAL PROTEIN FOODS 

1147
00:48:19,283 --> 00:48:21,018
IN TAKE WHICH ARE ALSO SHOWN 

1148
00:48:21,018 --> 00:48:26,090
SIDE BY SIDE THERE.

1149
00:48:26,090 --> 00:48:28,025
IN CONCLUSION THERE'S A LOT OF 

1150
00:48:28,025 --> 00:48:29,193
SHIFTS HERE WE'D LIKE TO MAKE TO

1151
00:48:29,193 --> 00:48:32,230
TRY TO IMPROVE DIETARY INTAKE IN

1152
00:48:32,230 --> 00:48:39,871
THE ENTIRE POPULATION.

1153
00:48:39,871 --> 00:48:40,171
MOVING ON.

1154
00:48:40,171 --> 00:48:45,009
SO ANOTHER AREA WE WANT TO 

1155
00:48:45,009 --> 00:48:46,811
EMPHASIZE IN OUR REVIEW OF THE 

1156
00:48:46,811 --> 00:48:49,780
EVIDENCE IS THE IMPORTANCE OF A 

1157
00:48:49,780 --> 00:48:51,048
HEALTHY DIETARY PATTERN 

1158
00:48:51,048 --> 00:48:52,817
THROUGHOUT THE LIFE SPAN.

1159
00:48:52,817 --> 00:48:54,519
AND WE SAW THAT DIETARY INTAKES 

1160
00:48:54,519 --> 00:48:58,189
WERE NOT ALIGNED WITH THE 

1161
00:48:58,189 --> 00:49:00,858
GUIDANCE AT ANY AGES.

1162
00:49:00,858 --> 00:49:03,928
SO MANY HEALTH PROMOTING 

1163
00:49:03,928 --> 00:49:05,329
NUTRIENTS AND COMPONENTS WE'RE 

1164
00:49:05,329 --> 00:49:06,564
UNDER CONSUMING LIKE WE JUST SAW

1165
00:49:06,564 --> 00:49:09,901
FOR THE FOOD GROUPS AND SUB 

1166
00:49:09,901 --> 00:49:10,168
GROUPS.

1167
00:49:10,168 --> 00:49:12,103
WHILE THERE ARE OTHERS THAT ARE 

1168
00:49:12,103 --> 00:49:14,338
HURTING OUR HEALTH THAT WE'RE 

1169
00:49:14,338 --> 00:49:15,273
OVER CONSUMING.

1170
00:49:15,273 --> 00:49:17,175
AND THOSE ARE THINGS WE NEED TO 

1171
00:49:17,175 --> 00:49:19,310
LIMIT LIKE SATURATED FATS, 

1172
00:49:19,310 --> 00:49:22,346
SODIUM AND ADDED SUGAR THAT ARE 

1173
00:49:22,346 --> 00:49:26,350
FOUND IN MANY OF THE FOODS THAT 

1174
00:49:26,350 --> 00:49:28,186
WE'RE EATING.

1175
00:49:28,186 --> 00:49:33,658
WE ALSO SAW THAT WITH REGARD TO 

1176
00:49:33,658 --> 00:49:37,795
THOSE CHRONIC HEALTH OUTCOMES, 

1177
00:49:37,795 --> 00:49:40,131
OBESITY IS A MAJOR HEALTH ISSUE 

1178
00:49:40,131 --> 00:49:43,634
FOR US AND IMPACTING OUR CHILD 

1179
00:49:43,634 --> 00:49:45,536
AND ADOLESCENT AGE GROUPS WITH 

1180
00:49:45,536 --> 00:49:48,773
36% OF CHILDREN 2-19 BEING OBESE

1181
00:49:48,773 --> 00:49:53,010
AND 41% OF ADULTS AGES 20 AND 

1182
00:49:53,010 --> 00:49:53,211
OLDER.

1183
00:49:53,211 --> 00:49:57,982
AS YOU MAY BE AWARE, OBESITY IS 

1184
00:49:57,982 --> 00:50:01,052
ALSO A BACKGROUND OR RISK FACTOR

1185
00:50:01,052 --> 00:50:02,353
FOR SEVERAL OTHER CHRONIC HEALTH

1186
00:50:02,353 --> 00:50:04,422
OUTCOMES.

1187
00:50:04,422 --> 00:50:07,258
SO IN ADDITION TO OBESITY WE 

1188
00:50:07,258 --> 00:50:12,930
ALSO SAW THAT PRE-DIABETES, 

1189
00:50:12,930 --> 00:50:15,233
HYPERTENSION, UNFAVORABLE LIPID 

1190
00:50:15,233 --> 00:50:18,236
PROFILES AND METABOLIC SYNDROME 

1191
00:50:18,236 --> 00:50:19,870
ARE CHRONIC RISK FACTORS AND 

1192
00:50:19,870 --> 00:50:23,975
ALSO HIGH AMONG OUR DIFFERENT 

1193
00:50:23,975 --> 00:50:26,177
POPULATION AGE GROUPS.

1194
00:50:26,177 --> 00:50:28,045
MOVING FORWARD, IN THE NEXT 

1195
00:50:28,045 --> 00:50:30,348
SLIDE JUST TO SHOW YOU AN 

1196
00:50:30,348 --> 00:50:35,119
EXAMPLE OF THOSE INTAKES ACROSS 

1197
00:50:35,119 --> 00:50:36,487
THE DIETARY PATTERNS ACROSS THE 

1198
00:50:36,487 --> 00:50:38,055
LIFE SPAN.

1199
00:50:38,055 --> 00:50:44,862
I WANTED TO AGAIN SHOW THIS 

1200
00:50:44,862 --> 00:50:46,197
GRAPH OF INDICATING DIETARY 

1201
00:50:46,197 --> 00:50:49,500
QUALITY THROUGH OUR METRIC OF 

1202
00:50:49,500 --> 00:50:54,305
THE HEALTHY EATING INDEX, 2020.

1203
00:50:54,305 --> 00:50:56,440
THE HEALTHY EATING INDEX SCORE 

1204
00:50:56,440 --> 00:50:57,975
OF 100 INDICATES FULL ALIGNMENT 

1205
00:50:57,975 --> 00:51:00,878
WITH THE DIETARY GUIDELINES FOR 

1206
00:51:00,878 --> 00:51:01,779
AMERICANS.

1207
00:51:01,779 --> 00:51:04,482
AND HERE WE SEE THAT SPOTTED ON 

1208
00:51:04,482 --> 00:51:07,385
THE Y AXIS WITH THE DIFFERENT 

1209
00:51:07,385 --> 00:51:08,919
POPULATION GROUPS STARTING WITH 

1210
00:51:08,919 --> 00:51:11,856
THE FULL POPULATION AGES 2 AND 

1211
00:51:11,856 --> 00:51:15,960
OLDER AND THEN BREAKING DOWN BY 

1212
00:51:15,960 --> 00:51:23,734
AGE GROUP AFTER THAT ACROSS THE 

1213
00:51:23,734 --> 00:51:25,770
DIFFERENT AGE GROUPS AND FOR THE

1214
00:51:25,770 --> 00:51:30,041
YOUNGEST AGE GROUP WE ARE USING 

1215
00:51:30,041 --> 00:51:34,345
THE HEI TODDLER INDEX.

1216
00:51:34,345 --> 00:51:37,682
YOU CAN SEE THE SCORES 

1217
00:51:37,682 --> 00:51:41,319
THROUGHOUT THE LIFE SPAN ARE 

1218
00:51:41,319 --> 00:51:43,387
WITHIN A BAND THAT DOESN'T DIP 

1219
00:51:43,387 --> 00:51:44,255
BELOW 40 AND DOESN'T GO ABOVE 65

1220
00:51:44,255 --> 00:51:52,496
OR SO.

1221
00:51:52,496 --> 00:51:54,298
IT'S KIND OF A TIGHT BAND BUT 

1222
00:51:54,298 --> 00:51:57,668
THE DIFFERENCES BETWEEN 40 AND 

1223
00:51:57,668 --> 00:51:58,736
65 WOULD BE MEANINGFUL 

1224
00:51:58,736 --> 00:52:02,173
DIFFERENCES FOR HEALTH.

1225
00:52:02,173 --> 00:52:05,876
YOU CAN SEE THE VERY YOUNGEST 

1226
00:52:05,876 --> 00:52:09,814
STAGES AND OLDEST AGES TEND TO 

1227
00:52:09,814 --> 00:52:15,519
HAVE HIGHER DIETARY QUALITY 

1228
00:52:15,519 --> 00:52:20,524
SCORES WHEREAS OUR FOR CHILDREN 

1229
00:52:20,524 --> 00:52:22,159
AROUND 5 THROUGH 18 AND EVEN 

1230
00:52:22,159 --> 00:52:28,733
INTO THE YOUNG ADULT AGES.

1231
00:52:28,733 --> 00:52:30,167
THESE ARE CRITICAL TIMES OF 

1232
00:52:30,167 --> 00:52:35,573
GROWTH AND DEVELOPMENT IN THE 

1233
00:52:35,573 --> 00:52:35,973
LIFE SPAN.

1234
00:52:35,973 --> 00:52:46,417
IS RAND WE HAVE IMPACT OF 

1235
00:52:56,227 --> 00:52:56,961
NUTRITIONAL ADEQUACIES OF GROWTH

1236
00:52:56,961 --> 00:53:00,798
AND DEVELOPMENT AND THERE COULD 

1237
00:53:00,798 --> 00:53:01,699
BE FURTHER RAMIFICATIONS OF 

1238
00:53:01,699 --> 00:53:02,466
THAT.

1239
00:53:02,466 --> 00:53:04,935
FOR EXAMPLE FOR INSTANCE 

1240
00:53:04,935 --> 00:53:07,571
INCLUSIVELY HUMAN MILK FED, WE 

1241
00:53:07,571 --> 00:53:09,974
SAW THAT IRON CONTINUED TO BE A 

1242
00:53:09,974 --> 00:53:11,142
NUTRIENT OF PUBLIC HEALTH 

1243
00:53:11,142 --> 00:53:13,144
CONCERN DUE TO ITS ROLE IN 

1244
00:53:13,144 --> 00:53:17,114
COGNITION AND BRAIN DEVELOPMENT.

1245
00:53:17,114 --> 00:53:20,751
WE ALSO FOUND THAT FOR 

1246
00:53:20,751 --> 00:53:24,088
ADOLESCENTS, THEIR INTAKES ARE 

1247
00:53:24,088 --> 00:53:25,656
THE POOREST THROUGHOUT THE WHOLE

1248
00:53:25,656 --> 00:53:27,057
LIFE SPAN.

1249
00:53:27,057 --> 00:53:29,860
DESPITE THIS TIME BEING REALLY 

1250
00:53:29,860 --> 00:53:33,431
IMPORTANT FOR CONTINUED 

1251
00:53:33,431 --> 00:53:34,832
DEVELOPMENT OF YOU'LL PARTS OF 

1252
00:53:34,832 --> 00:53:39,770
OUR BODIES BUT ESPECIALLY FOR 

1253
00:53:39,770 --> 00:53:44,408
BONE, WHERE WE'RE GAINING OUR 

1254
00:53:44,408 --> 00:53:47,011
FINAL ADULT HEIGHT AND LAYING 

1255
00:53:47,011 --> 00:53:49,980
DOWN BONE MINERAL CONTENT THAT 

1256
00:53:49,980 --> 00:53:52,917
WILL THEN START TO DECREASE 

1257
00:53:52,917 --> 00:53:54,785
ACROSS THE REST OF OUR ADULT 

1258
00:53:54,785 --> 00:53:55,085
LIFE SPAN.

1259
00:53:55,085 --> 00:53:58,189
IT'S A CRITICAL TIME FOR THIS 

1260
00:53:58,189 --> 00:54:08,632
KIND OF FINALIZING GROWTH.

1261
00:54:13,737 --> 00:54:21,846
ADOLESCENT FEMALES HAVE IRON 

1262
00:54:21,846 --> 00:54:25,149
CONCERNS WE HAVE SEVERAL 

1263
00:54:25,149 --> 00:54:25,749
NUTRIENTS OF PUBLIC COMMENT 

1264
00:54:25,749 --> 00:54:27,218
CONCERN AND THOSE INCLUDE IRON 

1265
00:54:27,218 --> 00:54:31,789
FOR PREGNANCY AND IODINE FOR 

1266
00:54:31,789 --> 00:54:38,329
PREGNANCY AND FOLATE FOR PRE

1267
00:54:38,329 --> 00:54:40,764
PRECON -- PRECONCEPTION AND THE 

1268
00:54:40,764 --> 00:54:43,267
FIRST TRIMESTER.

1269
00:54:43,267 --> 00:54:46,170
NOT ONLY DO WE HAVE THE EMBRYO 

1270
00:54:46,170 --> 00:54:47,505
AND FETUS DEVELOPING DURING THIS

1271
00:54:47,505 --> 00:54:49,907
TIME BUT HEALTH OF THE BIRTHING 

1272
00:54:49,907 --> 00:54:51,976
PARENT IS IMPACTED NOW AND SOME 

1273
00:54:51,976 --> 00:54:53,744
OF THOSE IMPACTS COULD LAST INTO

1274
00:54:53,744 --> 00:55:01,285
LATER LIFE.

1275
00:55:01,285 --> 00:55:04,722
MOVING FORWARD SO ANOTHER POINT 

1276
00:55:04,722 --> 00:55:08,125
OF OUR DISCUSSION WE WANTED TO 

1277
00:55:08,125 --> 00:55:12,329
BRING OUT HERE IS ENVIRONMENTAL 

1278
00:55:12,329 --> 00:55:12,630
INFLUENCES.

1279
00:55:12,630 --> 00:55:14,532
THOUGH WE LOOK AT INTAKE AND 

1280
00:55:14,532 --> 00:55:16,867
HAVE INTAKE DATA AND WHEN WE 

1281
00:55:16,867 --> 00:55:20,437
TALK ABOUT INTAKES IT SUGGESTS 

1282
00:55:20,437 --> 00:55:23,173
THAT THESE OUR INTAKE IS OUR 

1283
00:55:23,173 --> 00:55:26,076
PERSONAL CHOICE AND DUE TO OUR 

1284
00:55:26,076 --> 00:55:30,314
BEHAVIOR BUT WE WANT TO 

1285
00:55:30,314 --> 00:55:32,550
RECOGNIZE THAT ALTHOUGH THAT IS 

1286
00:55:32,550 --> 00:55:34,184
A COMPONENT OF INTAKE, THE FOOD 

1287
00:55:34,184 --> 00:55:36,387
ENVIRONMENT AND INFLUENCES 

1288
00:55:36,387 --> 00:55:38,355
AROUND US WHERE WE LIVE, WHERE 

1289
00:55:38,355 --> 00:55:42,359
WE WORK, WHERE WE GO TO SCHOOL, 

1290
00:55:42,359 --> 00:55:43,627
ALL THESE PLACES THEY'LL HEAVILY

1291
00:55:43,627 --> 00:55:45,696
IMPACT OUR CHOICES.

1292
00:55:45,696 --> 00:55:47,898
SO WE CAN'T MAKE HEALTHFUL 

1293
00:55:47,898 --> 00:55:51,302
CHOICES IF OUR ENVIRONMENT IS 

1294
00:55:51,302 --> 00:55:54,405
NOT GIVING US FOODS THAT WE 

1295
00:55:54,405 --> 00:55:56,640
COULD CHOOSE THAT WOULD BE 

1296
00:55:56,640 --> 00:55:56,874
HELPFUL.

1297
00:55:56,874 --> 00:55:58,909
SO THIS IS REALLY WE THINK 

1298
00:55:58,909 --> 00:56:02,580
PLAYING A BIG ROLE THAT WE NEED 

1299
00:56:02,580 --> 00:56:03,681
TO RECOGNIZE.

1300
00:56:03,681 --> 00:56:06,216
THERE'S SO MANY FASHTS WITHIN 

1301
00:56:06,216 --> 00:56:07,484
OUR ENVIRONMENT THAT ARE 

1302
00:56:07,484 --> 00:56:08,886
INFLUENCING US.

1303
00:56:08,886 --> 00:56:14,058
WE HAVE THE COST OF FOOD, THE 

1304
00:56:14,058 --> 00:56:16,060
AVAILABILITY, THE PHYSICAL 

1305
00:56:16,060 --> 00:56:22,199
CLOSENESS OF FOOD TO HOW 

1306
00:56:22,199 --> 00:56:24,134
ACCESSIBLE IT IS AND CULTURES 

1307
00:56:24,134 --> 00:56:26,136
AND TASTE PREFERENCES AND THE 

1308
00:56:26,136 --> 00:56:28,172
TIME AND SKILL SET WE HAVE 

1309
00:56:28,172 --> 00:56:30,341
PREPARING FOODS AND THEN THE 

1310
00:56:30,341 --> 00:56:32,977
SOCIAL SYSTEMS AROUND US.

1311
00:56:32,977 --> 00:56:35,746
SO WE NEED TO ADDRESS THESE 

1312
00:56:35,746 --> 00:56:39,383
FACTORS IF WE'RE GOING TO TRY TO

1313
00:56:39,383 --> 00:56:41,785
IMPROVE OUR DIETARY INTAKES AND 

1314
00:56:41,785 --> 00:56:43,587
WE NEED TO IMPROVE THE HEALTH OF

1315
00:56:43,587 --> 00:56:47,358
THOSE CHOICES IN OUR 

1316
00:56:47,358 --> 00:56:48,425
ENVIRONMENT.

1317
00:56:48,425 --> 00:56:51,895
AND I THINK WE DISCUSSED HOW 

1318
00:56:51,895 --> 00:56:55,599
THIS WILL LIKELY TAKE CONCERTED 

1319
00:56:55,599 --> 00:56:57,334
PRIORITIZATION AND EFFORTS 

1320
00:56:57,334 --> 00:56:59,503
ACROSS MANY DIFFERENT SECTORS TO

1321
00:56:59,503 --> 00:57:07,177
DO THIS WORK OF IMPROVING OUR 

1322
00:57:07,177 --> 00:57:07,478
ENVIRONMENT.

1323
00:57:07,478 --> 00:57:14,351
MOVING FORWARD, SO ALSO IN OUR 

1324
00:57:14,351 --> 00:57:17,454
EVALUATION OF THE DATA ANALYSIS 

1325
00:57:17,454 --> 00:57:21,091
DATA, I MENTIONED BEFORE WE 

1326
00:57:21,091 --> 00:57:24,495
CONSIDERED HEALTH EQUITY AND WE 

1327
00:57:24,495 --> 00:57:32,136
BROKE DOWN OUR DATA FOR OUR -- A

1328
00:57:32,136 --> 00:57:33,337
FEDERAL ANALYST DID THIS TO 

1329
00:57:33,337 --> 00:57:34,438
BREAK IT DOWN BY SOCIO 

1330
00:57:34,438 --> 00:57:35,973
DEMOGRAPHIC FACTORS.

1331
00:57:35,973 --> 00:57:38,342
WHEN WE EVALUATED THAT, A BIG 

1332
00:57:38,342 --> 00:57:42,212
TAKE HOME WAS WHAT I ALREADY 

1333
00:57:42,212 --> 00:57:43,447
MENTIONED, ALL GROUPS WERE 

1334
00:57:43,447 --> 00:57:47,484
HAVING POOR PATTERNS AND POOR 

1335
00:57:47,484 --> 00:57:49,853
DIETARY INTAKE BUT WE ALSO DID 

1336
00:57:49,853 --> 00:57:54,558
FIND THERE WERE SOME SIGNIFICANT

1337
00:57:54,558 --> 00:57:55,726
DIFFERENCES AND WE COULDN'T 

1338
00:57:55,726 --> 00:57:57,127
ALWAYS TEST FOR SIGNIFICANT 

1339
00:57:57,127 --> 00:57:59,263
DIFFERENCES BUT DID FIND THERE 

1340
00:57:59,263 --> 00:58:01,665
WERE SOME BY CERTAIN 

1341
00:58:01,665 --> 00:58:02,032
CHARACTERISTICS.

1342
00:58:02,032 --> 00:58:05,135
AND SOMETIMES THE MAGNITUDE OF 

1343
00:58:05,135 --> 00:58:09,339
THOSE DIFFERENCES WAS ENOUGH TO 

1344
00:58:09,339 --> 00:58:11,108
LIKELY BE MAKING A DIFFERENCE TO

1345
00:58:11,108 --> 00:58:11,341
HEALTH.

1346
00:58:11,341 --> 00:58:14,344
ONE OF THOSE FINDINGS WAS THAT 

1347
00:58:14,344 --> 00:58:15,979
WHEN WE LOOKED AT RACE ETHNICITY

1348
00:58:15,979 --> 00:58:19,383
WE SAW THE NON-HISPANIC ASIAN 

1349
00:58:19,383 --> 00:58:21,919
GROUP AGES 2 AND OLDER HAD A 

1350
00:58:21,919 --> 00:58:23,153
HIGHER DIET QUALITY SCORE THAN 

1351
00:58:23,153 --> 00:58:28,859
ANY OTHER RACE AND ETHNIC GROUP.

1352
00:58:28,859 --> 00:58:32,596
WE ALSO FOUND THAT THOSE WITH 

1353
00:58:32,596 --> 00:58:34,398
HOUSEHOLD INCOMES LESS THAN 131%

1354
00:58:34,398 --> 00:58:38,068
OF THE POVERTY LEVEL AND WITH 

1355
00:58:38,068 --> 00:58:40,170
LOW FOOD SECURITY MIGHT BE A 

1356
00:58:40,170 --> 00:58:42,306
HIGHER RISK FOR NUTRIENT 

1357
00:58:42,306 --> 00:58:43,107
INADEQUACY.

1358
00:58:43,107 --> 00:58:45,209
WE ALSO FOUND THERE WERE SOME 

1359
00:58:45,209 --> 00:58:47,878
DIFFERENCES IN THE RATES OF 

1360
00:58:47,878 --> 00:58:50,114
NUTRITION-RELATED CHRONIC HEALTH

1361
00:58:50,114 --> 00:58:51,048
CONDITIONS IN THE U.S.

1362
00:58:51,048 --> 00:58:55,219
AND OVERALL THESE WERE HIGH BUT 

1363
00:58:55,219 --> 00:58:59,990
THERE WERE SOME DIFFERENCES IN 

1364
00:58:59,990 --> 00:59:02,326
THOSE RANKS THAT WERE ACROSS 

1365
00:59:02,326 --> 00:59:04,762
SOCIO DEMOGRAPHIC GROUPS.

1366
00:59:04,762 --> 00:59:08,265
GOING FORWARD, I ALSO WANTED TO 

1367
00:59:08,265 --> 00:59:12,169
MENTION AND JUST REMIND YOU THAT

1368
00:59:12,169 --> 00:59:15,939
WE DID ALSO TRY TO CONSIDER TRE 

1369
00:59:15,939 --> 00:59:17,341
IMPACT OF THE COVID-19 PANDEMIC 

1370
00:59:17,341 --> 00:59:21,845
ON OUR RESULTS.

1371
00:59:21,845 --> 00:59:23,914
AND SO THE NORMAL FEDERAL 

1372
00:59:23,914 --> 00:59:26,383
COLLECTION OF DIETARY INTAKE 

1373
00:59:26,383 --> 00:59:29,153
DATA WAS DISRUPTED DURING THE 

1374
00:59:29,153 --> 00:59:29,453
PANDEMIC.

1375
00:59:29,453 --> 00:59:34,324
SO WE DIDN'T HAVE ACCESS TO DATA

1376
00:59:34,324 --> 00:59:37,127
FROM MARCH 2020 THROUGH DECEMBER

1377
00:59:37,127 --> 00:59:40,297
2022 BUT WE CONDUCTED AN 

1378
00:59:40,297 --> 00:59:42,933
EVIDENCE SCAN TO LOOK FOR OTHER 

1379
00:59:42,933 --> 00:59:45,102
PUBLISHED STUDIES THAT MIGHT 

1380
00:59:45,102 --> 00:59:46,570
HAVE BEEN ABLE TO GIVE US 

1381
00:59:46,570 --> 00:59:49,206
INSIGHT ON THE POPULATION 

1382
00:59:49,206 --> 00:59:50,340
INTAKES DURING THIS TIME 

1383
00:59:50,340 --> 00:59:52,810
HOWEVER, OUR FINDING FROM THAT 

1384
00:59:52,810 --> 00:59:55,779
WORK WAS THAT THERE WAS 

1385
00:59:55,779 --> 00:59:58,348
INSUFFICIENT RESEARCH AVAILABLE 

1386
00:59:58,348 --> 00:59:59,983
INCLUDING NO NATIONALLY 

1387
00:59:59,983 --> 01:00:04,188
REPRESENTATIVE STUDIES TO GIVE 

1388
01:00:04,188 --> 01:00:05,956
US THAT INFORMATION.

1389
01:00:05,956 --> 01:00:08,492
SO THIS TWO THINGS.

1390
01:00:08,492 --> 01:00:10,327
ONE, IT HIGHLIGHTS HOW IMPORTANT

1391
01:00:10,327 --> 01:00:11,495
THAT NATIONAL DATA COLLECTION IS

1392
01:00:11,495 --> 01:00:17,901
FOR US TO BE GETTING THIS 

1393
01:00:17,901 --> 01:00:20,170
INFORMATION AND DOES LEAVE US 

1394
01:00:20,170 --> 01:00:23,173
WITH A GAP IN OUR UNDERSTANDING 

1395
01:00:23,173 --> 01:00:24,241
OF WHAT HAPPENED FOR INTAKES 

1396
01:00:24,241 --> 01:00:28,779
DURING THE PANDEMIC.

1397
01:00:28,779 --> 01:00:34,218
WE DO RECOGNIZE THE DIETARY PAD 

1398
01:00:34,218 --> 01:00:37,020
ERN COU-- PATTERN COULD HAVE BE 

1399
01:00:37,020 --> 01:00:40,657
AFFECTED.

1400
01:00:40,657 --> 01:00:41,692
THAT CONCLUDES OUR DISCUSSION 

1401
01:00:41,692 --> 01:00:45,896
AND AT THIS TIME I WILL GO AHEAD

1402
01:00:45,896 --> 01:00:46,763
AND SHARE OUR DRAFT ADVICE TO 

1403
01:00:46,763 --> 01:00:54,338
THE DEPARTMENTS.

1404
01:00:54,338 --> 01:00:57,107
SO, HERE FIRST JUST TO MENTION 

1405
01:00:57,107 --> 01:01:03,413
OUR CROSS-SECTIONAL RESULT AND 

1406
01:01:03,413 --> 01:01:06,016
PROVIDE PRACTICAL EVIDENCE 

1407
01:01:06,016 --> 01:01:07,351
SUPPORTING THE DIVERSITY OF 

1408
01:01:07,351 --> 01:01:08,585
POPULATION TO ACHIEVE DIETARY 

1409
01:01:08,585 --> 01:01:10,187
RECOMMENDATIONS AND TO IMPROVE 

1410
01:01:10,187 --> 01:01:10,854
HEALTH.

1411
01:01:10,854 --> 01:01:12,823
AND THE REASON WE KEEP SAYING 

1412
01:01:12,823 --> 01:01:15,659
THIS DATA IS SO PRACTICAL IS 

1413
01:01:15,659 --> 01:01:16,927
BECAUSE IT REALLY GROUNDS US ON 

1414
01:01:16,927 --> 01:01:20,530
WHERE WE'RE STARTING FROM.

1415
01:01:20,530 --> 01:01:29,373
FROM THIS INTAKE DATA WE KNOW 

1416
01:01:29,373 --> 01:01:32,409
WHAT INTAKES LOOK LIKE AND WHAT 

1417
01:01:32,409 --> 01:01:34,978
THE BASELINE IS AND THINK MORE 

1418
01:01:34,978 --> 01:01:35,579
STRATEGICALLY HOW TO IMPROVE 

1419
01:01:35,579 --> 01:01:38,282
FROM THAT STARTING POINT.

1420
01:01:38,282 --> 01:01:41,752
SO THEREFORE, WE PROVIDE THE 

1421
01:01:41,752 --> 01:01:42,419
FOLLOWING RECOMMENDATION TO THE 

1422
01:01:42,419 --> 01:01:45,289
DEPARTMENT AS THE DIETARY 

1423
01:01:45,289 --> 01:01:50,360
GUIDELINES FOR AMERICANS 2025 TO

1424
01:01:50,360 --> 01:01:52,729
2030 IS DEVELOPED.

1425
01:01:52,729 --> 01:01:58,302
SO FIRST, WE WOULD URGE THE 

1426
01:01:58,302 --> 01:02:00,304
DEPARTMENTS TO RECOGNIZE THAT 

1427
01:02:00,304 --> 01:02:04,808
THE DIETARY INTAKES ACROSS THE 

1428
01:02:04,808 --> 01:02:05,375
SOCIO DEMOGRAPHIC GROUPS 

1429
01:02:05,375 --> 01:02:08,612
INCLUDING AGE, SEX, RAGE AND/OR 

1430
01:02:08,612 --> 01:02:11,048
ETHNICITY AND FOOD SECURITY 

1431
01:02:11,048 --> 01:02:11,748
STATUS ARE DIFFERENT.

1432
01:02:11,748 --> 01:02:15,419
THAT'S ONE OF OUR MAJOR FINDINGS

1433
01:02:15,419 --> 01:02:20,757
IS THAT WE DID SEE SOME 

1434
01:02:20,757 --> 01:02:23,827
DIFFERENCES THERE AND ALSO SOME 

1435
01:02:23,827 --> 01:02:26,163
DATA THAT WE COULDN'T GET 

1436
01:02:26,163 --> 01:02:28,665
STATISTICAL DIFFERENCES FROM BUT

1437
01:02:28,665 --> 01:02:30,834
WE CAN LOOK AT THE RANGES AND 

1438
01:02:30,834 --> 01:02:32,836
SEE HOW THEY'RE VARYING.

1439
01:02:32,836 --> 01:02:35,973
THAT'S REALLY IMPORTANT TO MEET 

1440
01:02:35,973 --> 01:02:38,075
PEOPLE WHERE THEY ARE.

1441
01:02:38,075 --> 01:02:41,511
OUR COUNTRY INCLUDES A GREAT 

1442
01:02:41,511 --> 01:02:43,347
DIVERSITY OF DIFFERENT GROUPS 

1443
01:02:43,347 --> 01:02:46,183
AND SO WE NEED TO LOOK AT THAT 

1444
01:02:46,183 --> 01:02:47,451
DATA TO UNDERSTAND WHERE EACH OF

1445
01:02:47,451 --> 01:02:50,988
THOSE GROUPS ARE STARTING FROM.

1446
01:02:50,988 --> 01:02:53,490
SO OVER ARCHING THAT IS THAT 

1447
01:02:53,490 --> 01:02:57,961
WE'RE ALL EATING POORLY.

1448
01:02:57,961 --> 01:03:00,864
THAT'S OUR FIRST ADVICE.

1449
01:03:00,864 --> 01:03:05,235
OUR SECOND ADVICE IS TO JUST 

1450
01:03:05,235 --> 01:03:07,170
CONSIDER AND KEEP IN MIND THE 

1451
01:03:07,170 --> 01:03:09,673
POOR HEALTH AND HIGH PREVALENCE 

1452
01:03:09,673 --> 01:03:11,408
OF NUTRITION-RELATED CHRONIC 

1453
01:03:11,408 --> 01:03:13,643
DISEASES AMONG ADULTS AS WELL AS

1454
01:03:13,643 --> 01:03:16,279
THE HIGH PREVALENCE OF THESE 

1455
01:03:16,279 --> 01:03:18,382
INDICATORS AND RISK FACTORS OF 

1456
01:03:18,382 --> 01:03:22,219
POOR HEALTH AMONG CHILDREN AND 

1457
01:03:22,219 --> 01:03:24,454
ADULTS.

1458
01:03:24,454 --> 01:03:27,958
AND THAT'S REALLY THE PIECE THAT

1459
01:03:27,958 --> 01:03:33,497
WE NEED A LASER FOCUS TO 

1460
01:03:33,497 --> 01:03:33,730
IMPROVE.

1461
01:03:33,730 --> 01:03:35,932
JUST HOW CAN WE GET HEALTH TO BE

1462
01:03:35,932 --> 01:03:39,069
BETTER IN THE U.S. AND WE NEED 

1463
01:03:39,069 --> 01:03:40,871
TO REMEMBER WHERE WE ARE 

1464
01:03:40,871 --> 01:03:43,140
STARTING FROM THERE.

1465
01:03:43,140 --> 01:03:46,376
THIRDLY, WE WANT TO EMPHASIZE 

1466
01:03:46,376 --> 01:03:47,778
THAT THERE'S CERTAIN SPECIAL 

1467
01:03:47,778 --> 01:03:48,612
CONSIDERATIONS RELATED TO 

1468
01:03:48,612 --> 01:03:50,747
NUTRIENTS AND DIETARY COMPONENTS

1469
01:03:50,747 --> 01:03:53,550
OF PUBLIC HEALTH CONCERN AND 

1470
01:03:53,550 --> 01:03:56,620
THAT POSE SPECIAL CHALLENGES TO 

1471
01:03:56,620 --> 01:04:01,925
VULNERABLE LIFE STAGES AND AS I 

1472
01:04:01,925 --> 01:04:03,260
MENTIONED, INFANCY, CHILDHOOD, 

1473
01:04:03,260 --> 01:04:05,762
ADOLESCENCE AND PREGNANCY AND 

1474
01:04:05,762 --> 01:04:07,497
LACTATION ARE SOME OF THOSE.

1475
01:04:07,497 --> 01:04:09,599
WE HAVE A LOT OF GROWTH AND 

1476
01:04:09,599 --> 01:04:12,069
DEVELOPMENT GOING ON DURING THAT

1477
01:04:12,069 --> 01:04:19,142
TIME BUT SOME POOR INTAKES.

1478
01:04:19,142 --> 01:04:24,815
SO, MOVING FORWARD THEN WE ALSO 

1479
01:04:24,815 --> 01:04:30,220
HAVE A FEW FUTURE DIRECTIONS WE 

1480
01:04:30,220 --> 01:04:35,459
WANTED TO SURE SPLIT BETWEEN 

1481
01:04:35,459 --> 01:04:38,095
THIS SLIDE OVERVIEWING 

1482
01:04:38,095 --> 01:04:39,463
RECOMMENDATIONS FOR FEDERAL 

1483
01:04:39,463 --> 01:04:40,430
AGENCIES AND RECOMMENDATIONS FOR

1484
01:04:40,430 --> 01:04:43,467
FUTURE COMMITTEES.

1485
01:04:43,467 --> 01:04:48,505
AND SO WITH REGARD TO OUR FUTURE

1486
01:04:48,505 --> 01:04:50,574
DIRECTIONS WE IDENTIFIED DATA 

1487
01:04:50,574 --> 01:04:52,742
ANALYSIS TO FEDERAL AGENCIES.

1488
01:04:52,742 --> 01:04:55,112
ONE OF THOSE THAT ARE TOP ONE 

1489
01:04:55,112 --> 01:04:58,281
HAS BEEN MENTIONED BEFORE, BUT 

1490
01:04:58,281 --> 01:05:00,417
WE'RE EMPHASIZING THAT AGAIN.

1491
01:05:00,417 --> 01:05:04,187
AND THAT IS THE PRIORITIZATION 

1492
01:05:04,187 --> 01:05:06,089
OF INVESTMENT IN THE HIGH 

1493
01:05:06,089 --> 01:05:09,059
QUALITY DATA THAT IS GENERATED 

1494
01:05:09,059 --> 01:05:11,928
FOR US USING THE AND A HALF 

1495
01:05:11,928 --> 01:05:13,697
HEALTH AND NUTRITION EXAMINATION

1496
01:05:13,697 --> 01:05:17,300
SURVEY OR NHANES.

1497
01:05:17,300 --> 01:05:22,205
THIS IS REALLY CRITICAL AND 

1498
01:05:22,205 --> 01:05:23,106
INTAKE AND WITH CHRONIC HEALTH 

1499
01:05:23,106 --> 01:05:27,344
OUTCOMES IN THE POPULATION.

1500
01:05:27,344 --> 01:05:29,980
AND WE CAN'T TELL IF WE'RE 

1501
01:05:29,980 --> 01:05:31,448
IMPROVING THINGS IF WE CAN'T 

1502
01:05:31,448 --> 01:05:34,618
CONTINUALLY BE MONITORING THAT.

1503
01:05:34,618 --> 01:05:37,587
AND SO THIS IS REALLY IMPORTANT 

1504
01:05:37,587 --> 01:05:40,023
TO DO ALONG WITH THAT THERE ARE 

1505
01:05:40,023 --> 01:05:42,692
OTHER DATABASES AND COMPONENTS 

1506
01:05:42,692 --> 01:05:45,862
OF THAT SYSTEM SUCH AS THE FOOD 

1507
01:05:45,862 --> 01:05:48,899
AND NUTRIENT DATABASE FOR 

1508
01:05:48,899 --> 01:05:50,867
DIETARY STUDIES WHICH IS OUR 

1509
01:05:50,867 --> 01:05:53,603
MAIN PLACE FOR INFORMATION ON 

1510
01:05:53,603 --> 01:05:55,805
WHAT ARE IN THOSE FOODS PEOPLE 

1511
01:05:55,805 --> 01:05:57,007
ARE REPORTING IN NHANES.

1512
01:05:57,007 --> 01:06:01,444
WHAT IS THE COMPOSITION OF THOSE

1513
01:06:01,444 --> 01:06:01,645
FOODS?

1514
01:06:01,645 --> 01:06:03,747
AND WE NEED TO WITH JUST 

1515
01:06:03,747 --> 01:06:06,349
RECOMMENDATION THAT KEEPS BEING 

1516
01:06:06,349 --> 01:06:08,084
UPDATED WITH CURRENT MARKET DATA

1517
01:06:08,084 --> 01:06:10,187
OF THE FOODS OUT THERE IN THE 

1518
01:06:10,187 --> 01:06:11,655
FOOD SUPPLY.

1519
01:06:11,655 --> 01:06:15,859
WE NEED TO MAKE SURE THAT WE'RE 

1520
01:06:15,859 --> 01:06:17,794
CAPTURING THOSE IN THE NUTRIENT 

1521
01:06:17,794 --> 01:06:21,731
AND FOOD COMPOSITION DATABASES.

1522
01:06:21,731 --> 01:06:24,501
ALSO, ALONG WITH CONTINUING TO 

1523
01:06:24,501 --> 01:06:27,571
PRIORITIZE NHANES, WE WANT TO 

1524
01:06:27,571 --> 01:06:32,475
MAKE SURE AS SAMEERA MENTIONED 

1525
01:06:32,475 --> 01:06:33,877
WE'RE INCLUDING DOING A BETTER 

1526
01:06:33,877 --> 01:06:38,348
JOB INCLUDING ALL THE DIFFERENT 

1527
01:06:38,348 --> 01:06:43,920
CULTURES AND GROUPS IN OUR 

1528
01:06:43,920 --> 01:06:45,422
POPULATION.

1529
01:06:45,422 --> 01:06:47,524
SO, SOME OF THAT DATA RIGHT NOW 

1530
01:06:47,524 --> 01:06:49,960
IS NOT BEING CAPTURED IN A WAY 

1531
01:06:49,960 --> 01:06:51,795
IT CAN BE REPRESENTATIVE.

1532
01:06:51,795 --> 01:06:54,931
THAT'S ONE THING WE HOPE THAT 

1533
01:06:54,931 --> 01:06:57,167
COULD HAPPEN IN THE FUTURE.

1534
01:06:57,167 --> 01:07:00,437
WE RECOGNIZE THAT FOR EXAMPLE 

1535
01:07:00,437 --> 01:07:02,172
THINKING ABOUT SOME OF OUR 

1536
01:07:02,172 --> 01:07:03,873
DIFFERENT RACE ETHNIC GROUPS FOR

1537
01:07:03,873 --> 01:07:07,077
EXAMPLE, NON-HISPANIC ASIAN 

1538
01:07:07,077 --> 01:07:10,213
GROUPS, THAT COULD INCLUDE 

1539
01:07:10,213 --> 01:07:12,716
PEOPLE FROM WITH BACKGROUNDS 

1540
01:07:12,716 --> 01:07:14,818
FROM INDIA OR WITH BACKGROUNDS 

1541
01:07:14,818 --> 01:07:17,020
FROM JAPAN OR OTHER AREAS OF THE

1542
01:07:17,020 --> 01:07:20,924
WORLD THAT ARE ALL INCLUDED IN 

1543
01:07:20,924 --> 01:07:21,124
ASIA.

1544
01:07:21,124 --> 01:07:22,192
SO, IT'S VERY DIVERSE AND IT'S 

1545
01:07:22,192 --> 01:07:26,062
LIKE THAT FOR ALL THE OTHER 

1546
01:07:26,062 --> 01:07:27,130
RACE/ETHNIC GROUPS AS WELL.

1547
01:07:27,130 --> 01:07:34,204
SO WE REALLY CAN'T CAPTURE THAT 

1548
01:07:34,204 --> 01:07:38,208
WITH SUPPORT OF REGULAR UPDATES 

1549
01:07:38,208 --> 01:07:41,278
TO THE DIETARY REFERENCE INTAKE 

1550
01:07:41,278 --> 01:07:42,979
INFORMATION AND GETTING THOSE 

1551
01:07:42,979 --> 01:07:45,782
SENTINEL VALUES FOR NUTRIENT 

1552
01:07:45,782 --> 01:07:46,483
INTAKE.

1553
01:07:46,483 --> 01:07:52,188
THEY SHOULD BE KEEPING UPDATED 

1554
01:07:52,188 --> 01:07:53,990
BASED ON THE CURRENT RESEARCH 

1555
01:07:53,990 --> 01:07:56,126
AND CONTINUING TO IMPROVE THE 

1556
01:07:56,126 --> 01:07:57,994
FEDERAL HUMAN MILK COMPOSITION 

1557
01:07:57,994 --> 01:08:01,665
INITIATIVE SO WE HAVE A BETTER 

1558
01:08:01,665 --> 01:08:07,103
UNDERSTANDING OF WHAT ALL 

1559
01:08:07,103 --> 01:08:10,340
NUTRIENTS ARE IN HUMAN MILK AND 

1560
01:08:10,340 --> 01:08:16,980
SHARE RECOMMENDATIONS FOR FUTURE

1561
01:08:16,980 --> 01:08:21,718
COMMITTEES AND CONSIDER HEALTH 

1562
01:08:21,718 --> 01:08:29,259
COUNTY ON DATA ANALYSIS AND WE 

1563
01:08:29,259 --> 01:08:31,494
COULDN'T FIND SIGNIFICANT 

1564
01:08:31,494 --> 01:08:33,463
DIFFERENCES IN THE DIETARY 

1565
01:08:33,463 --> 01:08:34,064
PATTERNS AMONG THE DIFFERENT 

1566
01:08:34,064 --> 01:08:44,207
GROUPS.

1567
01:08:47,577 --> 01:08:52,215
AND THEN WE ALSO WANT TO 

1568
01:08:52,215 --> 01:08:53,817
PRIORITIZE IN THE NEXT COMMITTEE

1569
01:08:53,817 --> 01:08:56,119
POTENTIALLY THERE COULD BE MORE 

1570
01:08:56,119 --> 01:08:59,422
STATISTICAL TESTING TO MAKE SURE

1571
01:08:59,422 --> 01:09:05,929
THAT THOSE -- SOME OF THOSE 

1572
01:09:05,929 --> 01:09:10,200
DIFFERENT RANKS THAT WE'RE 

1573
01:09:10,200 --> 01:09:13,169
SEEING SIGNIFICANT DIFFERENCES 

1574
01:09:13,169 --> 01:09:16,740
OR INDICATION OF THE MAGNITUDE 

1575
01:09:16,740 --> 01:09:17,574
OF DIFFERENT RANKS.

1576
01:09:17,574 --> 01:09:22,212
AND I THINK THAT WRAPS UP THIS 

1577
01:09:22,212 --> 01:09:22,545
PRESENTATION.

1578
01:09:22,545 --> 01:09:25,315
SO, NOW I'D LOVE TO BE ABLE TO 

1579
01:09:25,315 --> 01:09:26,349
ENTERTAIN ANY QUESTIONS OR 

1580
01:09:26,349 --> 01:09:29,085
COMMENTS.

1581
01:09:29,085 --> 01:09:32,322
>> HEATHER, FIRST OF ALL,
THANK 

1582
01:09:32,322 --> 01:09:35,225
YOU FOR ALL YOUR TERRIFIC 

1583
01:09:35,225 --> 01:09:37,861
LEADERSHIP AND YOU DID A GREAT 

1584
01:09:37,861 --> 01:09:38,128
JOB.

1585
01:09:38,128 --> 01:09:40,764
YOU DID A GREAT JOB AND I ALSO 

1586
01:09:40,764 --> 01:09:43,800
JUST WANT TO DO A HUGE CALL OUT 

1587
01:09:43,800 --> 01:09:50,340
TO THE STAFF THAT REALLY WORKED 

1588
01:09:50,340 --> 01:09:52,342
WITH THE COMMITTEE SO CLOSELY TO

1589
01:09:52,342 --> 01:09:53,009
COMPILE THE DATA.

1590
01:09:53,009 --> 01:09:55,578
I'M JUST GOING TO TAKE THE 

1591
01:09:55,578 --> 01:09:57,647
PURVIEW OF THE CHAIR HERE WHILE 

1592
01:09:57,647 --> 01:10:01,751
EVERYONE GETS THEIR CAMERA ON 

1593
01:10:01,751 --> 01:10:03,853
FROM THE COMMITTEE AND ASK HAVE 

1594
01:10:03,853 --> 01:10:08,725
YOU CONSIDERED THE FOLLOWING FOR

1595
01:10:08,725 --> 01:10:19,202
EITHER ADVICE AND BEVERAGE 

1596
01:10:19,702 --> 01:10:26,342
CONSUMPTION AND THERE'S AN AGE 

1597
01:10:26,342 --> 01:10:36,853
GROUP CLASS AND ALL POSITIVE 

1598
01:10:38,154 --> 01:10:40,824
TRENDS AND LEARN HOW AND WHY 

1599
01:10:40,824 --> 01:10:42,325
THAT HAPPENED WE CAN THEN BE 

1600
01:10:42,325 --> 01:10:44,360
APPLYING MORE BROADLY TO THE 

1601
01:10:44,360 --> 01:10:47,530
ENTIRE DIETARY PATTERN.

1602
01:10:47,530 --> 01:10:50,400
I KNOW THERE ARE QUESTIONS BUT I

1603
01:10:50,400 --> 01:11:00,076
KNOW YOU'LL HAVE A GREAT ANSWER.

1604
01:11:00,076 --> 01:11:01,978
>> THAT WAS AN INTERESTING

1605
01:11:01,978 --> 01:11:04,581
FINDING FOR US AND UNFORTUNATELY

1606
01:11:04,581 --> 01:11:07,050
WE DIDN'T -- WE WERE CONSTRAINED

1607
01:11:07,050 --> 01:11:09,085
TO DATA ANALYSIS HERE.

1608
01:11:09,085 --> 01:11:12,355
BUT I THINK THAT IS SOMETHING 

1609
01:11:12,355 --> 01:11:15,225
NOW FOR MAYBE OTHER 

1610
01:11:15,225 --> 01:11:18,328
INVESTIGATORS TO HELP PROVIDE 

1611
01:11:18,328 --> 01:11:21,564
INFORMATION ON IS KIND OF LIKE 

1612
01:11:21,564 --> 01:11:24,000
HELPING UNDERSTAND WHY THAT IS 

1613
01:11:24,000 --> 01:11:27,237
HAPPENING AND WERE THERE CERTAIN

1614
01:11:27,237 --> 01:11:32,242
POLICY SHIFTS THAT HELPED US DO 

1615
01:11:32,242 --> 01:11:37,981
THAT OR WERE THERE OTHER FACTORS

1616
01:11:37,981 --> 01:11:48,491
THAT LED TO THAT AND PERHAPS 

1617
01:11:50,793 --> 01:11:55,431
OTHER COMMITTEE OF THAT BUILDING

1618
01:11:55,431 --> 01:12:00,003
ON THAT AND IF WE CAN DO THAT 

1619
01:12:00,003 --> 01:12:01,738
LET'S DO MORE OF IT.

1620
01:12:01,738 --> 01:12:04,274
>> GREAT, THANK YOU.

1621
01:12:04,274 --> 01:12:10,146
OTHER QUESTIONS FOR HEATHER.

1622
01:12:10,146 --> 01:12:11,814
>> THANKS, HEATHER, THAT
WAS A 

1623
01:12:11,814 --> 01:12:12,315
GREAT PRESENTATION.

1624
01:12:12,315 --> 01:12:16,185
I HAVE A FEW QUESTIONS BUT I'M 

1625
01:12:16,185 --> 01:12:20,456
GOING TO START WITH ONE BUT ONE 

1626
01:12:20,456 --> 01:12:24,961
IS DID THE SUBCOMMITTEE TALK 

1627
01:12:24,961 --> 01:12:29,132
ANYMORE AND LOOKING AT THE FOOD 

1628
01:12:29,132 --> 01:12:29,699
ENVIRONMENT.

1629
01:12:29,699 --> 01:12:31,501
SO I THINK THOUGHTS ABOUT THIS 

1630
01:12:31,501 --> 01:12:35,138
BROADER CONTEXT HAVING SUCH AN 

1631
01:12:35,138 --> 01:12:36,072
INFLUENCE ON OVER ALL 

1632
01:12:36,072 --> 01:12:37,507
CONSUMPTION BUT WE DON'T REALLY 

1633
01:12:37,507 --> 01:12:38,808
LOOK AT IT.

1634
01:12:38,808 --> 01:12:41,210
I KNOW SUBCOMMITTEE 4 TRIED TO 

1635
01:12:41,210 --> 01:12:43,012
DO A LITTLE BIT ABOUT THIS AT 

1636
01:12:43,012 --> 01:12:45,081
MORE OF THE HOUSEHOLD LEVEL 

1637
01:12:45,081 --> 01:12:48,718
WHICH WE WEREN'T ABLE TO DO BUT 

1638
01:12:48,718 --> 01:12:50,253
JUST WONDERING WHETHER BROADER 

1639
01:12:50,253 --> 01:12:51,955
CONVERSATIONS ABOUT THAT OUR 

1640
01:12:51,955 --> 01:12:52,589
THOUGHTS ABOUT RECOMMENDATIONS 

1641
01:12:52,589 --> 01:12:55,825
SPECIFIC IN THAT AREA.

1642
01:12:55,825 --> 01:13:02,332
>> YEAH, THAT IS REALLY I
THINK 

1643
01:13:02,332 --> 01:13:05,435
A BIG TOPIC TO BE ADDRESSED.

1644
01:13:05,435 --> 01:13:09,138
AND IT'S VERY IMPORTANT.

1645
01:13:09,138 --> 01:13:11,307
I FEEL LIKE AS FAR AS FOR DATA 

1646
01:13:11,307 --> 01:13:12,408
ANALYSIS, WE WERE MORE CONCERNED

1647
01:13:12,408 --> 01:13:15,712
ABOUT JUST MAKING SURE THAT 

1648
01:13:15,712 --> 01:13:18,348
WE'RE TAKING CARE AND 

1649
01:13:18,348 --> 01:13:20,650
INTERPRETING THE RESULTS WE HAVE

1650
01:13:20,650 --> 01:13:24,020
AND I DO FEEL LIKE WHEN WE'RE 

1651
01:13:24,020 --> 01:13:25,355
TALKING ABOUT INTAKES IT JUST 

1652
01:13:25,355 --> 01:13:27,357
YOU KIND OF THINK ABOUT THE 

1653
01:13:27,357 --> 01:13:28,992
PERSON FOR THAT.

1654
01:13:28,992 --> 01:13:34,130
YOU HAVE A TENDENCY TO ASSIGN 

1655
01:13:34,130 --> 01:13:36,599
THAT CHOICE TO THE PERSON BUT 

1656
01:13:36,599 --> 01:13:40,737
IT'S REALLY THAT WE NEED TO 

1657
01:13:40,737 --> 01:13:42,338
REMEMBER THAT SO MANY OTHER 

1658
01:13:42,338 --> 01:13:45,608
THINGS ARE INFLUENCING THAT 

1659
01:13:45,608 --> 01:13:45,842
CHOICE.

1660
01:13:45,842 --> 01:13:52,181
AND I FEEL LIKE THAT IS -- I 

1661
01:13:52,181 --> 01:13:53,449
THINK SUBCOMMITTEE 4 DID GREAT 

1662
01:13:53,449 --> 01:13:57,820
WORK TO PERHAPS MORE DIRECTLY 

1663
01:13:57,820 --> 01:13:58,988
ADDRESS THAT QUESTION AND WE CAN

1664
01:13:58,988 --> 01:14:06,329
DO WITH THIS KIND OF DATA 

1665
01:14:06,329 --> 01:14:09,966
ANALYSIS BUT I HOPE THAT PART OF

1666
01:14:09,966 --> 01:14:10,733
THE DIETARY GUIDELINE COMMITTEE 

1667
01:14:10,733 --> 01:14:15,838
I HOPE THAT GROWS FOR THE NEXT 

1668
01:14:15,838 --> 01:14:17,373
COMMITTEE AND THERE COULD BE 

1669
01:14:17,373 --> 01:14:19,075
GREATER MORE DETAILED EVALUATION

1670
01:14:19,075 --> 01:14:26,683
OF THE FOOD ENVIRONMENT.

1671
01:14:26,683 --> 01:14:34,190
I THINK CHERYL HAD A HAND.

1672
01:14:34,190 --> 01:14:36,859
>> THANK YOU FOR THE
BEAUTIFUL 

1673
01:14:36,859 --> 01:14:38,161
PRESENTATION ON BEHALF OF THE 

1674
01:14:38,161 --> 01:14:38,494
COMMITTEE.

1675
01:14:38,494 --> 01:14:40,196
WHAT'S NICE AND STRIKING ME AT 

1676
01:14:40,196 --> 01:14:41,531
THIS POINT IS THE VARIOUS 

1677
01:14:41,531 --> 01:14:44,200
SOURCES OF INFORMATION THAT WE 

1678
01:14:44,200 --> 01:14:47,370
GET TO USE TO INFLUENCE THE 

1679
01:14:47,370 --> 01:14:48,538
REPORT.

1680
01:14:48,538 --> 01:14:50,339
WE HAVE OUR REVIEW OF THE 

1681
01:14:50,339 --> 01:15:00,349
LITERATURE, WE CAN RELY ON 

1682
01:15:00,349 --> 01:15:03,019
AUTHORITATIVE SOURCES AND DO OUR

1683
01:15:03,019 --> 01:15:09,759
OWN ANALYSIS FROM SURVEILLANCE 

1684
01:15:09,759 --> 01:15:16,199
SYSTEMS AND TAKES US BACK TO 

1685
01:15:16,199 --> 01:15:21,370
WHAT HOLLIE JUST RAISED IF WE 

1686
01:15:21,370 --> 01:15:27,009
STRIVE TO INCREASE THE HEALTHY 

1687
01:15:27,009 --> 01:15:36,552
EATING INDEX AND LOOK AT INDEX 

1688
01:15:36,552 --> 01:15:38,387
SCORES AND OVER ALL PUBLIC 

1689
01:15:38,387 --> 01:15:40,189
HEALTH.

1690
01:15:40,189 --> 01:15:43,126
SO WHILE I ENTERED THE PROCESS 

1691
01:15:43,126 --> 01:15:44,594
HOPEFUL ON THIS EXAMINATION OF 

1692
01:15:44,594 --> 01:15:46,863
THE DATA WE WOULD SEE THE 

1693
01:15:46,863 --> 01:15:50,333
HEALTHY EATING INDEXES GO UP, WE

1694
01:15:50,333 --> 01:15:55,671
ARE FINDING THEY'RE REMAINING 

1695
01:15:55,671 --> 01:15:57,807
FLAT AND TROUBLESOME WHEN 

1696
01:15:57,807 --> 01:15:58,674
DIETARY GUIDELINES GET SET.

1697
01:15:58,674 --> 01:16:04,213
I WANT TO RAISE FOR ALL OF US 

1698
01:16:04,213 --> 01:16:08,518
AND THE PROCESS MOSQUE FORWARD 

1699
01:16:08,518 --> 01:16:09,185
THE INTENTIONALITY AROUND MOVING

1700
01:16:09,185 --> 01:16:12,388
AWAY FROM THIS ASSIGNMENT OF 

1701
01:16:12,388 --> 01:16:19,095
CHOICE TO THE PERSON BECAUSE I 

1702
01:16:19,095 --> 01:16:20,863
THINK WE HAVE RATHER EXTENSIVE 

1703
01:16:20,863 --> 01:16:23,332
HISTORY OF SEEING THE SAME 

1704
01:16:23,332 --> 01:16:23,566
RESULT.

1705
01:16:23,566 --> 01:16:25,134
WE'RE ABOUT TO CLOSE OUT THE 

1706
01:16:25,134 --> 01:16:25,835
PROCESS.

1707
01:16:25,835 --> 01:16:31,040
I'M HOPEFUL THAT RAISING THE HEI

1708
01:16:31,040 --> 01:16:34,977
ONCE AGAIN AS THE COMMITTEE HAS 

1709
01:16:34,977 --> 01:16:39,549
DONE HERE AND ONCE AGAIN IN A 

1710
01:16:39,549 --> 01:16:45,788
MORE EXPLICIT WAY AROUND HEALTH 

1711
01:16:45,788 --> 01:16:47,824
EQUITY INDICATORS AND EXAMINING 

1712
01:16:47,824 --> 01:16:49,926
SOCIO ECONOMIC POSITION AND 

1713
01:16:49,926 --> 01:16:52,728
SEEING DIFFERENCES IN THE 

1714
01:16:52,728 --> 01:16:54,163
VARIABLES AS WELL AS 

1715
01:16:54,163 --> 01:16:56,299
RACE/ETHNICITY IN THE OTHER 

1716
01:16:56,299 --> 01:17:01,971
CHARACTERI IISTICS GETTING US T 

1717
01:17:01,971 --> 01:17:03,139
ADDRESS THE STRUCTURES WE SEE 

1718
01:17:03,139 --> 01:17:04,207
HERE.

1719
01:17:04,207 --> 01:17:06,309
IT'S MORE OF A COMMENTS AND 

1720
01:17:06,309 --> 01:17:07,310
INTEGRATIVE THOUGHT THAT'S 

1721
01:17:07,310 --> 01:17:09,645
OCCURRING TO ME AS I'M SEEING 

1722
01:17:09,645 --> 01:17:10,346
THE PRESENTATION FROM YOUR 

1723
01:17:10,346 --> 01:17:17,920
COMMITTEE AT THIS STAGE OF OUR 

1724
01:17:17,920 --> 01:17:18,254
DELIBERATIONS.

1725
01:17:18,254 --> 01:17:19,455
>> AND THANK YOU FOR
MENTIONING 

1726
01:17:19,455 --> 01:17:26,329
THE SYSTEMATIC REVIEW FINDINGS 

1727
01:17:26,329 --> 01:17:29,398
AND INTEGRATING THAT.

1728
01:17:29,398 --> 01:17:32,501
THANK YOU FOR THE COMMENT.

1729
01:17:32,501 --> 01:17:32,802
DIDI.

1730
01:17:32,802 --> 01:17:34,804
>> THANK YOU HEATHER FOR 

1731
01:17:34,804 --> 01:17:35,404
REMINDING US.

1732
01:17:35,404 --> 01:17:36,772
I THINK THESE ARE IMPORTANT DATA

1733
01:17:36,772 --> 01:17:40,309
THAT GET PRESENTED ALONGSIDE OUR

1734
01:17:40,309 --> 01:17:43,412
DIET WORK TO UNDERSTAND WHERE 

1735
01:17:43,412 --> 01:17:45,214
AMERICANS' HEALTH ARE AND WHERE 

1736
01:17:45,214 --> 01:17:47,783
THERE'S BEEN MAYBE MODEST 

1737
01:17:47,783 --> 01:17:48,718
IMPROVEMENTS AND WHERE WE HAVE 

1738
01:17:48,718 --> 01:17:49,819
WORK TO BE DONE.

1739
01:17:49,819 --> 01:17:50,853
I HAVE TWO THOUGHTS.

1740
01:17:50,853 --> 01:17:54,056
THE FIRST IS RELATED TO THE 

1741
01:17:54,056 --> 01:17:55,091
SUBGROUP ANALYSIS WE'VE BEEN 

1742
01:17:55,091 --> 01:17:59,328
ABLE TO CONDUCT AND HOPEFULLY 

1743
01:17:59,328 --> 01:18:02,231
CAN EXPAND ON AND FUTURE YEARS 

1744
01:18:02,231 --> 01:18:04,200
AS DATA KIND OF GET MORE 

1745
01:18:04,200 --> 01:18:04,533
COMPREHENSIVE.

1746
01:18:04,533 --> 01:18:07,270
IF WE'RE LOOKING TO IMPROVE OVER

1747
01:18:07,270 --> 01:18:09,338
ALL HEI, WHICH I AGREE WITH 

1748
01:18:09,338 --> 01:18:12,074
CHERYL IS A METRIC NA IS CAUSAL 

1749
01:18:12,074 --> 01:18:14,076
AND WILL BE REALLY IMPORTANT TO 

1750
01:18:14,076 --> 01:18:16,245
WATCH, THAT WE MAKE SURE THAT AS

1751
01:18:16,245 --> 01:18:21,784
WE IMPROVE OR ADDRESS THINGS 

1752
01:18:21,784 --> 01:18:22,785
SYSTEMATICALLY THAT WE RAISE ALL

1753
01:18:22,785 --> 01:18:24,553
GROUPS EQUALLY AND DON'T 

1754
01:18:24,553 --> 01:18:26,756
EXACERBATE ANY DISPARITIES.

1755
01:18:26,756 --> 01:18:28,124
EVERYONE SEEMS TO BE DOING 

1756
01:18:28,124 --> 01:18:29,158
PRETTY POORLY BUT THERE ARE SOME

1757
01:18:29,158 --> 01:18:33,529
GAPS AND MAKING SURE THOSE GAPS 

1758
01:18:33,529 --> 01:18:35,665
DON'T WIDEN AND INDIVIDUALS GET 

1759
01:18:35,665 --> 01:18:36,565
LEVEL BEHIND IF THERE ARE 

1760
01:18:36,565 --> 01:18:38,367
EFFECTIVE STRATEGIES IS 

1761
01:18:38,367 --> 01:18:40,002
SOMETHING WE NEED TO MONITOR.

1762
01:18:40,002 --> 01:18:42,605
AND THE SECOND POINT I WANTED TO

1763
01:18:42,605 --> 01:18:49,045
JUST MAKE IS THE FOOD 

1764
01:18:49,045 --> 01:18:55,685
ENVIRONMENT WE KNOW INCLUDES 

1765
01:18:55,685 --> 01:18:58,054
THAT AND THE TREND IS AN 

1766
01:18:58,054 --> 01:18:59,755
INTERESTING ONE.

1767
01:18:59,755 --> 01:19:02,158
THAT'S A FOOD OR COMPONENT OF 

1768
01:19:02,158 --> 01:19:05,628
OUR DIET WHERE THERE IS AN 

1769
01:19:05,628 --> 01:19:08,130
OBVIOUS SUBSTITUTION OF WATER OR

1770
01:19:08,130 --> 01:19:13,536
OTHER THINKS AND FEW FOODS HAVE 

1771
01:19:13,536 --> 01:19:15,504
THAT READILY AVAILABLE TO JUST 

1772
01:19:15,504 --> 01:19:17,073
HAVE THIS EXACT SAME BEHAVIOR 

1773
01:19:17,073 --> 01:19:21,177
THROUGHOUT THE DAY BUT IN A 

1774
01:19:21,177 --> 01:19:26,882
HEALTHY WAY AND NEEDS TO BE AS 

1775
01:19:26,882 --> 01:19:28,184
EASY AS CHOOSING WATER WHEN IT 

1776
01:19:28,184 --> 01:19:29,151
COMES TO FOOD.

1777
01:19:29,151 --> 01:19:31,187
THERE'S SO MUCH WE ANALYZED 

1778
01:19:31,187 --> 01:19:33,289
ACROSS OUR DATA ANALYSIS IN 

1779
01:19:33,289 --> 01:19:34,757
TERMS OF THE FOODS AND HEALTH 

1780
01:19:34,757 --> 01:19:40,196
OUTCOMES THAT POINT TO THE FOODS

1781
01:19:40,196 --> 01:19:42,665
RATHER THAN THE BEHAVIOR AND 

1782
01:19:42,665 --> 01:19:46,002
WITHOUT ADDED SUGARS AND SODIUM 

1783
01:19:46,002 --> 01:19:47,470
AND SATURATED FAT BECOMES 

1784
01:19:47,470 --> 01:19:50,339
DIFFICULT TO FIND THIS 

1785
01:19:50,339 --> 01:19:55,311
ALTERNATIVE OR HEALTHY OPTION 

1786
01:19:55,311 --> 01:19:58,914
THAT IS REALLY AND LOOKING AT 

1787
01:19:58,914 --> 01:20:01,584
NUTRIENTS OF PUBLIC HEALTH 

1788
01:20:01,584 --> 01:20:01,817
CONCERN.

1789
01:20:01,817 --> 01:20:03,786
THEE FOODS HAVE TO BE AVAILABLE 

1790
01:20:03,786 --> 01:20:05,521
FOR THE EQUAL SWAP TO BE MADE 

1791
01:20:05,521 --> 01:20:08,391
AND I THINK WE'VE SEEN OVER THE 

1792
01:20:08,391 --> 01:20:09,458
LAST SEVERAL YEARS THEM GET 

1793
01:20:09,458 --> 01:20:10,192
WORSE.

1794
01:20:10,192 --> 01:20:11,927
THEY ARE REALLY NEED TO AT THE 

1795
01:20:11,927 --> 01:20:14,163
FOOD LEVEL AND NOT RELYING ON 

1796
01:20:14,163 --> 01:20:15,297
INDIVIDUAL BEHAVIOR GET BETTER 

1797
01:20:15,297 --> 01:20:21,003
AT THE SAME TIME.

1798
01:20:21,003 --> 01:20:22,738
SO IMPLEMENTATION SCIENCE AT THE

1799
01:20:22,738 --> 01:20:24,673
FOODS AND MANUFACTURING AND 

1800
01:20:24,673 --> 01:20:25,341
INDUSTRIES AS WELL AS THE 

1801
01:20:25,341 --> 01:20:28,044
BEHAVIOR I THINK IS REALLY 

1802
01:20:28,044 --> 01:20:32,448
IMPORTANT TRYING FIGURE OUT HOW 

1803
01:20:32,448 --> 01:20:33,883
ANYONE CAN BENEFIT NOT THOSE WHO

1804
01:20:33,883 --> 01:20:37,153
CAN JUST AFFORD OR MAKE THE MORE

1805
01:20:37,153 --> 01:20:37,787
DIFFICULT SUBSTITUTION.

1806
01:20:37,787 --> 01:20:39,288
THANK YOU, I APPRECIATE YOU 

1807
01:20:39,288 --> 01:20:41,824
PRESENTING THE DATA AGAIN IN THE

1808
01:20:41,824 --> 01:20:42,324
SUMMARIES.

1809
01:20:42,324 --> 01:20:49,198
>> THANKS, DIDI.

1810
01:20:49,198 --> 01:20:51,500
IT'S IMPORTANT TO THINK ABOUT 

1811
01:20:51,500 --> 01:20:53,135
THOSE DIFFERENT ASPECTS AS WELL.

1812
01:20:53,135 --> 01:20:55,371
HEL ENE.

1813
01:20:55,371 --> 01:20:56,439
>> THANK YOU, HEATHER.

1814
01:20:56,439 --> 01:20:58,974
IT WAS A WONDERFUL PRESENTATION 

1815
01:20:58,974 --> 01:21:00,109
AND ALL OF HAVE YOU RAISED 

1816
01:21:00,109 --> 01:21:03,879
WONDERFUL COMMENTS AND I WANTED 

1817
01:21:03,879 --> 01:21:07,316
TO ECHO CHERYL AND DIDI.

1818
01:21:07,316 --> 01:21:10,052
I THINK MY QUESTION WOULD BE HOW

1819
01:21:10,052 --> 01:21:14,857
DO YOU ENVISION EXPENDING THAT 

1820
01:21:14,857 --> 01:21:16,892
DATA ANALYSIS PORTION OF THE 

1821
01:21:16,892 --> 01:21:21,797
PROCESS SO THAT WE GET TO THOSE 

1822
01:21:21,797 --> 01:21:25,167
WIDER SCOPE OF THE QUESTIONS 

1823
01:21:25,167 --> 01:21:28,204
THAT WERE ASKED WHICH INCLUDED 

1824
01:21:28,204 --> 01:21:30,306
WHAT COMPONENT WILL HELP US 

1825
01:21:30,306 --> 01:21:34,210
UNDERSTAND THE HEALTHY CHEF AND 

1826
01:21:34,210 --> 01:21:36,245
DID YOU GIVE AN EXAMPLE OF THE 

1827
01:21:36,245 --> 01:21:39,014
VEGETABLES WITH ADULTS AND HOW 

1828
01:21:39,014 --> 01:21:40,850
DID THAT SHIFT HAPPEN AND HOW 

1829
01:21:40,850 --> 01:21:42,151
CAN WE EXPAND THAT PROCESS TO 

1830
01:21:42,151 --> 01:21:43,719
GET TO THE HOW?

1831
01:21:43,719 --> 01:21:46,989
AND WHETHER THAT COULD BE 

1832
01:21:46,989 --> 01:21:48,591
INCLUDED IN THE DRAFT ADVICE FOR

1833
01:21:48,591 --> 01:21:50,593
THE DEPARTMENTS?

1834
01:21:50,593 --> 01:21:59,101
THANK YOU.

1835
01:21:59,101 --> 01:22:07,743
>> I WELCOME MANY AND I DO
KIND 

1836
01:22:07,743 --> 01:22:09,245
OF AND HEALTH I'M NOT SURE WE 

1837
01:22:09,245 --> 01:22:14,350
HAVE ALL THE DATA TO REALLY 

1838
01:22:14,350 --> 01:22:19,755
ADDRESS THAT FOOD ENVIRONMENT.

1839
01:22:19,755 --> 01:22:22,191
AND WE COULD PERHAPS DRAW FROM 

1840
01:22:22,191 --> 01:22:27,563
LOOKING AT WHAT ALREADY HAS BEEN

1841
01:22:27,563 --> 01:22:30,332
BUT OUT THERE IN THE LITERATURE 

1842
01:22:30,332 --> 01:22:33,269
IN SEARCH RESEARCH TOPICS.

1843
01:22:33,269 --> 01:22:38,174
FOOD PURCHASING DATA AND 

1844
01:22:38,174 --> 01:22:39,275
THINKING ABOUT QUANTIFYING MORE 

1845
01:22:39,275 --> 01:22:40,809
OF THE FOOD ENVIRONMENT AND WHAT

1846
01:22:40,809 --> 01:22:45,181
KINDS OF STORES AND WHAT KIND OF

1847
01:22:45,181 --> 01:22:46,515
FOOD HAVE AVAILABLE IN THE 

1848
01:22:46,515 --> 01:22:51,754
STORES AND ENVIRONMENT AND ALSO 

1849
01:22:51,754 --> 01:22:58,327
THINKING ABOUT THE PROGRAMS 

1850
01:22:58,327 --> 01:23:02,865
SERVING A BIG PORTION OF OUR 

1851
01:23:02,865 --> 01:23:05,634
YOUTH AND EVEN WHEN THAT FOOD IS

1852
01:23:05,634 --> 01:23:09,171
HELPFUL WHERE OTHER FOODS ARE 

1853
01:23:09,171 --> 01:23:09,672
COMING FROM.

1854
01:23:09,672 --> 01:23:12,408
SO I THINK THERE'S A LOT OF 

1855
01:23:12,408 --> 01:23:16,212
THINGS THAT COULD BE INCLUDED AS

1856
01:23:16,212 --> 01:23:24,887
PART OF THAT LOOK.

1857
01:23:24,887 --> 01:23:26,288
THANKS, A LOT HEATHER, THAT WAS 

1858
01:23:26,288 --> 01:23:26,956
REALLY GREAT.

1859
01:23:26,956 --> 01:23:31,560
I DID WANT TO JUST BRING YOUR 

1860
01:23:31,560 --> 01:23:33,796
ATTENTION TO A FEW REPORTS THAT 

1861
01:23:33,796 --> 01:23:35,064
MIGHT BE GOOD TO LOOK AT IN THE 

1862
01:23:35,064 --> 01:23:35,431
RECOMMENDATIONS.

1863
01:23:35,431 --> 01:23:42,438
THEY'RE OLDER NOW BUT I THINK IT

1864
01:23:42,438 --> 01:23:44,974
WAS A NASEM REPORT AND HAD A 

1865
01:23:44,974 --> 01:23:47,176
CHAPTER ON MARKETING AND TALKED 

1866
01:23:47,176 --> 01:23:51,347
ABOUT THE EXTERNAL FACTORS.

1867
01:23:51,347 --> 01:23:56,018
IT WAS FOCUSSED ON OBESITY BUT A

1868
01:23:56,018 --> 01:23:58,787
LOT OF THAT IS DIET RELATED AND 

1869
01:23:58,787 --> 01:24:00,823
THERE WAS A REPORT THAT FOLLOWED

1870
01:24:00,823 --> 01:24:02,324
THAT EVALUATING OBESITY 

1871
01:24:02,324 --> 01:24:03,292
PREVENTION EFFORTS.

1872
01:24:03,292 --> 01:24:08,697
IN THAT REPORT THERE WERE A LOT 

1873
01:24:08,697 --> 01:24:10,399
OF RECOMMENDATIONS FOR HOW WE 

1874
01:24:10,399 --> 01:24:12,935
COULD MAKE MEASUREMENTS OF THE 

1875
01:24:12,935 --> 01:24:14,336
ENVIRONMENT MORE ROBUST.

1876
01:24:14,336 --> 01:24:15,871
IT MAY BE GOOD POINTING BACK TO 

1877
01:24:15,871 --> 01:24:16,238
THOSE.

1878
01:24:16,238 --> 01:24:17,139
THEY'RE KIND OF OLD NOW.

1879
01:24:17,139 --> 01:24:19,808
I THINK AT THE TIME THEY ARE 

1880
01:24:19,808 --> 01:24:21,777
WERE DONE THE INFLUENCE OF OTHER

1881
01:24:21,777 --> 01:24:25,347
TYPES OF MARKETING LIKE 

1882
01:24:25,347 --> 01:24:29,084
INFLUENCERS AND SOCIAL MEDIA WAS

1883
01:24:29,084 --> 01:24:32,821
NOT SUCH A BIG THING IN THE 

1884
01:24:32,821 --> 01:24:34,223
ENVIRONMENT NOW AND MAY BE GOOD 

1885
01:24:34,223 --> 01:24:35,457
TO REFER TO IN THE DISCUSSION 

1886
01:24:35,457 --> 01:24:38,794
SECTION THERE.

1887
01:24:38,794 --> 01:24:39,895
>> THANKS SO MUCH.

1888
01:24:39,895 --> 01:24:44,266
YEAH, IT'S VERY HELPFUL.

1889
01:24:44,266 --> 01:24:44,667
HOLLIE.

1890
01:24:44,667 --> 01:24:46,402
>> THIS IS MY SECOND
QUESTION OR

1891
01:24:46,402 --> 01:24:46,635
THOUGHT.

1892
01:24:46,635 --> 01:24:49,605
IT'S MORE OF A THOUGHT AND THIS 

1893
01:24:49,605 --> 01:24:52,207
IS RELATED TO THE COMMENTS FROM 

1894
01:24:52,207 --> 01:24:52,941
THE SUBCOMMITTEE ABOUT DRAFT ADD

1895
01:24:52,941 --> 01:24:57,579
VASE TO DEPARTMENTS AND THIS IS 

1896
01:24:57,579 --> 01:25:02,084
DUE TO THE NUTRITION RELATED 

1897
01:25:02,084 --> 01:25:03,285
LEATH CONDIT-- HEALTH CONDITION 

1898
01:25:03,285 --> 01:25:04,987
ONE THING I STRUGGLED WITH AS WE

1899
01:25:04,987 --> 01:25:05,921
WORKED TOGETHER OVER THE LAST 20

1900
01:25:05,921 --> 01:25:10,826
MONTHS IS JUST THE CHALLENGE OF 

1901
01:25:10,826 --> 01:25:12,995
THINKING OF THE DIETARY 

1902
01:25:12,995 --> 01:25:13,595
GUIDELINES TRADITIONALLY AS 

1903
01:25:13,595 --> 01:25:14,730
BEING SOMETHING THAT FOCUSES ON 

1904
01:25:14,730 --> 01:25:16,198
GUIDELINE TO HELP WITH THE 

1905
01:25:16,198 --> 01:25:19,468
PREVENTION OF DISEASE BUT WE'RE 

1906
01:25:19,468 --> 01:25:21,203
AT A PLACE RIGHT NOW IN WHICH A 

1907
01:25:21,203 --> 01:25:24,139
LARGE COMPONENT OF OUR 

1908
01:25:24,139 --> 01:25:25,507
POPULATION IS SUFFERING FROM 

1909
01:25:25,507 --> 01:25:27,242
CHRONIC HEALTH CONDITIONS.

1910
01:25:27,242 --> 01:25:29,912
SO OVER WEIGHT AND OBESITY IS 

1911
01:25:29,912 --> 01:25:31,447
ONE OF THOSE CHRONIC HEALTH 

1912
01:25:31,447 --> 01:25:31,747
CONDITIONS.

1913
01:25:31,747 --> 01:25:38,320
HOW TO CREATE THE BALANCE 

1914
01:25:38,320 --> 01:25:42,324
BETWEEN GUIDANCE GIVEN TO 

1915
01:25:42,324 --> 01:25:46,195
BALANCE WHERE WE CROSS INTO A 

1916
01:25:46,195 --> 01:25:46,895
MEDICAL FOCUS WITH THE 

1917
01:25:46,895 --> 01:25:48,664
GUIDELINES WHILE AT THE SAME 

1918
01:25:48,664 --> 01:25:50,099
TIME IMPROVING THE HEALTH OF THE

1919
01:25:50,099 --> 01:25:51,500
POPULATION.

1920
01:25:51,500 --> 01:25:52,735
I'M NOT SURE THERE WERE 

1921
01:25:52,735 --> 01:25:56,305
BROADER -- I KNOW IT'S A 

1922
01:25:56,305 --> 01:25:57,906
COMPLICATED COMMENT, QUESTION, I

1923
01:25:57,906 --> 01:25:58,640
DON'T KNOW IF THAT WAS THOUGHT 

1924
01:25:58,640 --> 01:26:04,146
ABOUT WHERE TO GO WITH THAT FROM

1925
01:26:04,146 --> 01:26:14,289
THE SUBCOMMITTEE 

1926
01:26:14,289 --> 01:26:16,091
>> HOLLIE, HOLD ON TO THAT
IDEA 

1927
01:26:16,091 --> 01:26:18,961
I THINK IT'S GOING TO COME UP 

1928
01:26:18,961 --> 01:26:21,130
WHEN WE TALK ABOUT INTEGRATION 

1929
01:26:21,130 --> 01:26:23,932
AND YOU TOUCHED ON THE BROADER 

1930
01:26:23,932 --> 01:26:24,900
CROSS-CUTTING THEMES WE'LL BE 

1931
01:26:24,900 --> 01:26:25,801
DISCUSSING TOMORROW.

1932
01:26:25,801 --> 01:26:34,209
I THINK COLLECTIVELY THIS 

1933
01:26:34,209 --> 01:26:44,420
CONVERSA

1934
01:26:46,255 --> 01:26:47,556
CONVERSATION.

1935
01:26:47,556 --> 01:26:48,657
SORRY TO INTERRUPT.

1936
01:26:48,657 --> 01:26:49,291
>> THANK YOU.

1937
01:26:49,291 --> 01:26:50,526
THAT WAS GREAT.

1938
01:26:50,526 --> 01:27:00,602
ED.

1939
01:27:05,674 --> 01:27:11,180
>> ONE THING I'M SURPRISED
AT IS

1940
01:27:11,180 --> 01:27:13,382
LOOKING ACROSS SOCIO DEMOGRAPHIC

1941
01:27:13,382 --> 01:27:18,554
GROUPS, THE PERCENTAGE OF 

1942
01:27:18,554 --> 01:27:23,725
INDIVIDUALS BELOW RECOMMENDED 

1943
01:27:23,725 --> 01:27:26,195
INTAKES ARE RELATIVELY 

1944
01:27:26,195 --> 01:27:26,862
CONSISTENT.

1945
01:27:26,862 --> 01:27:29,798
I WOULD HAVE EXPECTED A LITTLE 

1946
01:27:29,798 --> 01:27:30,532
BIT MORE DIFFERENCE.

1947
01:27:30,532 --> 01:27:32,568
WE THINK COST AND AVAILABILITY 

1948
01:27:32,568 --> 01:27:36,605
ARE A BIG ISSUE AND THEY ARE, 

1949
01:27:36,605 --> 01:27:40,909
OBVIOUSLY, I WOULD HAVE EXPECTED

1950
01:27:40,909 --> 01:27:47,883
MORE DIFFERENCES BY SOCIO 

1951
01:27:47,883 --> 01:27:49,885
DEMOGRAPHIC GROUPS I'M NOT SURE 

1952
01:27:49,885 --> 01:27:53,422
WHAT THAT TELLS US THAT THE 

1953
01:27:53,422 --> 01:27:58,193
UNDERLYING REASONS WHY OUR DIET 

1954
01:27:58,193 --> 01:27:59,027
IS POOR.

1955
01:27:59,027 --> 01:28:00,896
AND ACROSS THERE'S OTHER 

1956
01:28:00,896 --> 01:28:02,631
CULTURAL ISSUES.

1957
01:28:02,631 --> 01:28:04,166
I DON'T KNOW IF YOU HAVE 

1958
01:28:04,166 --> 01:28:06,335
THOUGHTS OR OTHER PEOPLE HAVE 

1959
01:28:06,335 --> 01:28:09,004
THOUGHTS ABOUT THAT.

1960
01:28:09,004 --> 01:28:12,841
I'M SURPRISED BY THE LACK OF 

1961
01:28:12,841 --> 01:28:13,342
MORE ON THIS.

1962
01:28:13,342 --> 01:28:13,709
THANK YOU.

1963
01:28:13,709 --> 01:28:14,376
>> THANK YOU FOR POINTING
THAT 

1964
01:28:14,376 --> 01:28:21,583
OUT.

1965
01:28:21,583 --> 01:28:23,519
SOME THINGS WE'RE SURPRISED OF 

1966
01:28:23,519 --> 01:28:24,720
WHEN WE LOOKED AT THAT DATA FOR 

1967
01:28:24,720 --> 01:28:27,823
ALL THE DIFFERENT WAYS THAT WE 

1968
01:28:27,823 --> 01:28:29,591
BROKE IT DOWN.

1969
01:28:29,591 --> 01:28:31,226
JUST THAT REALLY THERE WERE 

1970
01:28:31,226 --> 01:28:34,096
SOME -- WE DON'T WANT TO 

1971
01:28:34,096 --> 01:28:36,031
UNDERMINE THERE WERE SOME 

1972
01:28:36,031 --> 01:28:39,835
DIFFERENCES BUT JUST KIND OF 

1973
01:28:39,835 --> 01:28:44,873
OVERWHELMINGLY HOW POOR DIETS 

1974
01:28:44,873 --> 01:28:45,340
WERE.

1975
01:28:45,340 --> 01:28:49,244
AND I THINK IT'S GOT TO BE 

1976
01:28:49,244 --> 01:28:54,349
THINGS THAT ARE IMPACTING ALL OF

1977
01:28:54,349 --> 01:28:54,583
US.

1978
01:28:54,583 --> 01:28:57,152
AND CERTAINLY LIKE MANY THINGS 

1979
01:28:57,152 --> 01:29:00,055
IN THE ENVIRONMENT ARE MAKING A 

1980
01:29:00,055 --> 01:29:02,791
DIFFERENCE AND PERHAPS ALL THESE

1981
01:29:02,791 --> 01:29:04,826
TOGETHER AND WE'RE GROUPING 

1982
01:29:04,826 --> 01:29:06,194
PEOPLE IN THESE MASSIVE GROUPS 

1983
01:29:06,194 --> 01:29:07,829
STILL.

1984
01:29:07,829 --> 01:29:12,367
LIKE EVEN WHEN WE BREAK DOWN BY 

1985
01:29:12,367 --> 01:29:13,402
DIFFERENT FACTORS THEY'RE SO 

1986
01:29:13,402 --> 01:29:14,336
BROAD.

1987
01:29:14,336 --> 01:29:17,806
IT CAN BE MORE DIFFICULT TO KIND

1988
01:29:17,806 --> 01:29:19,408
OF SEE WHAT THINGS MIGHT BE 

1989
01:29:19,408 --> 01:29:23,145
MAKING MORE OF AN IMPACT.

1990
01:29:23,145 --> 01:29:26,181
BUT YEAH, I WELCOME OTHERS TO 

1991
01:29:26,181 --> 01:29:27,883
COMMENT TOO OF COURSE.

1992
01:29:27,883 --> 01:29:38,026
ANGELA.

1993
01:29:40,429 --> 01:29:43,899
>> I WAS WONDERING IN THE 

1994
01:29:43,899 --> 01:29:46,902
INTEGRATION OF ADVICE TO THE 

1995
01:29:46,902 --> 01:29:51,006
DEPARTMENTS THE IDEA OF 

1996
01:29:51,006 --> 01:29:52,774
INTERSECTIONALITY AS WELL AS 

1997
01:29:52,774 --> 01:29:57,245
COMBINING RACE AND DISABILITY OR

1998
01:29:57,245 --> 01:30:07,756
LOOKING AT DISAG GREGATION OF 

1999
01:30:09,992 --> 01:30:13,428
DEFINITION OF DRIVERS.

2000
01:30:13,428 --> 01:30:16,298
AND WE SEPARATE RACE, ETHNICITY 

2001
01:30:16,298 --> 01:30:22,204
AND INCOME AS A PROXY FOR 

2002
01:30:22,204 --> 01:30:22,838
DRIVERS.

2003
01:30:22,838 --> 01:30:24,239
CAPTURING THE DRIVERS AND I'VE 

2004
01:30:24,239 --> 01:30:30,345
SEEN A COUPLE PAPERS RECENTLY 

2005
01:30:30,345 --> 01:30:34,182
THAT DISAGGREGATE SUB GROUPS IN 

2006
01:30:34,182 --> 01:30:37,919
THIS IDEA MAYBE HOW PEOPLE HAVE 

2007
01:30:37,919 --> 01:30:40,188
DIFFERENT HISTORIES, DIFFERENT 

2008
01:30:40,188 --> 01:30:45,460
EXPERIENCES AND THE INTERSECTION

2009
01:30:45,460 --> 01:30:46,361
BETWEEN SOCIAL DETERMINATES AND 

2010
01:30:46,361 --> 01:30:50,332
CULTURE AND THINKING HOW THEY 

2011
01:30:50,332 --> 01:30:52,901
INTERSECT.

2012
01:30:52,901 --> 01:30:57,339
>> THANK YOU SO MUCH.

2013
01:30:57,339 --> 01:30:59,107
MAYBE IN THE NEXT MAYBE WE COULD

2014
01:30:59,107 --> 01:31:01,710
DO MORE.

2015
01:31:01,710 --> 01:31:02,778
CHRISTINA.

2016
01:31:02,778 --> 01:31:04,513
>> GOING BACK TO THE
COMMENT.

2017
01:31:04,513 --> 01:31:08,684
YOU DID BRING IT UP WHEN YOU 

2018
01:31:08,684 --> 01:31:09,985
MENTIONED ABOUT THE ENVIRONMENT 

2019
01:31:09,985 --> 01:31:15,157
AND THE BUILT ENVIRONMENT AND I 

2020
01:31:15,157 --> 01:31:19,027
THINK IT WAS SAD THEY COULDN'T 

2021
01:31:19,027 --> 01:31:20,762
DO THAT LOOKING AT THE HOME 

2022
01:31:20,762 --> 01:31:22,197
ENVIRONMENT AT LEAST BUT I THINK

2023
01:31:22,197 --> 01:31:25,133
THE NEXT COMMITTEE AND WE DO 

2024
01:31:25,133 --> 01:31:26,234
RECOMMEND THAT IN YOU'RE 

2025
01:31:26,234 --> 01:31:27,669
RECOMMENDING AS WELL I WANT TO 

2026
01:31:27,669 --> 01:31:29,171
ECHO WE SHOULD BE LOOKING AT THE

2027
01:31:29,171 --> 01:31:30,338
ENVIRONMENT BECAUSE EVERYBODY --

2028
01:31:30,338 --> 01:31:35,644
THAT WILL EXPLAIN SOME OF THE 

2029
01:31:35,644 --> 01:31:38,613
RESULTS THAT THE HEALTHY EATING 

2030
01:31:38,613 --> 01:31:44,653
IS SIMILAR ACROSS SOCIO ECONOMIC

2031
01:31:44,653 --> 01:31:49,891
STATUS AND RAND REALITYING THE 

2032
01:31:49,891 --> 01:31:53,962
HOME AND BUILT ENVIRONMENT AND 

2033
01:31:53,962 --> 01:31:57,032
GROCERY SHOPPING IN THE SCHOOLS 

2034
01:31:57,032 --> 01:31:58,200
AND IN GENERAL I THINK THAT'S 

2035
01:31:58,200 --> 01:32:07,576
KEY.

2036
01:32:07,576 --> 01:32:14,349
>> THANK YOU, CHRISTINA.

2037
01:32:14,349 --> 01:32:15,617
>> WITH HEALTH EQUITY AND
I'M 

2038
01:32:15,617 --> 01:32:17,819
GOING TO PUT YOU ON THE SPOT AND

2039
01:32:17,819 --> 01:32:20,989
ASK YOU TO EXPAND A BIT.

2040
01:32:20,989 --> 01:32:24,392
SAMEERA IN HER PRESENTATION 

2041
01:32:24,392 --> 01:32:26,294
DISCUSSED HOW THE WORKING GROUP 

2042
01:32:26,294 --> 01:32:28,230
AND THE VARIOUS SUBCOMMITTEES 

2043
01:32:28,230 --> 01:32:31,032
WERE CONSTRAINED BY THE DATA 

2044
01:32:31,032 --> 01:32:35,370
THEY HAD AVAILABLE AT HAND.

2045
01:32:35,370 --> 01:32:38,340
AND I WANT TO EMPHASIZE THIS IS 

2046
01:32:38,340 --> 01:32:40,675
A GREATER OPPORTUNITY, HEATHER, 

2047
01:32:40,675 --> 01:32:43,645
IN THE DATA ANALYSIS CHAPTER TO 

2048
01:32:43,645 --> 01:32:46,248
CALL OUT THE QUESTIONS WE 

2049
01:32:46,248 --> 01:32:50,352
COULDN'T ANSWER BECAUSE THE DATA

2050
01:32:50,352 --> 01:32:52,154
SIMPLY WEREN'T THERE.

2051
01:32:52,154 --> 01:32:54,055
SAMEERA, DO YOU WANT TO COMMENT 

2052
01:32:54,055 --> 01:32:55,524
A BIT ON THAT?

2053
01:32:55,524 --> 01:32:57,159
>> I THINK IT IS IN THE
CHAPTER 

2054
01:32:57,159 --> 01:33:00,395
AND I THINK YOU WERE PART OF THE

2055
01:33:00,395 --> 01:33:02,230
PROCESS BUT STARTED WITH A HUGE 

2056
01:33:02,230 --> 01:33:05,400
LIST OF VARIABLES WE WANTED TO 

2057
01:33:05,400 --> 01:33:07,169
LOOK AT.

2058
01:33:07,169 --> 01:33:10,071
LENGTH OF STATE AND DISABILITY 

2059
01:33:10,071 --> 01:33:11,973
STATUS AND A WHOLE LIST WE 

2060
01:33:11,973 --> 01:33:14,042
THOUGHT WAS VERY IMPORTANT AND 

2061
01:33:14,042 --> 01:33:15,477
PROBABLY WOULD HELP EXPLAIN SOME

2062
01:33:15,477 --> 01:33:19,381
OF THE DIFFERENCES BUT 

2063
01:33:19,381 --> 01:33:22,317
UNFORTUNATELY WE WERE 

2064
01:33:22,317 --> 01:33:25,954
CONSTRAINED TO GIVEN ONE, SOME 

2065
01:33:25,954 --> 01:33:29,057
DATA WASN'T THERE AND WE WEREN'T

2066
01:33:29,057 --> 01:33:32,994
ABLE TO HONE IN ON GRANULAR DATA

2067
01:33:32,994 --> 01:33:35,397
AND PROBABLY THE DATA ARE 

2068
01:33:35,397 --> 01:33:36,398
COLLECTED BUT WE COULDN'T ACCESS

2069
01:33:36,398 --> 01:33:37,399
THE DATA.

2070
01:33:37,399 --> 01:33:40,202
THAT'S MORE THAN CONCERN WE 

2071
01:33:40,202 --> 01:33:41,837
REAREAL

2072
01:33:41,837 --> 01:33:45,173
EDIZED  -- REALIZED WE DON'T 

2073
01:33:45,173 --> 01:33:45,507
HAVE ACCESS.

2074
01:33:45,507 --> 01:33:49,177
WE STARTED WITH A LONG LIS AND 

2075
01:33:49,177 --> 01:33:50,846
HAD TO KEEP CUTTING IT DOWN TO 

2076
01:33:50,846 --> 01:33:51,980
ABOUT WHAT WAS FEASIBLE GIVEN 

2077
01:33:51,980 --> 01:33:53,982
THE DATA WE MAD AND THE FACT 

2078
01:33:53,982 --> 01:33:55,984
THAT SOMETIMES WE CANNOT LOOK 

2079
01:33:55,984 --> 01:33:59,621
APT THE SUBGROUP DIFFERENCES.

2080
01:33:59,621 --> 01:34:02,624
ANOTHER CONCERN UP IS THE 

2081
01:34:02,624 --> 01:34:04,226
INTERSECTIONALITY, HEATHER YOU 

2082
01:34:04,226 --> 01:34:06,795
MENTIONED PREVIOUSLY, IT'S NOT 

2083
01:34:06,795 --> 01:34:08,330
JUST ONE WE'RE IN DIFFERENT 

2084
01:34:08,330 --> 01:34:13,535
DOMAINS AND CAN'T CAPTURE THAT 

2085
01:34:13,535 --> 01:34:18,940
EITHER.

2086
01:34:18,940 --> 01:34:20,542
THOSE WERE SOME CONCERNS.

2087
01:34:20,542 --> 01:34:23,845
WE WANTED TO DO THE BEST WE CAN 

2088
01:34:23,845 --> 01:34:26,047
AND WE DID WITH THE DATA WE HAD 

2089
01:34:26,047 --> 01:34:26,648
BUT SOME OF THE DATA WERE NOT 

2090
01:34:26,648 --> 01:34:36,758
THERE.

2091
01:34:42,063 --> 01:34:46,301
>> NEW.

2092
01:34:46,301 --> 01:34:49,337
 >> THANK YOU.

2093
01:34:49,337 --> 01:34:52,207
WE LOOK AT THE DATA AND WERE 

2094
01:34:52,207 --> 01:34:53,241
MORE ASPIRATIONAL.

2095
01:34:53,241 --> 01:34:55,277
>> THE PLIGHT OF ALL 

2096
01:34:55,277 --> 01:35:00,815
RESEARCHERS, RIGHT, HEATHER?

2097
01:35:00,815 --> 01:35:01,950
ANYMORE QUESTIONS FOR HEATHER ON

2098
01:35:01,950 --> 01:35:07,055
THIS CHAPTER ON DATA ANALYSIS?

2099
01:35:07,055 --> 01:35:07,289
CHERYL.

2100
01:35:07,289 --> 01:35:10,859
>> NOT SO MUCH A QUESTION
AS A 

2101
01:35:10,859 --> 01:35:11,359
COMMENT.

2102
01:35:11,359 --> 01:35:12,661
IN THAT THIS DISCUSSION IS 

2103
01:35:12,661 --> 01:35:14,062
REALLY RAISING I THINK THE 

2104
01:35:14,062 --> 01:35:14,863
OPPORTUNITY FOR US TO NOT ONLY 

2105
01:35:14,863 --> 01:35:16,197
THINK ABOUT WHAT WE DON'T HAVE 

2106
01:35:16,197 --> 01:35:19,100
AND WHERE WE WEREN'T ABLE TO DO 

2107
01:35:19,100 --> 01:35:20,802
ANALYSES BUT WHAT WE CAN SEE AND

2108
01:35:20,802 --> 01:35:22,370
HAVE BEEN SEEING IN THE TREND 

2109
01:35:22,370 --> 01:35:26,241
DATA AROUND THE HEALTHY EATING 

2110
01:35:26,241 --> 01:35:28,076
INDEX FOR A LONG TIME.

2111
01:35:28,076 --> 01:35:30,478
LET'S NOT LOSE SIGHT OF THE FACT

2112
01:35:30,478 --> 01:35:31,646
THAT IT IS VERY CLEAR IF WE 

2113
01:35:31,646 --> 01:35:36,151
CONTINUE TO ASSIGN THE CHOICE OF

2114
01:35:36,151 --> 01:35:37,652
GETTING THESE HEALTHY DIETARY 

2115
01:35:37,652 --> 01:35:40,221
PATTERNS TO BE CONSUMED OR 

2116
01:35:40,221 --> 01:35:44,259
LOOKING AT MICRONUTRIENT AND 

2117
01:35:44,259 --> 01:35:46,428
MACRO NUTRIENT INTAKE AND IF WE 

2118
01:35:46,428 --> 01:35:47,696
CONTINUE TO FOCUS THERE WE'LL 

2119
01:35:47,696 --> 01:35:49,264
CONTINUE TO SEE THE RESULTS WE 

2120
01:35:49,264 --> 01:35:49,464
HAVE.

2121
01:35:49,464 --> 01:35:52,233
WE HAVE A LONG STANDING AMOUNT 

2122
01:35:52,233 --> 01:35:54,336
OF DATA COLLECTION AND ANALYSIS 

2123
01:35:54,336 --> 01:35:56,438
PROCESS THAT IS POINTING US AWAY

2124
01:35:56,438 --> 01:35:58,139
FROM THAT APPROACH.

2125
01:35:58,139 --> 01:36:01,009
SO THIS IDEA THAT WE ARE GOING 

2126
01:36:01,009 --> 01:36:03,445
TO MEET PEOPLE WHERE THEY ARE 

2127
01:36:03,445 --> 01:36:05,113
AND LOOK AT THE ENVIRONMENTS IN 

2128
01:36:05,113 --> 01:36:09,751
WHICH THEY'RE FUNCTIONING AND 

2129
01:36:09,751 --> 01:36:11,686
HOW THEY CONTRIBUTE TO THE ROLE 

2130
01:36:11,686 --> 01:36:12,754
OUT AND IMPLEMENTATION AND 

2131
01:36:12,754 --> 01:36:14,189
PEOPLE'S ABILITY TO MEET 

2132
01:36:14,189 --> 01:36:14,556
RECOMMENDATIONS.

2133
01:36:14,556 --> 01:36:18,727
I THINK WE WANT TO CONTINUE TO 

2134
01:36:18,727 --> 01:36:21,162
AMPLIFY AND NOT STAGGER BECAUSE 

2135
01:36:21,162 --> 01:36:26,334
OF THE VARIOUS THINGS WE CAN'T 

2136
01:36:26,334 --> 01:36:29,037
YET ELUCIDATE.

2137
01:36:29,037 --> 01:36:31,606
>> THANKS, CHERYL.

2138
01:36:31,606 --> 01:36:32,574
ANGELA.

2139
01:36:32,574 --> 01:36:34,309
>> I AGREE WITH CHERYL.

2140
01:36:34,309 --> 01:36:38,346
IT MADE ME THINK LOOKING AT THE 

2141
01:36:38,346 --> 01:36:42,350
SYSTEM SCIENCE REPORT THAT 

2142
01:36:42,350 --> 01:36:44,586
HHS -- I KNOW WE USED SOME 

2143
01:36:44,586 --> 01:36:47,422
SYSTEM SCIENCE BUT THINKING 

2144
01:36:47,422 --> 01:36:49,691
ABOUT THE INCREASED 

2145
01:36:49,691 --> 01:36:50,325
METHODOLOGIES AVAILABLE EVEN 

2146
01:36:50,325 --> 01:36:57,632
WITHIN THE DIETARY GUIDELINES 

2147
01:36:57,632 --> 01:36:58,900
COMMITTEE AND ONE OF THE 

2148
01:36:58,900 --> 01:37:02,437
RECOMMENDATIONS THAT COULD BE 

2149
01:37:02,437 --> 01:37:04,239
PARTICULARLY IMPORTANT IN 

2150
01:37:04,239 --> 01:37:10,078
THINKING ABOUT THE 

2151
01:37:10,078 --> 01:37:14,416
INTERSECTIONALITY AND 

2152
01:37:14,416 --> 01:37:16,217
INTERSECTIONALITY OF SCIENCE AND

2153
01:37:16,217 --> 01:37:18,353
OTHER TYPES OF DATA LIKE EVEN 

2154
01:37:18,353 --> 01:37:18,953
QUALITATIVE DATA.

2155
01:37:18,953 --> 01:37:21,222
WE MENTIONED THE LAST THAT COULD

2156
01:37:21,222 --> 01:37:26,294
BE INCORPORATED IN A WAY WHERE 

2157
01:37:26,294 --> 01:37:34,169
WE CAN LOOK SYNERGISTICALLY 

2158
01:37:34,169 --> 01:37:36,204
LOOKING AT WAYS TO APPLY THE 

2159
01:37:36,204 --> 01:37:40,909
APPROACHES AND QUALITATIVE, 

2160
01:37:40,909 --> 01:37:45,146
WHICH I THINK IS CRITICALLY 

2161
01:37:45,146 --> 01:37:46,214
IMPORTANT AND THE ADVANCED 

2162
01:37:46,214 --> 01:37:52,020
METHODS IN THAT SPACE AS WELL.

2163
01:37:52,020 --> 01:37:56,424
>> I THINK THE OTHER THING
TO 

2164
01:37:56,424 --> 01:37:59,260
NOT LOSE IN THIS BROADER PROCESS

2165
01:37:59,260 --> 01:38:00,562
WE'RE SEEING THE GENERALLY POOR 

2166
01:38:00,562 --> 01:38:02,464
INTAKES ACROSS THE BOARD.

2167
01:38:02,464 --> 01:38:06,034
BUT AT THE SAME TIME, WE'RE 

2168
01:38:06,034 --> 01:38:09,437
SEEING THE DATA OF POOR HEALTH 

2169
01:38:09,437 --> 01:38:12,740
OUTCOMES, HIGHER RATES OF 

2170
01:38:12,740 --> 01:38:14,909
CHRONIC DISEASE AND THESE ARE --

2171
01:38:14,909 --> 01:38:17,946
CAN'T BE DISENTANGLES AND 

2172
01:38:17,946 --> 01:38:20,815
IDENTIFYING THE PATTERNS ARE 

2173
01:38:20,815 --> 01:38:23,284
HAPPENING AND PERVASIVE AND 

2174
01:38:23,284 --> 01:38:24,586
SEEING CHRONIC DISEASES 

2175
01:38:24,586 --> 01:38:25,854
PERVASIVE ACROSS THE POPULATION 

2176
01:38:25,854 --> 01:38:29,023
AND THEY'RE HAPPENING TOGETHER 

2177
01:38:29,023 --> 01:38:31,025
BUT WE HAVE TO CONSIDER PUTTING 

2178
01:38:31,025 --> 01:38:31,659
THE EFFORTS TOGETHER.

2179
01:38:31,659 --> 01:38:33,862
IF WE'RE GOING TO DO DISEASE 

2180
01:38:33,862 --> 01:38:35,830
PREVENTION AND MANAGEMENT, IT'S 

2181
01:38:35,830 --> 01:38:39,434
GOING TO HAVE TO INCLUDE 

2182
01:38:39,434 --> 01:38:42,270
NUTRITION AND IMPROVE DIET AND 

2183
01:38:42,270 --> 01:38:43,738
ACCESS AFFORDABILITY AND 

2184
01:38:43,738 --> 01:38:44,205
ETCETERA.

2185
01:38:44,205 --> 01:38:49,277
AND SEEING A LOT OF THESE 

2186
01:38:49,277 --> 01:38:51,045
EFFORTS EMERGING BUT WE'RE NOT 

2187
01:38:51,045 --> 01:38:52,147
GOING TO SOLVE CHRONIC DISEASE 

2188
01:38:52,147 --> 01:38:53,515
WITHOUT THE DIETARY COMPONENT.

2189
01:38:53,515 --> 01:38:54,349
OFTEN TIMES THE DIETARY 

2190
01:38:54,349 --> 01:39:02,157
COMPONENT IS LEFT OUT OF THESE 

2191
01:39:02,157 --> 01:39:04,225
IN MANY APPROACHES.

2192
01:39:04,225 --> 01:39:06,861
THE DATA STRENGTHENS THE LINKAGE

2193
01:39:06,861 --> 01:39:08,096
BETWEEN THE LIFESTYLE FACTORS 

2194
01:39:08,096 --> 01:39:13,201
THAT CONTRIBUTE TO HEALTH 

2195
01:39:13,201 --> 01:39:16,104
OUTCOMES AND SEEING HAPPEN AND 

2196
01:39:16,104 --> 01:39:18,339
FROM OUR ADVICE AND OUR APPROACH

2197
01:39:18,339 --> 01:39:22,210
AND POLICIES, NEED TO FACTOR 

2198
01:39:22,210 --> 01:39:24,712
THIS IN AS A FRONT LINE PORTION 

2199
01:39:24,712 --> 01:39:27,015
OF OUR APPROACHES OPPOSED TO A 

2200
01:39:27,015 --> 01:39:33,488
SECONDARY FACTOR.

2201
01:39:33,488 --> 01:39:35,823
>> YES, GREAT POINT.

2202
01:39:35,823 --> 01:39:37,725
THANK YOU, EVERYBODY.

2203
01:39:37,725 --> 01:39:43,164
AND ANY OTHER COMMENTS OR 

2204
01:39:43,164 --> 01:39:46,201
QUESTIONS?

2205
01:39:46,201 --> 01:39:47,802
OKAY.

2206
01:39:47,802 --> 01:39:50,338
WELL, AGAIN, THANK YOU HEATHER 

2207
01:39:50,338 --> 01:39:58,213
AND YOUR TEAM AND THE STAFF, 

2208
01:39:58,213 --> 01:39:58,947
FANTASTIC.

2209
01:39:58,947 --> 01:40:01,316
SO, WE'RE YES, THANK YOU.

2210
01:40:01,316 --> 01:40:02,917
WE'RE GOING TO TAKE A BREAK 

2211
01:40:02,917 --> 01:40:03,218
HERE.

2212
01:40:03,218 --> 01:40:06,087
I THINK THIS IS A REALLY GOOD 

2213
01:40:06,087 --> 01:40:08,256
PLACE TO TAKE A BREAK AND WE'RE 

2214
01:40:08,256 --> 01:40:14,329
GOING TO COME BACK TO OUR 

2215
01:40:14,329 --> 01:40:16,931
COMPUTERS AFTER 1:15 EASTERN 

2216
01:40:16,931 --> 01:40:19,701
STANDARD TIME AND I HOPE THE 

2217
01:40:19,701 --> 01:40:21,469
COMMITTEE HAS TIME TO REALLY 

2218
01:40:21,469 --> 01:40:22,303
NEWTAL ON WHAT WE'VE DISCUSSED 

2219
01:40:22,303 --> 01:40:26,341
AND THEN WE'LL COME BACK AND 

2220
01:40:26,341 --> 01:40:29,310
WE'LL HAVE A GREAT DISCUSSION ON

2221
01:40:29,310 --> 01:40:30,211
DIETARY PATTERNS.

2222
01:40:30,211 --> 01:40:34,015
SO WE LOOK FORWARD TO SEEING OUR

2223
01:40:34,015 --> 01:40:35,650
AUDIENCE BACK HERE AT 1:15.

2224
01:40:35,650 --> 01:40:39,488
THANK YOU.

2225
01:40:39,488 --> 01:40:40,823
THANK YOU.

2226
01:40:40,823 --> 01:40:42,158
EVERYONE, WELCOME BACK TO THE 

2227
01:40:42,158 --> 01:40:43,159
COMMITTEE AND STAFF AND WELCOME 

2228
01:40:43,159 --> 01:40:45,361
BACK TO OUR AUDIENCE.

2229
01:40:45,361 --> 01:40:48,697
OUR NEXT SPEAKER IS GOING TO BE 

2230
01:40:48,697 --> 01:40:50,900
RECORDING OR TWO SPEAKERS, MY 

2231
01:40:50,900 --> 01:40:53,903
APOLOGIES WILL BE REPORTING OUT 

2232
01:40:53,903 --> 01:40:55,905
ON THE FIRST PART OF PART D 

2233
01:40:55,905 --> 01:41:00,543
CHAPTER 2 ON DIETARY PATTERNS.

2234
01:41:00,543 --> 01:41:03,279
WITHOUT FURTHER ADO I'LL ASK 

2235
01:41:03,279 --> 01:41:05,648
DEANNA AND ED TO TAKE OVER AND 

2236
01:41:05,648 --> 01:41:06,649
ASK THE COMMITTEE TO TURN OFF 

2237
01:41:06,649 --> 01:41:07,249
THEIR CAMERAS DURING THE 

2238
01:41:07,249 --> 01:41:07,583
PRESENTATION.

2239
01:41:07,583 --> 01:41:13,489
THANK YOU.

2240
01:41:13,489 --> 01:41:18,160
>> THANKS, SARAH AND GOOD 

2241
01:41:18,160 --> 01:41:18,761
AFTERN

2242
01:41:18,761 --> 01:41:19,028
AFTERNOON.

2243
01:41:19,028 --> 01:41:20,563
FIRST I'D LIKE TO THANK THE WORK

2244
01:41:20,563 --> 01:41:22,331
GROUP MEMBERS AND STAFF WHO 

2245
01:41:22,331 --> 01:41:23,065
HELPED PULL THIS TOGETHER AND 

2246
01:41:23,065 --> 01:41:24,934
THIS IS THE FIRST OF THREE 

2247
01:41:24,934 --> 01:41:26,569
PRESENTATIONS FOR OUR WORK 

2248
01:41:26,569 --> 01:41:26,769
GROUP.

2249
01:41:26,769 --> 01:41:30,706
YOU'LL SEE THE OTHER TWO ON 

2250
01:41:30,706 --> 01:41:32,408
BEVERAGES AND SOURCES OF 

2251
01:41:32,408 --> 01:41:34,343
SATURATED FAT TOMORROW.

2252
01:41:34,343 --> 01:41:40,382
I'M HAPPY TO BE PRESENTING WITH 

2253
01:41:40,382 --> 01:41:50,659
ED GIOVANNUCCI.

2254
01:41:51,494 --> 01:41:54,296
WE LOOK AT PERCENT OF CALORIES 

2255
01:41:54,296 --> 01:41:56,398
FROM CARBOHYDRATE OR PROTEIN.

2256
01:41:56,398 --> 01:41:59,401
THE SO THE NUTRIENT PROFILE OR 

2257
01:41:59,401 --> 01:42:02,338
ANY GIVEN DIETARY PATTERN CAN 

2258
01:42:02,338 --> 01:42:04,173
VARY SIGNIFICANTLY.

2259
01:42:04,173 --> 01:42:06,876
DIETARY ARE FOOD PATTERNS 

2260
01:42:06,876 --> 01:42:12,114
REFLECT CULTURAL AND NORMS AND 

2261
01:42:12,114 --> 01:42:14,950
PREFERENCES AND THERE'S FOOD 

2262
01:42:14,950 --> 01:42:18,320
AVAILABILITY AS OUR DISCUSSION 

2263
01:42:18,320 --> 01:42:21,190
PRIOR TO THE BREAK, COOKING 

2264
01:42:21,190 --> 01:42:23,659
METHODS AND FOOD PROCESSING 

2265
01:42:23,659 --> 01:42:24,894
TECHNIQUE AND CLIMATE AND 

2266
01:42:24,894 --> 01:42:26,829
AGRICULTURAL PRODUCTION AND 

2267
01:42:26,829 --> 01:42:28,764
SOCIO ECONOMIC FACTORS, 

2268
01:42:28,764 --> 01:42:31,433
ADVERTISING AND MARKETING AND 

2269
01:42:31,433 --> 01:42:32,334
RELIGIOUS BELIEFS.

2270
01:42:32,334 --> 01:42:35,004
SO YOU CAN SEE IN TERMS OF 

2271
01:42:35,004 --> 01:42:36,305
LOOKING ACROSS FOOD PATTERNS, 

2272
01:42:36,305 --> 01:42:40,075
THERE REALLY IS A VARIETY.

2273
01:42:40,075 --> 01:42:41,310
RESEARCH THAT EVALUATES EXPOSURE

2274
01:42:41,310 --> 01:42:44,413
TO THE CONSUMPTION OF ANY 

2275
01:42:44,413 --> 01:42:50,185
DIETARY PATTERN CAN CAPTURE 

2276
01:42:50,185 --> 01:42:54,323
INDIVIDUALS' COLINIAR BEHAVIOR 

2277
01:42:54,323 --> 01:42:59,328
AND ADDITIVE, SYNERGISTIC 

2278
01:42:59,328 --> 01:43:02,398
EFFECTS IN THE OVER ALL DIET 

2279
01:43:02,398 --> 01:43:02,698
MATRIX.

2280
01:43:02,698 --> 01:43:05,768
BECAUSE PEOPLE CONSUME FOODS 

2281
01:43:05,768 --> 01:43:06,468
RATHER 

2282
01:43:06,468 --> 01:43:11,140
RATHER THAN NUTRIENTS LOOKING AT

2283
01:43:11,140 --> 01:43:13,409
HABITUAL DIET CAN BE TRANSLATED 

2284
01:43:13,409 --> 01:43:15,477
TO PRACTICAL GUIDANCE REGULARLY 

2285
01:43:15,477 --> 01:43:20,616
INCORPORATED TO DAILY LIFE.

2286
01:43:20,616 --> 01:43:26,455
WHAT WE EAT EVERY DAY THE 

2287
01:43:26,455 --> 01:43:28,991
PATTERNS INFLUENCE THE HEALTH 

2288
01:43:28,991 --> 01:43:29,258
OUTCOMES.

2289
01:43:29,258 --> 01:43:31,327
SO MUST OF THE SYSTEMATIC 

2290
01:43:31,327 --> 01:43:32,861
REVIEWS QUESTIONS ON DIETARY 

2291
01:43:32,861 --> 01:43:35,164
PATTERNS AND HEALTH OUTCOMES FOR

2292
01:43:35,164 --> 01:43:38,334
THIS SCIENTIFIC REPORT WERE 

2293
01:43:38,334 --> 01:43:40,469
REVIEWED BY PREVIOUS COMMITTEES.

2294
01:43:40,469 --> 01:43:43,038
THERE WAS ONE NEW SYSTEMATIC 

2295
01:43:43,038 --> 01:43:44,373
REVIEW OF DIETARY PATTERNS.

2296
01:43:44,373 --> 01:43:45,874
THAT'S THE SECOND ONE YOU'LL SEE

2297
01:43:45,874 --> 01:43:46,742
ON IS THE SCREEN.

2298
01:43:46,742 --> 01:43:49,478
WE EXAMINED DIETARY PATTERNS 

2299
01:43:49,478 --> 01:43:53,482
WITH VARIATION AMOUNTS OF ULTRA 

2300
01:43:53,482 --> 01:43:54,650
PROCESSED FOODS AND GROWTH 

2301
01:43:54,650 --> 01:43:58,253
ADIPOSITY AND RISK OF OBESITY 

2302
01:43:58,253 --> 01:43:59,421
ACROSS THE LIFE SPAN.

2303
01:43:59,421 --> 01:44:00,756
WE INCLUDE THE FOLLOWING LIFE 

2304
01:44:00,756 --> 01:44:02,124
STAGES FOR THIS QUESTION.

2305
01:44:02,124 --> 01:44:06,729
INFANTS AND YOUNG CHILDREN UP TO

2306
01:44:06,729 --> 01:44:08,731
24 MONTHS, CHILDREN AND 

2307
01:44:08,731 --> 01:44:10,633
ADOLESCENTS AND ADULTS AND OLDER

2308
01:44:10,633 --> 01:44:12,067
ADULTS AND INDIVIDUALS DURING 

2309
01:44:12,067 --> 01:44:17,072
PREGNANCY AND POSTPARTUM.

2310
01:44:17,072 --> 01:44:19,808
WE APPLIED A HEALTH EQUITY LENS 

2311
01:44:19,808 --> 01:44:22,077
TO ALL OF OUR SYSTEMATIC 

2312
01:44:22,077 --> 01:44:22,344
REVIEWS.

2313
01:44:22,344 --> 01:44:25,280
BUT WHEN WE WERE ABLE TO 

2314
01:44:25,280 --> 01:44:26,215
IDENTIFY AN OPPORTUNITY TO 

2315
01:44:26,215 --> 01:44:28,651
CONSIDER HEALTH EQUITY TO AN 

2316
01:44:28,651 --> 01:44:30,352
EVEN GREATER EXTENT IN OUR 

2317
01:44:30,352 --> 01:44:31,787
REVIEW ON DIETARY PATTERNS 

2318
01:44:31,787 --> 01:44:34,223
CONSUMED BY ADULTS AND OLDER 

2319
01:44:34,223 --> 01:44:35,858
ADULTS AND RISK OF 

2320
01:44:35,858 --> 01:44:37,860
CARDIOVASCULAR DISEASE.

2321
01:44:37,860 --> 01:44:40,596
SO YOU SAW THAT IN SAMEERA'S 

2322
01:44:40,596 --> 01:44:40,929
PRESENTATION.

2323
01:44:40,929 --> 01:44:42,698
THERE WERE MANY ADVANCES TO 

2324
01:44:42,698 --> 01:44:45,534
USING THE DIETARY PATTERNS AND 

2325
01:44:45,534 --> 01:44:46,969
CARDIOVASCULAR DISEASE OUTCOME 

2326
01:44:46,969 --> 01:44:48,137
FOR THIS PURPOSE.

2327
01:44:48,137 --> 01:44:49,571
THEY INCLUDE THE WELL 

2328
01:44:49,571 --> 01:44:52,107
ESTABLISHED AND ROBUST BODY OF 

2329
01:44:52,107 --> 01:44:53,575
LITERATURE ON THIS TOPIC.

2330
01:44:53,575 --> 01:44:55,978
THE EXISTING STRONG CONCLUSIONS 

2331
01:44:55,978 --> 01:44:57,713
FOR THE RELATIONSHIP AND THE 

2332
01:44:57,713 --> 01:45:00,749
NUMBER OF STUDIES THAT INCLUDED 

2333
01:45:00,749 --> 01:45:01,450
CARDIOVASCULAR DISEASE OUTCOMES 

2334
01:45:01,450 --> 01:45:05,320
FOR DIVERSE POPULATIONS.

2335
01:45:05,320 --> 01:45:08,390
WHEN POSSIBLE, WE FORMULATED 

2336
01:45:08,390 --> 01:45:09,692
CONCLUSION STATEMENTS SEPARATELY

2337
01:45:09,692 --> 01:45:11,160
FOR DIFFERENT LIFE STAGES.

2338
01:45:11,160 --> 01:45:14,363
SO YOU'LL SEE THAT IN THE NEXT 

2339
01:45:14,363 --> 01:45:17,332
FEW SLIDES.

2340
01:45:17,332 --> 01:45:20,669
SO HERE'S A LIST OF OUR 

2341
01:45:20,669 --> 01:45:21,170
QUESTIONS.

2342
01:45:21,170 --> 01:45:23,639
WE HAD MORE CONCLUSION 

2343
01:45:23,639 --> 01:45:25,741
STATEMENTS THAN THESE QUESTIONS 

2344
01:45:25,741 --> 01:45:27,476
BECAUSE SEVERAL OF THESE HAD 

2345
01:45:27,476 --> 01:45:28,343
DIFFERENT LIFE STAGES.

2346
01:45:28,343 --> 01:45:34,049
SO YOU CAN SEE THE FIRST SIX 

2347
01:45:34,049 --> 01:45:36,552
SYSTEMATIC REVIEWS ON DIETARY 

2348
01:45:36,552 --> 01:45:38,087
PATTERNS LOOKED ACROSS CHRONIC 

2349
01:45:38,087 --> 01:45:40,823
DISEASES AND COGNITIVE DECLINE.

2350
01:45:40,823 --> 01:45:43,759
THESE WERE ASSESSED IN LIFE 

2351
01:45:43,759 --> 01:45:44,727
STAGE ACROSS THE LIFE STAGES 

2352
01:45:44,727 --> 01:45:47,863
WHEREVER POSSIBLE.

2353
01:45:47,863 --> 01:45:50,866
THE NEXT GROUP OF SCIENTIFIC 

2354
01:45:50,866 --> 01:45:53,268
QUESTIONS, CONCERNS, DIETARY 

2355
01:45:53,268 --> 01:45:55,771
PATTERNS DURING PREGNANCY AND 

2356
01:45:55,771 --> 01:45:58,173
MATERNAL AND CHILD OUTCOMES.

2357
01:45:58,173 --> 01:45:58,841
THESE ARE SPECIFIC TO THAT STAGE

2358
01:45:58,841 --> 01:46:03,712
OF LIFE.

2359
01:46:03,712 --> 01:46:06,348
THE LAST GROUP WAS THE 

2360
01:46:06,348 --> 01:46:09,651
SYSTEMATIC REVIEW ON PATTERNS 

2361
01:46:09,651 --> 01:46:12,654
WITH VARYING AMOUNTS OF ULTRA 

2362
01:46:12,654 --> 01:46:13,822
PROCESSED FOOD I DESCRIBED 

2363
01:46:13,822 --> 01:46:14,356
PREVIOUSLY.

2364
01:46:14,356 --> 01:46:16,258
SO I WILL PRESENT THESE TODAY.

2365
01:46:16,258 --> 01:46:22,264
WE GROUP THEM IN TERMS OF OUR 

2366
01:46:22,264 --> 01:46:23,398
INTEGRATION BY THE DIRECTION OF 

2367
01:46:23,398 --> 01:46:24,733
ASSOCIATION BETWEEN THE DIETARY 

2368
01:46:24,733 --> 01:46:26,401
PATTERNS AND HEALTH OUTCOME.

2369
01:46:26,401 --> 01:46:28,971
SO WE HAD FOUR DIFFERENT 

2370
01:46:28,971 --> 01:46:32,074
CATEGORIES SO THE FIRST ONE I'LL

2371
01:46:32,074 --> 01:46:34,176
DESCRIBE ARE DIETARY PATTERNS 

2372
01:46:34,176 --> 01:46:35,177
ASSOCIATED WITH BENEFICIAL 

2373
01:46:35,177 --> 01:46:35,944
HEALTH OUTCOMES.

2374
01:46:35,944 --> 01:46:38,213
THESE WERE WHERE THE DIETARY 

2375
01:46:38,213 --> 01:46:40,849
PATTERNS WERE ASSOCIATED WITH 

2376
01:46:40,849 --> 01:46:42,384
IMPROVED HEALTH.

2377
01:46:42,384 --> 01:46:46,188
THE SECOND GROUP IS UNFAVORABLE 

2378
01:46:46,188 --> 01:46:47,723
ASSOCIATIONS BETWEEN DIETARY 

2379
01:46:47,723 --> 01:46:49,258
PATTERNS AND HEALTH OUTCOMES.

2380
01:46:49,258 --> 01:46:52,227
THOSE WERE DIETARY PATTERNS 

2381
01:46:52,227 --> 01:46:55,364
ASSOCIATED WITH  LOWER HEALTH 

2382
01:46:55,364 --> 01:46:55,631
OUTCOMES.

2383
01:46:55,631 --> 01:46:59,902
THERE WAS ONE CONCLUSION 

2384
01:46:59,902 --> 01:47:00,602
STATEMENT THAT WE FOUND NO 

2385
01:47:00,602 --> 01:47:03,071
ASSOCIATION BETWEEN DIETARY 

2386
01:47:03,071 --> 01:47:05,140
PATTERNS AND HEALTH OUTCOMES.

2387
01:47:05,140 --> 01:47:08,010
AND THEN WE HAD SEVERAL DIETARY 

2388
01:47:08,010 --> 01:47:09,077
PATTERN HEALTH OUTCOME 

2389
01:47:09,077 --> 01:47:10,712
RELATIONSHIPS FOR WHICH A 

2390
01:47:10,712 --> 01:47:12,648
CONCLUSION STATEMENT COULD NOT 

2391
01:47:12,648 --> 01:47:13,248
BE DRAWN.

2392
01:47:13,248 --> 01:47:16,084
AND THAT WILL BE THE LAST SLIDE 

2393
01:47:16,084 --> 01:47:17,052
IN MY SERIES.

2394
01:47:17,052 --> 01:47:19,521
SO, LOOKING AT THESE THE FIRST 

2395
01:47:19,521 --> 01:47:20,923
GROUP ARE DIETARY PATTERNS 

2396
01:47:20,923 --> 01:47:23,959
CONSUMED BY ADULTS AND OLDER 

2397
01:47:23,959 --> 01:47:25,761
ADULTS.

2398
01:47:25,761 --> 01:47:27,563
SO, AS YOU CAN SEE THESE WERE 

2399
01:47:27,563 --> 01:47:32,768
DIETARY PATTERNS ACROSS THE 

2400
01:47:32,768 --> 01:47:35,871
BOARD HERE THAT INCLUDED HIGHER 

2401
01:47:35,871 --> 01:47:37,840
AMOUNTS OF FRUITS, VEGETABLES, 

2402
01:47:37,840 --> 01:47:41,877
WHOLE GRAINS, BEANS, PEAS, 

2403
01:47:41,877 --> 01:47:44,413
LENTILS AND FISH AMONG OTHER 

2404
01:47:44,413 --> 01:47:45,113
DIETARY CONSTITUENTS YOU'LL HEAR

2405
01:47:45,113 --> 01:47:46,281
ABOUT LATER.

2406
01:47:46,281 --> 01:47:50,152
SO WE HAD SIX OF THESE IN TERMS 

2407
01:47:50,152 --> 01:47:51,620
OF DIETARY PATTERNS CONSUMED BY 

2408
01:47:51,620 --> 01:47:53,655
ADULTS AND OLDER ADULTS.

2409
01:47:53,655 --> 01:47:56,024
THE ASSOCIATION BETWEEN DIETARY 

2410
01:47:56,024 --> 01:47:57,693
PATTERNS CONSUMED BY ADULTS AND 

2411
01:47:57,693 --> 01:48:00,863
OLDER ADULTS IN CARDIOVASCULAR 

2412
01:48:00,863 --> 01:48:02,664
DISEASE AND LOWER RISK OF TYPE 

2413
01:48:02,664 --> 01:48:07,369
II DIABETES WERE BOTH GRADED AS 

2414
01:48:07,369 --> 01:48:07,703
STRONG.

2415
01:48:07,703 --> 01:48:09,638
SO WE HAD ROBUST RESEARCH FOR 

2416
01:48:09,638 --> 01:48:13,375
THOSE.

2417
01:48:13,375 --> 01:48:18,180
THE NEXT FOUR WERE ALL GRADED 

2418
01:48:18,180 --> 01:48:28,957
WITH LOWER OWE BREAST CANCER AND

2419
01:48:29,725 --> 01:48:31,660
LOWER RISK OF BREAST CANCER.

2420
01:48:31,660 --> 01:48:33,762
THE NEXT IS IN SCHIRN AND ADD 

2421
01:48:33,762 --> 01:48:34,596
LESS EN AND WE HAD TWO 

2422
01:48:34,596 --> 01:48:38,033
CONCLUSION STATEMENTS FOR THEM.

2423
01:48:38,033 --> 01:48:41,503
SO DIETARY PATTERNS CONSUMED BY 

2424
01:48:41,503 --> 01:48:48,877
CHILDREN AND ADOLESCENTS WERE 

2425
01:48:48,877 --> 01:48:54,149
ASSOCIATED LOWER SYSTOLIC AND 

2426
01:48:54,149 --> 01:48:57,719
TRIGLYCERIDES LATER IN LIFE AND 

2427
01:48:57,719 --> 01:48:59,454
DIETARY PATTERNS CONSUMED BY 

2428
01:48:59,454 --> 01:49:01,623
CHILDREN AND ADOLESCENTS WERE 

2429
01:49:01,623 --> 01:49:04,393
ASSOCIATED WITH FAVORABLE GROWTH

2430
01:49:04,393 --> 01:49:12,000
PATTERNS AND ADIPOSITY AND THE 

2431
01:49:12,000 --> 01:49:15,370
GRADING FOR THESE RANGED FROM 

2432
01:49:15,370 --> 01:49:16,371
LIMITED TO MODERATE.

2433
01:49:16,371 --> 01:49:18,774
THE LAST GROUP OF DIETARY 

2434
01:49:18,774 --> 01:49:22,044
PATTERNS AND HEALTH OUTCOMES ARE

2435
01:49:22,044 --> 01:49:24,947
DIETARY PATTERNS CONSUMED DURING

2436
01:49:24,947 --> 01:49:32,854
PREGNANCY AND LOWER RISK OF 

2437
01:49:32,854 --> 01:49:38,327
EXCESSIVE WEIGHT GAIN AND LOWER 

2438
01:49:38,327 --> 01:49:48,837
RISK OF DIABETES MELLITUS AND 

2439
01:49:52,908 --> 01:49:55,177
THE RISK IS LOWER FOR ADULTS AND

2440
01:49:55,177 --> 01:49:58,880
THERE'S A LACK OF EVIDENCE 

2441
01:49:58,880 --> 01:49:59,748
PARTICULARLY IN CHILDREN, 

2442
01:49:59,748 --> 01:50:01,583
ADOLESCENTS AND PREGNANT 

2443
01:50:01,583 --> 01:50:03,719
INDIVIDUALS AS I'VE MENTIONED, 

2444
01:50:03,719 --> 01:50:06,321
INFANTS AND YOUNG CHILDREN UP TO

2445
01:50:06,321 --> 01:50:10,625
24 MONTHS OF AGE BUT ALSO 

2446
01:50:10,625 --> 01:50:12,494
POSTPARTUM INDIVIDUALS AND THEN 

2447
01:50:12,494 --> 01:50:16,798
OLDER ADULTS WERE NOT SEPARATED 

2448
01:50:16,798 --> 01:50:18,300
OUT WHEN WE LOOKED AT DIETARY 

2449
01:50:18,300 --> 01:50:19,801
PATTERNS CONSUMED BY ADULTS AND 

2450
01:50:19,801 --> 01:50:21,937
OLDER ADULTS THEY WERE INCLUDED.

2451
01:50:21,937 --> 01:50:23,972
WE DIDN'T LOOK AT THEM AS A 

2452
01:50:23,972 --> 01:50:25,507
SEPARATE GROUP MOSTLY BECAUSE 

2453
01:50:25,507 --> 01:50:26,341
THERE WASN'T A LOT OF RESEARCH 

2454
01:50:26,341 --> 01:50:32,447
IN THAT AREA.

2455
01:50:32,447 --> 01:50:34,349
SO THE NEXT GROUP ARE DIETARY 

2456
01:50:34,349 --> 01:50:37,219
PATTERNS ASSOCIATED WITH 

2457
01:50:37,219 --> 01:50:38,153
UNFAVORABLE HEALTH OUTCOMES.

2458
01:50:38,153 --> 01:50:40,222
WE HAD THREE OF THESE.

2459
01:50:40,222 --> 01:50:42,324
TWO WERE IN CHILDREN AND 

2460
01:50:42,324 --> 01:50:43,558
ADOLESCENTS AND ONE IN ADULTS 

2461
01:50:43,558 --> 01:50:44,726
AND OLDER ADULTS.

2462
01:50:44,726 --> 01:50:50,098
THE DIETARY PATTERNS LAD HIGHER 

2463
01:50:50,098 --> 01:50:54,503
INTAKES OF SUGARY DRINKS, SUGARY

2464
01:50:54,503 --> 01:50:57,706
SWEETENED FOODS, USUALLY 

2465
01:50:57,706 --> 01:50:59,274
PROCESSED MEAT OR RED MEAT WERE 

2466
01:50:59,274 --> 01:51:05,013
SOME OF THE COMPONENTS THAT WE 

2467
01:51:05,013 --> 01:51:09,918
FOUND IN THESE DIETARY PATTERNS 

2468
01:51:09,918 --> 01:51:11,019
THOSE CONSUMED BY CHILDREN AND 

2469
01:51:11,019 --> 01:51:12,854
ADOLESCENTS AND UNFAVORABLE 

2470
01:51:12,854 --> 01:51:15,657
GROWTH PATTERNS AND HIGHER 

2471
01:51:15,657 --> 01:51:18,326
ADIPOSITY AND HIGHER RISK OF 

2472
01:51:18,326 --> 01:51:26,234
EEFBT  -- OBESITY AND DIETARY 

2473
01:51:26,234 --> 01:51:28,804
PATTERNS AND THERE WERE VARYING 

2474
01:51:28,804 --> 01:51:34,042
AMOUNTS OF ULTRAPROCESSED FOODS 

2475
01:51:34,042 --> 01:51:36,445
AND THE LAST CONCLUSION 

2476
01:51:36,445 --> 01:51:37,446
STATEMENT IS PERTY MUCH THE SAME

2477
01:51:37,446 --> 01:51:39,981
AS THE CHILDREN, DIETARY PATTERS

2478
01:51:39,981 --> 01:51:43,418
CONSUMED BY ADULTS AND OLDER 

2479
01:51:43,418 --> 01:51:52,094
ADULTS WITH VARIATION -- VARYING

2480
01:51:52,094 --> 01:51:55,997
AMOUNTS OF THESE FOODS AND ALL 

2481
01:51:55,997 --> 01:51:58,333
THREE THE EVIDENT WAS GRADE ID 

2482
01:51:58,333 --> 01:52:08,543
AS LIMITED.

2483
01:52:14,116 --> 01:52:16,985
 THIS IS WHERE THERE WAS NO 

2484
01:52:16,985 --> 01:52:19,121
ASSOCIATION OR GRADE NOT 

2485
01:52:19,121 --> 01:52:19,421
ASSIGNABLE.

2486
01:52:19,421 --> 01:52:21,289
ONE SHOWED NO ASSOCIATION 

2487
01:52:21,289 --> 01:52:23,959
BETWEEN DIETARY PATTERNS DURING 

2488
01:52:23,959 --> 01:52:25,260
PREGNANCY AND RISK OF PRETERM 

2489
01:52:25,260 --> 01:52:25,994
BIRTH.

2490
01:52:25,994 --> 01:52:28,997
THIS WAS BASED ON EVIDENCE 

2491
01:52:28,997 --> 01:52:30,499
GRADED AS LIMITED.

2492
01:52:30,499 --> 01:52:33,168
THEN WE HAD A SERIES OF 

2493
01:52:33,168 --> 01:52:37,072
CONCLUSION STATEMENTS THAT COULD

2494
01:52:37,072 --> 01:52:38,640
NOT BE DRAWN IN PARTICULAR LIFE 

2495
01:52:38,640 --> 01:52:40,775
STAGES I MENTIONED PREVIOUSLY.

2496
01:52:40,775 --> 01:52:45,514
IN INFANTS AND YOUNG CHILDREN UP

2497
01:52:45,514 --> 01:52:47,816
TO 24 MONTHS OF AGE IS THERE 

2498
01:52:47,816 --> 01:52:49,885
WERE TWO CONCLUSION STATEMENTS A

2499
01:52:49,885 --> 01:52:51,786
GRADE WAS NOT ASSIGNABLE AND 

2500
01:52:51,786 --> 01:52:54,789
THEY HAD TO DO WITH DIETARY 

2501
01:52:54,789 --> 01:52:56,725
PATTERNS AND GROWTH ADIPOSITY 

2502
01:52:56,725 --> 01:53:00,495
AND RISK OF OBESITY AND DIETARY 

2503
01:53:00,495 --> 01:53:04,966
PATTERNS WITH VARYING AMOUNTS OF

2504
01:53:04,966 --> 01:53:09,604
FOOD AND ADIPOSITY AND RISK 

2505
01:53:09,604 --> 01:53:11,940
OBESITY AND IN CHILDREN THERE 

2506
01:53:11,940 --> 01:53:16,778
WAS DIETARY PATTERNS CONSUMEDED 

2507
01:53:16,778 --> 01:53:18,480
AND RISK OF TYPE II DIABETES.

2508
01:53:18,480 --> 01:53:20,582
IN PREGNANT INDIVIDUALS THERE 

2509
01:53:20,582 --> 01:53:22,050
WERE FOR CONCLUSION STATEMENTS 

2510
01:53:22,050 --> 01:53:24,753
THAT A GRADE WAS NOT ASSIGNABLE 

2511
01:53:24,753 --> 01:53:27,923
AND THOSE ARE DIETARY PATTERNS 

2512
01:53:27,923 --> 01:53:30,325
CONSUMED DURING PREGNANCY AND 

2513
01:53:30,325 --> 01:53:35,964
INADEQUATE GESTATIONAL GAIN AND 

2514
01:53:35,964 --> 01:53:37,599
PROCESSED FOOD AND DIETARY 

2515
01:53:37,599 --> 01:53:40,168
PATTERNS CONSUMED DURING 

2516
01:53:40,168 --> 01:53:41,870
PREGNANCY AND HYPERTENSIVE 

2517
01:53:41,870 --> 01:53:44,039
DISORDERS OF PREGNANCY AND THEN 

2518
01:53:44,039 --> 01:53:46,641
DIETARY PATTERNS CONSUMED DURING

2519
01:53:46,641 --> 01:53:51,980
PREGNANCY AND LARGE FOR 

2520
01:53:51,980 --> 01:53:57,652
GESTATIONAL AGE AND MACROSONIA 

2521
01:53:57,652 --> 01:54:02,524
AND THERE WERE TWO GRADES NOT 

2522
01:54:02,524 --> 01:54:04,793
ASSIGNABLE, CONSUMED DURING 

2523
01:54:04,793 --> 01:54:07,062
POSTPARTUM AND POSTPARTUM WEIGHT

2524
01:54:07,062 --> 01:54:10,532
CHILDREN AND PATTERNS WITH 

2525
01:54:10,532 --> 01:54:13,668
VARYING AMOUNTS OF AULTRA 

2526
01:54:13,668 --> 01:54:14,202
PROCESSED FOODS.

2527
01:54:14,202 --> 01:54:16,738
THE GRADE NOT ASSIGN BE WAS DUE 

2528
01:54:16,738 --> 01:54:19,274
TO RESEARCH WE COULD NOT FIND A 

2529
01:54:19,274 --> 01:54:27,716
BODY OF RESEARCH THAT EXAMPLE 

2530
01:54:27,716 --> 01:54:37,692
EXAMINED THESE OR HAD 

2531
01:54:37,692 --> 01:54:39,494
HETEROGENEITY AND WITH THAT I'LL

2532
01:54:39,494 --> 01:54:42,330
HAND IT TO ED.

2533
01:54:42,330 --> 01:54:49,004
>> THANK YOU.

2534
01:54:49,004 --> 01:54:50,872
>> THE FIRST WAS DIETARY
PATTERN

2535
01:54:50,872 --> 01:54:53,541
AND RISK OF CARDIOVASCULAR 

2536
01:54:53,541 --> 01:54:55,310
DISEASE.

2537
01:54:55,310 --> 01:55:00,815
SAMEERA NICELY INTRODUCED LEATH 

2538
01:55:00,815 --> 01:55:09,724
EQUITY LENS AND THE COMMITTEE 

2539
01:55:09,724 --> 01:55:11,426
LOOKED AT THE RELATIONSHIP 

2540
01:55:11,426 --> 01:55:15,297
BETWEEN DIETARY PATTERNS AND 

2541
01:55:15,297 --> 01:55:16,431
RISK OF CARDIOVASCULAR DISEASE.

2542
01:55:16,431 --> 01:55:20,035
THIS WAS UPDATING CONCLUSIONS 

2543
01:55:20,035 --> 01:55:24,339
FROM THE 2015 COMMITTEE AS A 

2544
01:55:24,339 --> 01:55:25,373
REPORT.

2545
01:55:25,373 --> 01:55:27,676
THE 2020 COMMITTEE GRADED THE 

2546
01:55:27,676 --> 01:55:29,177
STRENGTH OF EVIDENCE UNDERLYING 

2547
01:55:29,177 --> 01:55:30,345
THIS CONCLUSION STATEMENT AS 

2548
01:55:30,345 --> 01:55:40,488
STRONG.

2549
01:55:45,327 --> 01:55:49,264
THERE WAS AN ASSOCIATION OF 

2550
01:55:49,264 --> 01:55:50,332
HEALTHY DIETARY PATTERN AND 

2551
01:55:50,332 --> 01:55:51,032
LOWER RISK OF CARDIOVASCULAR 

2552
01:55:51,032 --> 01:55:51,299
DISEASE.

2553
01:55:51,299 --> 01:55:56,805
BECAUSE THE REVIEW IS BASED ON 

2554
01:55:56,805 --> 01:55:58,506
LARGE BODY OF EVIDENCE GRADED AS

2555
01:55:58,506 --> 01:56:01,509
STRONG, THE COMMITTEE CHOSE TO 

2556
01:56:01,509 --> 01:56:07,148
APPLY A HEALTH EQUITY LENS TO 

2557
01:56:07,148 --> 01:56:09,718
THIS REVIEW.

2558
01:56:09,718 --> 01:56:12,821
AND ENROLLED THE PARTICIPANTS 

2559
01:56:12,821 --> 01:56:14,823
THAT HAD GREATER RACIAL AND 

2560
01:56:14,823 --> 01:56:18,226
ETHNIC AND SOCIO ECONOMIC TI.

2561
01:56:18,226 --> 01:56:19,761
-- DIVERSITY.

2562
01:56:19,761 --> 01:56:21,963
MOST DID NOT INCLUDE COMPARABLE 

2563
01:56:21,963 --> 01:56:26,334
MEASURES OF SOCIO ECONOMIC 

2564
01:56:26,334 --> 01:56:29,838
POSITION CRITERIA FOR DIVERSITY 

2565
01:56:29,838 --> 01:56:32,407
INCLUDING RACE, ETHNICITY AS 

2566
01:56:32,407 --> 01:56:33,908
WELL AS OTHER SOCIO ECONOMIC 

2567
01:56:33,908 --> 01:56:35,944
MEASURES WHERE APPLICABLE.

2568
01:56:35,944 --> 01:56:39,114
THE COMMITTEE CLASSIFIED STUDIES

2569
01:56:39,114 --> 01:56:41,750
WITH PARTICIPANTS OF LESS THAN 

2570
01:56:41,750 --> 01:56:45,754
OR EQUAL PERCENT NON-HISPANIC 

2571
01:56:45,754 --> 01:56:46,988
WHITES AS INCLUDING SIGNIFICANT 

2572
01:56:46,988 --> 01:56:50,558
POPULATION DIVERSITY.

2573
01:56:50,558 --> 01:56:53,428
SO WHEN STUDIES THAT HAD LESS 

2574
01:56:53,428 --> 01:56:56,698
THAN OR EQUAL TO 40% 

2575
01:56:56,698 --> 01:56:57,799
NON-HISPANIC WHITES WERE 

2576
01:56:57,799 --> 01:56:58,533
CONSIDERED AS DIVERSE 

2577
01:56:58,533 --> 01:57:02,203
POPULATIONS.

2578
01:57:02,203 --> 01:57:03,471
APPLYING THE CRITERIA THE 

2579
01:57:03,471 --> 01:57:06,608
ANALYSIS CONFIRMED THE FINDINGS,

2580
01:57:06,608 --> 01:57:09,477
THIS IS OF HEALTH AND DIETARY 

2581
01:57:09,477 --> 01:57:11,813
PATTERNS AND CARDIOVASCULAR 

2582
01:57:11,813 --> 01:57:13,248
DISEASE WERE CONSISTENT IN THE 

2583
01:57:13,248 --> 01:57:15,016
SUBSET OF STUDIES WITH GREATER 

2584
01:57:15,016 --> 01:57:18,319
RACIAL AND ETHNIC AND SOCIO 

2585
01:57:18,319 --> 01:57:28,496
ECONOMIC DIVERSITY.

2586
01:57:28,496 --> 01:57:30,932
THIS SLIDE DISCUSSES THE DIETARY

2587
01:57:30,932 --> 01:57:32,400
PATTERNS AND HEALTH OUTCOMES.

2588
01:57:32,400 --> 01:57:34,335
THE COMMITTEE INTEGRATED THE 

2589
01:57:34,335 --> 01:57:38,339
CONCLUSION STATEMENTS FOR 

2590
01:57:38,339 --> 01:57:42,343
DIETARY PATTERNS ACROSS HEALTH 

2591
01:57:42,343 --> 01:57:44,279
OUTCOMES AS PART OF THAT THERE 

2592
01:57:44,279 --> 01:57:46,347
WERE CHANGES TO THE CONCLUSION 

2593
01:57:46,347 --> 01:57:47,482
STATEMENT AND GRADES THAT 

2594
01:57:47,482 --> 01:57:48,817
OCCURRED SINCE THE ORIGINAL OR 

2595
01:57:48,817 --> 01:57:50,251
PREVIOUS REVIEWS OF THE TOPICS 

2596
01:57:50,251 --> 01:57:54,622
THAT HAD BEEN CONDUCTED.

2597
01:57:54,622 --> 01:57:56,724
SO THE TABLE YOU CAN SEE THE TOP

2598
01:57:56,724 --> 01:58:01,062
PART OF THE SLIDE SUMMARIZES 

2599
01:58:01,062 --> 01:58:02,197
WHERE CONCLUSIONS WERE 

2600
01:58:02,197 --> 01:58:02,464
DEVELOPED.

2601
01:58:02,464 --> 01:58:06,334
THE EVIDENCE UNDERLYING THE 

2602
01:58:06,334 --> 01:58:07,535
CONCLUSIONS AND NOTE WHERE THE 

2603
01:58:07,535 --> 01:58:10,338
STRENGTH OF EVIDENCE CHANGED 

2604
01:58:10,338 --> 01:58:13,975
SINCE PREVIOUS REPORTS WERE 

2605
01:58:13,975 --> 01:58:14,242
CONDUCTED.

2606
01:58:14,242 --> 01:58:16,478
YOU CAN SEE FOR ADULTS AND OLDER

2607
01:58:16,478 --> 01:58:20,415
ADULTS, ALMOST ALL CONCLUSIONS 

2608
01:58:20,415 --> 01:58:23,785
ARE COMBGRADES AS STRONG OR MODE

2609
01:58:23,785 --> 01:58:26,454
AND THE STRENGTH OF EVIDENCE WAS

2610
01:58:26,454 --> 01:58:29,557
UPGRADED FROM LIMITED TO 

2611
01:58:29,557 --> 01:58:32,160
MODERATE OR MODERATE TO STRONG.

2612
01:58:32,160 --> 01:58:37,999
THESE INCLUDE DIETARY PATTERNS 

2613
01:58:37,999 --> 01:58:40,935
AND TYPE 2 DIABETES UPGRADED 

2614
01:58:40,935 --> 01:58:42,837
FROM MODERATE TO STRONG AND 

2615
01:58:42,837 --> 01:58:44,005
COGNITIVE FUNCTION AND DIETARY 

2616
01:58:44,005 --> 01:58:46,341
PATTERNS WAS UPGRADED FROM 

2617
01:58:46,341 --> 01:58:49,811
LIMITED TO MODERATE.

2618
01:58:49,811 --> 01:58:51,346
FOR CHILDREN AND ADOLESCENTS, 

2619
01:58:51,346 --> 01:58:54,749
MOST CONCLUSIONS ARE GRADED AS 

2620
01:58:54,749 --> 01:58:55,683
MODERATE OR STRONG.

2621
01:58:55,683 --> 01:58:57,418
FOR ONE CONCLUSION THE STRENGTH 

2622
01:58:57,418 --> 01:58:58,820
OF EVIDENCE WAS UPGRADED.

2623
01:58:58,820 --> 01:59:01,456
THIS IS FROM LIMITED TO MODERATE

2624
01:59:01,456 --> 01:59:03,391
AND THIS WAS FOR DIETARY 

2625
01:59:03,391 --> 01:59:03,958
PATTERNS AND CARDIOVASCULAR 

2626
01:59:03,958 --> 01:59:09,531
DISEASE.

2627
01:59:09,531 --> 01:59:11,533
FOR INFANTS AND YOUNG CHILDREN, 

2628
01:59:11,533 --> 01:59:14,202
UNFORTUNATELY NO CONCLUSIONS 

2629
01:59:14,202 --> 01:59:17,372
WERE DEVELOPED DUE TO 

2630
01:59:17,372 --> 01:59:19,607
INSUFFICIENT EVIDENCE.

2631
01:59:19,607 --> 01:59:21,476
THIS IS ONE GROUP WHERE THE 

2632
01:59:21,476 --> 01:59:23,745
EVIDENCE IS LACKING CURRENTLY.

2633
01:59:23,745 --> 01:59:27,081
DURING PREGNANCY, A FEW 

2634
01:59:27,081 --> 01:59:30,051
CONCLUSIONS WERE DEVELOPED DUE 

2635
01:59:30,051 --> 01:59:32,086
TO INSUFFICIENT EFFORTS AND 

2636
01:59:32,086 --> 01:59:33,221
STRENGTH OF EVIDENCE WAS GROUND 

2637
01:59:33,221 --> 01:59:34,889
GRADED.

2638
01:59:34,889 --> 01:59:38,493
SO FROM LIMITED TO GREAT NOT 

2639
01:59:38,493 --> 01:59:46,834
ASSIGNABLE OR INDICATED NO 

2640
01:59:46,834 --> 01:59:47,402
ASSOCIATIONS FOUND.

2641
01:59:47,402 --> 01:59:48,970
DURING POSTS PARTUM NO 

2642
01:59:48,970 --> 01:59:50,805
CONCLUSIONS WERE DEVELOPED DUE 

2643
01:59:50,805 --> 02:00:01,249
TO INSUFFICIENT EVIDENCE.

2644
02:00:04,385 --> 02:00:06,321
AND SOME WERE ADDED OR REMOVED 

2645
02:00:06,321 --> 02:00:10,258
BASED ON THE EVIDENCE SO THIS 

2646
02:00:10,258 --> 02:00:11,159
SHOWS SOME EXAMPLES.

2647
02:00:11,159 --> 02:00:16,431
SEVERAL DIETARY PATTERNS WERE 

2648
02:00:16,431 --> 02:00:18,232
GRADED TO INCLUDE HIGHER UPTAKES

2649
02:00:18,232 --> 02:00:28,710
OF LEGUMESING , LEGUMES AND 

2650
02:00:29,043 --> 02:00:31,512
PLEATS AND  -- 

2651
02:00:35,984 --> 02:00:40,288
LEGUMES, BEANS AND NUTS AND THE 

2652
02:00:40,288 --> 02:00:41,456
COMMITTEE CAREFULLY CONSIDERED 

2653
02:00:41,456 --> 02:00:46,327
THE CONCLUSIONS THEY DREW FROM 

2654
02:00:46,327 --> 02:00:48,863
THE SYSTEMATIC REVIEW WITH 

2655
02:00:48,863 --> 02:00:50,398
MULTIPLE LIFE STAGES AND HEALTH 

2656
02:00:50,398 --> 02:00:52,533
OUTCOMES AND FOUND DIETARY 

2657
02:00:52,533 --> 02:00:53,334
PATTERN EMERGED CONSISTENT 

2658
02:00:53,334 --> 02:01:01,275
RELATED TO BENEFICIAL HEALTH.

2659
02:01:01,275 --> 02:01:03,411
THE HEALTHY DIETARY PATTERN FOR 

2660
02:01:03,411 --> 02:01:06,414
INDIVIDUALS AGES 2 AND OLDER IS 

2661
02:01:06,414 --> 02:01:08,082
CHARACTERIZED BY DIETS THAT ARE 

2662
02:01:08,082 --> 02:01:11,753
HIGHER IN VEGETABLES, FRUITS, 

2663
02:01:11,753 --> 02:01:15,990
LEGUMES, NUTS, WHOLE GRAINS, 

2664
02:01:15,990 --> 02:01:18,760
FISH, SEAFOOD AND VEGETABLE OILS

2665
02:01:18,760 --> 02:01:23,865
HIGHER IN UNSATURATED FAT AND 

2666
02:01:23,865 --> 02:01:28,136
LOWER IN RED AND PROCESSED 

2667
02:01:28,136 --> 02:01:30,872
MEATS, REFINED GRAINS AND 

2668
02:01:30,872 --> 02:01:32,707
SATURATED FAT AND SUGARS.

2669
02:01:32,707 --> 02:01:37,111
SOME HEALTHY DIETARY PATTERNS 

2670
02:01:37,111 --> 02:01:39,480
ALSO INCLUDE CONSUMPTION OF LOW 

2671
02:01:39,480 --> 02:01:43,084
OR NON-FAT DAIRY AND FOODS LOWER

2672
02:01:43,084 --> 02:01:45,853
IN SODIUM AS NOTED IN SPECIFIC 

2673
02:01:45,853 --> 02:01:46,454
SYSTEMATIC REVIEW CONCLUSION 

2674
02:01:46,454 --> 02:01:56,664
STATEMENTS.

2675
02:01:59,500 --> 02:02:02,537
THIS AND THE FOLLOWING SLIDE HAD

2676
02:02:02,537 --> 02:02:04,572
GUIDANCE TO THE DEPARTMENTS AND 

2677
02:02:04,572 --> 02:02:07,508
MOSTLY READING FROM THE SLIDES 

2678
02:02:07,508 --> 02:02:08,042
I'LL GO THROUGH.

2679
02:02:08,042 --> 02:02:10,311
FIRST IS EMPHASIZE CONSUMPTION 

2680
02:02:10,311 --> 02:02:15,049
OF VEGETABLES, FRUITS, LEGUMES 

2681
02:02:15,049 --> 02:02:16,517
INCLUDING BEANS, PEAS AND 

2682
02:02:16,517 --> 02:02:17,785
LENTILS, WHOLE GRAINS, NUTS AND 

2683
02:02:17,785 --> 02:02:22,690
FISH OR SEAFOOD.

2684
02:02:22,690 --> 02:02:25,193
AND CONTINUE TO EMPHASIZE 

2685
02:02:25,193 --> 02:02:27,762
CONSUMPTION OF LOW FAT OR 

2686
02:02:27,762 --> 02:02:30,331
NON-FAT DAIRY AND UNSATURATED 

2687
02:02:30,331 --> 02:02:33,367
FATS.

2688
02:02:33,367 --> 02:02:35,570
LIMIT CONSUMPTION OF RED OR 

2689
02:02:35,570 --> 02:02:38,973
PROCESSED MEATS, REFINED GRAINS,

2690
02:02:38,973 --> 02:02:44,245
FOODS HIGH IN SATURATED FAT AND 

2691
02:02:44,245 --> 02:02:50,384
SALTY SAVORY SNACKS.

2692
02:02:50,384 --> 02:02:54,155
AND CONTINUE TO LIMIT FOODS HIGH

2693
02:02:54,155 --> 02:02:59,794
IN SUGARS AND SWEETENED 

2694
02:02:59,794 --> 02:03:01,195
BEVERAGES AND FOODS.

2695
02:03:01,195 --> 02:03:06,033
INCLUDING MORE NEWT REVENT DENSE

2696
02:03:06,033 --> 02:03:08,770
PLANT-BASED MEAL AND DIETARY 

2697
02:03:08,770 --> 02:03:10,338
OPTIONS.

2698
02:03:10,338 --> 02:03:12,106
ENCOURAGE CONSUMPTION OF HEALTHY

2699
02:03:12,106 --> 02:03:17,211
DIETARY PATTERNS AND MAINTAIN 

2700
02:03:17,211 --> 02:03:18,279
EXISTING GUIDANCE THAT 

2701
02:03:18,279 --> 02:03:20,515
EMPHASIZES INTAKES OF IRON, 

2702
02:03:20,515 --> 02:03:26,354
FOLATE, FOLIC ACID, IODINE AND 

2703
02:03:26,354 --> 02:03:32,326
CHOLINE AMONG PREGNANT AND 

2704
02:03:32,326 --> 02:03:34,195
POSTPARTUM PERSONS.

2705
02:03:34,195 --> 02:03:41,469
SO THEY WERE ASSOCIATED WITH 

2706
02:03:41,469 --> 02:03:43,104
GESTATIONAL GAIN AND DIABETES 

2707
02:03:43,104 --> 02:03:46,007
AND SMALL FOR GESTATIONAL AGE IN

2708
02:03:46,007 --> 02:03:46,240
INFANTS.

2709
02:03:46,240 --> 02:03:49,677
THOSE WERE THE BASIS FOR THE 

2710
02:03:49,677 --> 02:03:50,178
RECOMMENDATION.

2711
02:03:50,178 --> 02:03:53,948
AND FINALLY, ENCOURAGE 

2712
02:03:53,948 --> 02:03:55,249
CONSUMPTION OF HEALTHY DIETARY 

2713
02:03:55,249 --> 02:03:56,417
PATTERNS AT ALL STAGES OF LIFE 

2714
02:03:56,417 --> 02:04:03,624
AND FOR DIVERSE POPULATIONS.

2715
02:04:03,624 --> 02:04:03,891
THANK YOU.

2716
02:04:03,891 --> 02:04:04,992
I'LL TAKE DISCUSSION TIME.

2717
02:04:04,992 --> 02:04:07,295
>> THANK YOU, ED AND THANK
YOU, 

2718
02:04:07,295 --> 02:04:09,997
DEANNA FOR STARTING OFF THE 

2719
02:04:09,997 --> 02:04:13,401
DISCUSSION ON DIETARY PATTERNS 

2720
02:04:13,401 --> 02:04:16,871
PARTICULARLY AS WE HAD OUR PRIOR

2721
02:04:16,871 --> 02:04:18,105
DISCUSSION EMPHASIZING THE 

2722
02:04:18,105 --> 02:04:21,709
IMPORTANCE OF INTEGRATING THE 

2723
02:04:21,709 --> 02:04:23,511
SYSTEMATIC REVIEWS WITH THE DATA

2724
02:04:23,511 --> 02:04:23,778
ANALYSIS.

2725
02:04:23,778 --> 02:04:26,180
WITH THAT I'LL OPEN UP TO THE 

2726
02:04:26,180 --> 02:04:26,781
DISCUSSION QUESTIONS FROM THE 

2727
02:04:26,781 --> 02:04:35,089
TEAM.

2728
02:04:35,089 --> 02:04:35,790
>> GREAT PRESENTATION.

2729
02:04:35,790 --> 02:04:37,658
IT'S SUCH A FUN TOPIC TO 

2730
02:04:37,658 --> 02:04:37,892
DISCUSS.

2731
02:04:37,892 --> 02:04:42,029
AT THE BEGINNING OF THE YEAR 

2732
02:04:42,029 --> 02:04:43,898
IT'S FRUSTRATING TO USE DIETARY 

2733
02:04:43,898 --> 02:04:44,765
PATTERNS AS A TERM.

2734
02:04:44,765 --> 02:04:49,904
BECAUSE I THINK THE PUBLIC 

2735
02:04:49,904 --> 02:04:59,614
PERCEIVES OR LOOKS AT THIS AS 

2736
02:04:59,614 --> 02:05:02,049
MEDITERRANEAN AND KETO AND OTHER

2737
02:05:02,049 --> 02:05:04,619
PATTERNS AND IT'S CONFUSING BY 

2738
02:05:04,619 --> 02:05:09,690
FOLLOWING UP WHAT WE MEAN IS 

2739
02:05:09,690 --> 02:05:14,362
MEDITERRANEAN OR LOW-FAT BUT 

2740
02:05:14,362 --> 02:05:16,364
IT'S STUNNING THE SAME GROUP 

2741
02:05:16,364 --> 02:05:17,865
THAT PROPOSED TO GET MORE OF AND

2742
02:05:17,865 --> 02:05:19,000
LESS OF.

2743
02:05:19,000 --> 02:05:22,536
DOES IT REALLY HAVE A NAME?

2744
02:05:22,536 --> 02:05:24,805
SO THIS IS A PRETTY CHALLENGING 

2745
02:05:24,805 --> 02:05:27,174
AREA AND IT'S GOING TO COME UP 

2746
02:05:27,174 --> 02:05:28,376
LATER IN THE DISCUSSION OF 75 

2747
02:05:28,376 --> 02:05:29,243
MINUTES BLOCKED OFF FOR IT.

2748
02:05:29,243 --> 02:05:31,178
I LOOK FORWARD TO THAT 

2749
02:05:31,178 --> 02:05:33,047
DISCUSSION BUT MY FIRST COMMENT 

2750
02:05:33,047 --> 02:05:34,949
WILL BE FOR THE PUBLIC LISTENING

2751
02:05:34,949 --> 02:05:37,451
JUST HOW CHALLENGING THAT TOPIC 

2752
02:05:37,451 --> 02:05:40,621
IS TO SUBJECT WE HAVE MOVED FROM

2753
02:05:40,621 --> 02:05:43,224
NUTRIENTS TO FOODS TO PATTERNS 

2754
02:05:43,224 --> 02:05:48,362
AND PATTERNS IS MORE INCLUSIVE, 

2755
02:05:48,362 --> 02:05:49,463
ALLOWS MORE FLEXIBILITY AND 

2756
02:05:49,463 --> 02:05:51,799
CREATES A WHOLE OTHER LEVEL OF 

2757
02:05:51,799 --> 02:05:53,100
CONFUSION WHEN YOU'RE NOTE BEING

2758
02:05:53,100 --> 02:05:55,036
REALLY SPECIFIC ABOUT WHICH 

2759
02:05:55,036 --> 02:05:55,636
PATTERN IT IS.

2760
02:05:55,636 --> 02:06:00,207
SO I THINK THIS WILL CONTINUE TO

2761
02:06:00,207 --> 02:06:03,311
BE A GREAT OPPORTUNITY AND 

2762
02:06:03,311 --> 02:06:05,112
SOMEWHAT OF AN OPEN CHALLENGE TO

2763
02:06:05,112 --> 02:06:07,515
COMMUNICATE TO THE PUBLIC AND 

2764
02:06:07,515 --> 02:06:08,816
HOW TO IMPLEMENT THAT AND LOOK 

2765
02:06:08,816 --> 02:06:09,684
FORWARD TO THE DISCUSSION LATER 

2766
02:06:09,684 --> 02:06:15,823
TODAY OF THE SAME TOPIC.

2767
02:06:15,823 --> 02:06:17,091
>> THANKS, CHRISTOPHER.

2768
02:06:17,091 --> 02:06:19,860
I THINK WHEN YOU LOOK ACROSS THE

2769
02:06:19,860 --> 02:06:22,063
DIETARY PATTERNS THOUGH, THOUGH 

2770
02:06:22,063 --> 02:06:23,531
THEY HAVE DIFFERENT NAMES AS YOU

2771
02:06:23,531 --> 02:06:25,066
MENTIONED THERE'S CORE FOODS 

2772
02:06:25,066 --> 02:06:26,334
THAT KEEP POPPING UP AGAIN AND 

2773
02:06:26,334 --> 02:06:26,634
AGAIN.

2774
02:06:26,634 --> 02:06:30,171
THOSE ARE REALLY STRONG AND 

2775
02:06:30,171 --> 02:06:31,539
YOU'LL SEE THAT REPRESENTED 

2776
02:06:31,539 --> 02:06:34,075
LATER WHEN WE TALK ABOUT THE 

2777
02:06:34,075 --> 02:06:34,575
INTEGRATION.

2778
02:06:34,575 --> 02:06:36,310
THEN YOU CAN HAVE DIFFERENT 

2779
02:06:36,310 --> 02:06:38,312
FLEXIBILITIES AS YOU MENTIONED.

2780
02:06:38,312 --> 02:06:39,947
DO YOU EAT MEAT OR NOT EAT MEAT?

2781
02:06:39,947 --> 02:06:50,358
SOME WILL COME UP LATER.

2782
02:06:52,526 --> 02:06:57,665
>> THANK YOU FOR A
WONDERFUL 

2783
02:06:57,665 --> 02:06:58,032
PRESENTATION.

2784
02:06:58,032 --> 02:07:03,571
I HAD A COUPLE QUESTIONS WITH 

2785
02:07:03,571 --> 02:07:05,272
ADVICE TO THE DEPARTMENT AND 

2786
02:07:05,272 --> 02:07:12,313
ENCOURAGING LOW FAT AND NON-FAT 

2787
02:07:12,313 --> 02:07:14,715
DAIRY AND LIMIT SATURATED FAT.

2788
02:07:14,715 --> 02:07:17,018
I WAS WONDERING IF THAT IS A 

2789
02:07:17,018 --> 02:07:18,319
COMBINED STATEMENT OR IF THERE'S

2790
02:07:18,319 --> 02:07:19,487
SOMETHING VERY SPECIFIC TO THE 

2791
02:07:19,487 --> 02:07:27,361
DAIRY YOU WANTED TO POINT OUT?

2792
02:07:27,361 --> 02:07:33,167
THAT'S ONE OF THE QUESTIONS.

2793
02:07:33,167 --> 02:07:36,437
WHEN WE TALK ABOUT BEVERAGES 

2794
02:07:36,437 --> 02:07:38,072
TOMORROW YOU'LL HEAR MORE ABOUT 

2795
02:07:38,072 --> 02:07:38,506
DAIRY CONSUMPTION.

2796
02:07:38,506 --> 02:07:43,411
WE KIND OF WENT ALONG WITH THAT 

2797
02:07:43,411 --> 02:07:46,614
ADVICE AND WHAT WE SAW IN THE 

2798
02:07:46,614 --> 02:07:48,549
DIETARY PATTERNS AS WELL.

2799
02:07:48,549 --> 02:07:51,252
THE ADVICE FOR CHILDREN, THIS 

2800
02:07:51,252 --> 02:07:53,087
WASN'T A WHOLE LOT THERE.

2801
02:07:53,087 --> 02:07:56,090
THERE WAS MORE IN THE BEVERAGES 

2802
02:07:56,090 --> 02:07:56,390
GROUP.

2803
02:07:56,390 --> 02:07:58,325
AND CHRISTOPHER WILL TALK ABOUT 

2804
02:07:58,325 --> 02:08:00,961
DAIRY BUT IN ADULTS THE 

2805
02:08:00,961 --> 02:08:04,298
SATURATED FAT CONTENT.

2806
02:08:04,298 --> 02:08:04,865
>> THANK YOU.

2807
02:08:04,865 --> 02:08:06,600
AND MAYBE THAT'S WHERE MY OTHER 

2808
02:08:06,600 --> 02:08:08,936
COMMENT WAS WHICH IS ARE WE 

2809
02:08:08,936 --> 02:08:13,808
GOING TO SPECIFY AGE GROUP FOR 

2810
02:08:13,808 --> 02:08:15,276
THE RECOMMENDATIONS BECAUSE IT 

2811
02:08:15,276 --> 02:08:16,410
MAY NOT BE APPLICABLE ACROSS THE

2812
02:08:16,410 --> 02:08:16,710
LIFE STAGE.

2813
02:08:16,710 --> 02:08:18,679
THANK YOU.

2814
02:08:18,679 --> 02:08:21,248
>> I WANT TO BUILD ON THAT

2815
02:08:21,248 --> 02:08:24,785
COMMENT, ALLINE BECAUSE THIS IS 

2816
02:08:24,785 --> 02:08:26,420
FASCINATING AND PRETTY UNIQUE 

2817
02:08:26,420 --> 02:08:29,356
WHEN IT CAME UP IN THE PATTERNS 

2818
02:08:29,356 --> 02:08:30,324
FOR THE CARDIOVASCULAR DISEASE 

2819
02:08:30,324 --> 02:08:32,193
FOR THE FIRST TIME WE HAD ENOUGH

2820
02:08:32,193 --> 02:08:33,694
STRONG EVIDENCE TO LOOK AT 

2821
02:08:33,694 --> 02:08:36,430
HEALTH EQUITY ISSUES.

2822
02:08:36,430 --> 02:08:38,365
WHEN WE SEPARATED OUT 

2823
02:08:38,365 --> 02:08:40,935
POPULATIONS OF DIFFERENT RACE 

2824
02:08:40,935 --> 02:08:43,037
ETHNICITY AND SOCIO ECONOMIC 

2825
02:08:43,037 --> 02:08:43,804
POSITION, ONE OF THE INTERESTING

2826
02:08:43,804 --> 02:08:46,107
THINGS THAT CAME UP WAS THE 

2827
02:08:46,107 --> 02:08:47,842
DAIRY GROUP WAS LESS CONSISTENT 

2828
02:08:47,842 --> 02:08:50,311
THAN IT HAD BEEN OVER ALL-.

2829
02:08:50,311 --> 02:08:52,847
SO THERE WERE FEWER TIMES WHEN 

2830
02:08:52,847 --> 02:08:55,749
DAIRY SHOWED UP NOT JUST LOW FAT

2831
02:08:55,749 --> 02:08:59,520
OR NON FAT OR SATURATED FAT BUT 

2832
02:08:59,520 --> 02:09:02,189
AS A CATEGORY SHOWED UP LESS 

2833
02:09:02,189 --> 02:09:04,291
CONSISTENTLY THAN IT HAD FOR THE

2834
02:09:04,291 --> 02:09:09,430
REG  VEGGIES AND LEGUMES AND 

2835
02:09:09,430 --> 02:09:12,099
BEANS AND PEAS AND WHAT CAME UP 

2836
02:09:12,099 --> 02:09:14,502
FOR CULTURAL DIVERSITY IS THE 

2837
02:09:14,502 --> 02:09:16,103
PREVALENCE OF LACTOSE IN 

2838
02:09:16,103 --> 02:09:17,304
TOLERANCE AROUND THE WORLD.

2839
02:09:17,304 --> 02:09:18,739
YOU REALLY NEED TO HAVE DAIRY AS

2840
02:09:18,739 --> 02:09:19,707
PART OF THAT.

2841
02:09:19,707 --> 02:09:22,143
AND WE FOUND IN SOME MUCH THOSE 

2842
02:09:22,143 --> 02:09:23,644
POPULATIONS, NO, THAT ACTUALLY 

2843
02:09:23,644 --> 02:09:27,648
WASN'T PART OF THE PATTERN.

2844
02:09:27,648 --> 02:09:29,650
IT WASN'T AS CONSISTENT AS OTHER

2845
02:09:29,650 --> 02:09:32,586
PLACES BUT IT COULD BE.

2846
02:09:32,586 --> 02:09:34,188
THERE'S POPULATIONS WHERE IT WAS

2847
02:09:34,188 --> 02:09:35,689
PART OF THE PATTERN.

2848
02:09:35,689 --> 02:09:38,125
IT'S INTERESTING AND IT'S QUITE 

2849
02:09:38,125 --> 02:09:40,528
SUBTLE BUT IT'S REALLY IMPORTANT

2850
02:09:40,528 --> 02:09:42,830
THAT THE DAIRY CATEGORY GOT 

2851
02:09:42,830 --> 02:09:46,467
MOVED OUT OF THIS IS PART OF THE

2852
02:09:46,467 --> 02:09:48,135
PATTERN TOO AND COULD BE PART OF

2853
02:09:48,135 --> 02:09:51,505
THE PATTERN.

2854
02:09:51,505 --> 02:09:54,341
THE REST OF THAT FRAYED WAS IT 

2855
02:09:54,341 --> 02:09:55,743
WASN'T ALWAYS PART OF THE 

2856
02:09:55,743 --> 02:09:56,577
PATTERN WHEN IT WAS SOMETHING 

2857
02:09:56,577 --> 02:10:00,347
LIKE A RACIAL GROUP THAT MIGHT 

2858
02:10:00,347 --> 02:10:01,782
HAVE BEEN EXPERIENCING LACTOSE 

2859
02:10:01,782 --> 02:10:03,050
IN TOLERANCE AND DOESN'T HAVE TO

2860
02:10:03,050 --> 02:10:03,784
BE THERE.

2861
02:10:03,784 --> 02:10:05,586
I DON'T KNOW IF ANYBODY WANTS TO

2862
02:10:05,586 --> 02:10:06,754
BUILD ON THAT.

2863
02:10:06,754 --> 02:10:07,988
THERE'S AN INCREDIBLE 

2864
02:10:07,988 --> 02:10:09,523
OPPORTUNITY WE HAD SINCE WE HAD 

2865
02:10:09,523 --> 02:10:11,926
ENOUGH DATA FOR A STRONG 

2866
02:10:11,926 --> 02:10:15,696
CONCLUSION AND TO GO BEYOND 

2867
02:10:15,696 --> 02:10:15,996
THAT.

2868
02:10:15,996 --> 02:10:18,399
AND TO LOOK AT THAT DIFFERENT 

2869
02:10:18,399 --> 02:10:19,767
PERSPECTIVE.

2870
02:10:19,767 --> 02:10:23,270
THANKS FOR LETTING ME SHARE 

2871
02:10:23,270 --> 02:10:23,470
THAT.

2872
02:10:23,470 --> 02:10:25,606
>> AND I'LL REITERATE WE
DID 

2873
02:10:25,606 --> 02:10:27,641
FIND DAIRY FOR CERTAIN 

2874
02:10:27,641 --> 02:10:27,942
POPULATIONS.

2875
02:10:27,942 --> 02:10:28,876
THAT WAS IN THERE.

2876
02:10:28,876 --> 02:10:35,049
I THINK ONE OF THE ISSUES THAT 

2877
02:10:35,049 --> 02:10:38,485
WE FOUND IS A LOT OF TIMES WHEN 

2878
02:10:38,485 --> 02:10:40,354
DAIRY WITH US IDENTIFY WE DIDN'T

2879
02:10:40,354 --> 02:10:41,922
DISTINGUISH BETWEEN THE FAT 

2880
02:10:41,922 --> 02:10:43,357
CONTENT OF THE DAIRY AND 

2881
02:10:43,357 --> 02:10:44,491
SOMETIMES GO IN DIFFERENT 

2882
02:10:44,491 --> 02:10:46,594
DIRECTIONS WHICH MADE IT HARD TO

2883
02:10:46,594 --> 02:10:50,331
COME UP WITH A CONSISTENT 

2884
02:10:50,331 --> 02:11:00,608
RECOMMENDATION.

2885
02:11:01,041 --> 02:11:06,180
>> THIS RELATED TO ULTRA 

2886
02:11:06,180 --> 02:11:08,082
PROCESSED FOODS.

2887
02:11:08,082 --> 02:11:11,218
WE DID HAVE THIS QUESTION.

2888
02:11:11,218 --> 02:11:13,120
CAN YOU DESCRIBE THE LIMITATION 

2889
02:11:13,120 --> 02:11:13,587
OF THE DATA.

2890
02:11:13,587 --> 02:11:15,122
IT WAS FRUSTRATING.

2891
02:11:15,122 --> 02:11:16,423
THERE WAS A LOT OF PUBLIC 

2892
02:11:16,423 --> 02:11:18,726
COMMENT WE RECEIVED ON THIS 

2893
02:11:18,726 --> 02:11:19,193
PARTICULAR QUESTION.

2894
02:11:19,193 --> 02:11:24,298
I WAS WONDERING IF YOU CAN TALK 

2895
02:11:24,298 --> 02:11:25,199
ABOUT THAT AND IF YOU HAVE 

2896
02:11:25,199 --> 02:11:26,033
SPECIFIC RESEARCH 

2897
02:11:26,033 --> 02:11:27,935
RECOMMENDATIONS REGARDING THIS 

2898
02:11:27,935 --> 02:11:28,669
QUESTION.

2899
02:11:28,669 --> 02:11:30,437
LIKE FOR FUTURE COMMITTEES JUST 

2900
02:11:30,437 --> 02:11:32,473
TO CONSIDER FOR THE RESEARCH 

2901
02:11:32,473 --> 02:11:34,808
COMMITTEE IN GENERAL SO THEIR 

2902
02:11:34,808 --> 02:11:36,410
BODY OF EVIDENCE CAN BE 

2903
02:11:36,410 --> 02:11:38,912
CONSIDERED BY FUTURE COMMITTEES.

2904
02:11:38,912 --> 02:11:42,383
>> SO, WHEN WE STARTED
THAT 

2905
02:11:42,383 --> 02:11:45,352
SYSTEMATIC REVIEW, ONE OF THE 

2906
02:11:45,352 --> 02:11:48,689
ISSUES WAS HOW DO YOU CLASSIFY 

2907
02:11:48,689 --> 02:11:50,391
ULTRA PROCESSED FOODS BECAUSE 

2908
02:11:50,391 --> 02:11:52,726
THERE'S SEVERAL CLASSIFICATION 

2909
02:11:52,726 --> 02:11:54,528
SCHEMES RIGHT NOW.

2910
02:11:54,528 --> 02:11:59,967
KNNOVA IS THE MOST WELL KNOWN B 

2911
02:11:59,967 --> 02:12:02,970
THERE ARE OTHERS AND WANTED TO 

2912
02:12:02,970 --> 02:12:08,442
BE MORE INCLUSIVE AND LET THE 

2913
02:12:08,442 --> 02:12:10,344
AUTHORS DETERMINE WHAT IS MEANT 

2914
02:12:10,344 --> 02:12:12,179
BY ULTRA PROCESSED FOODS AND HAD

2915
02:12:12,179 --> 02:12:16,483
OTHER FOODS SHOW UP BUT IT WAS 

2916
02:12:16,483 --> 02:12:19,853
HARD TO COME UP WITH A SUCCINCT 

2917
02:12:19,853 --> 02:12:21,588
DEFINITION FOR ULTRA PROCESSED 

2918
02:12:21,588 --> 02:12:23,791
FOODS AND THAT'S NOT AVAILABLE 

2919
02:12:23,791 --> 02:12:24,958
IN THE LITERATURE NOW THOUGH 

2920
02:12:24,958 --> 02:12:26,327
SEVERAL GROUPS ARE WORKING 

2921
02:12:26,327 --> 02:12:27,628
TOWARDS THAT RIGHT NOW.

2922
02:12:27,628 --> 02:12:31,031
SO I THINK UNTIL WE GET A BETTER

2923
02:12:31,031 --> 02:12:33,167
DEFINITION FOR WHAT WE MEAN AS 

2924
02:12:33,167 --> 02:12:34,835
ULTRA PROCESSED FOODS, IT'S 

2925
02:12:34,835 --> 02:12:37,705
GOING TO BE DIFFICULT TO LOOK AT

2926
02:12:37,705 --> 02:12:38,138
THIS.

2927
02:12:38,138 --> 02:12:43,243
THE OTHER ISSUE WAS A LOT OF THE

2928
02:12:43,243 --> 02:12:46,947
STUDIES WE REVIEWED FROM OTHER 

2929
02:12:46,947 --> 02:12:48,782
COUNTRIES AND WHAT WE HAVE FROM 

2930
02:12:48,782 --> 02:12:50,217
ULTRA PROCESSED FOODS MAY BE 

2931
02:12:50,217 --> 02:12:52,386
DIFFERENT FROM WHAT YOU FIND 

2932
02:12:52,386 --> 02:12:53,887
HERE.

2933
02:12:53,887 --> 02:12:56,357
THERE ARE SEVERAL ISSUES 

2934
02:12:56,357 --> 02:12:57,925
ASSOCIATED WITH THAT.

2935
02:12:57,925 --> 02:13:02,463
ED, I DON'T KNOW IF YOU WANTED 

2936
02:13:02,463 --> 02:13:03,897
TO SAY SOMETHING MORE ABOUT 

2937
02:13:03,897 --> 02:13:04,331
THAT.

2938
02:13:04,331 --> 02:13:06,800
>> I THINK YOU COVERED IT
WELL.

2939
02:13:06,800 --> 02:13:11,972
IT'S OBVIOUSLY AN IMPORTANT 

2940
02:13:11,972 --> 02:13:14,408
ISSUE BUT IT'S MORE A QUESTION 

2941
02:13:14,408 --> 02:13:17,177
OF HOW IT'S BEING STUDIED AND 

2942
02:13:17,177 --> 02:13:26,320
IT'S A RELATIVELY NEW AREA OF 

2943
02:13:26,320 --> 02:13:36,864
RESEARCH ALL THE FOODS WOULD NOT

2944
02:13:37,097 --> 02:13:38,499
BE CONSIDERED HEALTHY FOODS BY 

2945
02:13:38,499 --> 02:13:42,035
STANDARD DEFINITION AND WE DO 

2946
02:13:42,035 --> 02:13:45,372
MENTION NO SUGAR AND SWEETENED 

2947
02:13:45,372 --> 02:13:53,280
BEVERAGES, ITEMS LIKE THAT 

2948
02:13:53,280 --> 02:13:57,985
LIKELY CONSIDERED ULTRA 

2949
02:13:57,985 --> 02:14:00,687
PROCESSED FOODS INDIRECTLY 

2950
02:14:00,687 --> 02:14:04,358
BECAUSE PART OF THE PATTERN 

2951
02:14:04,358 --> 02:14:06,360
RATIONALE IS NOT JUST WHAT 

2952
02:14:06,360 --> 02:14:10,330
YOU'RE EATING BUT WHAT YOU'RE 

2953
02:14:10,330 --> 02:14:11,432
NOT EATING.

2954
02:14:11,432 --> 02:14:17,070
I THINK IT KIND OF COVERS ULTRA 

2955
02:14:17,070 --> 02:14:19,139
PROCESSED FOODS INDIRECTLY BUT 

2956
02:14:19,139 --> 02:14:24,211
SOMETHING AS MORE RESEARCH IS 

2957
02:14:24,211 --> 02:14:28,749
COMING OUT IN THE FUTURE WE'LL 

2958
02:14:28,749 --> 02:14:30,417
BE ABLE TO MAKE MORE DIRECT 

2959
02:14:30,417 --> 02:14:31,285
STATEMENTS REGARDING IT.

2960
02:14:31,285 --> 02:14:32,753
>> SARAH.

2961
02:14:32,753 --> 02:14:35,155
>> CAN CHRISTOPHER, DID
YOU WANT

2962
02:14:35,155 --> 02:14:38,158
TO FOLLOW UP ON THE TOPIC OF 

2963
02:14:38,158 --> 02:14:39,660
ULTRA PROCESSED FOODS BECAUSE I 

2964
02:14:39,660 --> 02:14:40,894
HAVE A QUESTION ON A DIFFERENT 

2965
02:14:40,894 --> 02:14:41,094
TOPIC.

2966
02:14:41,094 --> 02:14:43,831
>> I DID WANT TO FOLLOW UP
ON 

2967
02:14:43,831 --> 02:14:46,300
ULTRA PROCESSED FOODS.

2968
02:14:46,300 --> 02:14:48,302
WE HAD AN OPPORTUNITY TO WORK ON

2969
02:14:48,302 --> 02:14:50,471
AN AMERICAN HEART ASSOCIATION 

2970
02:14:50,471 --> 02:14:52,606
PAPER THAT UNFORTUNATELY WON'T 

2971
02:14:52,606 --> 02:14:55,042
COME OUT FOR MONTHS SO WON'T ADD

2972
02:14:55,042 --> 02:14:57,044
TO THIS DIRECTLY BUT THE PUBLIC 

2973
02:14:57,044 --> 02:14:57,811
IS INTERESTED IN THIS BECAUSE 

2974
02:14:57,811 --> 02:15:00,814
IT'S ALL OVER THE MEDIA.

2975
02:15:00,814 --> 02:15:06,653
IT SEEMS LIKE SUCH A TIMELY 

2976
02:15:06,653 --> 02:15:08,055
OPPORTUNITY TO ADDRESS THIS 

2977
02:15:08,055 --> 02:15:09,690
GIVEN WE'RE ADVISING THE DIETARY

2978
02:15:09,690 --> 02:15:12,092
GUIDELINES FOR AMERICANS AND 

2979
02:15:12,092 --> 02:15:16,630
MOST THE PUBLICATIONS ARE 

2980
02:15:16,630 --> 02:15:18,632
OBSERVATIONAL STUDIES, 

2981
02:15:18,632 --> 02:15:21,502
PROSPECTIVE COHORT STUDIES FROM 

2982
02:15:21,502 --> 02:15:24,404
DATA FROM 30 AND 40 YEARS AGO.

2983
02:15:24,404 --> 02:15:25,405
WE HAVE TWO ISSUES.

2984
02:15:25,405 --> 02:15:29,009
ONE IS WE DIDN'T HAVE THE LEVEL 

2985
02:15:29,009 --> 02:15:30,911
OF ULTRA PROCESSED FOODS 20, 30 

2986
02:15:30,911 --> 02:15:36,750
YEARS AGO SO THEY WEREN'T THERE.

2987
02:15:36,750 --> 02:15:38,519
AND THE SECOND ONE IS THE MOST 

2988
02:15:38,519 --> 02:15:40,754
CLEARLY DEFINITION IS NOVA.

2989
02:15:40,754 --> 02:15:43,223
IT'S NOT AS MUCH AS NUTRIENTS AS

2990
02:15:43,223 --> 02:15:47,294
THE PURPOSE OF THE INGREDIENTED 

2991
02:15:47,294 --> 02:15:52,599
AND THE MAIN IS COSMETIC 

2992
02:15:52,599 --> 02:15:54,568
ADDITIVES AND THE OTHER OF NO OR

2993
02:15:54,568 --> 02:15:57,304
RARE CULINARY USED ONLY IN 

2994
02:15:57,304 --> 02:15:57,771
INDUSTRIAL SETTINGS.

2995
02:15:57,771 --> 02:16:00,807
YOU WOULDN'T FIND IT IN A RE

2996
02:16:00,807 --> 02:16:02,843
RESTAURANT OR AT HOME.

2997
02:16:02,843 --> 02:16:04,545
IT'S AN EXTENSIVE LIST.

2998
02:16:04,545 --> 02:16:07,981
IT'S SO EXTENSIVE NOBODY'S HAD 

2999
02:16:07,981 --> 02:16:09,216
TIME TO LOOK AT EACH ADDITIVES 

3000
02:16:09,216 --> 02:16:10,317
ONE AT A TIME.

3001
02:16:10,317 --> 02:16:12,252
THEY'RE ALL GROUPED TOGETHER.

3002
02:16:12,252 --> 02:16:15,122
THEY'RE NOT IN THE DATA SETS.

3003
02:16:15,122 --> 02:16:20,394
AS PEOPLE MOVE FORWARD IN 

3004
02:16:20,394 --> 02:16:22,696
STUDIES, THEY'RE LOOKING WHAT IS

3005
02:16:22,696 --> 02:16:23,997
IN THE FOOD FREQUENCY 

3006
02:16:23,997 --> 02:16:24,898
QUESTIONNAIRE DATA COLLECTED AND

3007
02:16:24,898 --> 02:16:26,433
ASSUMING THE ULTRA PROCESS OF 

3008
02:16:26,433 --> 02:16:27,801
ONES ARE IN THIS GROUP AND THIS 

3009
02:16:27,801 --> 02:16:32,339
GROUP BUT THERE'S A HUGE 

3010
02:16:32,339 --> 02:16:33,674
LIMITATION IN THE ASSESSMENT AND

3011
02:16:33,674 --> 02:16:36,143
CONCLUSIONS YOU CAN DRAW.

3012
02:16:36,143 --> 02:16:40,147
UNFORTUNATELY AS MUCH AS THE 

3013
02:16:40,147 --> 02:16:42,382
PUBLIC IS SEEING THIS IN THE 

3014
02:16:42,382 --> 02:16:44,184
HEADLINES AND UNTIL WE HAVE 

3015
02:16:44,184 --> 02:16:49,189
BETTER TOOLS FOR DEFINING IT BUT

3016
02:16:49,189 --> 02:16:52,092
FINDING THE FOODS WE KNOW WE 

3017
02:16:52,092 --> 02:16:56,997
HAVE THE COSMETIC ADDITIVES.

3018
02:16:56,997 --> 02:16:58,699
THAT'S A LONG WAY OFF.

3019
02:16:58,699 --> 02:16:59,266
WE CAN MAKE PRACTICAL 

3020
02:16:59,266 --> 02:17:03,170
RECOMMENDATIONS AT THE THIS IS 

3021
02:17:03,170 --> 02:17:09,076
TOO I AM  -- TIME BUT THERE'S 

3022
02:17:09,076 --> 02:17:10,210
DIFFICULTIES WITH ASSESSMENT IS 

3023
02:17:10,210 --> 02:17:10,777
WOULD BE MY COMMENT.

3024
02:17:10,777 --> 02:17:20,487
>> I THINK YOU DID A NICE
JOB 

3025
02:17:20,487 --> 02:17:22,322
LAYING OUT THE CONCLUSION 

3026
02:17:22,322 --> 02:17:23,957
STATEMENT WE REACHED.

3027
02:17:23,957 --> 02:17:30,330
>> SO MY QUESTION TO THE 

3028
02:17:30,330 --> 02:17:33,600
SUBCOMMITTEE IS DRIVEN BY YOUR 

3029
02:17:33,600 --> 02:17:41,341
SLIDES WHERE YOU SUMMARIZED ALL 

3030
02:17:41,341 --> 02:17:43,043
THE SYSTEMATIC REVIEWS AND AGE 

3031
02:17:43,043 --> 02:17:43,944
GROUPS WHERE EVIDENCE WAS GRADED

3032
02:17:43,944 --> 02:17:48,882
AS VERY STRONG.

3033
02:17:48,882 --> 02:17:54,988
YOU ALSO OUTLINED SYSTEMATIC 

3034
02:17:54,988 --> 02:17:56,490
REVIEWS AROUND LIFE STAGE WHERE 

3035
02:17:56,490 --> 02:17:57,758
THERE WASN'T DATA TO DRAW 

3036
02:17:57,758 --> 02:17:59,159
CONCLUSIONS FROM.

3037
02:17:59,159 --> 02:18:03,363
AS WE MOVE FORWARD AND AS WE 

3038
02:18:03,363 --> 02:18:05,198
GIVE ADVICE, WE ADD A LOT OF 

3039
02:18:05,198 --> 02:18:08,468
THINGS THAT WE WOULD REALLY 

3040
02:18:08,468 --> 02:18:10,303
RECOMMEND FOR FUTURE COMMITTEES 

3041
02:18:10,303 --> 02:18:14,341
BUT WE TEND NOT TO SAY WHAT WE 

3042
02:18:14,341 --> 02:18:15,075
WOULD TAKE OFF.

3043
02:18:15,075 --> 02:18:21,915
SO BASED ON ALL THESE REVIEWS, 

3044
02:18:21,915 --> 02:18:25,919
ARE THERE TOPICS THE 

3045
02:18:25,919 --> 02:18:26,953
SUBCOMMITTEE BELIEVES MAY NOT BE

3046
02:18:26,953 --> 02:18:29,356
NECESSARY TO PRIORITIZE IN 

3047
02:18:29,356 --> 02:18:30,323
FUTURE COMMITTEES WHILE WE FOCUS

3048
02:18:30,323 --> 02:18:40,667
ON OTHER QUESTIONS?

3049
02:18:44,271 --> 02:18:48,675
>> I CAN GIVE SUGGESTIONS
AND 

3050
02:18:48,675 --> 02:18:50,877
OTHERS CAN CHIME IN.

3051
02:18:50,877 --> 02:18:52,245
WHAT WE DID ON CARDIOVASCULAR 

3052
02:18:52,245 --> 02:18:55,282
DISEASE AND THE FACT IT'S BEEN 

3053
02:18:55,282 --> 02:18:57,984
STRONG FOR SO MANY ITERATIONS, I

3054
02:18:57,984 --> 02:19:00,654
THINK THAT ONE MAY BE A QUICK 

3055
02:19:00,654 --> 02:19:06,760
SCAN TO SEE IF ANYTHING NEW IS 

3056
02:19:06,760 --> 02:19:10,897
HAPPENING IN THE FIELD SOW MAKE 

3057
02:19:10,897 --> 02:19:12,866
SURE YOU'RE NOT MISSING A NEW 

3058
02:19:12,866 --> 02:19:19,372
DEVELOPMENT THAT'S LAHAPPENED.

3059
02:19:19,372 --> 02:19:22,309
THE TYPE II DIABETES AND DIETARY

3060
02:19:22,309 --> 02:19:23,543
PATTERNS GOT MOVED TO STRONG.

3061
02:19:23,543 --> 02:19:29,649
I THINK I WOULD KEEP THAT ON 

3062
02:19:29,649 --> 02:19:30,317
THERE FOR ANOTHER YEAR AND 

3063
02:19:30,317 --> 02:19:34,454
ANOTHER ITERATION.

3064
02:19:34,454 --> 02:19:37,791
I THINK SOME OF THE -- YOU COULD

3065
02:19:37,791 --> 02:19:40,527
LOOK AT SOME OF THE CANCER 

3066
02:19:40,527 --> 02:19:41,895
ASSOCIATIONS ARE MODERATE.

3067
02:19:41,895 --> 02:19:44,464
YOU COULD MAYBE SKIP A YEAR, 

3068
02:19:44,464 --> 02:19:47,634
MAYBE NOT WITH COLORECTAL CANCER

3069
02:19:47,634 --> 02:19:51,338
GIVEN TRENDS WE'RE SEEING.

3070
02:19:51,338 --> 02:19:53,039
PRIORITIZING THE CHILDREN AND 

3071
02:19:53,039 --> 02:19:54,941
PREGNANT INDIVIDUALS AND 

3072
02:19:54,941 --> 02:19:57,744
POSTPARTUM EVEN IN WHAT I 

3073
02:19:57,744 --> 02:19:58,078
MENTIONED.

3074
02:19:58,078 --> 02:20:00,447
SO FOR CBD WITH CHILDREN WE JUST

3075
02:20:00,447 --> 02:20:01,782
UPGRADED IT TO MODERATE.

3076
02:20:01,782 --> 02:20:05,018
I REALLY FEEL THAT NEEDS TO BE 

3077
02:20:05,018 --> 02:20:12,092
LOOKED AT AGAIN IN PREGNANT AND 

3078
02:20:12,092 --> 02:20:12,492
POSTPARTUM WOMEN.

3079
02:20:12,492 --> 02:20:14,494
THOSE ARE WHAT I WOULD CONSIDER.

3080
02:20:14,494 --> 02:20:15,662
UNLESS WE HAVE A BETTER 

3081
02:20:15,662 --> 02:20:19,199
DEFINITION OF ULTRA PROCESSED 

3082
02:20:19,199 --> 02:20:20,567
FOODS WE MIGHT TABLE THAT ONE.

3083
02:20:20,567 --> 02:20:22,269
THOSE ARE MY INITIAL THOUGHTS.

3084
02:20:22,269 --> 02:20:25,739
BUT OTHER MEMBERS OF THE 

3085
02:20:25,739 --> 02:20:28,675
SUBCOMMITTEE FEEL FREE TO JUMP 

3086
02:20:28,675 --> 02:20:28,875
IN.

3087
02:20:28,875 --> 02:20:29,075
DIDI.

3088
02:20:29,075 --> 02:20:34,514
>> I AGREED WITH YOU,
DEANNA 

3089
02:20:34,514 --> 02:20:38,084
RESPECTFULLY UNTIL THE ULTRA 

3090
02:20:38,084 --> 02:20:38,718
PROFES

3091
02:20:38,718 --> 02:20:39,519
PROCESSED FOOD COMMENTS IN FIVE 

3092
02:20:39,519 --> 02:20:40,821
YEARS THAT GOES AWAY AND WE'LL 

3093
02:20:40,821 --> 02:20:44,491
HAVE MORE CLINICAL EXPERIMENTAL 

3094
02:20:44,491 --> 02:20:49,796
AND EVIDENCE.

3095
02:20:49,796 --> 02:20:55,902
THE DEFINITION FOR HEALTH 

3096
02:20:55,902 --> 02:20:58,338
OUTCOME IT'S FOR EXCLUSIVELY 

3097
02:20:58,338 --> 02:21:02,342
DELINEATING TECHNIQUES.

3098
02:21:02,342 --> 02:21:04,244
THE INTENT IS WHAT IT IS.

3099
02:21:04,244 --> 02:21:08,715
FOR THE NEXT FIVE YEARS OF THE 

3100
02:21:08,715 --> 02:21:11,218
RESEARCH WILL EXPLODE.

3101
02:21:11,218 --> 02:21:21,428
IT WILL BE MORE OF A PRIORITY.

3102
02:21:21,428 --> 02:21:24,331
AS WE MOVE TOWARDS A MORE 

3103
02:21:24,331 --> 02:21:25,365
ACCEPTABLE DEFINITION IS ONE IS 

3104
02:21:25,365 --> 02:21:27,567
NEEDED OR ONE THAT COULD BE MORE

3105
02:21:27,567 --> 02:21:30,337
EASILY COMMUNICATED IF THAT'S 

3106
02:21:30,337 --> 02:21:34,307
NECESSARY IN THE END.

3107
02:21:34,307 --> 02:21:37,978
AND WE FELT IT WAS MORE THE 

3108
02:21:37,978 --> 02:21:40,614
VOLUME OF LITERATURE BEING 

3109
02:21:40,614 --> 02:21:43,083
SPARSE THAN THE DEFINITION ALONE

3110
02:21:43,083 --> 02:21:44,150
EXPLAINING THAT.

3111
02:21:44,150 --> 02:21:45,352
WE RAN INTO THAT SAME ISSUE WITH

3112
02:21:45,352 --> 02:21:49,489
ALL THE PATTERNS WE LOOKED AT 

3113
02:21:49,489 --> 02:21:51,958
BEING VAGUE OR NOT QUANTITATIVE.

3114
02:21:51,958 --> 02:21:55,061
IN FIVE YEARS, HOPEFULLY THIS 

3115
02:21:55,061 --> 02:21:58,932
ISN'T PUNTED AGAIN FOR ANOTHER 

3116
02:21:58,932 --> 02:22:00,233
FIVE BUT AND I AGREE WITH ALL 

3117
02:22:00,233 --> 02:22:05,605
THE OTHER POINTS YOU RAISED.

3118
02:22:05,605 --> 02:22:06,773
>> MORE TRIAL DATA WOULD
BE 

3119
02:22:06,773 --> 02:22:08,475
HELPFUL BECAUSE WE DIDN'T SEE 

3120
02:22:08,475 --> 02:22:09,743
MUCH TRIAL DATA IN WHAT WE 

3121
02:22:09,743 --> 02:22:11,878
LOOKED AT THIS ROUND.

3122
02:22:11,878 --> 02:22:16,149
GOOD COMMENTS.

3123
02:22:16,149 --> 02:22:16,483
SAMEERA.

3124
02:22:16,483 --> 02:22:21,254
>> SO I THINK THE FUTURE 

3125
02:22:21,254 --> 02:22:23,056
COMMITTEES SHOULD CONSIDER OLDER

3126
02:22:23,056 --> 02:22:24,624
ADULTS OR CONDITIONS THAT 

3127
02:22:24,624 --> 02:22:25,191
SPECIFICALLY AFFECT THEM.

3128
02:22:25,191 --> 02:22:28,528
THIS TIME AROUND WE WERE NOT 

3129
02:22:28,528 --> 02:22:31,097
ABLE TO PRIORITIZE SARCOPENIA OR

3130
02:22:31,097 --> 02:22:32,465
FRAILTY BECAUSE WE DIDN'T HAVE 

3131
02:22:32,465 --> 02:22:34,134
ENOUGH STUDIES.

3132
02:22:34,134 --> 02:22:36,569
THOUGH I UNDERSTAND SARCOPENIA 

3133
02:22:36,569 --> 02:22:37,971
NEEDS A CLINICAL DIAGNOSIS, I DO

3134
02:22:37,971 --> 02:22:42,142
THINK THE FUTURE COMMITTEES 

3135
02:22:42,142 --> 02:22:45,011
SHOULD THINK OF GRIP STRENGTH 

3136
02:22:45,011 --> 02:22:46,947
AND DISABILITY AS OUTCOMES AND 

3137
02:22:46,947 --> 02:22:49,215
TRY TO ANSWER QUESTIONS OF 

3138
02:22:49,215 --> 02:22:50,884
DIETARY PATTERNS WITH 

3139
02:22:50,884 --> 02:22:51,351
AGE-RELATED OUTCOMES.

3140
02:22:51,351 --> 02:23:00,994
>> VERY GOOD POINT.

3141
02:23:00,994 --> 02:23:03,396
>> I WANT TO MENTION WHAT
YOU 

3142
02:23:03,396 --> 02:23:04,564
SAID AROUND THE LITERATURE AND 

3143
02:23:04,564 --> 02:23:06,333
SPACE IS GOING TO CONTINUE TO 

3144
02:23:06,333 --> 02:23:09,636
GROW AND I THINK WE NEED TO KEEP

3145
02:23:09,636 --> 02:23:12,072
A LENS ON NOT JUST WHAT NOT TO 

3146
02:23:12,072 --> 02:23:14,240
EAT BUT WHAT PEOPLE SHOULD BE 

3147
02:23:14,240 --> 02:23:14,507
EATING.

3148
02:23:14,507 --> 02:23:20,513
AS THE LITERATURE GROWS WE'LL 

3149
02:23:20,513 --> 02:23:22,315
SEE SOME EVIDENCE AND IF WE'RE 

3150
02:23:22,315 --> 02:23:24,551
GOING TO MAKE SOME SHIFTS AROUND

3151
02:23:24,551 --> 02:23:27,053
THE TYPES OR THE AMOUNTS OF 

3152
02:23:27,053 --> 02:23:29,956
ULTRA PROCESSES FOODS THAT ARE 

3153
02:23:29,956 --> 02:23:31,224
BEING CONSUMED WE ALSO KNOW WHEN

3154
02:23:31,224 --> 02:23:33,059
THOSE SHIFTS HAPPEN, WHAT PEOPLE

3155
02:23:33,059 --> 02:23:35,562
ARE LIKELY TO REPLACE THEM WITH.

3156
02:23:35,562 --> 02:23:39,599
WE KNOW FROM OTHER NUTRIENTS OF 

3157
02:23:39,599 --> 02:23:41,067
CONCERN FROM OVER CONSUMPTION 

3158
02:23:41,067 --> 02:23:42,702
THERE'S A REPLACEMENTS AND 

3159
02:23:42,702 --> 02:23:44,871
DISPLACEMENT ISSUE WE NEED TO 

3160
02:23:44,871 --> 02:23:46,206
THINK ABOUT SO THE AMERICAN 

3161
02:23:46,206 --> 02:23:47,974
PEOPLE CAN HAVE THINGS TO DO AND

3162
02:23:47,974 --> 02:23:58,418
NOT JUST THINGS NOT TO DO.

3163
02:24:02,489 --> 02:24:05,091
>> ANY OTHER COMMENTS?

3164
02:24:05,091 --> 02:24:07,694
IF THERE ARE NO OTHER COMMENTS, 

3165
02:24:07,694 --> 02:24:11,631
DEANNA AND ED THANK YOU OFF AND 

3166
02:24:11,631 --> 02:24:12,999
TO THE SUBCOMMITTEE AND STAFF.

3167
02:24:12,999 --> 02:24:15,235
I KNOW WE'LL BE HEARING MORE 

3168
02:24:15,235 --> 02:24:16,569
TOMORROW SO THANK YOU VERY MUCH.

3169
02:24:16,569 --> 02:24:20,807
THIS IS REALLY INTERESTING.

3170
02:24:20,807 --> 02:24:27,680
SO, OUR NEXT SPEAKER IS GO TO BE

3171
02:24:27,680 --> 02:24:33,053
CHRIS TAYLOR WHO IS GOING TO BE 

3172
02:24:33,053 --> 02:24:36,856
REVIEWING THE THREE FACTORS THAT

3173
02:24:36,856 --> 02:24:38,625
RELATE TO FOOD PATTERN 

3174
02:24:38,625 --> 02:24:39,159
MODELLING.

3175
02:24:39,159 --> 02:24:43,029
INSTEAD OF ITEMIZING EACH ONE, 

3176
02:24:43,029 --> 02:24:44,264
CHRIS, I'LL LET YOU TAKE IT AWAY

3177
02:24:44,264 --> 02:24:46,066
BECAUSE YOU'LL BE THE BEST TO 

3178
02:24:46,066 --> 02:24:50,336
EXPLAIN HOW EACH OF THESE ARE 

3179
02:24:50,336 --> 02:24:53,139
ITERATIVE AND RESULT IN WHO WILL

3180
02:24:53,139 --> 02:24:58,344
BE A GREAT DISCUSSION THIS 

3181
02:24:58,344 --> 02:24:58,645
AFTERNOON.

3182
02:24:58,645 --> 02:25:09,055
THANK YOU, TAKE IT AWAY.

3183
02:25:24,671 --> 02:25:26,840
>> TO CHERYL'S COMMENT
AROUND 

3184
02:25:26,840 --> 02:25:28,875
WHAT HAPPENS WHEN YOU TAKE 

3185
02:25:28,875 --> 02:25:29,976
SOMETHING OUT AND WHAT THE 

3186
02:25:29,976 --> 02:25:33,279
SUBSTITUTION ENDS UP BEING, 

3187
02:25:33,279 --> 02:25:33,546
ETCETERA.

3188
02:25:33,546 --> 02:25:38,618
SO IT GIVES US A CHANCE TO TALK 

3189
02:25:38,618 --> 02:25:40,353
THROUGH THE STEPS WE HAD FOR THE

3190
02:25:40,353 --> 02:25:42,322
FOOD PATTERN MODELLING ANALYSIS 

3191
02:25:42,322 --> 02:25:46,226
AND HOW WE WENT THROUGH WITH OUR

3192
02:25:46,226 --> 02:25:48,261
INCREMENTAL PROCESS TO GET TO 

3193
02:25:48,261 --> 02:25:49,329
THAT PHASE.

3194
02:25:49,329 --> 02:25:53,933
AGAIN, THIS WAS A MASSIVE 

3195
02:25:53,933 --> 02:25:58,071
UNDERTAKING BY OUR SUBCOMMITTEE 

3196
02:25:58,071 --> 02:25:59,939
AND STAFF TO SUPPORT US THINKING

3197
02:25:59,939 --> 02:26:02,342
ABOUT IT AS A PERSON WHO USES 

3198
02:26:02,342 --> 02:26:04,043
THIS DATA ON A REGULAR BASIS.

3199
02:26:04,043 --> 02:26:06,980
WE'RE TALKING ABOUT NUMEROUS 

3200
02:26:06,980 --> 02:26:10,250
PUBLICATIONS WORTH OF ANALYSES 

3201
02:26:10,250 --> 02:26:11,584
DONE AND DESCRIBED OVER THE LAST

3202
02:26:11,584 --> 02:26:21,995
SEVERAL PUBLIC MEETINGS.

3203
02:26:22,395 --> 02:26:24,030
AND SYSTEMATIC REVIEWS.

3204
02:26:24,030 --> 02:26:26,499
THE CURRENT REVIEWS ARE NOT 

3205
02:26:26,499 --> 02:26:27,233
ALIGNED WITH DIETARY 

3206
02:26:27,233 --> 02:26:28,468
RECOMMENDATIONS.

3207
02:26:28,468 --> 02:26:35,108
WHEN WE LOOK AT THE SYSTEMATIC 

3208
02:26:35,108 --> 02:26:36,576
REVIEWS THEY'RE HIGHER IN SOME 

3209
02:26:36,576 --> 02:26:38,545
COMPONENTS AND LOWER IN OTHERS.

3210
02:26:38,545 --> 02:26:41,714
IT DOESN'T MEAN THE DIETARY 

3211
02:26:41,714 --> 02:26:43,249
PATTERNS TRANSLATE INTO A FULL 

3212
02:26:43,249 --> 02:26:45,985
AND COMPLETE NUTRIENT PROFILE 

3213
02:26:45,985 --> 02:26:48,021
AND DIETARY PATTERN RECOMMENDED 

3214
02:26:48,021 --> 02:26:53,393
WITHIN THE DIETARY GUIDELINES.

3215
02:26:53,393 --> 02:26:58,331
SO THIS PROCESS AND TALKING 

3216
02:26:58,331 --> 02:27:01,167
ABOUT OUR NUTRIENT NEEDS AND 

3217
02:27:01,167 --> 02:27:02,969
OVERCOME THE THEMES WITH DATA 

3218
02:27:02,969 --> 02:27:05,071
ANALYSIS AND PRESENTATIONS TO 

3219
02:27:05,071 --> 02:27:08,474
REALLY HAVE THAT FOUNDATIONAL 

3220
02:27:08,474 --> 02:27:11,544
DIETARY PATTERN THAT WILL ALLOW 

3221
02:27:11,544 --> 02:27:13,613
US TO MEET NUTRIENT NEEDS WITHIN

3222
02:27:13,613 --> 02:27:24,090
OUR ENERGY RECOMMENDATIONS.

3223
02:27:25,358 --> 02:27:29,395
THIS IS A PROCESS FOR FOOD 

3224
02:27:29,395 --> 02:27:32,498
PATTERN REMODELLING AND THESE 

3225
02:27:32,498 --> 02:27:34,334
SERVE AS THE ANCHOR FOR EACH OF 

3226
02:27:34,334 --> 02:27:36,336
THE CHAPTERS TO DEMONSTRATE THE 

3227
02:27:36,336 --> 02:27:39,606
WORK WE'VE DONE AND STARTED WITH

3228
02:27:39,606 --> 02:27:41,207
THE NUTRIENT PROFILE DEVELOPMENT

3229
02:27:41,207 --> 02:27:44,577
AND THEN ANALYZED HYPOTHETICAL 

3230
02:27:44,577 --> 02:27:46,112
MODIFICATIONS TO FOOD GROUPS AND

3231
02:27:46,112 --> 02:27:48,948
SUB GROUPS AND/OR DIETARY 

3232
02:27:48,948 --> 02:27:51,451
PATTERNS AND THIRD, SYNTHESIZE 

3233
02:27:51,451 --> 02:27:53,686
THE RESULTS AND DRAFTED A 

3234
02:27:53,686 --> 02:27:56,122
MODIFIED DIETARY PATTERN.

3235
02:27:56,122 --> 02:27:57,957
SO TODAY'S CHAPTER OVERVIEW 

3236
02:27:57,957 --> 02:28:01,461
WE'LL COVER THE FIRST THREE 

3237
02:28:01,461 --> 02:28:03,029
STEPS OVER THE COMPONENTS WHICH 

3238
02:28:03,029 --> 02:28:04,597
WILL HELP US ANSWER THIS OVER 

3239
02:28:04,597 --> 02:28:07,400
ARCHING QUESTION AT THE END OF 

3240
02:28:07,400 --> 02:28:08,434
CONSIDERATION EACH STAGE OF LIFE

3241
02:28:08,434 --> 02:28:10,837
SHOULD CHANGES BE MADE TO THE 

3242
02:28:10,837 --> 02:28:14,340
U.S. DIETARY PATTERNS AND SHOULD

3243
02:28:14,340 --> 02:28:15,975
ADDITIONAL DIETARY PATTERNS BE 

3244
02:28:15,975 --> 02:28:16,276
DEVELOPED.

3245
02:28:16,276 --> 02:28:18,344
SO HERE WE'RE GOING TO START 

3246
02:28:18,344 --> 02:28:20,580
WITH CHAPTER 9 WHICH IS THE 

3247
02:28:20,580 --> 02:28:29,489
NUTRIENT PROFILE DEVELOPMENT.

3248
02:28:29,489 --> 02:28:31,391
CHAPTER 9 HAS THE APPROACHES WE 

3249
02:28:31,391 --> 02:28:34,160
TOOK TO CARRY THIS OUT.

3250
02:28:34,160 --> 02:28:36,529
THIS BECOMES OUR FUNDAMENTAL 

3251
02:28:36,529 --> 02:28:41,167
PIECE IN HOW WE DEVELOP THE 

3252
02:28:41,167 --> 02:28:42,535
DIETARY PATTERNS IN THE NUTRIENT

3253
02:28:42,535 --> 02:28:44,537
PROFILES THAT THEN ALLOW US TO 

3254
02:28:44,537 --> 02:28:46,339
TEST EACH ONE OF THE DIFFERENT 

3255
02:28:46,339 --> 02:28:48,975
FOOD GROUPS AND DEVELOP THE 

3256
02:28:48,975 --> 02:28:49,375
PATTERN ITSELF.

3257
02:28:49,375 --> 02:28:51,344
THESE ARE THE APPROACHES WE USED

3258
02:28:51,344 --> 02:28:56,382
AS A COMMITTEE TO REALLY FOCUS 

3259
02:28:56,382 --> 02:28:59,485
ON FOODS, NUTRIENT FOODS AND 

3260
02:28:59,485 --> 02:29:02,288
BEVERAGES TO CONTRIBUTE TO THE 

3261
02:29:02,288 --> 02:29:03,356
NUTRIENT PROFILE CALCULATIONS 

3262
02:29:03,356 --> 02:29:09,095
AND WAY WAY -- A WAY TO EXPLORE 

3263
02:29:09,095 --> 02:29:10,730
IF NUTRIENT DENSITY SHOULD BE 

3264
02:29:10,730 --> 02:29:14,334
INCLUDED FROM THE NUTRIENT 

3265
02:29:14,334 --> 02:29:21,240
PROFILE.

3266
02:29:21,240 --> 02:29:23,509
WE COMBINED THEM WITH IN 

3267
02:29:23,509 --> 02:29:25,912
ESTIMATED PROFILE AND DEVELOP 

3268
02:29:25,912 --> 02:29:27,113
PATTERNS THAT BALANCE THE NEED 

3269
02:29:27,113 --> 02:29:29,382
FOR NUTRITIONAL GOALS FOR 

3270
02:29:29,382 --> 02:29:31,317
ADEQUACY AND MODERATION.

3271
02:29:31,317 --> 02:29:36,255
HOW DO WE TALK ABOUT THAT 

3272
02:29:36,255 --> 02:29:38,324
POTENTIAL SUBSTITUTION?

3273
02:29:38,324 --> 02:29:39,625
ADDITIONALLY RECOMMENDING 

3274
02:29:39,625 --> 02:29:41,060
NUTRIENT DENSE VERSIONS WITH THE

3275
02:29:41,060 --> 02:29:44,564
LEAST AMOUNT OF ADDED SUGAR AND 

3276
02:29:44,564 --> 02:29:45,665
FAT AND SODIUM.

3277
02:29:45,665 --> 02:29:49,168
HOW DO WE CREATE THE PROFILE 

3278
02:29:49,168 --> 02:29:50,770
THAT REPRESENTS THESE FOODS?

3279
02:29:50,770 --> 02:29:54,707
AND WHETHER THEY CONTRIBUTE TO 

3280
02:29:54,707 --> 02:29:56,275
NUTRIENT PROFILES DUE TO 

3281
02:29:56,275 --> 02:29:58,344
PRESENCE OF ADDED SUGAR OR FAT 

3282
02:29:58,344 --> 02:30:00,046
OR SODIUM SHOULD BE INCLUDED 

3283
02:30:00,046 --> 02:30:02,882
FROM CONTRIBUTING.

3284
02:30:02,882 --> 02:30:08,254
SO FOR EXAMPLE, LOWER FAT OR 

3285
02:30:08,254 --> 02:30:10,623
REDUCED SUGAR ICE CREAM COULD BE

3286
02:30:10,623 --> 02:30:12,558
USED IN DEVELOPING THE PROFILE 

3287
02:30:12,558 --> 02:30:15,161
FOR DAIRY AND FORTIFIED SOY BUT 

3288
02:30:15,161 --> 02:30:17,063
WOULD STILL CONTAIN ADDED SUGAR 

3289
02:30:17,063 --> 02:30:19,732
AND SATURATED FAT AND BE HIGHER 

3290
02:30:19,732 --> 02:30:21,033
IN CALORIES COMPARED TO OTHERS 

3291
02:30:21,033 --> 02:30:23,269
IN THE FOOD GROUP.

3292
02:30:23,269 --> 02:30:23,903
ALTERNATIVELY, ICE CREAM COULD 

3293
02:30:23,903 --> 02:30:25,905
BE INCLUDED FROM THE DEVELOPMENT

3294
02:30:25,905 --> 02:30:26,739
OF THE NUTRIENT PROFILE ALL 

3295
02:30:26,739 --> 02:30:37,083
TOGETHER.

3296
02:30:37,083 --> 02:30:41,020
THE ADDITIONAL ASPECT IS WITH 

3297
02:30:41,020 --> 02:30:42,789
THE HEALTH EQUITY LENS DEVELOP 

3298
02:30:42,789 --> 02:30:44,891
PROFILES FROM THE TOTAL 

3299
02:30:44,891 --> 02:30:45,792
POPULATION LEVEL.

3300
02:30:45,792 --> 02:30:49,228
LOOKING AT THE CONSUMPTION OF 

3301
02:30:49,228 --> 02:30:51,564
FOODS AND BEVERAGES BASED ON 

3302
02:30:51,564 --> 02:30:54,333
NHANES CONSUMPTION DATA AND THAT

3303
02:30:54,333 --> 02:30:57,637
PROPORTIONAL CONTRIBUTION ALLOWS

3304
02:30:57,637 --> 02:31:00,606
US TO UNDERSTAND WHAT FOODS AND 

3305
02:31:00,606 --> 02:31:01,774
BEVERAGES ARE COMMONLY CONSUMED 

3306
02:31:01,774 --> 02:31:07,480
AND HAVE A POPULATION-BASED 

3307
02:31:07,480 --> 02:31:10,316
PROFILE THAT REPRESENTS THAT 

3308
02:31:10,316 --> 02:31:10,950
TOTAL POPULATION AND THERE'S A 

3309
02:31:10,950 --> 02:31:12,852
LIFE STAGE APPROACH FOR THE 

3310
02:31:12,852 --> 02:31:17,824
NUTRIENT PROFILES WITH THE 

3311
02:31:17,824 --> 02:31:18,458
PROPORTIONAL CONSUMPTION WITH 

3312
02:31:18,458 --> 02:31:19,859
AGE GROUPS AND WITH THE STRATEGY

3313
02:31:19,859 --> 02:31:22,962
ON HEALTH EQUITY AND LOOKING AT 

3314
02:31:22,962 --> 02:31:28,134
THAT PERSPECTIVE THEN WANTED TO 

3315
02:31:28,134 --> 02:31:31,838
ASK THE QUESTION AND DEVELOPING 

3316
02:31:31,838 --> 02:31:33,739
NUTRIENT PROFILES FOR POPULATION

3317
02:31:33,739 --> 02:31:39,612
GROUPS RACE OR ETHNICITY OR 

3318
02:31:39,612 --> 02:31:42,281
FEDERAL PROGRAM ELIGIBILITY AND 

3319
02:31:42,281 --> 02:31:43,850
WOULD THEY BE DIFFERENT THAN 

3320
02:31:43,850 --> 02:31:44,784
USED FOR A TOTAL POPULATION 

3321
02:31:44,784 --> 02:31:46,219
ANALYSIS?

3322
02:31:46,219 --> 02:31:48,120
THIS ALLOWED US TO EVALUATE THE 

3323
02:31:48,120 --> 02:31:49,789
GENERALIZABILITY OF A SINGLE 

3324
02:31:49,789 --> 02:31:55,695
U.S. POPULATION NUTRIENT PROFILE

3325
02:31:55,695 --> 02:31:58,331
OR IF POPULATION GROUPS WOULD BE

3326
02:31:58,331 --> 02:32:08,708
NECESSARY OR HELPFUL.

3327
02:32:10,576 --> 02:32:12,044
AND SCIENTIFIC QUESTIONS WE'RE 

3328
02:32:12,044 --> 02:32:14,347
ANSWERING WITHIN THE FOOD 

3329
02:32:14,347 --> 02:32:16,182
PATTERN MODELLING ANALYSIS.

3330
02:32:16,182 --> 02:32:20,520
SHOULD FOODS AND BEVERAGES WITH 

3331
02:32:20,520 --> 02:32:24,624
LOWER NUTRIENT DENSITY REPRESENT

3332
02:32:24,624 --> 02:32:27,927
FOODS AND THE NUTRIENT PROFILES 

3333
02:32:27,927 --> 02:32:29,562
FOR EACH FOOD GROUP AND SUB 

3334
02:32:29,562 --> 02:32:32,598
GROUP IN MODELLING THE USDA 

3335
02:32:32,598 --> 02:32:34,934
340E8D MODELLING PATTERNS AND 

3336
02:32:34,934 --> 02:32:36,302
THE DIFFERENCE BETWEEN THE 

3337
02:32:36,302 --> 02:32:38,538
NUTRIENT PROFILES CALCULATED 

3338
02:32:38,538 --> 02:32:41,908
WITH DIETARY INTAKES WITH THE 

3339
02:32:41,908 --> 02:32:42,542
TOTAL POPULATION OR POPULATION 

3340
02:32:42,542 --> 02:32:51,817
GROUPS?

3341
02:32:51,817 --> 02:32:53,419
AND WITH LOTS OF DATA AND 

3342
02:32:53,419 --> 02:32:54,520
CONTINUING TO EVALUATE WHAT 

3343
02:32:54,520 --> 02:32:56,822
TYPES OF CHANGES MIGHT HAPPEN 

3344
02:32:56,822 --> 02:33:03,262
LOOK AGING  -- LOOKING AT THE 

3345
02:33:03,262 --> 02:33:04,564
TOTAL POPULATION CONSUMPTION 

3346
02:33:04,564 --> 02:33:05,831
STARTING WITH THE HEALTHY 

3347
02:33:05,831 --> 02:33:11,470
U.S. STYLE DIETARY PATTERN THAT 

3348
02:33:11,470 --> 02:33:15,541
HAS AN AND LOOKING AT FOODS 

3349
02:33:15,541 --> 02:33:16,342
NUTRIENT DENSE IN OUR ANALYSIS 

3350
02:33:16,342 --> 02:33:18,911
INCLUDING DESERTS, CANDIES OR 

3351
02:33:18,911 --> 02:33:22,882
OTHER SWEETS FROM THE NUTRIENT 

3352
02:33:22,882 --> 02:33:27,587
PROFILE HAD MINIMAL OR LITTLE OR

3353
02:33:27,587 --> 02:33:29,188
NO CHANGE WITH MOST THE FOOD 

3354
02:33:29,188 --> 02:33:30,957
GROUPS AND SUB GROUPS BUT SAW 

3355
02:33:30,957 --> 02:33:31,724
DIFFERENCES IN THE CATEGORIES OF

3356
02:33:31,724 --> 02:33:34,327
FOODS THAT HAD IMPLICATIONS FOR 

3357
02:33:34,327 --> 02:33:37,697
DAIRY AND FORTIFIED SOY 

3358
02:33:37,697 --> 02:33:41,100
ALTERNATIVES AND ALSO FOR GRAINS

3359
02:33:41,100 --> 02:33:43,269
WOULD BE ADDRESSING SAY ICE 

3360
02:33:43,269 --> 02:33:44,770
CREAM OR GRAIN-BASED DESERTS 

3361
02:33:44,770 --> 02:33:47,006
THAT MAY BE HIGHER IN SATURATED 

3362
02:33:47,006 --> 02:33:52,044
FAT AND ADDED SUGAR.

3363
02:33:52,044 --> 02:33:55,781
SO WE HAD NEGLIGIBLE CHANGES IN 

3364
02:33:55,781 --> 02:34:00,820
THE NUTRIENT PROFILES ASPECT.

3365
02:34:00,820 --> 02:34:02,321
WHEN YOU'RE USING NUTRIENT DENSE

3366
02:34:02,321 --> 02:34:05,825
FOODS TO CAPTURE THE PROFILES 

3367
02:34:05,825 --> 02:34:08,227
THEY'LL HAVE LIMITED SUGAR AND 

3368
02:34:08,227 --> 02:34:09,328
SATURATED FAT SO WE WOULDN'T 

3369
02:34:09,328 --> 02:34:11,797
EXPECT TO SEE LARGE DIFFERENCES 

3370
02:34:11,797 --> 02:34:15,501
IN THE NUTRIENT PROFILES 

3371
02:34:15,501 --> 02:34:16,869
ESPECIALLY WITHIN THE FOOD GROUP

3372
02:34:16,869 --> 02:34:19,372
THEMSELVES BUT ALLOWED US TO 

3373
02:34:19,372 --> 02:34:21,440
TIGHTEN UP THE PROFILES MORE AND

3374
02:34:21,440 --> 02:34:24,677
IDENTIFY WHEN WE ARE FOLLOWING 

3375
02:34:24,677 --> 02:34:29,348
THE RECOMMENDATIONS FOR LESS  

3376
02:34:29,348 --> 02:34:32,218
INTAKES OF SATURATED FAT AND 

3377
02:34:32,218 --> 02:34:34,153
SUGAR AND THE REMOVAL OF SOME OF

3378
02:34:34,153 --> 02:34:35,921
THE FOODS LESS NUTRIENT DENSE 

3379
02:34:35,921 --> 02:34:38,290
WOULD ALLOW US TO GET A SLIGHTLY

3380
02:34:38,290 --> 02:34:40,226
TIGHTER NUTRIENT PROFILE 

3381
02:34:40,226 --> 02:34:41,927
ESPECIALLY WHEN TRYING TO MEET 

3382
02:34:41,927 --> 02:34:44,530
NEEDS WITHIN CALORIE GOALS AND 

3383
02:34:44,530 --> 02:34:49,568
LINK THAT BACK TO OUR DATA 

3384
02:34:49,568 --> 02:34:50,636
ANALYSIS FINDINGS AROUND THE 

3385
02:34:50,636 --> 02:34:52,605
RATES OF OBESITY IN THE U.S. SO 

3386
02:34:52,605 --> 02:34:53,406
ENERGY BALANCE WOULD BE AN 

3387
02:34:53,406 --> 02:35:03,816
IMPORTANT CONSIDERATION.

3388
02:35:09,221 --> 02:35:19,699
AND CAPTURE THE NUTRIENT FRO -- 

3389
02:35:20,433 --> 02:35:23,903
PROFILES BY RACE AND ETHNICITY 

3390
02:35:23,903 --> 02:35:28,607
AND SOCIO ECONOMIC POSITION IN 

3391
02:35:28,607 --> 02:35:32,545
NHANES USING INCOME MEASURES 

3392
02:35:32,545 --> 02:35:35,214
FROM FEDERAL ASSISTANCE 

3393
02:35:35,214 --> 02:35:37,083
USABILITY AND THIS ANALYSIS WAS 

3394
02:35:37,083 --> 02:35:39,018
SET TO FOCUS ON THE SEVERAL 

3395
02:35:39,018 --> 02:35:40,986
STEPS THAT TOOK INTO ACCOUNT THE

3396
02:35:40,986 --> 02:35:44,523
VARIATION IN DIETARY INTAKE 

3397
02:35:44,523 --> 02:35:48,494
BECOMING OPPORTUNITIES FOR THE 

3398
02:35:48,494 --> 02:35:53,365
FUTURE.

3399
02:35:53,365 --> 02:35:54,333
AND THERE'S INDIVIDUAL 

3400
02:35:54,333 --> 02:35:55,835
POPULATION GROUPS TO AVOID THE 

3401
02:35:55,835 --> 02:35:59,338
POSSIBILITY OF EXACERBATING 

3402
02:35:59,338 --> 02:36:03,509
INADEQUACIES AMONG NUTRIENT OF 

3403
02:36:03,509 --> 02:36:04,243
CONCERNS.

3404
02:36:04,243 --> 02:36:06,345
THE NUTRIENT PROFILES DIDN'T 

3405
02:36:06,345 --> 02:36:10,316
CHANGE AND WEREN'T TOO DIFFERENT

3406
02:36:10,316 --> 02:36:13,819
SO MOVING FORWARD WITH A SINGLE 

3407
02:36:13,819 --> 02:36:16,122
PROFILE WAS GOING TO TO BE A 

3408
02:36:16,122 --> 02:36:18,324
VIABLE AND USEFUL OPTION BUT WE 

3409
02:36:18,324 --> 02:36:20,025
THEN WANTED TO BE ABLE TO CHECK 

3410
02:36:20,025 --> 02:36:23,763
AFTER THE FACT WHEN WE DO OUR 

3411
02:36:23,763 --> 02:36:25,131
PROFILE STEPS LATER WHICH WE'LL 

3412
02:36:25,131 --> 02:36:28,334
TALK ABOUT IN CHAPTER 10, TO 

3413
02:36:28,334 --> 02:36:29,668
DETERMINE DID IT CREATE 

3414
02:36:29,668 --> 02:36:32,872
ADDITIONAL GAPS THAT MIGHT BE 

3415
02:36:32,872 --> 02:36:35,341
UNINTENDED FROM USING A TOTAL 

3416
02:36:35,341 --> 02:36:44,150
U.S. POPULATION PROFILE.

3417
02:36:44,150 --> 02:36:46,919
OUR DRAFT FUTURE DIRECTION FROM 

3418
02:36:46,919 --> 02:36:49,221
THE WORK LOOKING AT WAYS TO 

3419
02:36:49,221 --> 02:36:50,856
ADVANCE FOOD PATTERN MODELLING 

3420
02:36:50,856 --> 02:36:58,164
BY ALIGNING THE NUTRIENT PROFILE

3421
02:36:58,164 --> 02:37:01,634
WITH THE MAJORITY CONSUMPTION 

3422
02:37:01,634 --> 02:37:03,702
FROM NUTRIENT DENSE SOURCE.

3423
02:37:03,702 --> 02:37:04,904
WE'RE TRYING TO DEVELOP WHAT 

3424
02:37:04,904 --> 02:37:07,339
INDIVIDUALS ARE CONSUMING AND 

3425
02:37:07,339 --> 02:37:08,574
IDENTIFYING THE PATTERNS AND 

3426
02:37:08,574 --> 02:37:12,077
USING THAT TO CALCULATE THE 

3427
02:37:12,077 --> 02:37:14,346
NUTRIENT PROFILE BUT THEN 

3428
02:37:14,346 --> 02:37:15,181
TESTING THE GENERALIZABILITY 

3429
02:37:15,181 --> 02:37:18,350
FROM THE TOTAL POPULATION INTO A

3430
02:37:18,350 --> 02:37:20,820
MORE DIVERSE U.S. POPULATION.

3431
02:37:20,820 --> 02:37:24,290
WHAT ARE THINGS WE NEED TO 

3432
02:37:24,290 --> 02:37:26,358
ACCOMPLISH THIS AND FUTURE 

3433
02:37:26,358 --> 02:37:27,026
DIRECTIONS.

3434
02:37:27,026 --> 02:37:31,263
ONE, DO WE HAVE A HIGHLY 

3435
02:37:31,263 --> 02:37:32,531
VALUABLE WITH WHAT THE AMERICAN 

3436
02:37:32,531 --> 02:37:34,066
DATABASES WE TALKED ABOUT THE 

3437
02:37:34,066 --> 02:37:36,001
IMPORTANCE OF NHANES AND DIETARY

3438
02:37:36,001 --> 02:37:37,336
INTAKE DATA AND WHAT IT PROVIDES

3439
02:37:37,336 --> 02:37:39,305
FOR US IN TERMS OF KEEPING A 

3440
02:37:39,305 --> 02:37:40,806
FINGER ON THE PULSE OF THE 

3441
02:37:40,806 --> 02:37:42,808
U.S. DIETARY INTAKE.

3442
02:37:42,808 --> 02:37:49,248
BUT AT THE SAME TIME, OUR FOOD 

3443
02:37:49,248 --> 02:37:58,991
SUPPLY IS CHANGE IING RAPIDLY A 

3444
02:37:58,991 --> 02:38:00,693
THE QUALITY OF DATA WE EXPECT 

3445
02:38:00,693 --> 02:38:03,596
FROM THE DATABASE BUT BEING ABLE

3446
02:38:03,596 --> 02:38:05,831
TO STAY NIMBLE MEANS WE'LL NEED 

3447
02:38:05,831 --> 02:38:07,266
MORE RESOURCES NECESSARY TO KEEP

3448
02:38:07,266 --> 02:38:09,468
US WITH THE MARKET TRENDS BUT 

3449
02:38:09,468 --> 02:38:10,970
ALSO PROVIDE US WITH THE QUALITY

3450
02:38:10,970 --> 02:38:13,505
OF DATA AND THE BREADTH OF DATA 

3451
02:38:13,505 --> 02:38:15,574
WE HAVE WITHIN THESE.

3452
02:38:15,574 --> 02:38:20,346
MANY OF THESE EFFORTS ARE 

3453
02:38:20,346 --> 02:38:24,550
ONGOING BUT IT IS A CONTINUAL 

3454
02:38:24,550 --> 02:38:25,851
CHALLENGE WHICH WE'LL TALK ABOUT

3455
02:38:25,851 --> 02:38:29,622
A LITTLE BIT MORE IN CHAPTER 10 

3456
02:38:29,622 --> 02:38:31,423
AND NUTRIENT PROFILE 

3457
02:38:31,423 --> 02:38:35,594
CALCULATION, EVERY TIME YOU GO 

3458
02:38:35,594 --> 02:38:36,695
IN AND START THE PROCESS THERE 

3459
02:38:36,695 --> 02:38:38,564
ARE ALWAYS A FEW THINGS YOU 

3460
02:38:38,564 --> 02:38:41,200
LEARN AND IDENTIFY, A FEW WAYS 

3461
02:38:41,200 --> 02:38:43,836
WE CAN DO THINGS SLIGHTLY 

3462
02:38:43,836 --> 02:38:45,738
DIFFERENTLY.

3463
02:38:45,738 --> 02:38:48,540
ONE OF THOSE WAS ADDRESSING 

3464
02:38:48,540 --> 02:38:51,043
LABELLING MIXED DISHES.

3465
02:38:51,043 --> 02:38:54,346
HOW DO MIXED DISHES FIT WITHIN 

3466
02:38:54,346 --> 02:38:54,880
THE PROFESSION?

3467
02:38:54,880 --> 02:38:56,949
THEY'RE DISAGGREGATED INTO THEIR

3468
02:38:56,949 --> 02:39:00,486
INDIVIDUAL INGREDIENTS BUT ALSO 

3469
02:39:00,486 --> 02:39:02,288
INGREDIENTS WITHIN MIXED DISHES 

3470
02:39:02,288 --> 02:39:04,456
THAT DON'T COUNT TOWARDS FOOD 

3471
02:39:04,456 --> 02:39:07,760
GROUPS SUCH AS SAUCES AND 

3472
02:39:07,760 --> 02:39:09,595
CONDIMENT S AND THINGS LIKE THA.

3473
02:39:09,595 --> 02:39:16,502
IT'S A WAY TO GRAPPLE WITH THE 

3474
02:39:16,502 --> 02:39:22,107
HEALTH EQUITY LENS AND CULTURAL 

3475
02:39:22,107 --> 02:39:25,044
FOOD WAYS AND HOW IT CARRIES 

3476
02:39:25,044 --> 02:39:28,714
FORWARD AND ALSO IMPLICATIONS 

3477
02:39:28,714 --> 02:39:30,549
FOR ENRICHMENT AND FORTIFYING OF

3478
02:39:30,549 --> 02:39:32,251
FOODS WITHIN NUTRIENT PROFILES 

3479
02:39:32,251 --> 02:39:33,819
BECAUSE WE'RE LOOKING AT A 

3480
02:39:33,819 --> 02:39:35,821
DATABASE TRYING TO ASSESS A 

3481
02:39:35,821 --> 02:39:39,291
POINT ESTIMATE FOR A FOOD THAT 

3482
02:39:39,291 --> 02:39:41,226
DOES REPRESENT THE BROADER 

3483
02:39:41,226 --> 02:39:43,595
REPRESENTATION OF FOODS AND 

3484
02:39:43,595 --> 02:39:45,564
BEVERAGES IN THE FOOD SUPPLY.

3485
02:39:45,564 --> 02:39:49,034
SO THERE WILL BE DIFFERENCES IN 

3486
02:39:49,034 --> 02:39:50,936
FORTIFICATION AND ENRICHMENT 

3487
02:39:50,936 --> 02:39:53,872
ACROSS VARIOUS FOOD PRODUCTS, 

3488
02:39:53,872 --> 02:39:56,575
GRAINS, ALSO WITHIN OUR 

3489
02:39:56,575 --> 02:39:59,044
FORTIFIED DAIRY ALTERNATIVES.

3490
02:39:59,044 --> 02:40:02,581
SO BEING ABLE TO CAPTURE 

3491
02:40:02,581 --> 02:40:05,117
INFORMATION AROUND ENRICHMENT 

3492
02:40:05,117 --> 02:40:10,322
AND FORTIFICATION BECOMES AN 

3493
02:40:10,322 --> 02:40:14,927
IMPORTANT FACTOR IN TRACKING THE

3494
02:40:14,927 --> 02:40:18,197
FOODS AND BEVERAGES.

3495
02:40:18,197 --> 02:40:20,699
SO, THIS CHAPTER THEN DESCRIBES 

3496
02:40:20,699 --> 02:40:23,135
HOW WE DEVELOPED THE NUTRIENT 

3497
02:40:23,135 --> 02:40:24,236
PROFILES WE'LL USE.

3498
02:40:24,236 --> 02:40:25,904
THIS REVISED NUTRIENT PROFILE 

3499
02:40:25,904 --> 02:40:28,807
WITH THE EXCLUDED DESERTS, 

3500
02:40:28,807 --> 02:40:30,776
CANDIES AND SWEETS ARE 

3501
02:40:30,776 --> 02:40:31,377
GENERALIZABLE TO INDIVIDUAL 

3502
02:40:31,377 --> 02:40:34,980
POPULATION GROUPS AND ALIGNED 

3503
02:40:34,980 --> 02:40:36,448
WITH THE GOAL OF THE MODEL 

3504
02:40:36,448 --> 02:40:38,584
NUTRIENT DENSE FOODS AND THE 

3505
02:40:38,584 --> 02:40:40,753
REVISED NUTRIENT PROFILES USED 

3506
02:40:40,753 --> 02:40:42,354
IN ANALYSES DESCRIBED IN CHAPTER

3507
02:40:42,354 --> 02:40:44,490
10 AND SERVICE THE FOUNDATION 

3508
02:40:44,490 --> 02:40:47,726
FOR THE HYPOTHETICAL 

3509
02:40:47,726 --> 02:40:51,797
MODIFICATION ANALYSES.

3510
02:40:51,797 --> 02:40:57,770
SO, AT THIS TAKE I WILL INVITE 

3511
02:40:57,770 --> 02:41:03,142
THE COMMITTEE TO TURN ON THEIR 

3512
02:41:03,142 --> 02:41:06,145
CAMERAS AND DISCUSS.

3513
02:41:06,145 --> 02:41:07,012
COMMENTS AND DISCUSSION.

3514
02:41:07,012 --> 02:41:09,114
>> THANK YOU, CHRIS AND
THANK 

3515
02:41:09,114 --> 02:41:10,716
YOU TO THE STAFF AND TO THE 

3516
02:41:10,716 --> 02:41:12,451
STEAM.

3517
02:41:12,451 --> 02:41:15,421
THIS IS GREAT, GREAT WORK.

3518
02:41:15,421 --> 02:41:17,356
I THINK LAYING IT OUT THIS WAY 

3519
02:41:17,356 --> 02:41:20,592
WILL HELP THE EVOLUTION OF THE 

3520
02:41:20,592 --> 02:41:26,565
DECISIONS OF THE GROUP.

3521
02:41:26,565 --> 02:41:36,408
QUESTIONS FOR CHRIS ON THIS?

3522
02:41:36,408 --> 02:41:41,880
CHRIS, I THINK EVERYONE IS 

3523
02:41:41,880 --> 02:41:48,320
WAITED WITH BATED BREATH FOR 

3524
02:41:48,320 --> 02:41:50,923
CHAPTER 10 AND LET'S GO TO THAT 

3525
02:41:50,923 --> 02:41:55,060
AND WE'LL DO QUESTIONS THEN.

3526
02:41:55,060 --> 02:41:56,428
KEEP 'EM GOING.

3527
02:41:56,428 --> 02:41:58,330
>> OKAY.

3528
02:41:58,330 --> 02:42:03,202
TRANSITIONING BACK.

3529
02:42:03,202 --> 02:42:07,940
MOVING ON TO CHAPTER 10 THE FOOD

3530
02:42:07,940 --> 02:42:09,541
GROUP ANALYSIS AND THIS IS OUR 

3531
02:42:09,541 --> 02:42:10,342
OPPORTUNITY WITHIN THE ANALYSIS 

3532
02:42:10,342 --> 02:42:16,448
TO REALLY LOOK AT THE INDIVIDUAL

3533
02:42:16,448 --> 02:42:23,622
FOOD GROUPS LOOKING AT THE 

3534
02:42:23,622 --> 02:42:25,090
SUBGROUPS WE HAVE THAT MAKE UP 

3535
02:42:25,090 --> 02:42:28,794
THIS DIETARY PATTERN AND ALLOWS 

3536
02:42:28,794 --> 02:42:32,431
US TO TURN ALL THE LEVERS AND 

3537
02:42:32,431 --> 02:42:34,333
SEE WHAT HAPPENS IF WE HAVE MORE

3538
02:42:34,333 --> 02:42:38,137
OR LESS OF SOME ITEMS.

3539
02:42:38,137 --> 02:42:38,604
SOME IMPLICATIONS.

3540
02:42:38,604 --> 02:42:40,339
WE'VE HAD A LOT OF PUBLIC 

3541
02:42:40,339 --> 02:42:42,841
COMMENT AND FEEDBACK AROUND 

3542
02:42:42,841 --> 02:42:45,611
SPACES OF CONSUMING MORE OR LESS

3543
02:42:45,611 --> 02:42:50,315
OF CERTAIN THINGS WITHIN THE 

3544
02:42:50,315 --> 02:42:51,917
DIETARY PATTERNS SYSTEMATIC 

3545
02:42:51,917 --> 02:42:54,319
REVIEW WE JUST HEARD ABOUT.

3546
02:42:54,319 --> 02:42:55,787
THERE WAS A CONSIDERATION 

3547
02:42:55,787 --> 02:42:57,055
DISCUSSION AROUND CONSUMING MORE

3548
02:42:57,055 --> 02:42:58,423
OR LESS OF CERTAIN THINGS.

3549
02:42:58,423 --> 02:43:00,459
WHAT DO WE DO WITH SUBSTITUTION?

3550
02:43:00,459 --> 02:43:04,663
SO THIS REALLY ALLOWS US TO LOOK

3551
02:43:04,663 --> 02:43:06,331
AT EACH ONE OF THE INDIVIDUAL 

3552
02:43:06,331 --> 02:43:06,999
SECTIONS AND WHAT HAPPENS WHEN 

3553
02:43:06,999 --> 02:43:08,600
WE PULL THE LEVERS AND WHAT IS 

3554
02:43:08,600 --> 02:43:11,603
THE IMPLICATION OF THAT FOR 

3555
02:43:11,603 --> 02:43:14,039
NUTRIENT INTAKES AND REALLY HOW 

3556
02:43:14,039 --> 02:43:14,806
THIS ADDRESSES DIETS OF PUBLIC 

3557
02:43:14,806 --> 02:43:16,608
HEALTH INTEREST.

3558
02:43:16,608 --> 02:43:19,711
SO WE'RE GOING TO START WITH THE

3559
02:43:19,711 --> 02:43:24,816
FOOD GROUPS AT THE TOP AND THEN 

3560
02:43:24,816 --> 02:43:31,557
WE'LL CONTINUE ON TO EXPLORATORY

3561
02:43:31,557 --> 02:43:38,864
ANALYSES AROUND REMOVING 

3562
02:43:38,864 --> 02:43:40,165
ANIMAL-BASED FOODS AND OTHER 

3563
02:43:40,165 --> 02:43:41,934
GROUPS AND IT WILL ALLOW US TO 

3564
02:43:41,934 --> 02:43:43,235
COMPARE THOSE TO OUR POPULATION 

3565
02:43:43,235 --> 02:43:46,872
GROUPS AND DETERMINE IF THERE 

3566
02:43:46,872 --> 02:43:48,907
WERE ANY UNEXPECTED CHALLENGES 

3567
02:43:48,907 --> 02:43:50,342
THAT MIGHT OCCUR WITHIN THE 

3568
02:43:50,342 --> 02:44:00,852
POPULATION GROUPS THEMSELVES.

3569
02:44:07,926 --> 02:44:11,396
THERE WERE PATTERNS THAT MET 

3570
02:44:11,396 --> 02:44:13,398
NUTRITIONAL GOALS WITH FEW 

3571
02:44:13,398 --> 02:44:14,132
EXCEPTIONS.

3572
02:44:14,132 --> 02:44:17,069
THESE PATTERNS, THESE USDA 

3573
02:44:17,069 --> 02:44:18,237
DIETARY PATTERNS THAT CREATED 

3574
02:44:18,237 --> 02:44:20,539
THE CORNERSTONE OF THE WORK THAT

3575
02:44:20,539 --> 02:44:24,943
WE'RE CONDUCTING AND PRESENTING 

3576
02:44:24,943 --> 02:44:27,312
HERE WHERE THE HEALTHY DIETARY 

3577
02:44:27,312 --> 02:44:32,651
GUIDE AN AND VEGETARIAN PATTERN 

3578
02:44:32,651 --> 02:44:34,886
AND MEDITERRANEAN STYLE PATTERN.

3579
02:44:34,886 --> 02:44:36,521
CHAPTER 10 EXPLORE THE 

3580
02:44:36,521 --> 02:44:39,758
IMPLICATIONS IN MEETING GOALS.

3581
02:44:39,758 --> 02:44:42,327
IF WE SHIFT THE QUANTITIES OF 

3582
02:44:42,327 --> 02:44:43,295
FOOD GROUPS AND SUB GROUPS 

3583
02:44:43,295 --> 02:44:46,665
MOSTLY TESTING ON THE 2020 

3584
02:44:46,665 --> 02:44:52,037
U.S. STYLE OR HUSS PATTERN IF 

3585
02:44:52,037 --> 02:44:52,971
FLEXIBILITIES SHOULD BE MADE TO 

3586
02:44:52,971 --> 02:44:57,976
THE EXISTING PATTERNS OR NED NEW

3587
02:44:57,976 --> 02:45:05,484
DIETARY PATTERNS TO ADDRESS 

3588
02:45:05,484 --> 02:45:06,184
DIFFERENT EATING STYLES.

3589
02:45:06,184 --> 02:45:09,221
GROUPS ARE ALIGNED ON KEY 

3590
02:45:09,221 --> 02:45:10,856
NUTRIENT CONTENT.

3591
02:45:10,856 --> 02:45:13,659
SO, WHEN WE MAKESHIFTS WITHIN 

3592
02:45:13,659 --> 02:45:15,861
THESE FOOD GROUPS AND SUB 

3593
02:45:15,861 --> 02:45:18,330
GROUPS, THEY'RE GOING TO BE 

3594
02:45:18,330 --> 02:45:20,032
SUBSEQUENT NUTRIENT CHANGES 

3595
02:45:20,032 --> 02:45:20,899
WITHIN THAT.

3596
02:45:20,899 --> 02:45:22,901
WHEN DIETARY CHANGES ARE 

3597
02:45:22,901 --> 02:45:24,469
PROPOSED THERE'S AN IMPLICATION 

3598
02:45:24,469 --> 02:45:26,338
ON THE NUTRIENT CONTENT OF THE 

3599
02:45:26,338 --> 02:45:30,075
DIET AND THE ROLE OF 

3600
02:45:30,075 --> 02:45:32,944
SUBSTITUTION BECOMES JUST AS 

3601
02:45:32,944 --> 02:45:35,047
IMPORTANT AS THE REMOVAL OR 

3602
02:45:35,047 --> 02:45:36,281
ADDITION IN THE DIETARY PATTERN 

3603
02:45:36,281 --> 02:45:40,319
AND LOOK AT THE INDIVIDUAL 

3604
02:45:40,319 --> 02:45:41,820
GROUPS AS EACH FOOD GROUP AND 

3605
02:45:41,820 --> 02:45:46,258
SUBGROUP AS INDIVIDUAL GROUPS 

3606
02:45:46,258 --> 02:45:52,964
AND SEE FURTHER AND SEE HOW WE 

3607
02:45:52,964 --> 02:45:58,337
USED THEM TO ASSESS THE CHANGE.

3608
02:45:58,337 --> 02:46:00,539
A COUPLE TERMS TO BE CLEAR WHEN 

3609
02:46:00,539 --> 02:46:04,910
WE TALK ABOUT MODIFICATIONS 

3610
02:46:04,910 --> 02:46:06,812
VERSUS FLEXIBILITIES VERSUS.

3611
02:46:06,812 --> 02:46:08,647
DIETARY PATTERN MODIFICATIONS 

3612
02:46:08,647 --> 02:46:09,848
THE COMMITTEE OPERATIONALIZED 

3613
02:46:09,848 --> 02:46:12,651
THE TERM MODIFICATIONS AS ANY 

3614
02:46:12,651 --> 02:46:14,653
PROPOSED CHANGE TO THE FOOD 

3615
02:46:14,653 --> 02:46:17,389
GROUP OR SUBGROUP QUANTITIES 

3616
02:46:17,389 --> 02:46:20,892
THAT SHOW UP IN THE PATTERN.

3617
02:46:20,892 --> 02:46:22,828
HOW MANY CUP EQUIVALENTS ARE 

3618
02:46:22,828 --> 02:46:24,563
NEEDED PER DAY.

3619
02:46:24,563 --> 02:46:26,932
IF WE MADE A CHANGE TO ONE OF 

3620
02:46:26,932 --> 02:46:30,335
THE FOOD GROUPS IT WOULD BE A 

3621
02:46:30,335 --> 02:46:33,872
MODIFICATION TO THE PATTERN THAT

3622
02:46:33,872 --> 02:46:37,109
WOULD EXIST ACROSS ALL SEX 

3623
02:46:37,109 --> 02:46:39,444
GROUPS DEPENDING CHANGES WE 

3624
02:46:39,444 --> 02:46:39,711
PROVIDE.

3625
02:46:39,711 --> 02:46:42,347
THE PATTERN FLEXIBILITIES WERE 

3626
02:46:42,347 --> 02:46:47,686
OPERATIONALIZED AS NARRATIVE 

3627
02:46:47,686 --> 02:46:49,187
ADVICE FOR NUTRIENT NEEDS 

3628
02:46:49,187 --> 02:46:51,690
OUTSIDE THE QUANTITATIVE 

3629
02:46:51,690 --> 02:46:52,057
RECOMMENDATIONS.

3630
02:46:52,057 --> 02:46:53,892
WHAT KINDS OF FLEXIBILITIES 

3631
02:46:53,892 --> 02:46:56,361
MIGHT THERE BE WITHIN FOOD 

3632
02:46:56,361 --> 02:46:57,963
GROUPS AND HOW FOOD GROUPS MIGHT

3633
02:46:57,963 --> 02:46:59,598
BE USED DIFFERENTLY WITHIN A 

3634
02:46:59,598 --> 02:47:02,033
FOOD GROUP TO STILL MEET THE 

3635
02:47:02,033 --> 02:47:06,271
NUTRIENT GOALS BUT CREATE 

3636
02:47:06,271 --> 02:47:07,439
OPPORTUNITIES FOR INDIVIDUALS 

3637
02:47:07,439 --> 02:47:10,108
ACROSS DIFFERENT CULTURAL FOOD 

3638
02:47:10,108 --> 02:47:14,346
WAYS, DIETARY PREFERENCES, 

3639
02:47:14,346 --> 02:47:18,817
INTOLERANCES, AVOIDANCES TO 

3640
02:47:18,817 --> 02:47:20,652
THEIR OWN PATH TO MEETING THE 

3641
02:47:20,652 --> 02:47:22,120
DIETARY PATTERN.

3642
02:47:22,120 --> 02:47:26,491
AND THE FINAL TERM IS DIETARY 

3643
02:47:26,491 --> 02:47:29,594
PATTERN VARIATIONS THE CREATION 

3644
02:47:29,594 --> 02:47:31,463
OF A NEW DIETARY PATTERN.

3645
02:47:31,463 --> 02:47:34,266
BUT ULTIMATELY THE COMMITTEE 

3646
02:47:34,266 --> 02:47:37,102
DOES NOT PROPOSE THE ADDICTION 

3647
02:47:37,102 --> 02:47:42,908
OF ANY NEW DIETARY PRAT  -- 

3648
02:47:42,908 --> 02:47:44,643
PATTERNS AND WILL ROUND OUT OUR 

3649
02:47:44,643 --> 02:47:54,753
DISCUSSIONS.

3650
02:47:54,753 --> 02:47:57,456
THE COMMITTEE STARTED WITH THE 

3651
02:47:57,456 --> 02:48:00,225
U.S. 2020 HEALTHY STYLE PATTERN 

3652
02:48:00,225 --> 02:48:05,063
EVALUATED BY PREVIOUS 

3653
02:48:05,063 --> 02:48:05,363
COMMITTEES.

3654
02:48:05,363 --> 02:48:15,907
AND IS A FAIRLY NUTRIENT DENSE 

3655
02:48:18,376 --> 02:48:19,411
PATTERN FOLLOWING THE DIETARY 

3656
02:48:19,411 --> 02:48:19,678
GUIDANCE.

3657
02:48:19,678 --> 02:48:21,246
WHAT THIS ALLOWS US TO DO IS 

3658
02:48:21,246 --> 02:48:23,582
TAKE A UNIQUE OPPORTUNITY TO 

3659
02:48:23,582 --> 02:48:26,084
LOOK AT WHAT-IF SCENARIOS AND 

3660
02:48:26,084 --> 02:48:27,853
BUILD ON CURRENT DIETARY 

3661
02:48:27,853 --> 02:48:29,387
GUIDELINES BUT TO EXPLORE 

3662
02:48:29,387 --> 02:48:31,256
MODIFICATIONS AND FLEXIBILITIES 

3663
02:48:31,256 --> 02:48:33,959
THAT COULD BE INTRODUCED IN AND 

3664
02:48:33,959 --> 02:48:36,094
BETWEEN FOOD GROUPS TO ENHANCE 

3665
02:48:36,094 --> 02:48:37,796
DIETARY GUIDANCE FOR 

3666
02:48:37,796 --> 02:48:38,096
INDIVIDUALS.

3667
02:48:38,096 --> 02:48:40,832
THIS GIVES US A CHANCE TO BRING 

3668
02:48:40,832 --> 02:48:42,434
THIS HEALTH EQUITY LENS TO 

3669
02:48:42,434 --> 02:48:44,402
EXPLORE DIFFERENT COMBINATIONS 

3670
02:48:44,402 --> 02:48:46,171
OF FOODS WITHIN FOOD GROUPS AND 

3671
02:48:46,171 --> 02:48:48,073
SUBGROUPS TO MAXIMIZE THE 

3672
02:48:48,073 --> 02:48:49,674
CAPACITY FOR HEALTHY DIETARY 

3673
02:48:49,674 --> 02:48:51,843
PATTERNS AND TO ADDRESS 

3674
02:48:51,843 --> 02:48:54,346
INDIVIDUAL DIFFERENCES WHILE 

3675
02:48:54,346 --> 02:48:57,182
OPTIMIZING HEALTH.

3676
02:48:57,182 --> 02:49:00,218
THIS REALLY GAVE US AN 

3677
02:49:00,218 --> 02:49:05,023
OPPORTUNITY TO INTEGRATE 

3678
02:49:05,023 --> 02:49:08,593
SYSTEMATIC REVIEW THROUGH THE 

3679
02:49:08,593 --> 02:49:10,829
HEALTH EQUITY LENS AND ASSESS 

3680
02:49:10,829 --> 02:49:14,332
GROUPS TO MAXIMIZE THE CAPACITY 

3681
02:49:14,332 --> 02:49:24,643
FOR OPPORTUNITIES.

3682
02:49:29,514 --> 02:49:31,283
FOOD PATTERN ANALYSES IN LOOKING

3683
02:49:31,283 --> 02:49:34,319
AT THE HYPOTHETICAL CHANGES TO 

3684
02:49:34,319 --> 02:49:37,322
THE DIETARY PATTERNS ONE THE 

3685
02:49:37,322 --> 02:49:41,459
FOOD GROUPS AND SUB GROUPS AND 

3686
02:49:41,459 --> 02:49:42,027
EXPLORATORY ANALYSES WHEN 

3687
02:49:42,027 --> 02:49:46,331
DETERMINING THE DEGREE TO WHICH 

3688
02:49:46,331 --> 02:49:48,633
NUTRITIONAL GOALS MAY BE MET 

3689
02:49:48,633 --> 02:49:50,902
AFTER THE REMOVAL OF FOOD GROUPS

3690
02:49:50,902 --> 02:49:53,705
OR SUBGROUPS.

3691
02:49:53,705 --> 02:50:03,381
LOOKING AT THE IMPLICATIONS FOR 

3692
02:50:03,381 --> 02:50:05,584
FORTIFIED SOY ALTERNATIVE FOOD 

3693
02:50:05,584 --> 02:50:08,253
GROUP QUANTITIES AND INTAKES 

3694
02:50:08,253 --> 02:50:09,921
WHEN FOOD AND BEVERAGE SOURCES 

3695
02:50:09,921 --> 02:50:14,993
ARE REPLACED WITH NON-DAIRY 

3696
02:50:14,993 --> 02:50:18,897
ALTERNATIVES AND INTAKES WHEN 

3697
02:50:18,897 --> 02:50:20,699
MODIFYING THE FOOD GROUPS 

3698
02:50:20,699 --> 02:50:21,266
QUANTITIES.

3699
02:50:21,266 --> 02:50:27,305
THE IMPLICATIONS WHEN MODIFYING 

3700
02:50:27,305 --> 02:50:32,243
THE VEGETABLE QUANTITIES WITHIN 

3701
02:50:32,243 --> 02:50:36,047
THE HUSS AND MODIFYING THE GRAIN

3702
02:50:36,047 --> 02:50:38,917
GROUPS AND IMPLICATIONS FOR 

3703
02:50:38,917 --> 02:50:40,652
NUTRIENT INTAKES WHEN STAPLE 

3704
02:50:40,652 --> 02:50:42,120
GRAINS ARE EMPHASIZED OR WHEN 

3705
02:50:42,120 --> 02:50:44,489
THE GRAIN GROUP IS REPLACED WITH

3706
02:50:44,489 --> 02:50:50,662
OTHER STABLE CARBOHYDRATES?

3707
02:50:50,662 --> 02:50:56,368
AND IMPLICATIONS FOR QUANTITIES 

3708
02:50:56,368 --> 02:50:59,104
OR THE HEALTHY VEGETARIAN 

3709
02:50:59,104 --> 02:51:01,272
DIETARY PATTERN AS WELL AS THE 

3710
02:51:01,272 --> 02:51:04,209
IMPLICATIONS FOR NUTRIENT 

3711
02:51:04,209 --> 02:51:08,580
INTAKES WHEN I PROPORTION ANIMAL

3712
02:51:08,580 --> 02:51:11,616
BASED PROTEIN AND ARE DECREASED 

3713
02:51:11,616 --> 02:51:14,085
AND PLANT-BASED FOODS ARE 

3714
02:51:14,085 --> 02:51:15,286
INCREASED AND WHAT QUANTITIES OF

3715
02:51:15,286 --> 02:51:18,223
FOODS AND BEVERAGES CAN BE 

3716
02:51:18,223 --> 02:51:20,258
ACCOMMODATED IN THE U.S. DIETARY

3717
02:51:20,258 --> 02:51:22,260
PATTERNS WHILE MEETING NUTRIENT 

3718
02:51:22,260 --> 02:51:28,667
GOALS WITHIN CALORIE LEVELS?

3719
02:51:28,667 --> 02:51:30,101
THEN TWO EXPLORATORY QUESTIONS 

3720
02:51:30,101 --> 02:51:34,339
CAN NUTRIENT GOALS BE MET WHEN 

3721
02:51:34,339 --> 02:51:37,709
AND ANIMAL SOURCES HAVE BEEN 

3722
02:51:37,709 --> 02:51:40,779
REMOVED FOR AGES 2 YEARS AND 

3723
02:51:40,779 --> 02:51:45,817
OLDER AND CAN NUTRIENT GOALS BE 

3724
02:51:45,817 --> 02:51:49,721
MET WHEN CARBOHYDRATE REDUCED 

3725
02:51:49,721 --> 02:52:00,265
BASED IN THE HUSS AND THIS WILL 

3726
02:52:02,200 --> 02:52:06,438
LOOK AT THE ITEMS ARE REMOVED TO

3727
02:52:06,438 --> 02:52:08,740
LOOK AT WHAT REPLACEMENT FOODS 

3728
02:52:08,740 --> 02:52:11,609
ARE NEEDED TO REPLACE THE 

3729
02:52:11,609 --> 02:52:22,120
NUTRITIONAL GAPS THAT EMERGE.

3730
02:52:30,528 --> 02:52:35,500
STARTED POINT FOR THE EVALUATING

3731
02:52:35,500 --> 02:52:42,140
WHAT TO DO TO EXPLORE 

3732
02:52:42,140 --> 02:52:43,708
MODIFICATIONS AND FLEXIBILITIES 

3733
02:52:43,708 --> 02:52:44,809
INTRODUCED TO ENHANCE GUIDANCE 

3734
02:52:44,809 --> 02:52:49,414
FOR INDIVIDUALS.

3735
02:52:49,414 --> 02:52:54,319
THE INTEGRATION OF DIFFERENT 

3736
02:52:54,319 --> 02:52:59,090
FOODS AND BEVERAGES AND MAXIMIZE

3737
02:52:59,090 --> 02:53:01,893
FLEXIBILITIES OF THE HEALTHY 

3738
02:53:01,893 --> 02:53:02,660
DIETARY PATTERNS WHILE 

3739
02:53:02,660 --> 02:53:04,696
OPTIMIZING HEALTH.

3740
02:53:04,696 --> 02:53:09,400
THE COMMITTEE EXAMINED FOOD 

3741
02:53:09,400 --> 02:53:11,369
GROUP INDEPENDENTLY TO NOT 

3742
02:53:11,369 --> 02:53:14,339
INTRODUCE BIAS IN FOOD PATTERN 

3743
02:53:14,339 --> 02:53:19,444
MODELLING.

3744
02:53:19,444 --> 02:53:20,879
FIRST THE ANALYSES EMPHASIZED 

3745
02:53:20,879 --> 02:53:23,381
THE IMPORTANCE OF VARIETIES FOR 

3746
02:53:23,381 --> 02:53:26,684
MEETING NUTRITIONAL GOALS.

3747
02:53:26,684 --> 02:53:28,820
AGAIN, THE FOOD GROUPS AND 

3748
02:53:28,820 --> 02:53:32,657
SUBGROUPS ARE LINKED ON SIMILAR 

3749
02:53:32,657 --> 02:53:34,392
NUTRITIONAL COMPOSITION.

3750
02:53:34,392 --> 02:53:36,795
AS WE LOOK AT POTENTIAL 

3751
02:53:36,795 --> 02:53:42,267
REDUCTION OR REMOVAL OF FOOD 

3752
02:53:42,267 --> 02:53:48,339
GROUPS, YOU'LL THEN  SEE THE 

3753
02:53:48,339 --> 02:53:49,774
NUTRIENTS THAT YOU DON'T CONSUME

3754
02:53:49,774 --> 02:53:50,475
WITHIN ZERO.

3755
02:53:50,475 --> 02:53:53,011
WHEN YOU REMOVE FOODS AND FOOD 

3756
02:53:53,011 --> 02:53:54,312
GROUPS YOU'RE REMOVING 

3757
02:53:54,312 --> 02:54:04,489
NUTRIENTS.

3758
02:54:11,663 --> 02:54:15,834
AND WHAT WITH FOUND WAS THE 

3759
02:54:15,834 --> 02:54:17,335
PATTERN AS PREVIOUSLY NOTED AND 

3760
02:54:17,335 --> 02:54:19,971
WHAT THE MODIFICATIONS WE LOOKED

3761
02:54:19,971 --> 02:54:22,774
AT IN DIFFERENT WAYS NUTRIENT 

3762
02:54:22,774 --> 02:54:25,810
GOALS CAN BE MET THROUGH A 

3763
02:54:25,810 --> 02:54:27,745
HEALTHY DIETARY PATTERN.

3764
02:54:27,745 --> 02:54:30,081
BUT NUTRIENT DENSITY BECOMES A 

3765
02:54:30,081 --> 02:54:31,816
REALLY IMPORTANT FACTOR 

3766
02:54:31,816 --> 02:54:35,720
ESPECIALLY IN THE LOWER CALORIE 

3767
02:54:35,720 --> 02:54:38,323
LEVELS WHEN THERE'S A LOT LESS 

3768
02:54:38,323 --> 02:54:39,991
WIGGLE ROOM WITHIN THE FOODS 

3769
02:54:39,991 --> 02:54:42,160
THAT CAN BE CONSUMED BEFORE 

3770
02:54:42,160 --> 02:54:43,795
CALORIES BEGIN TO ADD UP.

3771
02:54:43,795 --> 02:54:46,664
SO YOU'RE TRYING TO MAXIMIZE 

3772
02:54:46,664 --> 02:54:47,765
NUTRIENT NEEDS WITHIN A LIMITED 

3773
02:54:47,765 --> 02:54:51,936
AMOUNT OF CALORIES.

3774
02:54:51,936 --> 02:54:55,406
IT THEN BRINGS US TO THE KEY 

3775
02:54:55,406 --> 02:55:01,279
FACTORS OR KEY PIECES FROM THE 

3776
02:55:01,279 --> 02:55:07,652
ANALYSES THAT WE FOUND.

3777
02:55:07,652 --> 02:55:14,359
THERE'S A VARIETY OF CALORIE 

3778
02:55:14,359 --> 02:55:20,665
LEVEL AND WE'RE LOOKING AT A 

3779
02:55:20,665 --> 02:55:24,702
NUTRIENT PROFILE OF NUTRIENT 

3780
02:55:24,702 --> 02:55:26,404
DENSE FOODS ACROSS THE WEIGHTED 

3781
02:55:26,404 --> 02:55:30,341
VALUE BASED ON WHAT THE 

3782
02:55:30,341 --> 02:55:31,943
CONSUMPTION IS.

3783
02:55:31,943 --> 02:55:35,513
AND LESS PLASTIC TO HAVE A WIDER

3784
02:55:35,513 --> 02:55:36,981
RANGE OF CALORIE LEVELS.

3785
02:55:36,981 --> 02:55:39,083
YOU CAN STILL MAKE 

3786
02:55:39,083 --> 02:55:41,352
NUTRIENT-DENSE CHOICES WITHIN A 

3787
02:55:41,352 --> 02:55:45,390
FOOD GROUP AND SUBGROUP BUT FOR 

3788
02:55:45,390 --> 02:55:50,328
FOODS WITH A HIGHER CALORIE 

3789
02:55:50,328 --> 02:55:53,564
LEVEL WITH THE FOOD IT MEANS 

3790
02:55:53,564 --> 02:55:56,367
EXTRA CALORIES THAT EXIST THAT 

3791
02:55:56,367 --> 02:56:06,911
WOULD BE CALORIES FOR OTHER U

3792
02:56:07,612 --> 02:56:09,113
GROUPS THAT BECOME LESS PRECISE 

3793
02:56:09,113 --> 02:56:11,749
AND THOSE WITH A CALORIE LEVEL 

3794
02:56:11,749 --> 02:56:13,584
WITHIN FOOD GROUPS AND SUBGROUPS

3795
02:56:13,584 --> 02:56:16,187
PROVIDES A CHALLENGE TO CREATE A

3796
02:56:16,187 --> 02:56:19,223
NUMBER THAT SAYS THIS IS HOW 

3797
02:56:19,223 --> 02:56:21,759
MANY CALORIES IS LEFT OVER WITH 

3798
02:56:21,759 --> 02:56:25,530
NUTRIENT DENSE FOOD CHOICES.

3799
02:56:25,530 --> 02:56:28,433
SO IS FOOD PATTERN MODELLING IS 

3800
02:56:28,433 --> 02:56:31,903
AN IMPORTANT TOOL FOR DIETS OF 

3801
02:56:31,903 --> 02:56:33,705
INTEREST AND TO HELP INFORM 

3802
02:56:33,705 --> 02:56:35,873
FUTURE DIRECTIONS SUCH AS 

3803
02:56:35,873 --> 02:56:39,577
ADDITIONAL DIETARY IN TAKE DATA 

3804
02:56:39,577 --> 02:56:44,415
AND PRIORITIYIES FOR REPLACEMEN 

3805
02:56:44,415 --> 02:56:46,217
FOODS WHEN NUTRIENTS MAY BE 

3806
02:56:46,217 --> 02:56:47,952
REMOVED AND IDENTIFIED WITHIN 

3807
02:56:47,952 --> 02:56:50,588
THE QUESTIONS WHEN YOU REMOVE 

3808
02:56:50,588 --> 02:56:54,792
INDIVIDUAL FOOD GROUPS, THE 

3809
02:56:54,792 --> 02:57:00,131
NUTRIENTS THAT GO WITH THEM MAY 

3810
02:57:00,131 --> 02:57:00,498
DISSIPATE.

3811
02:57:00,498 --> 02:57:04,502
SO IT BECOMES IMPORTANT TO HAVE 

3812
02:57:04,502 --> 02:57:06,137
THE EVIDENCE TO DESCRIBE WHAT 

3813
02:57:06,137 --> 02:57:09,307
THE REPLACEMENT WOULD BE AND 

3814
02:57:09,307 --> 02:57:19,751
BASED ON NUTRITIONAL GAPS.

3815
02:57:20,018 --> 02:57:21,886
IT'S WORK REMINDING THAT THESE 

3816
02:57:21,886 --> 02:57:24,856
ARE MODIFICATIONS TO BE MODELLED

3817
02:57:24,856 --> 02:57:27,291
WITHIN THE PATTERNS.

3818
02:57:27,291 --> 02:57:29,060
WE SAW THE CURRENT INTAKES 

3819
02:57:29,060 --> 02:57:32,563
GENERALLY DO NOT ALIGN WITH 

3820
02:57:32,563 --> 02:57:32,964
THESE PATTERNS.

3821
02:57:32,964 --> 02:57:34,599
THEREFORE THE DIRECTION OF THE 

3822
02:57:34,599 --> 02:57:35,967
MODIFICATION PLAY NOT APPLY TO 

3823
02:57:35,967 --> 02:57:38,002
THE DIRECTION NEEDED TO IMPROVE 

3824
02:57:38,002 --> 02:57:39,737
DIETARY INTAKE.

3825
02:57:39,737 --> 02:57:41,706
LIKEWISE, THERE'S NO 

3826
02:57:41,706 --> 02:57:42,373
MODIFICATION.

3827
02:57:42,373 --> 02:57:43,941
WHEN THERE'S NO MODIFICATION 

3828
02:57:43,941 --> 02:57:49,180
DIETARY INTAKES PLAY  -- MAY 

3829
02:57:49,180 --> 02:57:52,617
NEED TO CHANGE AND LOOKING AT 

3830
02:57:52,617 --> 02:57:54,485
THE SYSTEMATIC REVIEW EVIDENCE 

3831
02:57:54,485 --> 02:57:55,620
MAY INDICATE HIGHER OR LOWER 

3832
02:57:55,620 --> 02:57:57,688
INTAKES BUT MAY NOT BE FULLY 

3833
02:57:57,688 --> 02:57:58,756
ALIGNED WITH THE DIETARY 

3834
02:57:58,756 --> 02:57:59,123
PATTERN.

3835
02:57:59,123 --> 02:58:01,659
SO THIS OUR CHANCE TO REALLY 

3836
02:58:01,659 --> 02:58:06,297
LOOK AT THE DIETARY PATTERNS 

3837
02:58:06,297 --> 02:58:08,299
THEMSELVES, BRING IN THE 

3838
02:58:08,299 --> 02:58:13,404
SYSTEMATIC REVIEW EVIDENCE TO 

3839
02:58:13,404 --> 02:58:17,141
HELP IDENTIFY AREAS WHERE 

3840
02:58:17,141 --> 02:58:18,009
CHANGES OR MODIFICATIONS WOULD 

3841
02:58:18,009 --> 02:58:19,377
BE IMPLEMENTED AND WHAT THEY 

3842
02:58:19,377 --> 02:58:19,644
WOULD BE.

3843
02:58:19,644 --> 02:58:23,381
IN THIS CASE WE SAW THE BEANS, 

3844
02:58:23,381 --> 02:58:26,717
PEAS AND LENTILS WAS A RECURRING

3845
02:58:26,717 --> 02:58:29,187
THEME THROUGH THE DIETARY 

3846
02:58:29,187 --> 02:58:30,321
PATTERNS ACROSS THE DIFFERENT 

3847
02:58:30,321 --> 02:58:31,956
HEALTH OUTCOMES AS WELL AS 

3848
02:58:31,956 --> 02:58:35,460
REDUCING INTAKES OF RED AND 

3849
02:58:35,460 --> 02:58:37,862
PROCESSED MEAT FROM THE 

3850
02:58:37,862 --> 02:58:38,896
SYSTEMATIC REVIEW EVIDENCE AND 

3851
02:58:38,896 --> 02:58:42,033
LOOKING AT THE DATA INCREASING 

3852
02:58:42,033 --> 02:58:44,702
ENERGY FROM BEANS, PEAS AND 

3853
02:58:44,702 --> 02:58:48,039
LENTILS MODIFICATION WHEN WE 

3854
02:58:48,039 --> 02:58:51,809
INCREASE THE PROPORTION OF 

3855
02:58:51,809 --> 02:58:56,447
BEANS, PEAS AND LENTILS FROM THE

3856
02:58:56,447 --> 02:58:59,317
TOP PORTION, INCREASING BEANS, 

3857
02:58:59,317 --> 02:59:04,722
PEAS AND LENTILS INCREASED THE 

3858
02:59:04,722 --> 02:59:06,524
CALORIE LEVELS OFFSET BY A 

3859
02:59:06,524 --> 02:59:09,260
DECREASE IN STARCHY VEGETABLE AS

3860
02:59:09,260 --> 02:59:10,962
THE CHANGE ADDRESSED NUTRIENT 

3861
02:59:10,962 --> 02:59:14,332
NEEDS AS WELL AS THE CALORIE 

3862
02:59:14,332 --> 02:59:15,800
LEVELS THEMSELVES.

3863
02:59:15,800 --> 02:59:18,336
PREVIOUS COMMITTEE HAD TO 

3864
02:59:18,336 --> 02:59:21,439
ADDRESS A HIGHER A.I. FOR 

3865
02:59:21,439 --> 02:59:30,381
POTASSIUM AND STARCHY VEG -- 

3866
02:59:30,381 --> 02:59:32,683
VEGETABLES AND SINCE IT WAS 

3867
02:59:32,683 --> 02:59:35,153
RELEASED THE A.I. FOR POTASSIUM 

3868
02:59:35,153 --> 02:59:35,586
HAS BEEN DECREASED.

3869
02:59:35,586 --> 02:59:38,789
SO STARCHY VEGETABLES WERE THE 

3870
02:59:38,789 --> 02:59:40,525
HIGHER LEVEL OF VEGETABLES 

3871
02:59:40,525 --> 02:59:42,793
WITHIN THE GROUP AND WITH THE 

3872
02:59:42,793 --> 02:59:46,330
INCREASE TO MEAT THE POTASSIUM 

3873
02:59:46,330 --> 02:59:49,734
GROUP NOW LOWER WE'RE ABLE TO 

3874
02:59:49,734 --> 02:59:51,335
LOOK AT IT WITH STARCHY 

3875
02:59:51,335 --> 02:59:53,571
VEGETABLE TO MAINTAIN OUR 

3876
02:59:53,571 --> 02:59:55,106
VEGETABLE RECOMMENDATIONS BUT 

3877
02:59:55,106 --> 02:59:58,342
LOOK AT A SHIFT IN IMPROVING 

3878
02:59:58,342 --> 03:00:01,646
SOME NUTRIENT OUTCOMES AND 

3879
03:00:01,646 --> 03:00:02,914
POTENTIAL HEALTH OUTCOMES FROM 

3880
03:00:02,914 --> 03:00:07,652
SYSTEMATIC REVIEWS IN THE 

3881
03:00:07,652 --> 03:00:08,653
PATTERN.

3882
03:00:08,653 --> 03:00:12,523
AND AS WELL THE VARIATION IN 

3883
03:00:12,523 --> 03:00:14,091
ENERGY AMONG ENERGY-DENSE FOODS 

3884
03:00:14,091 --> 03:00:16,294
AS I MENTIONED CREATED A 

3885
03:00:16,294 --> 03:00:17,795
CHALLENGE IN IDENTIFYING WHAT 

3886
03:00:17,795 --> 03:00:19,297
THE POTENTIAL CALORIE LEVELS 

3887
03:00:19,297 --> 03:00:20,097
MIGHT BE.

3888
03:00:20,097 --> 03:00:21,098
SO OUR DRAFT RECOMMENDATION WAS 

3889
03:00:21,098 --> 03:00:24,435
TO REMOVE THE CALORIES FOR OTHER

3890
03:00:24,435 --> 03:00:28,539
USES AND TO CONTINUE TO PROMOTE 

3891
03:00:28,539 --> 03:00:30,041
CONSUMPTION OF NUTRIENT-DENSE 

3892
03:00:30,041 --> 03:00:30,608
FOODS TO MEET THE DIETARY 

3893
03:00:30,608 --> 03:00:40,751
PATTERN.

3894
03:00:47,425 --> 03:00:48,859
AND THE ANALYSES JUST PRESENTED 

3895
03:00:48,859 --> 03:00:52,263
RELIED ON A SINGLE 

3896
03:00:52,263 --> 03:00:52,830
POPULATION-BASED NUTRIENT 

3897
03:00:52,830 --> 03:00:56,167
PROFILE THAT WAS REFLECTING THE 

3898
03:00:56,167 --> 03:00:56,801
PROPORTIONAL INTAKES OF THE 

3899
03:00:56,801 --> 03:00:57,435
TOTAL POPULATION.

3900
03:00:57,435 --> 03:01:01,439
IN A SECOND STEP WE APPLIED THE 

3901
03:01:01,439 --> 03:01:03,274
INDIVIDUAL POPULATION NUTRIENT 

3902
03:01:03,274 --> 03:01:07,745
PROFILES AND THERE WERE NO 

3903
03:01:07,745 --> 03:01:13,484
DIFFERENCES IN THE FEW NUT 

3904
03:01:13,484 --> 03:01:16,988
RENT -- NUTRIENTS THAT WELL 

3905
03:01:16,988 --> 03:01:20,191
NUTRITIONAL GOALS WE WERE ABLE 

3906
03:01:20,191 --> 03:01:23,527
TO ASSESS THEM BY RACE OR 

3907
03:01:23,527 --> 03:01:26,530
ETHNICITY OR INCOME AND FEDERAL 

3908
03:01:26,530 --> 03:01:29,267
NUTRITION PROGRAM PARTICIPATION 

3909
03:01:29,267 --> 03:01:32,236
MIGHT GIVE US DIFFERENT OUTCOMES

3910
03:01:32,236 --> 03:01:33,904
BUT WE HAD FAIRLY CONSISTENT 

3911
03:01:33,904 --> 03:01:42,313
FINDINGS THE PROFILES.

3912
03:01:42,313 --> 03:01:44,515
AS WE LOOK AT THE FUTURE 

3913
03:01:44,515 --> 03:01:46,917
DIRECTIONS OF THESE FOOD PATTERN

3914
03:01:46,917 --> 03:01:48,319
MODELLING EXERCISES AND LOOKING 

3915
03:01:48,319 --> 03:01:49,620
AGENTS THE DIFFERENT FOOD 

3916
03:01:49,620 --> 03:01:52,423
GROUPS, CONTINUING TO EXPLORE 

3917
03:01:52,423 --> 03:01:54,325
THE REPRESENTATION OF POPULATION

3918
03:01:54,325 --> 03:01:56,694
GROUPS WITHIN THE U.S. USING 

3919
03:01:56,694 --> 03:02:01,032
FOOD PATTERN MODELLING WILL BE A

3920
03:02:01,032 --> 03:02:03,634
USEFUL ADDITION TO IDENTIFYING 

3921
03:02:03,634 --> 03:02:06,304
WHAT FOODS AND BEVERAGES WITHIN 

3922
03:02:06,304 --> 03:02:09,807
FOOD GROUPS AND SUBGROUPS WILL 

3923
03:02:09,807 --> 03:02:11,909
HELP MEET NUTRIENT GOALS WITHIN 

3924
03:02:11,909 --> 03:02:14,645
VARIOUS POPULATIONS WITHIN THE 

3925
03:02:14,645 --> 03:02:14,812
U.S.

3926
03:02:14,812 --> 03:02:16,714
AND CONTINUING ADVANCING THE 

3927
03:02:16,714 --> 03:02:19,617
FOOD PATTERN MODELLING 

3928
03:02:19,617 --> 03:02:21,452
METHODOLOGY TO INCORPORATE BIO 

3929
03:02:21,452 --> 03:02:23,988
AVAILABILITY AND ACCESSIBILITY 

3930
03:02:23,988 --> 03:02:27,892
WAS ANOTHER CONCERN WE DISCUSSED

3931
03:02:27,892 --> 03:02:30,628
IN TERMS OF NUTRITIONAL 

3932
03:02:30,628 --> 03:02:32,630
COMPOSITION WITHIN THE FOOD 

3933
03:02:32,630 --> 03:02:34,332
DATABASES THAT TELL US HOW MUCH 

3934
03:02:34,332 --> 03:02:37,335
OF A NUTRIENT EXIST BUT MANY 

3935
03:02:37,335 --> 03:02:40,037
FACTORS THAT DICTATE BIO 

3936
03:02:40,037 --> 03:02:41,472
AVAILABILITY AND ACCESSIBILITY 

3937
03:02:41,472 --> 03:02:45,876
BEYOND THE SCOPE OF WHAT THE 

3938
03:02:45,876 --> 03:02:46,577
DATABASES CAN PROVIDE SO MORE 

3939
03:02:46,577 --> 03:02:50,681
RESEARCH IS NEEDED IN THAT SPACE

3940
03:02:50,681 --> 03:02:52,717
TO UNDERSTAND AND ASSESS THE 

3941
03:02:52,717 --> 03:02:53,284
IMPLICATIONS OF DIFFERENT 

3942
03:02:53,284 --> 03:02:55,052
SOURCES OF NUTRIENTS AND HOW 

3943
03:02:55,052 --> 03:02:57,421
THAT MAY PLAY IN THE DIETARY 

3944
03:02:57,421 --> 03:02:58,222
PATTERN AND NUTRITIONAL 

3945
03:02:58,222 --> 03:03:08,399
ADEQUACY.

3946
03:03:15,239 --> 03:03:21,479
THIS HELPS US TO DEPLOY PROFILES

3947
03:03:21,479 --> 03:03:23,347
WITHIN THE GROUPS AND 

3948
03:03:23,347 --> 03:03:25,049
MODIFICATIONS TO BE MADE WITHIN 

3949
03:03:25,049 --> 03:03:27,718
THE HUSS 2020 DIETARY PATTERN 

3950
03:03:27,718 --> 03:03:30,020
AND THE EYE TOWARDS MEETING 

3951
03:03:30,020 --> 03:03:31,389
NUTRITIONAL GOALS THE LIFE 

3952
03:03:31,389 --> 03:03:35,426
STAGES, AGE AND SEX GROUPS AND 

3953
03:03:35,426 --> 03:03:42,333
PATTERN MET THE GOALS WITH FEW 

3954
03:03:42,333 --> 03:03:52,543
EXCEPTIONS.

3955
03:03:55,246 --> 03:03:58,315
DIET SIMULATIONS WILL BE IN THE 

3956
03:03:58,315 --> 03:04:01,519
NEXT CHAPTERS.

3957
03:04:01,519 --> 03:04:03,220
>> WHY DON'T WE STOP HERE,

3958
03:04:03,220 --> 03:04:05,189
CHRIS, AND HAVE DISCUSSION.

3959
03:04:05,189 --> 03:04:08,726
THE DISCUSSION LENDS ITSELF TO 

3960
03:04:08,726 --> 03:04:14,799
CHAPTERS 9 AND 10 AND THANK YOU 

3961
03:04:14,799 --> 03:04:18,102
VERY MUCH FOR CLEARLY OUT LINING

3962
03:04:18,102 --> 03:04:19,937
THE PROCESS IT'S INCREDIBLY 

3963
03:04:19,937 --> 03:04:22,807
HELPFUL TO US BECAUSE IT'S AN 

3964
03:04:22,807 --> 03:04:24,141
AREA WE'RE MOST FAMILIAR WITH.

3965
03:04:24,141 --> 03:04:34,618
LET'S OPEN UP THE QUESTIONS.

3966
03:04:44,094 --> 03:04:46,363
>> YOU TALKED ABOUT THE
LACK OF 

3967
03:04:46,363 --> 03:04:49,800
WIGGLE ROOM IN THE LOWER CALORIE

3968
03:04:49,800 --> 03:04:50,034
RANGES.

3969
03:04:50,034 --> 03:04:54,138
I'M WONDERING WHAT YOU THINK 

3970
03:04:54,138 --> 03:04:56,707
THIS MEANS FOR GUIDANCE AND 

3971
03:04:56,707 --> 03:05:01,512
DIRECTS TOWARDS INDIVIDUALS IN 

3972
03:05:01,512 --> 03:05:02,546
POPULATION AND ACROSS THE 

3973
03:05:02,546 --> 03:05:08,686
POPULATION AND THINKING OF 

3974
03:05:08,686 --> 03:05:11,622
CHILDREN UP TO 24 MONTHS, YOUNG 

3975
03:05:11,622 --> 03:05:13,991
CHILDREN AND WHAT IS YOUR SENSE 

3976
03:05:13,991 --> 03:05:20,464
OF WHAT YOUR FINDINGS MEAN FOR 

3977
03:05:20,464 --> 03:05:21,098
GUIDANCE AROUND NUTRIENT-DENSE 

3978
03:05:21,098 --> 03:05:25,669
CHOICES?

3979
03:05:25,669 --> 03:05:28,372
>> I THINK PARTIALLY IT'S
A 

3980
03:05:28,372 --> 03:05:30,341
JUXTAPOSITION BETWEEN WHERE WE 

3981
03:05:30,341 --> 03:05:34,211
NEED TO BE AND THE DIETARY OR 

3982
03:05:34,211 --> 03:05:36,480
DATA ANALYSIS JUST SHOWS WHERE 

3983
03:05:36,480 --> 03:05:41,385
OUR CURRENT CONSUMPTIONS ARE.

3984
03:05:41,385 --> 03:05:49,193
WITH THE RATES OF OBESITY AND 

3985
03:05:49,193 --> 03:05:50,327
CROSS POPULATION GROUPS THE 

3986
03:05:50,327 --> 03:05:54,331
BALANCE OF MEETING OUR NUTRIENT 

3987
03:05:54,331 --> 03:05:56,767
NEEDS WITHIN CALORIE LEVELS 

3988
03:05:56,767 --> 03:05:58,769
BECOMES A CONSIDERABLE TUG AND 

3989
03:05:58,769 --> 03:05:59,169
PULL.

3990
03:05:59,169 --> 03:06:03,374
I KNOW I MENTIONED THIS IN ONE 

3991
03:06:03,374 --> 03:06:05,476
OF OUR PREVIOUS PUBLIC MEETINGS 

3992
03:06:05,476 --> 03:06:08,712
THAT THIS IS KIND OF OUR LOWEST 

3993
03:06:08,712 --> 03:06:11,916
CALORIE LEVEL WITHIN THE AGE SEX

3994
03:06:11,916 --> 03:06:13,884
GROUPS THAT ADDRESS THE EER, THE

3995
03:06:13,884 --> 03:06:16,120
AMOUNT OF ENERGY NEEDED WITHIN 

3996
03:06:16,120 --> 03:06:18,322
THE GROUPS FOR SEDENTARY 

3997
03:06:18,322 --> 03:06:18,622
INDIVIDUALS.

3998
03:06:18,622 --> 03:06:21,425
ONCE AGAIN, WE'RE GENERALLY 

3999
03:06:21,425 --> 03:06:26,330
SEDENTARY AS A POPULATION SO 

4000
03:06:26,330 --> 03:06:27,364
INCREASING PHYSICAL ACTIVITY 

4001
03:06:27,364 --> 03:06:29,466
ADDS INTO FLEXIBILITY WITHIN THE

4002
03:06:29,466 --> 03:06:30,534
DIET FOR HIGHER CALORIE LEVELS.

4003
03:06:30,534 --> 03:06:33,470
SO YOU KIND OF HAVE THAT PIECE 

4004
03:06:33,470 --> 03:06:38,342
BUT IT ALSO REALLY FOCUSES ON 

4005
03:06:38,342 --> 03:06:41,178
THE NEED FOR NUTRIENT DENSE 

4006
03:06:41,178 --> 03:06:45,849
LOWER SATURATED FAT, LOWER ADDED

4007
03:06:45,849 --> 03:06:48,152
SUGAR, LOWER SODIUM FOODS 

4008
03:06:48,152 --> 03:06:50,321
AVAILABLE AND LINKS BACK TO OUR 

4009
03:06:50,321 --> 03:06:52,189
PREVIOUS CONVERSATIONS WE'VE HAD

4010
03:06:52,189 --> 03:06:56,427
TODAY AROUND HOW DO WE GET TO 

4011
03:06:56,427 --> 03:06:59,530
BEING ABLE TO HAVE DIETARY 

4012
03:06:59,530 --> 03:07:02,132
PATTERNS THAT MINIMIZE THE 

4013
03:07:02,132 --> 03:07:02,967
ADDITIONAL CALORIES AND GIVE US 

4014
03:07:02,967 --> 03:07:05,703
THE PUNCH OF NUTRIENTS WE NEED 

4015
03:07:05,703 --> 03:07:08,305
TO MEET THIS WIDE ARRAY OF 

4016
03:07:08,305 --> 03:07:12,376
NUTRIENTS WE HAVE FOR OUR DRIs 

4017
03:07:12,376 --> 03:07:13,911
TO OPTIMIZE AND PROMOTE HEALTH 

4018
03:07:13,911 --> 03:07:19,149
AND THEN YOUR QUESTION PROMOTE 

4019
03:07:19,149 --> 03:07:25,189
GROWTH AND DEVELOPMENT AND SETS 

4020
03:07:25,189 --> 03:07:29,660
THE YOUNG CHILDREN ON A 

4021
03:07:29,660 --> 03:07:31,328
HEALTHIER PATH TO ADULTHOOD.

4022
03:07:31,328 --> 03:07:33,330
>> CHRISTOPHER.

4023
03:07:33,330 --> 03:07:36,533
>> MIND BLOWING.

4024
03:07:36,533 --> 03:07:39,036
JUST ALWAYS DAZZLING WHEN YOU 

4025
03:07:39,036 --> 03:07:39,470
PRESENT.

4026
03:07:39,470 --> 03:07:40,638
JUST AMAZING.

4027
03:07:40,638 --> 03:07:42,339
I'M STILL GOING TO VOICE WHAT I 

4028
03:07:42,339 --> 03:07:44,508
HAD AN ISSUE WITH SINCE THE 

4029
03:07:44,508 --> 03:07:49,513
BEGINNING ABOUT SOME OF THE 

4030
03:07:49,513 --> 03:07:52,950
QUESTIONS AND EXPLORATORY 

4031
03:07:52,950 --> 03:07:56,320
QUESTION 7 AND 8 ESPECIALLY 

4032
03:07:56,320 --> 03:07:59,356
BUILDING ON ABOUT WHAT WAS JUST 

4033
03:07:59,356 --> 03:08:01,425
SAID, THE CALORIES AND NUTRIENTS

4034
03:08:01,425 --> 03:08:06,397
AND NOT ENOUGH ROOM FOR EVEN A 

4035
03:08:06,397 --> 03:08:07,731
COOKIE BUT HOW MUCH WE NEED 

4036
03:08:07,731 --> 03:08:09,500
VARIETY TO MEET ALL THE NUTRIENT

4037
03:08:09,500 --> 03:08:09,967
NEEDS.

4038
03:08:09,967 --> 03:08:12,503
SO I WOULD STRONGLY SUGGEST 

4039
03:08:12,503 --> 03:08:14,238
MOVING FORWARD FOR QUESTION 7 

4040
03:08:14,238 --> 03:08:16,774
AND 8 THAT THEY NOT BE MOVED 

4041
03:08:16,774 --> 03:08:21,812
FORWARD AS THE QUESTIONS THEY 

4042
03:08:21,812 --> 03:08:31,855
ARE ARE BOTH ADDRESS MEETING THE

4043
03:08:31,855 --> 03:08:33,691
NEEDS THE FOODS WITHOUT 

4044
03:08:33,691 --> 03:08:34,925
REPLACING AND IT'S AN 

4045
03:08:34,925 --> 03:08:35,225
IMPOSSIBLE.

4046
03:08:35,225 --> 03:08:36,160
HERE'S A STARTING POINT.

4047
03:08:36,160 --> 03:08:39,196
IF WE WERE GOING TO ARE MOVE OR 

4048
03:08:39,196 --> 03:08:41,031
REDUCE THESE FOODS, WE'D NEED A 

4049
03:08:41,031 --> 03:08:42,666
SECOND STEP WHICH IS DAUNTING.

4050
03:08:42,666 --> 03:08:45,936
WHAT WOULD YOU REPLACE THEM WITH

4051
03:08:45,936 --> 03:08:49,239
AND THERE'S HUNDREDS OF WAYS TO 

4052
03:08:49,239 --> 03:08:57,715
REPLACE THEM BUT WON'T COME TO 

4053
03:08:58,015 --> 03:08:59,349
CONCLUSION KNOWING IN OTHER 

4054
03:08:59,349 --> 03:09:01,618
PATTERNS WE NEED ALL THE FOODS 

4055
03:09:01,618 --> 03:09:02,820
TO MEET ALL THE NUTRIENTS.

4056
03:09:02,820 --> 03:09:04,888
I THINK THE MESSAGING OF THAT OF

4057
03:09:04,888 --> 03:09:07,291
WHAT NUTRIENTS IS MISSING AND 

4058
03:09:07,291 --> 03:09:08,525
I'M CLEARLY VERY SPECIFICALLY 

4059
03:09:08,525 --> 03:09:10,994
INTERESTED IN TAKING THE HEALTHY

4060
03:09:10,994 --> 03:09:13,263
VEGETARIAN AND HEALTHY PATTERN 

4061
03:09:13,263 --> 03:09:15,199
AND REMOVING THE ANIMAL SOURCES 

4062
03:09:15,199 --> 03:09:16,633
OF FOOD.

4063
03:09:16,633 --> 03:09:19,036
YES, THAT WOULD RESULT IN 

4064
03:09:19,036 --> 03:09:19,970
NUTRIENT DEFICIENCIES BUT THE 

4065
03:09:19,970 --> 03:09:22,339
ANSWER TO THAT QUESTION SHOULD 

4066
03:09:22,339 --> 03:09:24,274
BE AFTER REPLACING THEM WITH 

4067
03:09:24,274 --> 03:09:26,009
SOMETHING, WOULD THEY STILL BE 

4068
03:09:26,009 --> 03:09:28,412
MISSING?

4069
03:09:28,412 --> 03:09:29,880
I'D STRONGLY EMPHASIZE WE WORD 

4070
03:09:29,880 --> 03:09:33,851
THOSE 7 AND 8 QUESTIONS 

4071
03:09:33,851 --> 03:09:35,853
CAUTIOUSLY MOVING FORWARD.

4072
03:09:35,853 --> 03:09:36,153
THANK YOU.

4073
03:09:36,153 --> 03:09:39,823
>> WE HAD REVISED THE
WORDING OF

4074
03:09:39,823 --> 03:09:42,326
THOSE QUESTIONS AS WE MOVED IN 

4075
03:09:42,326 --> 03:09:43,861
AND STARTED TO WRITE THE 

4076
03:09:43,861 --> 03:09:48,866
PROTOCOLS BECAUSE THE GAP WE HAD

4077
03:09:48,866 --> 03:09:59,409
IN THE SCIENCE FOR REMOVING OF 

4078
03:09:59,943 --> 03:10:03,680
ANIMAL AND THE INDIVIDUALS MAY 

4079
03:10:03,680 --> 03:10:04,815
AVOID ANIMAL PRODUCTS FOR A 

4080
03:10:04,815 --> 03:10:06,316
VARIETY OF REASONS, ONE IS 

4081
03:10:06,316 --> 03:10:09,887
HEALTH, RELIGIOUS, ETHICAL, 

4082
03:10:09,887 --> 03:10:14,258
SOCIAL MEDIA, WHATEVER THE 

4083
03:10:14,258 --> 03:10:16,093
REASON MAY BE AND WHAT THEY EAT 

4084
03:10:16,093 --> 03:10:22,099
IN REPLACE OF THAT ISN'T ALWAYS 

4085
03:10:22,099 --> 03:10:25,002
BASED OWN HEALTH OR REPLACEMENT 

4086
03:10:25,002 --> 03:10:26,737
DECISION AS AN EXCLUSION.

4087
03:10:26,737 --> 03:10:29,506
FOR US TO MAKE ASSUMPTIONS 

4088
03:10:29,506 --> 03:10:33,844
AROUND WHAT SHOULD GO BACK IN 

4089
03:10:33,844 --> 03:10:35,012
WAS LESS SCIENTIFIC.

4090
03:10:35,012 --> 03:10:37,581
WE NEEDED TO IDENTIFY WHAT 

4091
03:10:37,581 --> 03:10:39,383
HAPPENS WHEN THE CHANGES 

4092
03:10:39,383 --> 03:10:43,687
OCCURRED AND REMOVAL OCCURRED 

4093
03:10:43,687 --> 03:10:45,689
AND THE GAPS AND HELPS INFORM IF

4094
03:10:45,689 --> 03:10:48,258
THE FUTURE, IF THIS GOES AWAY, 

4095
03:10:48,258 --> 03:10:49,626
WHAT RESEARCH CAN BE DONE TO 

4096
03:10:49,626 --> 03:10:53,430
DESCRIBE WHAT THOSE REPLACEMENTS

4097
03:10:53,430 --> 03:10:54,164
WOULD BE.

4098
03:10:54,164 --> 03:11:02,339
BECAUSE IF YOU ARE REPLACE THEM 

4099
03:11:02,339 --> 03:11:05,642
WITH PLANT BASED THAT DON'T 

4100
03:11:05,642 --> 03:11:08,745
REFILL THE COMPONENTS IT DOESN'T

4101
03:11:08,745 --> 03:11:09,479
REPLACE.

4102
03:11:09,479 --> 03:11:15,219
>> THIS IS MORE OF A 

4103
03:11:15,219 --> 03:11:17,821
PHILOSOPHICAL QUESTION BUT YOU 

4104
03:11:17,821 --> 03:11:18,856
WANT TO CONTINUE ON 

4105
03:11:18,856 --> 03:11:22,259
CHRISTOPHER'S COMMENT.

4106
03:11:22,259 --> 03:11:25,195
I DO WANT DO SAY I WOULD ARGUE 

4107
03:11:25,195 --> 03:11:29,366
THE LOW CALORIES LEVEL LEVELS 

4108
03:11:29,366 --> 03:11:33,837
PERTAIN TO OLDER ADULTS AND 

4109
03:11:33,837 --> 03:11:38,308
LITTLE FOCUS HAS BEEN OUT ON THE

4110
03:11:38,308 --> 03:11:46,049
AGE GROUP AS WELL.

4111
03:11:46,049 --> 03:11:47,351
YOU POINTED OUT THERE'S NOT MUCH

4112
03:11:47,351 --> 03:11:49,186
WIGGLE ROOM IN THE LOWER CALORIE

4113
03:11:49,186 --> 03:11:51,021
INTAKES BUT YOU REITERATED WHAT 

4114
03:11:51,021 --> 03:11:56,293
HEATHER PRESENTED AT THE 

4115
03:11:56,293 --> 03:12:01,565
BEGINNING OF THE DAY THAT THE 

4116
03:12:01,565 --> 03:12:03,000
AMERICAN POPULATION IS NOWHERE 

4117
03:12:03,000 --> 03:12:04,768
NEAR WHERE WE SHOULD BE.

4118
03:12:04,768 --> 03:12:08,739
THERE'S A HUGE GAP BETWEEN THIS 

4119
03:12:08,739 --> 03:12:11,375
HYPOTHETICAL IDEAL PATTERN WITH 

4120
03:12:11,375 --> 03:12:16,546
LITTLE WIGGLE ROOM AND WHAT THEY

4121
03:12:16,546 --> 03:12:26,323
ACTUALLY EAT 

4122
03:12:26,323 --> 03:12:29,092
IT.

4123
03:12:29,092 --> 03:12:31,161
IT'S EASY TO DEMONIZE CERTAIN 

4124
03:12:31,161 --> 03:12:32,195
FOOD GROUPS BUT EVERYTHING IN 

4125
03:12:32,195 --> 03:12:33,030
MODERATION, RIGHT?

4126
03:12:33,030 --> 03:12:35,499
I FEEL LIKE THIS BIG GAP BETWEEN

4127
03:12:35,499 --> 03:12:36,900
WHAT PEOPLE EAT AND WHAT WE'RE 

4128
03:12:36,900 --> 03:12:38,502
SAYING PEOPLE SHOULD EAT, IF WE 

4129
03:12:38,502 --> 03:12:42,105
KEEP SAYING IT, YOU'LL HAVE TO 

4130
03:12:42,105 --> 03:12:45,175
EAT AN ENTIRE PATTERN AND CHERYL

4131
03:12:45,175 --> 03:12:55,719
YOU SAID IT EARLIER, IF YOU TELL

4132
03:12:56,820 --> 03:12:59,389
PEOPLE WHAT THEY OUGHT NOT TO DO

4133
03:12:59,389 --> 03:13:04,728
AND WHAT CAN WE SAY IN REGARDS 

4134
03:13:04,728 --> 03:13:06,330
TO ADVICE TO THE DEPARTMENT OR 

4135
03:13:06,330 --> 03:13:16,807
SOMETHING IN THAT DIRECTION.

4136
03:13:18,508 --> 03:13:21,078
>> AS I WAS LISTENING TO 

4137
03:13:21,078 --> 03:13:22,312
QUESTIONS EARLIER, THERE'S 

4138
03:13:22,312 --> 03:13:27,351
DIFFERENT FACTORS PLAYING IN 

4139
03:13:27,351 --> 03:13:30,754
MAKING THE HEALTHIER OPTION  

4140
03:13:30,754 --> 03:13:31,054
EASIER.

4141
03:13:31,054 --> 03:13:36,393
IT'S OUR FOOD SUPPLY, IT'S THE 

4142
03:13:36,393 --> 03:13:46,937
ENVIRONMENT IT'S THE TRANSITIONS

4143
03:13:57,514 --> 03:14:02,319
THAT HAPPEN ACROSS THE SPECTRUM 

4144
03:14:02,319 --> 03:14:07,090
OF OUR CONVERSATIONS AROUND  HOW

4145
03:14:07,090 --> 03:14:08,725
WE GET FOOD FROM FARM TO FORK 

4146
03:14:08,725 --> 03:14:14,531
AND WHAT GETS ON THE FORK OF THE

4147
03:14:14,531 --> 03:14:18,335
INDIVIDUAL AND ALL THE STEPS 

4148
03:14:18,335 --> 03:14:20,470
THERE MAKING INCREMENTAL STEPS 

4149
03:14:20,470 --> 03:14:22,572
TO WHERE WE ARE TO WHERE WE WANT

4150
03:14:22,572 --> 03:14:28,145
TO BE AND MEETING THE 

4151
03:14:28,145 --> 03:14:30,914
NUTRITIONAL GOALS USING THAT TO 

4152
03:14:30,914 --> 03:14:32,849
INFORM OR CHOICES AND POLICIES 

4153
03:14:32,849 --> 03:14:34,317
AND PROGRAMS AND RESEARCH, 

4154
03:14:34,317 --> 03:14:44,494
ETCETERA.

4155
03:15:05,715 --> 03:15:07,451
>> SO, I'M KIND OF
FOLLOWING UP 

4156
03:15:07,451 --> 03:15:14,357
ON WHAT SARAH AND CHRISTOPHER 

4157
03:15:14,357 --> 03:15:16,893
SAID AND IT'S AN OPPORTUNITY FOR

4158
03:15:16,893 --> 03:15:18,395
FOOD COMPANIES TO MAKE AVAILABLE

4159
03:15:18,395 --> 03:15:21,264
THE TYPES OF FOODS THAT WE'RE 

4160
03:15:21,264 --> 03:15:23,366
PROMOTING IN THE DIETARY 

4161
03:15:23,366 --> 03:15:26,036
GUIDELINES.

4162
03:15:26,036 --> 03:15:28,705
CURRENTLY, YOU GO INTO SOME 

4163
03:15:28,705 --> 03:15:30,407
STORES OR VENDING MACHINES AND 

4164
03:15:30,407 --> 03:15:33,076
YOU CAN'T FIND ANYTHING.

4165
03:15:33,076 --> 03:15:36,046
EVERYTHING WOULD BE IN THE GROUP

4166
03:15:36,046 --> 03:15:37,547
WE'RE TAKING OUT.

4167
03:15:37,547 --> 03:15:41,618
SO, I THINK IT'S IMPORTANT FOR 

4168
03:15:41,618 --> 03:15:44,588
US TO KIND OF GIVE THAT THROUGH 

4169
03:15:44,588 --> 03:15:46,089
OUT CHALLENGE TO FOOD COMPANIES 

4170
03:15:46,089 --> 03:15:50,327
TO DO EXACTLY WHAT YOU SAID BUT 

4171
03:15:50,327 --> 03:15:54,331
HOW DO YOU MAKE IT CONVENIENT 

4172
03:15:54,331 --> 03:15:55,665
AND ABLE TO COMPETE SO YOU CAN 

4173
03:15:55,665 --> 03:15:58,568
DO THAT ONE TO ONE REPLACEMENT 

4174
03:15:58,568 --> 03:16:00,203
THAT CHERYL WAS TALKING ABOUT 

4175
03:16:00,203 --> 03:16:00,470
EARLIER.

4176
03:16:00,470 --> 03:16:02,339
YOU CAN'T DO THE ONE TO ONE 

4177
03:16:02,339 --> 03:16:03,140
REPLACEMENTS IF YOU DON'T HAVE 

4178
03:16:03,140 --> 03:16:13,650
SOMETHING TO REPLACE IT WITH.

4179
03:16:18,655 --> 03:16:20,757
>> THAT GOES BACK TO DIET
AND 

4180
03:16:20,757 --> 03:16:22,092
CHRONIC DISEASE AND TRYING TO 

4181
03:16:22,092 --> 03:16:23,059
SOLVE THE CHRONIC DISEASE 

4182
03:16:23,059 --> 03:16:23,860
WITHOUT THE DIETARY COMPONENT IN

4183
03:16:23,860 --> 03:16:25,395
THE POLICY AND THE POLICIES THAT

4184
03:16:25,395 --> 03:16:32,135
WE MAKE AND CHANGES THAT WE MAKE

4185
03:16:32,135 --> 03:16:34,004
AND POLICIES AND EVERYTHING ELSE

4186
03:16:34,004 --> 03:16:39,442
ON THIS SIGHT IMPACT THE LATTER.

4187
03:16:39,442 --> 03:16:42,712
IT'S DIFFICULT TO COMBAT THE 

4188
03:16:42,712 --> 03:16:44,748
OUTCOME WITHOUT ADDRESSING THE 

4189
03:16:44,748 --> 03:16:45,649
CAUSE.

4190
03:16:45,649 --> 03:16:47,617
SO THESE BECOME REALLY THE 

4191
03:16:47,617 --> 03:16:48,785
FOUNDATIONAL PIECES WE NEED TO 

4192
03:16:48,785 --> 03:16:51,154
SAY, THIS IS WHERE WE NEED TO BE

4193
03:16:51,154 --> 03:16:53,490
AND WHERE WE'RE AT AND IF THIS 

4194
03:16:53,490 --> 03:16:56,760
IS HOW WE'RE GOING TO MEET 

4195
03:16:56,760 --> 03:16:59,429
NUTRITIONAL ADEQUACY AND AT THE 

4196
03:16:59,429 --> 03:17:00,931
SAME TIME SO MUCH OF THE 

4197
03:17:00,931 --> 03:17:02,332
CONVERSATION IS DON'T EAT THIS 

4198
03:17:02,332 --> 03:17:04,768
OR THAT OR YOU SHOULD NEVER EAT 

4199
03:17:04,768 --> 03:17:06,903
THESE AND WHEN WE HEAR THOSE 

4200
03:17:06,903 --> 03:17:07,604
SUGGESTIONS AROUND DON'T EAT 

4201
03:17:07,604 --> 03:17:09,239
THIS OR DON'T EAT THAT, WE'RE 

4202
03:17:09,239 --> 03:17:10,574
TAKING THE NUTRIENTS OUT AT THE 

4203
03:17:10,574 --> 03:17:12,075
SAME TIME AS WE'RE TAKING THE 

4204
03:17:12,075 --> 03:17:12,776
FOODS OUT.

4205
03:17:12,776 --> 03:17:14,778
AND WHAT WE PUT BACK IN BECAUSE 

4206
03:17:14,778 --> 03:17:17,914
JUST AS IMPORTANT AS WHAT WE 

4207
03:17:17,914 --> 03:17:18,915
TAKE OUT.

4208
03:17:18,915 --> 03:17:22,252
SO, THIS REALLY GIVES US A 

4209
03:17:22,252 --> 03:17:22,919
FRAMEWORK TO ASSESS THAT BALANCE

4210
03:17:22,919 --> 03:17:26,923
AND WE'RE GOING TO TAKE OUT MORE

4211
03:17:26,923 --> 03:17:28,592
REFINED GRAINS LIKE YEAR OVER 

4212
03:17:28,592 --> 03:17:29,459
CONSUMING FROM OUR DATA 

4213
03:17:29,459 --> 03:17:29,726
ANALYSIS.

4214
03:17:29,726 --> 03:17:30,727
THESE ARE THE WHOLE GRAINS THAT 

4215
03:17:30,727 --> 03:17:34,331
WE CAN PUT BACK IN.

4216
03:17:34,331 --> 03:17:36,766
SO IT GIVES US A SUBSTITUTION 

4217
03:17:36,766 --> 03:17:38,335
PROCESS TO HELP US IDENTIFY 

4218
03:17:38,335 --> 03:17:40,503
THINGS THAT WE SHOULD BE EATING 

4219
03:17:40,503 --> 03:17:43,873
LESS OF AND THINGS WE SHOULD BE 

4220
03:17:43,873 --> 03:17:45,575
EATING MORE OF AND NOW HAVE A 

4221
03:17:45,575 --> 03:17:56,052
PATTERN TO HELP US DO THAT.

4222
03:17:57,621 --> 03:18:00,724
>> THIS HAS BEEN A
FANTASTIC 

4223
03:18:00,724 --> 03:18:04,394
DISCUSSION AND WITH THIS I'M 

4224
03:18:04,394 --> 03:18:06,329
GOING TO ASK YOU TALK ABOUT 

4225
03:18:06,329 --> 03:18:09,799
SOMETHING VERY EXCITING, NO 

4226
03:18:09,799 --> 03:18:12,469
OTHER COMMITTEE HAS HAD THE 

4227
03:18:12,469 --> 03:18:13,837
PLEASURE OF WORKING WITHDIET 

4228
03:18:13,837 --> 03:18:17,907
SIMULATION SO TAKE IT AWAY.

4229
03:18:17,907 --> 03:18:19,643
-- WITH DIET SIMULATION.

4230
03:18:19,643 --> 03:18:22,312
>> ONE DEEPER STEP OF THE 

4231
03:18:22,312 --> 03:18:24,247
NERDERY WE HAVE HERE BUT IT'S SO

4232
03:18:24,247 --> 03:18:34,791
EXCITING AND SO INNOVATIVE AND 

4233
03:18:42,399 --> 03:18:44,634
CHAPTER 10 WALKS THROUGH THE 

4234
03:18:44,634 --> 03:18:45,402
DIET SIMULATIONS , THE NEW 

4235
03:18:45,402 --> 03:18:49,239
EDITION USED.

4236
03:18:49,239 --> 03:18:52,809
HOW DOES THIS FIT WITHIN OUR 

4237
03:18:52,809 --> 03:18:53,843
WORK OF THE GROUP?

4238
03:18:53,843 --> 03:18:56,746
SO I PRESENTED THE MODIFIED 

4239
03:18:56,746 --> 03:19:02,319
DIETARY PATTERN AT THE END OF 

4240
03:19:02,319 --> 03:19:09,592
CHAPTER 10 AND CARRY FORWARD TO 

4241
03:19:09,592 --> 03:19:11,961
EVALUATE AND FINE TUNE THE 

4242
03:19:11,961 --> 03:19:12,429
PATTERNS THROUGH DIET 

4243
03:19:12,429 --> 03:19:15,932
SIMULATIONS.

4244
03:19:15,932 --> 03:19:18,335
THAT'S OUR THIRD STEP WITHIN THE

4245
03:19:18,335 --> 03:19:23,039
PROCESS.

4246
03:19:23,039 --> 03:19:26,309
THIS CHAPTER DEFINES THE FIRST 

4247
03:19:26,309 --> 03:19:27,844
USE OF SIMULATION ANALYSIS BY 

4248
03:19:27,844 --> 03:19:30,380
THE COMMITTEE TO GENERATE AND 

4249
03:19:30,380 --> 03:19:33,283
ASSESS RANDOMLY GENERATE AND 

4250
03:19:33,283 --> 03:19:39,055
ASSESS THOUSANDS OF DIETARY 

4251
03:19:39,055 --> 03:19:44,761
INTAKES OR DAYS OF DIETS THAT 

4252
03:19:44,761 --> 03:19:47,263
MEET THE PROPOSED SUBGROUP 

4253
03:19:47,263 --> 03:19:48,732
AMOUNTS WITH COMBINATIONS OF 

4254
03:19:48,732 --> 03:19:55,772
FOODS AND BEVERAGESES AWAY  -- 

4255
03:19:55,772 --> 03:19:57,474
BEVERAGES AS A WAY TO TEST TO 

4256
03:19:57,474 --> 03:19:59,242
MEET THE FOOD GROUP AND SUB 

4257
03:19:59,242 --> 03:19:59,542
GROUPS.

4258
03:19:59,542 --> 03:20:01,911
IT'S OUR CHANCE TO TEST THE 

4259
03:20:01,911 --> 03:20:04,614
PATTERNS IN THE WILD INSTEAD OF 

4260
03:20:04,614 --> 03:20:07,350
JUST BASED ON THE NUTRIENT-DENSE

4261
03:20:07,350 --> 03:20:10,320
REPRESENTATIVE FOODS BUT TO 

4262
03:20:10,320 --> 03:20:13,390
SIMULATE DIETS FROM THE 

4263
03:20:13,390 --> 03:20:17,894
COLLECTION OF THIS FOODS AND 

4264
03:20:17,894 --> 03:20:19,896
BEVERAGES IN THE WHAT WE EAT IN 

4265
03:20:19,896 --> 03:20:22,265
AMERICA DATABASE AND HOW IT 

4266
03:20:22,265 --> 03:20:30,073
MEETS OUR NEW -- NUTRITIONAL 

4267
03:20:30,073 --> 03:20:32,275
GOALS AND ONE THING WE ADDED 

4268
03:20:32,275 --> 03:20:35,545
BEYOND THE FOODS AND BEVERAGES 

4269
03:20:35,545 --> 03:20:37,313
CONSUMED BY THE U.S. POPULATION,

4270
03:20:37,313 --> 03:20:39,416
A PILOT WAS UNDERTAKEN HERE ALSO

4271
03:20:39,416 --> 03:20:43,486
TO SIMULATE FOODS IDENTIFIED AS 

4272
03:20:43,486 --> 03:20:44,654
INCLUDED IN SELECT AMERICAN 

4273
03:20:44,654 --> 03:20:47,323
INDIAN AND ALASKAN NATIVE DIETS.

4274
03:20:47,323 --> 03:20:51,294
SO THIS PROVIDED AN OPPORTUNITY 

4275
03:20:51,294 --> 03:20:53,363
TO CONSIDER A WIDER SELECTION OF

4276
03:20:53,363 --> 03:20:54,631
GROUPS FROM DIVERSE GROUPS AND 

4277
03:20:54,631 --> 03:21:00,069
ENVIRONMENTS AS A FIRST STEP IN 

4278
03:21:00,069 --> 03:21:07,744
MANY TO COME IS THE DEPARTMENTS 

4279
03:21:07,744 --> 03:21:11,681
CAN USE TO TAKE ON DIFFERENT 

4280
03:21:11,681 --> 03:21:12,715
FOODS AND BEVERAGES THAT MAKE UP

4281
03:21:12,715 --> 03:21:15,552
THE GROUPS AND SEE HOW THE 

4282
03:21:15,552 --> 03:21:17,954
PATTERNS OR RELATED TO NUTRIENT 

4283
03:21:17,954 --> 03:21:18,221
ADEQUACY.

4284
03:21:18,221 --> 03:21:21,958
SO THE SIMULATED DIETS THAT MET 

4285
03:21:21,958 --> 03:21:27,230
THE MODIFIED 2020 HUSS WERE 

4286
03:21:27,230 --> 03:21:28,965
EVALUATED FOR CHANGES IN THE 

4287
03:21:28,965 --> 03:21:31,034
AMOUNTS OF LOWER NUTRIENT DENSE 

4288
03:21:31,034 --> 03:21:33,503
DEFINED AS FOODS HIGHER IN ADDED

4289
03:21:33,503 --> 03:21:35,905
SUGAR, SATURATED FATS AND 

4290
03:21:35,905 --> 03:21:36,473
SODIUM.

4291
03:21:36,473 --> 03:21:38,641
SO WE LOOKED AT DIFFERENT 

4292
03:21:38,641 --> 03:21:41,277
AMOUNTS OF NUTRIENT DENSE FOODS 

4293
03:21:41,277 --> 03:21:41,778
WITHIN THE SIMULATIONS 

4294
03:21:41,778 --> 03:21:47,650
THEMSELVES.

4295
03:21:47,650 --> 03:21:50,019
OUR SCIENTIFIC QUESTION, DO 

4296
03:21:50,019 --> 03:21:52,188
SIMULATED DIETS THAT MEET THE 

4297
03:21:52,188 --> 03:21:56,359
UPDATED USDA DIETARY PATTERNS 

4298
03:21:56,359 --> 03:21:57,460
REFLECTION DIETARY INTAKES 

4299
03:21:57,460 --> 03:22:02,098
ACHIEVE NUTRIENT ADEQUACY?

4300
03:22:02,098 --> 03:22:12,609
SO OUR FINDINGS, DRUM ROLL -- 

4301
03:22:16,312 --> 03:22:18,948
WHAT WE FIND IS THEY WORKED WELL

4302
03:22:18,948 --> 03:22:23,553
WITH MEETING NUTRIENT DENSE 

4303
03:22:23,553 --> 03:22:26,489
FOODS AND SIMULATING FOODS 

4304
03:22:26,489 --> 03:22:28,858
CONSUMED IN THE U.S. AND AS 

4305
03:22:28,858 --> 03:22:31,461
INCLUDED IN NATIVE AMERICAN AND 

4306
03:22:31,461 --> 03:22:32,562
ALASKAN NATIVE DIETS GENERALLY 

4307
03:22:32,562 --> 03:22:34,297
MEET REQUIREMENTS.

4308
03:22:34,297 --> 03:22:44,474
THIS IS A BIG HOORAY AND WE 

4309
03:22:44,474 --> 03:22:46,142
LOOKED AT THE PATTERNS AND 

4310
03:22:46,142 --> 03:22:47,810
DETERMINED WHAT HAPPENED WHEN WE

4311
03:22:47,810 --> 03:22:49,579
MADE TWEAKS AND CHANGES INFORMED

4312
03:22:49,579 --> 03:22:58,221
BY SYSTEMATIC REVIEWS AND PUT 

4313
03:22:58,221 --> 03:23:00,657
THIS IN THE REAL WORLD SITUATION

4314
03:23:00,657 --> 03:23:03,092
WITH SIMULATION AND DIETARY 

4315
03:23:03,092 --> 03:23:06,329
INTAKE FOR AGE AND SEX GROUPS 

4316
03:23:06,329 --> 03:23:10,033
AND MET NUTRIENT GOALS AND 

4317
03:23:10,033 --> 03:23:12,001
LOOKING AT THEM IN WHAT WE EAT 

4318
03:23:12,001 --> 03:23:14,771
IN AMERICA FOOD GROUPS OR WHAT 

4319
03:23:14,771 --> 03:23:17,674
WE EAT IN AMERICA DATABASE, 

4320
03:23:17,674 --> 03:23:19,576
SIMULATING THOSE DIETS MET 

4321
03:23:19,576 --> 03:23:20,777
NUTRIENT GOALS WITH FEW 

4322
03:23:20,777 --> 03:23:25,281
EXTENSIONS.

4323
03:23:25,281 --> 03:23:26,316
THE ASSESSMENT WITH VARIED 

4324
03:23:26,316 --> 03:23:28,451
AMOUNT OF NUTRIENT FOODS AND 

4325
03:23:28,451 --> 03:23:30,320
BEVERAGES WERE MORE LIKELY TO 

4326
03:23:30,320 --> 03:23:34,857
MEET ADDED SUGAR AND SATURATED 

4327
03:23:34,857 --> 03:23:38,461
FAT AND ALSO SO IN SODIUM WHEN 

4328
03:23:38,461 --> 03:23:40,163
WE RESTRICTED FOODS THAT WERE 

4329
03:23:40,163 --> 03:23:43,933
LOWER IN NUTRIENT DENSITY THAT 

4330
03:23:43,933 --> 03:23:45,702
WERE HIGHER IN SATURATED FAT AND

4331
03:23:45,702 --> 03:23:49,739
SODIUM AND DECREASED THE 

4332
03:23:49,739 --> 03:23:50,373
PROPORTIONALITY OF THOSE FOODS 

4333
03:23:50,373 --> 03:23:56,245
TO BE INCLUDED.

4334
03:23:56,245 --> 03:24:01,751
AND WITH OUR INITIAL RUN WE DID 

4335
03:24:01,751 --> 03:24:05,722
NOT INCLUDE SODIUM AND LOOKED AT

4336
03:24:05,722 --> 03:24:07,457
SODIUM BEING ACROSS FOODS WITHIN

4337
03:24:07,457 --> 03:24:08,758
THE DATABASES.

4338
03:24:08,758 --> 03:24:11,594
AND THE FOOD SUPPLY BUT WE DID 

4339
03:24:11,594 --> 03:24:13,663
IN THE SECOND ROUND LOOKED AT 

4340
03:24:13,663 --> 03:24:18,334
RESTRICTING THOSE WITH GREATER 

4341
03:24:18,334 --> 03:24:24,507
THAN 15% OF THE DAILY VALUE EVEN

4342
03:24:24,507 --> 03:24:29,912
WITH THE HIGHEST RESTRICTION 

4343
03:24:29,912 --> 03:24:40,390
LEVEL OF SODIUM AND LOOK AT 

4344
03:24:41,691 --> 03:24:43,292
RESTRICTION OF LESS NUTRIENT 

4345
03:24:43,292 --> 03:24:45,461
DENSE FOODS AND THEY WERE MORE 

4346
03:24:45,461 --> 03:24:49,499
LIKELY TO MEET NOT ONLY THE 

4347
03:24:49,499 --> 03:24:51,868
NUTRIENT PROFILE BUT ALSO 

4348
03:24:51,868 --> 03:24:54,037
SATURATED FAT AND SUGAR GOALS 

4349
03:24:54,037 --> 03:24:58,041
BUT SODIUM WAS STILL ABOVE FOR 

4350
03:24:58,041 --> 03:25:00,710
MOST THE SIMULATED DIETS.

4351
03:25:00,710 --> 03:25:02,779
AS A FACTOR OF ALL THESE WE DID 

4352
03:25:02,779 --> 03:25:06,315
NOT FURTHER REFINE THE 2020 

4353
03:25:06,315 --> 03:25:12,522
MODIFIED HUSS AS A RESULT OF THE

4354
03:25:12,522 --> 03:25:13,623
SIMULATIONS.

4355
03:25:13,623 --> 03:25:16,993
SO, OUR FUTURE DIRECTIONS WITHIN

4356
03:25:16,993 --> 03:25:20,196
THE SPACE, IT WAS EXCITING THE 

4357
03:25:20,196 --> 03:25:24,233
STAFF WERE AMAZING IN HELPING US

4358
03:25:24,233 --> 03:25:26,703
GET ALL THIS DATA, FACILITATE 

4359
03:25:26,703 --> 03:25:30,339
WORKING WITH THE CONTRACTOR TO 

4360
03:25:30,339 --> 03:25:39,482
DEVELOP AND SET UP THE 

4361
03:25:39,482 --> 03:25:42,085
INORDINATE AMOUNT OF DECISIONS 

4362
03:25:42,085 --> 03:25:43,786
OF WHAT TO INCLUDE AND RUN IT 

4363
03:25:43,786 --> 03:25:44,954
THROUGH AS PART OF OUR 

4364
03:25:44,954 --> 03:25:47,657
SCIENTIFIC GUIDELINE PROCESS AND

4365
03:25:47,657 --> 03:25:50,059
DATA AND LOOK TO SPECIALLY 

4366
03:25:50,059 --> 03:25:51,728
EXPAND SIMULATION METHODS TO 

4367
03:25:51,728 --> 03:25:55,732
ADDRESS SOME COMPLEXITIES IN 

4368
03:25:55,732 --> 03:25:57,900
DIETARY INTAKE DATA, INDIVIDUAL 

4369
03:25:57,900 --> 03:25:59,736
RECIPES WERE NOT INCLUDED BUT 

4370
03:25:59,736 --> 03:26:04,273
ALL THE FOODS AND BEVERAGES 

4371
03:26:04,273 --> 03:26:05,742
EXISTED AS INDIVIDUAL 

4372
03:26:05,742 --> 03:26:07,143
INGREDIENTS IN THE DATABASE SO 

4373
03:26:07,143 --> 03:26:09,345
LOOKING AT DIFFERENT WAYS THESE 

4374
03:26:09,345 --> 03:26:10,580
CAN BE EXPLORED.

4375
03:26:10,580 --> 03:26:12,615
AND ALSO FUTURE DIRECTIONS TO 

4376
03:26:12,615 --> 03:26:14,350
LOOK AT THE REPRESENTATION OF 

4377
03:26:14,350 --> 03:26:16,452
DIETARY INTAKES OF DIFFERENT 

4378
03:26:16,452 --> 03:26:17,453
POPULATION GROUPS IN DATA 

4379
03:26:17,453 --> 03:26:21,224
SOURCES TO BE USED IN 

4380
03:26:21,224 --> 03:26:22,058
SIMULATION.

4381
03:26:22,058 --> 03:26:23,459
SO MANY DIFFERENT FUTURE 

4382
03:26:23,459 --> 03:26:25,094
DIRECTIONS WITHIN THIS AND OUR 

4383
03:26:25,094 --> 03:26:26,329
KEY RECOMMENDATIONS HERE ARE 

4384
03:26:26,329 --> 03:26:28,865
AROUND REFINING THAT DIETARY 

4385
03:26:28,865 --> 03:26:32,702
SIMULATION METHODOLOGY.

4386
03:26:32,702 --> 03:26:34,036
WE HAD TREMENDOUS SUCCESS IN 

4387
03:26:34,036 --> 03:26:38,341
UTILIZING THIS TO ACHIEVE THE 

4388
03:26:38,341 --> 03:26:41,110
NUTRIENT GOALS FROM A LENS OF 

4389
03:26:41,110 --> 03:26:42,779
LOOKING AT THE BROADER FOOD 

4390
03:26:42,779 --> 03:26:44,447
CHOICES THAT WOULD BE AVAILABLE 

4391
03:26:44,447 --> 03:26:46,949
WITHIN WHAT WE EAT IN AMERICA 

4392
03:26:46,949 --> 03:26:50,853
RATHER THAN JUST BASED ON THE 

4393
03:26:50,853 --> 03:26:52,555
NUTRIENT-DENSE REPRESENTATIVE 

4394
03:26:52,555 --> 03:26:54,323
FOODS BUT THERE ARE SEVERAL WAYS

4395
03:26:54,323 --> 03:26:56,225
AND DECISIONS AROUND THE CUT 

4396
03:26:56,225 --> 03:26:58,628
POINTS FOR SODIUM FOR SATURATED 

4397
03:26:58,628 --> 03:27:03,666
FAT OR ADDED SHUGAR AND HOW WE 

4398
03:27:03,666 --> 03:27:06,002
DEFINED THOSE IN HIGHER OR LOWER

4399
03:27:06,002 --> 03:27:08,938
DENSITY MODIFIED AND WAYS TO 

4400
03:27:08,938 --> 03:27:11,107
EXPAND METHODS OF SIMULATION AND

4401
03:27:11,107 --> 03:27:15,912
LOOK AT DIFFERENT POPULATIONS 

4402
03:27:15,912 --> 03:27:19,715
AND HOW THAT MAY LEAD TO WAYS TO

4403
03:27:19,715 --> 03:27:21,751
EVALUATE AND GENERALIZABILITY 

4404
03:27:21,751 --> 03:27:23,386
AND INCREASE REPRESENTATION OF 

4405
03:27:23,386 --> 03:27:25,221
DIETARY INTAKES.

4406
03:27:25,221 --> 03:27:28,457
SO THE COMMITTEE STRONGLY 

4407
03:27:28,457 --> 03:27:29,392
RECOMMENDS INCREASING 

4408
03:27:29,392 --> 03:27:30,626
REPRESENTATION OF DIETARY 

4409
03:27:30,626 --> 03:27:32,562
INTAKES AT DIFFERENT PONG GROUPS

4410
03:27:32,562 --> 03:27:34,797
FOR THE COLLECTION OF DIETARY 

4411
03:27:34,797 --> 03:27:36,933
INTAKE DATA FROM UNDER 

4412
03:27:36,933 --> 03:27:38,734
REPRESENTED POPULATIONS AN 

4413
03:27:38,734 --> 03:27:39,502
REPRESENTATION OF FOODS FROM 

4414
03:27:39,502 --> 03:27:42,939
DIFFERENT FOOD WAYS AND 

4415
03:27:42,939 --> 03:27:45,141
NUTRITION COMPOSITION DATABASES 

4416
03:27:45,141 --> 03:27:46,275
ALLOWING FOR A WIDER BREADTH OF 

4417
03:27:46,275 --> 03:27:48,778
FOODS TO BE INCLUDED WITHIN THE 

4418
03:27:48,778 --> 03:27:52,682
SIMULATIONS TO TEST DIFFERENT 

4419
03:27:52,682 --> 03:27:53,182
CULTURAL FOOD WAYS AND 

4420
03:27:53,182 --> 03:28:03,559
CONSUMPTION PATTERNS.

4421
03:28:03,926 --> 03:28:05,661
CHAPTER 11 GETS TO THE HEART OF 

4422
03:28:05,661 --> 03:28:08,664
HOW WE CAN TEST THE MODIFIED 

4423
03:28:08,664 --> 03:28:11,234
2020 HUSS WITH A WIDER SELECTION

4424
03:28:11,234 --> 03:28:13,436
OF FOODS AND BEVERAGES THROUGH 

4425
03:28:13,436 --> 03:28:17,573
DIET SIMULATIONS AND LOOKING AT 

4426
03:28:17,573 --> 03:28:18,708
WHAT HAPPENED ACROSS MULTIPLE 

4427
03:28:18,708 --> 03:28:22,612
DAYS AND SIMULATING WEEKS OF 

4428
03:28:22,612 --> 03:28:28,784
INTAKES OF DIETS ACROSS AGE-SEX 

4429
03:28:28,784 --> 03:28:31,487
GROUPS THROUGH NUTRIENT-DENSE 

4430
03:28:31,487 --> 03:28:31,687
FOODS.

4431
03:28:31,687 --> 03:28:35,157
WE GOT THE GREATEST LIKELIHOOD 

4432
03:28:35,157 --> 03:28:36,792
TO MEET NUTRITIONAL GOALS AND 

4433
03:28:36,792 --> 03:28:39,195
LOOK AT INTEGRATION OF EVIDENCE 

4434
03:28:39,195 --> 03:28:41,497
ACROSS REVIEWS AND FOOD PATTERN 

4435
03:28:41,497 --> 03:28:43,566
MODELLING AND DATA ANALYSIS TO 

4436
03:28:43,566 --> 03:28:45,067
ANSWER THE OVER ARCHING QUESTION

4437
03:28:45,067 --> 03:28:48,004
OF SHOULD MODIFICATIONS BE MADE 

4438
03:28:48,004 --> 03:28:52,108
TO THE EXISTING USDA DIETARY 

4439
03:28:52,108 --> 03:28:53,542
PATTERN AND ARE NEW PATTERNS 

4440
03:28:53,542 --> 03:28:58,447
NEEDED.

4441
03:28:58,447 --> 03:29:01,617
DISCUSSION?

4442
03:29:01,617 --> 03:29:04,754
>> QUESTIONS FOR CHRIS
REGARDING

4443
03:29:04,754 --> 03:29:15,097
THE DIET SIMULATION?

4444
03:29:19,568 --> 03:29:20,336
I'LL START.

4445
03:29:20,336 --> 03:29:23,706
I WANT TO THANK THE SUBCOMMITTEE

4446
03:29:23,706 --> 03:29:26,309
AND CALL OUT TO THE STAFF WHO 

4447
03:29:26,309 --> 03:29:27,944
EXPLORED NEW TECHNOLOGIES AND 

4448
03:29:27,944 --> 03:29:28,711
STRATEGIES AND APPROACHES.

4449
03:29:28,711 --> 03:29:31,814
IT WAS REALLY EXCITING A NEW 

4450
03:29:31,814 --> 03:29:32,748
INITIATIVE FOR THE COMMITTEE.

4451
03:29:32,748 --> 03:29:35,718
SO CHRIS, I WANT TO ASK YOU A 

4452
03:29:35,718 --> 03:29:38,321
QUESTION ABOUT THE SODIUM 

4453
03:29:38,321 --> 03:29:41,624
BECAUSE I THINK THE SODIUM 

4454
03:29:41,624 --> 03:29:43,659
SHINES A SPOTLIGHT ON WHAT A LOT

4455
03:29:43,659 --> 03:29:48,164
OF THE CONVERSATION TODAY HAS 

4456
03:29:48,164 --> 03:29:48,497
BEEN AROUND.

4457
03:29:48,497 --> 03:29:49,198
YOU COULDN'T DO IT IS WHAT I 

4458
03:29:49,198 --> 03:29:51,901
HEARD.

4459
03:29:51,901 --> 03:29:53,970
WHAT ARE YOUR THOUGHTS ABOUT IT 

4460
03:29:53,970 --> 03:29:55,604
AND WHAT DO WE RECOMMEND TO THE 

4461
03:29:55,604 --> 03:29:57,940
FEDERAL AGENCIES BASED ON THE 

4462
03:29:57,940 --> 03:30:01,777
FINDINGS OF THESE DIET 

4463
03:30:01,777 --> 03:30:02,078
SIMULATIONS?

4464
03:30:02,078 --> 03:30:05,214
>> IT WAS A TOPIC OF OUR 

4465
03:30:05,214 --> 03:30:07,149
CONVERSATION AT THE SIXTH PUBLIC

4466
03:30:07,149 --> 03:30:10,119
MEETING LOOKING AT THE FOOD 

4467
03:30:10,119 --> 03:30:10,353
SUPPLY.

4468
03:30:10,353 --> 03:30:14,357
THE FOOD SUPPLY IS BASICALLY 

4469
03:30:14,357 --> 03:30:14,924
LOADED WITH SODIUM.

4470
03:30:14,924 --> 03:30:16,826
SO MATTER WHERE YOU TURN, IT'S 

4471
03:30:16,826 --> 03:30:20,763
IN ALL THE FOOD GROUPS AND SUB 

4472
03:30:20,763 --> 03:30:24,000
GROUPS WHICH MEANS THIS GOES 

4473
03:30:24,000 --> 03:30:25,434
BEYOND PERSONAL CHOICE.

4474
03:30:25,434 --> 03:30:27,903
THIS GOES BEYOND FOOD SELECTION.

4475
03:30:27,903 --> 03:30:31,707
THIS GOES TO THE FOODS AVAILABLE

4476
03:30:31,707 --> 03:30:34,343
FOR CONSUMPTION IN THE U.S. AND 

4477
03:30:34,343 --> 03:30:39,949
SOMETHING HAS TO CHANGE AT A 

4478
03:30:39,949 --> 03:30:41,584
HIGHER LEVEL THAN INDIVIDUAL 

4479
03:30:41,584 --> 03:30:44,754
CHOICE TO BE ABLE TO ACHIEVE THE

4480
03:30:44,754 --> 03:30:55,031
CERR FOR SODIUM.

4481
03:31:04,106 --> 03:31:07,109
>> I THINK CHERYL HAS MORE
TO 

4482
03:31:07,109 --> 03:31:08,444
ADD.

4483
03:31:08,444 --> 03:31:09,578
>> THANK YOU FOR THE WORK
IN THE

4484
03:31:09,578 --> 03:31:12,648
SPACE AND MAKING IT CLEAR ON THE

4485
03:31:12,648 --> 03:31:14,984
OTHER ASPECTS OF THE DATA 

4486
03:31:14,984 --> 03:31:16,185
ANALYSIS BECAUSE THE STORY IS 

4487
03:31:16,185 --> 03:31:18,320
MORE COMPLETE WHEN WE LOOK AT 

4488
03:31:18,320 --> 03:31:19,522
THE PRESENTATIONS YOU JUST MADE.

4489
03:31:19,522 --> 03:31:26,295
AND I THINK SARAH'S QUESTION 

4490
03:31:26,295 --> 03:31:33,235
REINFORCES IN MY MIND THE 

4491
03:31:33,235 --> 03:31:34,737
IMPORTANCE OF A FOOD SUPPLY.

4492
03:31:34,737 --> 03:31:41,110
THE FOOD SUPPLY THAT INDIVIDUALS

4493
03:31:41,110 --> 03:31:43,679
INTERACT WITH IS INCREDIBLY 

4494
03:31:43,679 --> 03:31:43,979
IMPORTANT.

4495
03:31:43,979 --> 03:31:49,985
SINCE 2010, THE GUIDANCE FROM 

4496
03:31:49,985 --> 03:31:51,720
AUTHORITATIVE PUBLIC HEALTH, 

4497
03:31:51,720 --> 03:31:55,157
SCIENTIFIC, MEDICAL AGENCIES HAS

4498
03:31:55,157 --> 03:31:58,394
REALLY BEEN LET'S GET TO A FOOD 

4499
03:31:58,394 --> 03:31:59,562
SUPPLY THAT ALLOWS FOR AMERICANS

4500
03:31:59,562 --> 03:32:01,997
TO BE ABLE TO DO THIS 

4501
03:32:01,997 --> 03:32:04,066
PARTICULARLY AROUND SODIUM.

4502
03:32:04,066 --> 03:32:08,471
AND WE'VE SEEN RECENT MOVEMENT 

4503
03:32:08,471 --> 03:32:11,140
AROUND THE VOLUNTARY APPROACH 

4504
03:32:11,140 --> 03:32:12,842
FROM THE FDA WHERE COMPANIES ARE

4505
03:32:12,842 --> 03:32:19,582
BEING ASKED TO GRADUALLY REDUCE 

4506
03:32:19,582 --> 03:32:20,683
SODIUM IN THE FOOD SUPPLY AND 

4507
03:32:20,683 --> 03:32:23,853
SEE HOW WE'RE PROGRESSING AND 

4508
03:32:23,853 --> 03:32:26,822
USE NHANES AND OTHER MONITORING 

4509
03:32:26,822 --> 03:32:29,125
SOURCES AND SARAH TO YOUR 

4510
03:32:29,125 --> 03:32:31,260
QUESTION I WANTED TO ADD TO WHAT

4511
03:32:31,260 --> 03:32:33,262
CHRIS SAID, PERHAPS THAT 

4512
03:32:33,262 --> 03:32:34,563
CONVERSATION WILL BE EXTENDED 

4513
03:32:34,563 --> 03:32:37,800
BASED ON THE WORK THAT WE SEE 

4514
03:32:37,800 --> 03:32:40,903
HERE AND SO AGAIN JUST CHEERS 

4515
03:32:40,903 --> 03:32:45,708
FOR REALLY HELPING US TO SEE THE

4516
03:32:45,708 --> 03:32:52,348
PICTURE IN A MORE COMPLETE WAY.

4517
03:32:52,348 --> 03:32:55,618
>> DIDI.

4518
03:32:55,618 --> 03:32:57,086
>> THANK YOU, I COULDN'T
AGREE 

4519
03:32:57,086 --> 03:32:59,522
MORE WITH YOUR CONCLUSION.

4520
03:32:59,522 --> 03:33:03,159
IT COMES DOWN TO THE SUPPLY.

4521
03:33:03,159 --> 03:33:04,693
AND IF SODIUM'S UP WITH THING WE

4522
03:33:04,693 --> 03:33:08,364
CAN IMPROVE, THAT WOULD BE 

4523
03:33:08,364 --> 03:33:08,964
FANTAS

4524
03:33:08,964 --> 03:33:09,231
FANTASTIC.

4525
03:33:09,231 --> 03:33:12,368
IT'S ACROSS SO MANY FOODS EVEN 

4526
03:33:12,368 --> 03:33:22,912
IT WAS A MODERATE JUDGMENT IT --

4527
03:33:23,212 --> 03:33:30,786
MODERATE IMPROVEMENT AND THERE'S

4528
03:33:30,786 --> 03:33:32,855
AND IF YOU FOLLOW THE PATTERNS 

4529
03:33:32,855 --> 03:33:36,559
WITH THE TYPICAL CHOICES WHAT DO

4530
03:33:36,559 --> 03:33:38,594
YOU GET?

4531
03:33:38,594 --> 03:33:44,767
ALL THIS OPTIMIZATION AROUND 

4532
03:33:44,767 --> 03:33:46,202
BENEFICIAL DON'TS OF DIET AND 

4533
03:33:46,202 --> 03:33:48,804
NUTRIENTS OF PUBLIC HEALTH 

4534
03:33:48,804 --> 03:33:51,941
CONCERN, SALT, SUGAR, SATURATED 

4535
03:33:51,941 --> 03:33:53,442
FAT AGAIN AND AGAIN ALL WENT 

4536
03:33:53,442 --> 03:33:56,011
THROUGH THE ROOF.

4537
03:33:56,011 --> 03:33:59,381
FOLLOWING THE GUIDELINES AND 

4538
03:33:59,381 --> 03:34:01,951
MORE REAL WORLD VISION WE'RE NOT

4539
03:34:01,951 --> 03:34:04,987
TYPICALLY EXPOSED TO DERAILS A 

4540
03:34:04,987 --> 03:34:06,789
LOT OF THE PROGRESS THE 

4541
03:34:06,789 --> 03:34:08,591
GUIDELINES IN IT'S OPTIMAL FORM 

4542
03:34:08,591 --> 03:34:11,727
ARE MEANT TO HAVE.

4543
03:34:11,727 --> 03:34:12,928
WITH THE DATA ANALYSIS 

4544
03:34:12,928 --> 03:34:14,196
PRESENTATION WE SEE EVERYONE IS 

4545
03:34:14,196 --> 03:34:17,566
SO FAR OFF FROM FOLLOWING THE 

4546
03:34:17,566 --> 03:34:18,801
GUIDELINES BUT IN OUR SYNTHESIS 

4547
03:34:18,801 --> 03:34:22,905
AND MODELLING, EVEN IF THEY DID,

4548
03:34:22,905 --> 03:34:25,007
THE TYPICAL VERSIONS OF THE 

4549
03:34:25,007 --> 03:34:26,041
FOODS WE'RE EXPOSED TO ARE 

4550
03:34:26,041 --> 03:34:27,643
DERAILING THE PROGRESS THAT 

4551
03:34:27,643 --> 03:34:28,744
WOULD HAVE BEEN MADE BY 

4552
03:34:28,744 --> 03:34:30,279
FOLLOWING THE RECOMMENDATIONS 

4553
03:34:30,279 --> 03:34:31,780
FOR ALL THE INDIVIDUAL FOOD 

4554
03:34:31,780 --> 03:34:32,014
GROUPS.

4555
03:34:32,014 --> 03:34:34,416
SO I REALLY LIKE PUTTING THIS 

4556
03:34:34,416 --> 03:34:44,960
ALL TOGETHER AND IN SO MANY W

4557
03:34:52,668 --> 03:34:52,801
WAYS.

4558
03:34:52,801 --> 03:34:54,036
SODIUM IS NOT A BEHAVIOR IT'S A 

4559
03:34:54,036 --> 03:34:55,938
SUPPLY AND I HOPE IT'S 

4560
03:34:55,938 --> 03:34:59,208
MOTIVATION FOR THOSE THAT HAVE 

4561
03:34:59,208 --> 03:35:00,609
THE POWER TO IMPLEMENT WHAT THE 

4562
03:35:00,609 --> 03:35:03,412
SCIENCE IS REPEATEDLY SHOWING TO

4563
03:35:03,412 --> 03:35:11,654
DO SO, SO THANKS, CHRIS.

4564
03:35:11,654 --> 03:35:12,755
>> GREAT COMMENTS CHERYL
AND 

4565
03:35:12,755 --> 03:35:13,055
DIDI.

4566
03:35:13,055 --> 03:35:16,358
OTHER QUESTIONS FOR CHRIS?

4567
03:35:16,358 --> 03:35:16,659
CHRISTOPHER.

4568
03:35:16,659 --> 03:35:18,894
>> HERE'S AN IDEA FOR
MODELLING.

4569
03:35:18,894 --> 03:35:21,630
WE HAVE THE CHALLENGE OF WHOLE 

4570
03:35:21,630 --> 03:35:25,501
GRAINS AND REFINED GRAINS IN 

4571
03:35:25,501 --> 03:35:27,069
DIFFERENT DIRECTION.

4572
03:35:27,069 --> 03:35:29,038
AMERICANS EAT A LOT OF BREAD.

4573
03:35:29,038 --> 03:35:30,673
YOU NEED SODIUM TO MAKE BREAD.

4574
03:35:30,673 --> 03:35:35,044
I DON'T THINK YOU CAN MAKE BREAD

4575
03:35:35,044 --> 03:35:38,280
WITHOUT SOME AMOUNT OF SALT BUT 

4576
03:35:38,280 --> 03:35:40,549
IT WOULD BE FASCINATING TO COULD

4577
03:35:40,549 --> 03:35:43,018
YOU SWITCH FROM REFINED TO WHOLE

4578
03:35:43,018 --> 03:35:48,657
NOT JUST 50/50.

4579
03:35:48,657 --> 03:35:53,929
WHAT KIND OF 40/60 AND DIFFERENT

4580
03:35:53,929 --> 03:35:57,032
SWITCHES CAN YOU MAKE?

4581
03:35:57,032 --> 03:35:59,868
DO WE HAVE TO STOP EATING BREAD 

4582
03:35:59,868 --> 03:36:05,674
WHETHER FAZE  IT'S REFINED OR 

4583
03:36:05,674 --> 03:36:06,342
WHOLE GRAIN BECAUSE SO MUCH IS 

4584
03:36:06,342 --> 03:36:09,445
IN THERE NOT TO MAKE US HUNGRY 

4585
03:36:09,445 --> 03:36:13,182
OR THIRSTY FOR IT BUT A REQUIRED

4586
03:36:13,182 --> 03:36:16,452
COMPONENT AND COULD BE A 

4587
03:36:16,452 --> 03:36:19,855
FASCINATING INTEGRATION OF 

4588
03:36:19,855 --> 03:36:24,193
SODIUM AND BREAD VERSUS VEGGIES 

4589
03:36:24,193 --> 03:36:26,495
AND BEANS, PEAS AND LENTILS.

4590
03:36:26,495 --> 03:36:30,632
>> SO WHEN WE DO MODEL IT,
WE'RE

4591
03:36:30,632 --> 03:36:32,768
MODELLING THE 50% REFINED GRAIN 

4592
03:36:32,768 --> 03:36:33,702
AND 50% WHOLE.

4593
03:36:33,702 --> 03:36:44,246
IT'S MUCH GREATER THAN THE USUAL

4594
03:36:45,147 --> 03:36:47,683
U.S. INTAKE AND HIGHER SODIUM 

4595
03:36:47,683 --> 03:36:49,585
AND IT WILL BE OFF THE LORE 

4596
03:36:49,585 --> 03:36:51,653
SODIUM FOODS AND COMBINATION OF 

4597
03:36:51,653 --> 03:36:52,755
REFINED GRAIN VERSUS WHOLE 

4598
03:36:52,755 --> 03:36:54,656
GRAIN.

4599
03:36:54,656 --> 03:37:04,032
SO PART OF THAT IS UNINTENDED, 

4600
03:37:04,032 --> 03:37:04,466
BE

4601
03:37:04,466 --> 03:37:12,408
BAKES IN AND A -- IT GETS TO THE

4602
03:37:12,408 --> 03:37:13,642
COMBINATION OF A POPULATION 

4603
03:37:13,642 --> 03:37:15,511
LEVEL THE MAGNITUDE OF 

4604
03:37:15,511 --> 03:37:17,980
CONSUMPTION BECAUSE YOU CAN MAKE

4605
03:37:17,980 --> 03:37:19,348
SMALL CHANGES IN SOMETHING 

4606
03:37:19,348 --> 03:37:22,317
CONSUMED A LOT TO HAVE AN 

4607
03:37:22,317 --> 03:37:24,586
IMPACT, DIDI WAS SAYING AND LOOK

4608
03:37:24,586 --> 03:37:26,755
AT SOME FOODS WITH A LOT OF 

4609
03:37:26,755 --> 03:37:28,490
SODIUM Y'ALL NEED TO HAVE A LOT 

4610
03:37:28,490 --> 03:37:29,992
OF SODIUM CONSUMED LESS.

4611
03:37:29,992 --> 03:37:32,127
YOU CAN MAKE BIG CHANGES IN SOME

4612
03:37:32,127 --> 03:37:37,633
GROUPS AND LESSER IMPACTS AND 

4613
03:37:37,633 --> 03:37:38,767
SMALL CHANGES IN BROADER 

4614
03:37:38,767 --> 03:37:39,334
CONSUMPTION GROUPS.

4615
03:37:39,334 --> 03:37:39,635
CHERYL.

4616
03:37:39,635 --> 03:37:43,372
>> I JUST WANTED TO GO
BACK TO 

4617
03:37:43,372 --> 03:37:44,773
CHRISTOPHER'S POINT BECAUSE WHAT

4618
03:37:44,773 --> 03:37:47,509
I DIDN'T MENTION IN MY LAST 

4619
03:37:47,509 --> 03:37:49,978
COMMENT WAS THAT A LOT OF THE 

4620
03:37:49,978 --> 03:37:52,147
GUIDANCE THAT'S BEEN NOW SINCE 

4621
03:37:52,147 --> 03:37:58,020
THE DIETARY GUIDELINES OF 2015 

4622
03:37:58,020 --> 03:38:01,690
AS WELL AS PRIOR WORK AT THE 

4623
03:38:01,690 --> 03:38:06,128
NATIONAL ACADEMIES UN2010 HINGES

4624
03:38:06,128 --> 03:38:09,331
ON SODIUM AS SAFE STATUS.

4625
03:38:09,331 --> 03:38:12,234
YOUR POINT BRINGS UP THE ISSUE 

4626
03:38:12,234 --> 03:38:16,205
THAT WHEN SODIUM MAINTAINS THIS 

4627
03:38:16,205 --> 03:38:21,610
STATS IT WOULD BE USED 

4628
03:38:21,610 --> 03:38:24,480
GRATUITOUSLY AND THE CATEGORY 

4629
03:38:24,480 --> 03:38:26,048
WEIGHTED APPROACH THAT CHRIS 

4630
03:38:26,048 --> 03:38:27,816
JUST MENTIONED DIDN'T HAVE TO BE

4631
03:38:27,816 --> 03:38:32,120
TAKEN INTO ACCOUNT.

4632
03:38:32,120 --> 03:38:37,860
AND SO THE FOOD SUPPLY ISSUE IS 

4633
03:38:37,860 --> 03:38:45,834
GOING TO NECESSITATE SOME POLICY

4634
03:38:45,834 --> 03:38:47,102
SHIFT WHERE THOSE CONTRIBUTING 

4635
03:38:47,102 --> 03:38:50,772
IN FOODS WHETHER BAKING OR 

4636
03:38:50,772 --> 03:38:54,943
PICKLING OR USING THINGS FOR 

4637
03:38:54,943 --> 03:38:57,379
LEMONADE OR OTHER CHEMICAL AND 

4638
03:38:57,379 --> 03:39:02,751
NECESSARY MEANS STOP AND SAY ARE

4639
03:39:02,751 --> 03:39:11,226
WE USING THE AMOUNT OF SODIUM 

4640
03:39:11,226 --> 03:39:21,770
APPROPRIATE AND SO WHEN WE TALK 

4641
03:39:23,639 --> 03:39:30,078
ABOUT WHERE WE GO NEXT AND 

4642
03:39:30,078 --> 03:39:32,147
CAPTURIZATION AS A LOW-HANGING 

4643
03:39:32,147 --> 03:39:33,615
FRUIT IT FORCES FOOD 

4644
03:39:33,615 --> 03:39:36,151
MANUFACTURING TO PAUSE AND THOSE

4645
03:39:36,151 --> 03:39:37,653
WHO MAKE POLICY TO PAUSE AND TO 

4646
03:39:37,653 --> 03:39:40,622
SAY IS THIS GENERALLY REGARDED 

4647
03:39:40,622 --> 03:39:46,328
AS SAFE GIVEN IMPLICATIONS THAT 

4648
03:39:46,328 --> 03:39:48,263
SODIUM IN HEALTH AND WHAT WE SEE

4649
03:39:48,263 --> 03:39:50,766
PLAY OUT IN OUR MODELLING 

4650
03:39:50,766 --> 03:39:52,701
EXERCISES AND THE AUTHORITATIVE 

4651
03:39:52,701 --> 03:39:54,236
FINDINGS FROM PUBLIC HEALTH AND 

4652
03:39:54,236 --> 03:40:04,780
MEDICAL AND NUTRITION AGENCIES.

4653
03:40:16,625 --> 03:40:20,128
>> AND JUST THINKING ABOUT
THE 

4654
03:40:20,128 --> 03:40:21,196
POTENTIAL FOR THE NEXT 

4655
03:40:21,196 --> 03:40:21,463
COMMITTEE.

4656
03:40:21,463 --> 03:40:22,965
ONE OF THE THINGS THAT IN 

4657
03:40:22,965 --> 03:40:24,866
ADDITION TO THE OVER ALL 

4658
03:40:24,866 --> 03:40:28,604
U.S. POPULATION YOU'RE ABLE TO 

4659
03:40:28,604 --> 03:40:32,541
TAKE AMERICAN INDIAN AND ALASKAN

4660
03:40:32,541 --> 03:40:36,111
NATIVE DIETS AND IN THE FACE OF 

4661
03:40:36,111 --> 03:40:38,146
LACK OF DATA THAT WAS AVAILABLE.

4662
03:40:38,146 --> 03:40:41,617
I GUESS WHAT KIND OF 

4663
03:40:41,617 --> 03:40:44,419
RECOMMENDATIONS CAN YOU MAKE 

4664
03:40:44,419 --> 03:40:46,755
ABOUT THE TYPES OF DATA WE NEED 

4665
03:40:46,755 --> 03:40:50,325
GOING FORWARD IF WE THINK ABOUT 

4666
03:40:50,325 --> 03:40:53,862
THE CULTURALLY INCLUSIVE 

4667
03:40:53,862 --> 03:40:56,765
POTENTIAL METHODOLOGY AND WHAT 

4668
03:40:56,765 --> 03:40:58,333
IS THE POTENTIAL OF EXPANDING 

4669
03:40:58,333 --> 03:40:59,434
THIS BECAUSE THERE'S PROBABLY A 

4670
03:40:59,434 --> 03:41:01,169
LOT OF GROUPS WE DON'T HAVE DATA

4671
03:41:01,169 --> 03:41:01,670
FOR.

4672
03:41:01,670 --> 03:41:03,505
DO YOU THINK IT'S EVEN POSSIBLE 

4673
03:41:03,505 --> 03:41:07,976
FOR US TO DO AND IF SO WHAT KIND

4674
03:41:07,976 --> 03:41:10,145
OF DATA WILL WE NEED WE SHOULD 

4675
03:41:10,145 --> 03:41:10,779
BE THINKING ABOUT TO MAKE THIS 

4676
03:41:10,779 --> 03:41:20,922
HAPPEN?

4677
03:41:23,859 --> 03:41:26,928
THAT'S WHY DIET SIMULATION AND 

4678
03:41:26,928 --> 03:41:29,264
THE FULL DATABASE OF ALL THE 

4679
03:41:29,264 --> 03:41:35,637
FOODS WE EAT IN AMERICA ALLOWED 

4680
03:41:35,637 --> 03:41:37,239
TO DO THE TOTAL POPULATION AND 

4681
03:41:37,239 --> 03:41:38,774
FOOD CONSUMPTION AS A WAY TO 

4682
03:41:38,774 --> 03:41:41,176
TEST SIMULATIONS AND TWO PIECES 

4683
03:41:41,176 --> 03:41:42,611
THAT NEED TO BE IN PLACE TO 

4684
03:41:42,611 --> 03:41:48,884
CARRY THOSE STEPS FORWARD IS THE

4685
03:41:48,884 --> 03:41:50,519
UNDERSTANDING, THE KNOWLEDGE OF 

4686
03:41:50,519 --> 03:41:51,953
WHAT FOODS AND BEVERAGES NEED TO

4687
03:41:51,953 --> 03:41:53,555
BE INCLUDED.

4688
03:41:53,555 --> 03:41:57,292
SO THE RESEARCH THAT REALLY 

4689
03:41:57,292 --> 03:41:59,928
DEFINES OR IN THIS CASE WHAT WE 

4690
03:41:59,928 --> 03:42:01,630
HAD AS THE EXPERTISE OF 

4691
03:42:01,630 --> 03:42:02,831
INDIVIDUALS WITH THE LIVED 

4692
03:42:02,831 --> 03:42:03,865
EXPERIENCE THAT COULD LOOK AT 

4693
03:42:03,865 --> 03:42:05,767
THE LIST OF FOODS AND SAY THESE 

4694
03:42:05,767 --> 03:42:06,802
ARE THE FOODS CENTRAL.

4695
03:42:06,802 --> 03:42:09,404
THESE ARE THE FOODS THAT ARE 

4696
03:42:09,404 --> 03:42:10,739
SOMETIMES INCLUDED AND THESE ARE

4697
03:42:10,739 --> 03:42:13,742
THE FOODS THAT WERE NEVER 

4698
03:42:13,742 --> 03:42:16,445
CONSUMED WITHIN THE CULTURAL 

4699
03:42:16,445 --> 03:42:18,313
FOOD WAY.

4700
03:42:18,313 --> 03:42:20,949
SO, FIRST BEING ABLE TO IDENTIFY

4701
03:42:20,949 --> 03:42:24,152
WHAT THE FOODS AND BEVERAGES ARE

4702
03:42:24,152 --> 03:42:29,791
AND THEN DO THOSE EXIST WITHIN 

4703
03:42:29,791 --> 03:42:30,826
OUR DATABASE?

4704
03:42:30,826 --> 03:42:34,429
BECAUSE IF WE IDENTIFY THERE ARE

4705
03:42:34,429 --> 03:42:38,667
CERTAIN TYPES OF WILD STRAWBERRY

4706
03:42:38,667 --> 03:42:40,836
AND WHAT WAS USED IN ITS PLACE, 

4707
03:42:40,836 --> 03:42:41,937
THAT SORT OF THING.

4708
03:42:41,937 --> 03:42:45,907
WHAT ARE FOODS THAT NEED TO BE 

4709
03:42:45,907 --> 03:42:47,409
ASSESSED, NEED TO BE INCLUDED 

4710
03:42:47,409 --> 03:42:49,344
AND IS THERE THE NUTRIENT DATA 

4711
03:42:49,344 --> 03:42:50,779
FOR THOSE FOODS SO YOU HAVE THE 

4712
03:42:50,779 --> 03:42:52,347
TWO PIECES YOU NEED TO BE ABLE 

4713
03:42:52,347 --> 03:42:53,315
TO CARRY THAT OUT.

4714
03:42:53,315 --> 03:42:54,349
BECAUSE AFTER THAT YOU'VE GOT 

4715
03:42:54,349 --> 03:42:56,785
THE LIST OF FOODS AND THE 

4716
03:42:56,785 --> 03:42:59,321
NUTRITIONAL COMPOSITION AND GET 

4717
03:42:59,321 --> 03:43:00,989
TO DETERMINE WHAT FOODS GET 

4718
03:43:00,989 --> 03:43:03,959
ADDED IN AND PROPORTIONALLY 

4719
03:43:03,959 --> 03:43:06,328
BASED ON ALWAYS CONSUMED OR 

4720
03:43:06,328 --> 03:43:10,398
SOMETIMES PART OF THE CULTURE.

4721
03:43:10,398 --> 03:43:12,768
BUT THAT BECOMES INDIVIDUALIZED 

4722
03:43:12,768 --> 03:43:13,401
FOR EACH POPULATION GROUP THAT'S

4723
03:43:13,401 --> 03:43:17,172
BEING ASSESSED.

4724
03:43:17,172 --> 03:43:19,674
IT GAVE US A WAY TO START WITH 

4725
03:43:19,674 --> 03:43:20,876
THIS BUT GIVES A FRAMEWORK TO 

4726
03:43:20,876 --> 03:43:26,481
THEN CARRY FORWARD FOR THE 

4727
03:43:26,481 --> 03:43:29,451
POPULATION GROUP AND CARRY A NEW

4728
03:43:29,451 --> 03:43:31,319
BATTERY OF FOOD LIST AND 

4729
03:43:31,319 --> 03:43:32,320
COMPOSITION AND FROM THAT THE 

4730
03:43:32,320 --> 03:43:34,322
HOURS AND DAYS IT TAKES TO 

4731
03:43:34,322 --> 03:43:38,026
GENERATE THE OUTCOMES TO BECOME 

4732
03:43:38,026 --> 03:43:38,727
PROCESS OPPOSED TO DATA 

4733
03:43:38,727 --> 03:43:44,733
SOURCING.

4734
03:43:44,733 --> 03:43:45,801
>> THANK YOU FOR A GREAT 

4735
03:43:45,801 --> 03:43:48,436
PRESENTATION AND SO MANY GREAT 

4736
03:43:48,436 --> 03:43:48,703
COMMENTS.

4737
03:43:48,703 --> 03:43:50,872
WE HEARD A LOT ABOUT SODIUM SO I

4738
03:43:50,872 --> 03:43:53,875
WANTED ECHO A LITTLE BIT OF WHAT

4739
03:43:53,875 --> 03:43:56,444
DIDI WAS FOCUSSING ON BECAUSE 

4740
03:43:56,444 --> 03:43:59,648
WHILE SODIUM IS VERY CLEAR THAT 

4741
03:43:59,648 --> 03:44:03,785
THE FOOD SUPPLY IS NOT PROVIDING

4742
03:44:03,785 --> 03:44:06,588
US WITH WHAT WE NEED IS TRUE FOR

4743
03:44:06,588 --> 03:44:07,022
OTHERS.

4744
03:44:07,022 --> 03:44:14,629
AND THE FACT THE FOOD SUPPLY HAS

4745
03:44:14,629 --> 03:44:15,831
PRODUCTS WHERE THE CONSUMER MAY 

4746
03:44:15,831 --> 03:44:18,366
THINK IT'S LOW IN SODIUM YET 

4747
03:44:18,366 --> 03:44:23,338
HIGH IN SATURATED FAT OR SUGAR 

4748
03:44:23,338 --> 03:44:26,074
AND THEN THEY'RE CONFUSED 

4749
03:44:26,074 --> 03:44:27,075
BECAUSE THEY ARE MADE THE CHOICE

4750
03:44:27,075 --> 03:44:31,947
OF THE SODIUM THEY'RE SUPPOSED 

4751
03:44:31,947 --> 03:44:32,547
TO HAVE.

4752
03:44:32,547 --> 03:44:36,985
AND THAT MAKES IT COMPLICATED 

4753
03:44:36,985 --> 03:44:38,320
FOR SOMEBODY MAKING THE CHOICE 

4754
03:44:38,320 --> 03:44:48,864
ON WHAT IS THE BEST OR  I LOVE 

4755
03:44:51,867 --> 03:44:53,869
THE SODIUM STORY IT'S A KEY 

4756
03:44:53,869 --> 03:44:56,037
STUDY IN MY MIND AND WE NEED TO 

4757
03:44:56,037 --> 03:44:59,541
BE AWARE IT'S TRUE FOR A LOT OF 

4758
03:44:59,541 --> 03:45:02,744
OTHER FOOD SUPPLIES AROUND US 

4759
03:45:02,744 --> 03:45:05,714
FOR THE AMERICAN POPULATION.

4760
03:45:05,714 --> 03:45:08,817
>> ABSOLUTELY.

4761
03:45:08,817 --> 03:45:10,252
AND ESSENTIALLY WITHOUT THE 

4762
03:45:10,252 --> 03:45:12,654
NUTRIENT DENSE CHOICES, THE 

4763
03:45:12,654 --> 03:45:17,125
SATURATED FAT AND ADDED SHUGUGA 

4764
03:45:17,125 --> 03:45:19,661
AND CALORIES WERE ALL HIGHER.

4765
03:45:19,661 --> 03:45:21,296
IT ISN'T JUST ONE DIMENSIONAL.

4766
03:45:21,296 --> 03:45:25,033
WE'RE ALWAYS LOOKING FOR A ONE 

4767
03:45:25,033 --> 03:45:26,301
DIMENSIONAL ANSWER AND NUTRITION

4768
03:45:26,301 --> 03:45:28,470
IS FAR MORE COMPLICATED THAN A 

4769
03:45:28,470 --> 03:45:29,304
SINGLE NUTRIENT AT THE TIME.

4770
03:45:29,304 --> 03:45:30,672
AND SOMETIMES WE'RE TRYING TO 

4771
03:45:30,672 --> 03:45:32,340
MAKE A LOT OF DECISIONS ON 

4772
03:45:32,340 --> 03:45:33,942
TRYING TO ADDRESS ONE PROBLEM 

4773
03:45:33,942 --> 03:45:35,610
AND WHEN YOU ADDRESS ONE PROBLEM

4774
03:45:35,610 --> 03:45:41,616
IT MAY LEAD TO CHALLENGES IN 

4775
03:45:41,616 --> 03:45:44,419
OTHER SPACES.

4776
03:45:44,419 --> 03:45:47,489
THIS IS WHERE THE INTENT AND 

4777
03:45:47,489 --> 03:45:50,058
CARRY-THROUGH OF POLICY IS 

4778
03:45:50,058 --> 03:45:50,325
IMPORTANT.

4779
03:45:50,325 --> 03:45:52,928
IF EVERYONE REMOVES SODIUM AND 

4780
03:45:52,928 --> 03:45:55,497
PUTS SOMETHING ELSE IN, WHAT IS 

4781
03:45:55,497 --> 03:45:56,965
THAT SOMETHING ELSE IN THAT THEN

4782
03:45:56,965 --> 03:45:58,767
CREATES THE BALANCE OR CHANGE?

4783
03:45:58,767 --> 03:46:03,505
EVERYTHING IS LOW SODIUM AND 

4784
03:46:03,505 --> 03:46:05,540
LOOKED AT THIS FROM THE FAT FROM

4785
03:46:05,540 --> 03:46:06,875
PRODUCTS THEY JUST PUT SUGAR 

4786
03:46:06,875 --> 03:46:10,312
BACK IN TO GET THE SAME FEEL.

4787
03:46:10,312 --> 03:46:14,416
SO REMOVING FAT WAS GREAT BUT 

4788
03:46:14,416 --> 03:46:16,151
REPLACING IT WITH SUGAR CREATED 

4789
03:46:16,151 --> 03:46:18,320
A DIFFERENT PROBLEM OPPOSED TO 

4790
03:46:18,320 --> 03:46:20,355
CREATING THE SAME PROBLEM.

4791
03:46:20,355 --> 03:46:23,258
SO A BROADER LOOK ACROSS CHANGES

4792
03:46:23,258 --> 03:46:25,060
IN OUR FOOD SUPPLY.

4793
03:46:25,060 --> 03:46:26,628
IF YOU TAKE SOMETHING OUT YOU 

4794
03:46:26,628 --> 03:46:28,630
HAVE TO PUT SOMETHING ELSE BACK 

4795
03:46:28,630 --> 03:46:30,065
IN FITS ACROSS ALL THE DIFFERENT

4796
03:46:30,065 --> 03:46:33,969
DECISION MAKING PROCESSES.

4797
03:46:33,969 --> 03:46:34,769
CAROL.

4798
03:46:34,769 --> 03:46:40,976
>> GOING BACK TO YOUR
PREVIOUS 

4799
03:46:40,976 --> 03:46:45,547
COMMENT ON THE INFORMATION AND 

4800
03:46:45,547 --> 03:46:48,249
WE HEARD ABOUT FOOD WASTE.

4801
03:46:48,249 --> 03:46:50,919
WE HEARD ABOUT ACCULTURATION.

4802
03:46:50,919 --> 03:46:53,455
WE HAVE LITTLE UNDERSTANDING OF 

4803
03:46:53,455 --> 03:46:54,990
HOW ACCULTURATION AFFECTS 

4804
03:46:54,990 --> 03:46:56,791
DIFFERENT LIFE STAGES AND HOW 

4805
03:46:56,791 --> 03:47:00,095
THAT AFFECTS THE FOOD CHOICES 

4806
03:47:00,095 --> 03:47:01,663
WE'RE MAKING.

4807
03:47:01,663 --> 03:47:03,398
SO WE HAVE THE WHOLE CONTINUUM 

4808
03:47:03,398 --> 03:47:05,400
WE NEED TO CONSIDER AS WE THINK 

4809
03:47:05,400 --> 03:47:06,468
ABOUT REPLACING FOODS AND MOVING

4810
03:47:06,468 --> 03:47:07,869
THIS FORWARD.

4811
03:47:07,869 --> 03:47:10,138
SO THAT'S ANOTHER AREA WE NEED 

4812
03:47:10,138 --> 03:47:11,706
TO FOCUS ON GETTING MORE 

4813
03:47:11,706 --> 03:47:12,574
INFORMATION ABOUT IS HOW DO 

4814
03:47:12,574 --> 03:47:15,810
THESE CHANGES AND WHAT CHANGES 

4815
03:47:15,810 --> 03:47:25,687
HAPPEN FIRST WITH ACCULTURATION.

4816
03:47:25,687 --> 03:47:27,822
>> ANGELA.

4817
03:47:27,822 --> 03:47:33,561
>> IT MAKES ME THINK HOW
LIKE 

4818
03:47:33,561 --> 03:47:35,363
WE'RE IN OUR OWN BUBBLE AND 

4819
03:47:35,363 --> 03:47:37,132
THINKING ABOUT THE DIETARY 

4820
03:47:37,132 --> 03:47:38,400
GUIDELINES OR RECOMMENDATIONS 

4821
03:47:38,400 --> 03:47:43,538
BEING PUT INTO PLACE GLOBALLY OR

4822
03:47:43,538 --> 03:47:47,342
CERTAIN COUNTRIES THAT MAKE 

4823
03:47:47,342 --> 03:47:52,414
EFFORTS TO REDUCE SODIUM IN THE 

4824
03:47:52,414 --> 03:47:53,948
FOOD SUPPLY.

4825
03:47:53,948 --> 03:47:59,854
I KNOW DIETARY GUIDELINES OR 

4826
03:47:59,854 --> 03:48:03,491
THINKING ABOUT ANY RELATIONSHIP 

4827
03:48:03,491 --> 03:48:06,327
OR INTERACTION WITH ROOM 

4828
03:48:06,327 --> 03:48:10,198
CHRISTINA THAT TALKED ABOUT THE 

4829
03:48:10,198 --> 03:48:11,666
LATIN AMERICAN COUNTRIES AND 

4830
03:48:11,666 --> 03:48:12,300
RECOMMENDATIONS.

4831
03:48:12,300 --> 03:48:15,103
I'M WONDERING IF WE THINK ABOUT 

4832
03:48:15,103 --> 03:48:20,408
CONNECTING AS THE WORK HAPPENS 

4833
03:48:20,408 --> 03:48:22,010
HOW WE CAN SHARE LESSONS LEARNED

4834
03:48:22,010 --> 03:48:23,211
WITH OTHER PLACES.

4835
03:48:23,211 --> 03:48:30,051
ONE IS THE NUTRIENT DATABASES.

4836
03:48:30,051 --> 03:48:36,724
AND WE LIVE IN A GLOBAL SOCIETY.

4837
03:48:36,724 --> 03:48:39,427
SOME OF THOSE FOOD WHERE YOU 

4838
03:48:39,427 --> 03:48:41,729
HAVE INFORMATION ABOUT THANK YOU

4839
03:48:41,729 --> 03:48:43,665
NUTRIENTS OR VALUABLE IN THE 

4840
03:48:43,665 --> 03:48:46,801
CONTEXT AND THINKING ABOUT 

4841
03:48:46,801 --> 03:48:48,703
EFFORTS THAT HAVE RESPONSE TO 

4842
03:48:48,703 --> 03:48:49,504
DIETARY GUIDANCE WILL BE HELPFUL

4843
03:48:49,504 --> 03:48:51,339
IN THIS CONTEXT.

4844
03:48:51,339 --> 03:48:56,044
I'M WONDERING IF ONE 

4845
03:48:56,044 --> 03:48:57,078
RECOMMENDATION WOULD BE TO BE 

4846
03:48:57,078 --> 03:49:04,886
ABLE TO LOOK AT A BIGGER PICTURE

4847
03:49:04,886 --> 03:49:07,288
OF WHAT'S AVAILABLE AND WHAT 

4848
03:49:07,288 --> 03:49:07,889
INTERVENTION AND EFFORTS OF 

4849
03:49:07,889 --> 03:49:08,857
FEDERAL POLICY HAVE BEEN PUT IN 

4850
03:49:08,857 --> 03:49:18,967
PLACE.

4851
03:49:22,770 --> 03:49:25,440
>> THE INFORMATION ON THE
DATA 

4852
03:49:25,440 --> 03:49:26,875
SOURCE AS WELL AS THE 

4853
03:49:26,875 --> 03:49:28,109
PARTNERSHIPS AND COMMUNICATIONS 

4854
03:49:28,109 --> 03:49:30,145
BACK AND FORTH IN TERMS OF HOW 

4855
03:49:30,145 --> 03:49:35,517
FAR IT INFLUENCES THE NUTRIENT 

4856
03:49:35,517 --> 03:49:37,252
DATABASE SIDE OF THINGS.

4857
03:49:37,252 --> 03:49:40,655
OUR DUDE SIMULATION PROCESS WAS 

4858
03:49:40,655 --> 03:49:42,323
MIRRORED ACROSS A COUPLE OTHER 

4859
03:49:42,323 --> 03:49:44,726
NATIONAL APPROACHES IN THE WAYS 

4860
03:49:44,726 --> 03:49:46,961
THEY'VE DONE IT BUT IT'S THE 

4861
03:49:46,961 --> 03:49:48,997
FIRST TIME THEY'VE TAKEN A 

4862
03:49:48,997 --> 03:49:52,467
DIFFERENT APPROACH AND ASPECTS 

4863
03:49:52,467 --> 03:49:54,969
THEY ARE LAD AND CREATING A WAY 

4864
03:49:54,969 --> 03:49:58,339
TO HELP REFINE ASSESSING THE 

4865
03:49:58,339 --> 03:50:02,010
ACTUAL DIETARY GUIDANCE WITHIN 

4866
03:50:02,010 --> 03:50:04,579
THE PATTERNS CREATED.

4867
03:50:04,579 --> 03:50:06,781
A LOT OF THE NATIONAL 

4868
03:50:06,781 --> 03:50:07,715
COMMUNICATIONS WILL BE HELPFUL 

4869
03:50:07,715 --> 03:50:09,517
NOT ONLY IN HOW WE'RE INFORMING 

4870
03:50:09,517 --> 03:50:11,953
IN TERMS OF RECOMMENDATIONS BUT 

4871
03:50:11,953 --> 03:50:14,122
ALSO WHAT OTHER RECOMMENDATIONS 

4872
03:50:14,122 --> 03:50:14,989
AND DATABASES EXIST THAT CAN 

4873
03:50:14,989 --> 03:50:18,326
INFORM THE WORK HAPPENING HERE.

4874
03:50:18,326 --> 03:50:25,667
ABSOLUTELY.

4875
03:50:25,667 --> 03:50:26,968
>> GREAT, GREAT
DISCUSSION.

4876
03:50:26,968 --> 03:50:30,338
ANY OTHER COMMENTS OR QUESTIONS 

4877
03:50:30,338 --> 03:50:33,741
FOR CHRIS?

4878
03:50:33,741 --> 03:50:36,144
WELL, CHRIS, KUDOS TO YOU AND TO

4879
03:50:36,144 --> 03:50:37,645
THE SUBCOMMITTEE AND TO THE 

4880
03:50:37,645 --> 03:50:40,682
STAFF FOR THEIR AMAZING, AMAZING

4881
03:50:40,682 --> 03:50:40,982
WORK.

4882
03:50:40,982 --> 03:50:43,685
THIS HAS BEEN VERY INFORMATIVE.

4883
03:50:43,685 --> 03:50:43,885
OKAY.

4884
03:50:43,885 --> 03:50:47,288
WE'RE GOING TO TAKE A BREAK 

4885
03:50:47,288 --> 03:50:47,755
HERE.

4886
03:50:47,755 --> 03:50:54,329
WE ARE GOING TO MEET BACK AT 

4887
03:50:54,329 --> 03:50:56,764
3:45 SO COMMITTEE MEMBERS WHEN 

4888
03:50:56,764 --> 03:50:59,367
WE COME BACK AT 3:45 WE'LL KEEP 

4889
03:50:59,367 --> 03:51:01,402
OUR CAMERAS ON BECAUSE IT'S 

4890
03:51:01,402 --> 03:51:02,737
GOING TO BE A DISCUSSION.

4891
03:51:02,737 --> 03:51:06,741
AND WE REALLY WANT A LOT OF 

4892
03:51:06,741 --> 03:51:07,041
INTERACTION.

4893
03:51:07,041 --> 03:51:09,877
SO GET HYDRATED, BE READY TO 

4894
03:51:09,877 --> 03:51:10,278
CHAT.

4895
03:51:10,278 --> 03:51:11,713
THANK YOU AGAIN EVERYBODY FOR AN

4896
03:51:11,713 --> 03:51:19,419
AMAZING DISCUSSION SO FAR.

4897
03:51:19,419 --> 03:51:24,558
SO TEAM WE'RE COMING THE END OF 

4898
03:51:24,558 --> 03:51:26,927
OUR 22-MONTH LONG JOURNEY.

4899
03:51:26,927 --> 03:51:31,264
AND BEFORE I START THIS, I WANT 

4900
03:51:31,264 --> 03:51:36,536
TO SAY A THANKS TO EACH AND 

4901
03:51:36,536 --> 03:51:39,973
EVERY ONE OF YOU AND MEAN THE 

4902
03:51:39,973 --> 03:51:41,441
COMMITTEE AND STAFF.

4903
03:51:41,441 --> 03:51:48,014
EACH AND EVERY ONE OF YOU ARE 

4904
03:51:48,014 --> 03:51:49,716
KNOWLEDGEABLE AND THOUGHTFUL AND

4905
03:51:49,716 --> 03:51:51,084
ENGAGE AND THE REASON WE'RE AT 

4906
03:51:51,084 --> 03:51:52,752
THIS STAGE IS BECAUSE OF EACH 

4907
03:51:52,752 --> 03:51:54,087
AND EVERY ONE OF YOU SO THANK 

4908
03:51:54,087 --> 03:51:54,854
YOU.

4909
03:51:54,854 --> 03:51:55,889
NOW WE'LL HAVE A DISCUSSION.

4910
03:51:55,889 --> 03:52:02,762
WE'LL PUT A LOT OF WHAT WE HEARD

4911
03:52:02,762 --> 03:52:05,632
TODAY TOGETHER I'M GOING TO 

4912
03:52:05,632 --> 03:52:06,866
GROUND US WITH WHERE WE ARE AND 

4913
03:52:06,866 --> 03:52:08,868
WHERE WE NEED TO GO AND STOP 

4914
03:52:08,868 --> 03:52:10,870
THROUGHOUT THE PRESENTATION FOR 

4915
03:52:10,870 --> 03:52:16,042
INPUT AND DISCUSSION.

4916
03:52:16,042 --> 03:52:18,645
REMEMBER, THIS IS OUR REPORT.

4917
03:52:18,645 --> 03:52:19,813
I KNOW THERE'S NOBODY HERE WHO 

4918
03:52:19,813 --> 03:52:20,880
IS SHY.

4919
03:52:20,880 --> 03:52:26,886
WE WANT TO HEAR FROM ALL OF YOU 

4920
03:52:26,886 --> 03:52:29,055
TO BE YOU BECAUSE THIS IS OUR 

4921
03:52:29,055 --> 03:52:29,522
FINAL REPORT.

4922
03:52:29,522 --> 03:52:37,530
SO WE HAVE BEEN HEARING FROM 

4923
03:52:37,530 --> 03:52:42,335
SOME OF THE SUBCOMMITTEES ABOUT 

4924
03:52:42,335 --> 03:52:43,336
THE CHAPTERS AND PARTICULARLY 

4925
03:52:43,336 --> 03:52:46,439
THE D SECTION THAT PROVIDED 

4926
03:52:46,439 --> 03:52:47,107
ADVICE TO THE DEPARTMENTS 

4927
03:52:47,107 --> 03:52:51,077
RELATED TO A TOPIC AREA.

4928
03:52:51,077 --> 03:52:52,579
SO, WHAT WE'RE GOING TO TALK 

4929
03:52:52,579 --> 03:52:54,748
ABOUT FOR THE REST OF THE DAY IS

4930
03:52:54,748 --> 03:52:56,416
INTEGRATING ACROSS THE CHAPTERS 

4931
03:52:56,416 --> 03:52:58,518
AND PROVIDING OVERARCHING ADVICE

4932
03:52:58,518 --> 03:53:00,887
TO THE DEPARTMENTS.

4933
03:53:00,887 --> 03:53:03,890
IN ADDITION TO THE ADVICE THAT 

4934
03:53:03,890 --> 03:53:08,428
HAS ALREADY BEEN PRESENTED AND 

4935
03:53:08,428 --> 03:53:10,196
MORE WILL BE PRESENTED TOMORROW.

4936
03:53:10,196 --> 03:53:13,433
SO WE'RE GOING TO BUILD ON THE 

4937
03:53:13,433 --> 03:53:16,503
FOOD PATTERN MODELLING FOR 

4938
03:53:16,503 --> 03:53:20,173
CHAPTERS 9-11 AND THE SYSTEMATIC

4939
03:53:20,173 --> 03:53:21,875
REVIEW WORK.

4940
03:53:21,875 --> 03:53:23,877
DEANNA AND ED STARTED THAT AND 

4941
03:53:23,877 --> 03:53:29,182
WE'LL HEAR TOMORROW FROM OTHER 

4942
03:53:29,182 --> 03:53:39,726
MEMBERS OF THE COMMITTEE AND 5D 

4943
03:53:43,763 --> 03:53:44,531
VICE CURABILITILY IN THE 2020 

4944
03:53:44,531 --> 03:53:45,732
EDITION OF THE DIETARY 

4945
03:53:45,732 --> 03:53:48,535
GUIDELINES.

4946
03:53:48,535 --> 03:53:55,709
THIS IS OUR CHARGE TODAY.

4947
03:53:55,709 --> 03:53:58,345
SO OUR JOURNEY IS TO ANSWER 

4948
03:53:58,345 --> 03:54:01,715
AARON OVER ARCHING QUESTION ON 

4949
03:54:01,715 --> 03:54:04,451
PROPOSED DIETARY PATTERNS.

4950
03:54:04,451 --> 03:54:07,287
SO CONSIDERING EACH LIFE STAGE, 

4951
03:54:07,287 --> 03:54:13,426
THE CHANGES BEING MADE TO THE 

4952
03:54:13,426 --> 03:54:16,296
CURRENT USDA PATTERN AND HEALTHY

4953
03:54:16,296 --> 03:54:20,233
STYLE SOME REFER TO AS HUSS.

4954
03:54:20,233 --> 03:54:23,036
THE HEALTHY MEDITERRANEAN STYLE 

4955
03:54:23,036 --> 03:54:25,505
AND/OR THE HEALTHY VEGETARIAN 

4956
03:54:25,505 --> 03:54:27,474
AND SHOULD ADDITIONAL DIETARY 

4957
03:54:27,474 --> 03:54:29,242
PATTERNS BE DEVELOPED OR 

4958
03:54:29,242 --> 03:54:32,345
PROPOSED BASED ON OUR COLLECTIVE

4959
03:54:32,345 --> 03:54:35,415
WORK, SYSTEMATIC REVIEWS, DATA 

4960
03:54:35,415 --> 03:54:36,549
ANALYSIS AND/OR FOOD PATTERN 

4961
03:54:36,549 --> 03:54:46,726
MODELLING.

4962
03:54:51,564 --> 03:54:56,569
AND HERE SOME EXAMPLES OF HOW WE

4963
03:54:56,569 --> 03:54:59,038
COULD PROPOSE CHANGES TO THE 

4964
03:54:59,038 --> 03:55:00,106
DIETARY PATTERN.

4965
03:55:00,106 --> 03:55:02,108
I'LL GIVE YOU A MOMENT BEFORE WE

4966
03:55:02,108 --> 03:55:12,485
GO TO THE NEXT SLIDE.

4967
03:55:13,219 --> 03:55:18,091
SO AS CHRIS PRESENTED IN THE 

4968
03:55:18,091 --> 03:55:20,593
SESSION BEFORE THE BREAK, THE 

4969
03:55:20,593 --> 03:55:22,562
PROPOSED MODIFICATIONS THAT WERE

4970
03:55:22,562 --> 03:55:28,368
DESCRIBED THROUGH THE FOOD 

4971
03:55:28,368 --> 03:55:31,137
PATTERN MODELLING EXERCISES AND 

4972
03:55:31,137 --> 03:55:33,006
INFORMED DID I SYSTEMATIC REVIEW

4973
03:55:33,006 --> 03:55:36,342
AND DATA ANALYSIS BY THE DIET 

4974
03:55:36,342 --> 03:55:37,877
SIMULATIONS AND THESE ARE ALL 

4975
03:55:37,877 --> 03:55:39,479
GOING TO BE DESCRIBED IN GREAT 

4976
03:55:39,479 --> 03:55:41,714
DETAIL IN CHAPTER 10.

4977
03:55:41,714 --> 03:55:47,153
THERE WAS A PROPOSAL TO INCREASE

4978
03:55:47,153 --> 03:55:50,690
BEANS, PEAS AND LENTILS WITHIN 

4979
03:55:50,690 --> 03:55:52,091
THE VEGETABLE GROUP FOR THESE 

4980
03:55:52,091 --> 03:55:55,094
CALORIE LEVELS AND TO 

4981
03:55:55,094 --> 03:55:57,130
ACCOMMODATE THE INCREASE IN THE 

4982
03:55:57,130 --> 03:55:58,665
CALORIES WITH THE INCREASE OF 

4983
03:55:58,665 --> 03:56:01,034
BEANS, PEAS AND LENTILS OR OTHER

4984
03:56:01,034 --> 03:56:02,802
NUTRIENTS OF CONCERN THAT WOULD 

4985
03:56:02,802 --> 03:56:04,537
BE IMPROVED THERE HAVE TO BE A 

4986
03:56:04,537 --> 03:56:07,006
PLACE FOR CALORIES TO BE REDUCED

4987
03:56:07,006 --> 03:56:09,342
AND SO THERE WAS A DECISION MADE

4988
03:56:09,342 --> 03:56:15,081
TO REDUCE THE STARCHY VEGETABLE 

4989
03:56:15,081 --> 03:56:18,785
AND REDUCE THE PROTEIN FOOD 

4990
03:56:18,785 --> 03:56:20,753
SPECIFICALLY IN THE MEAT, 

4991
03:56:20,753 --> 03:56:22,155
POULTRY AND EGGS.

4992
03:56:22,155 --> 03:56:23,923
AND CHRIS, IF I SAID ANYTHING 

4993
03:56:23,923 --> 03:56:28,428
WRONG, THIS IS YOUR TIME TO 

4994
03:56:28,428 --> 03:56:30,830
CORRECT ME BUT I WANT TO PAUSE 

4995
03:56:30,830 --> 03:56:33,967
THERE AND JUST GET CONSENSUS 

4996
03:56:33,967 --> 03:56:34,801
FROM THE COMMITTEE THAT WE'RE 

4997
03:56:34,801 --> 03:56:45,078
OKAY WITH THIS.

4998
03:56:57,790 --> 03:57:01,160
>> THIS FROM THE EVIDENT
OF 

4999
03:57:01,160 --> 03:57:01,961
REDUCE RED MEAT.

5000
03:57:01,961 --> 03:57:04,030
>> THANK YOU, CHRIS.

5001
03:57:04,030 --> 03:57:08,468
AND AS CHRIS DISCUSSED PROPOSED 

5002
03:57:08,468 --> 03:57:10,236
TO ELIMINATE THE LIMIT ON 

5003
03:57:10,236 --> 03:57:12,405
CALORIES FOR OTHER USES GIVEN 

5004
03:57:12,405 --> 03:57:14,240
THE VARIABILITY AND THE CALORIE 

5005
03:57:14,240 --> 03:57:15,708
CONTENT OF THE FOODS CONSIDERED 

5006
03:57:15,708 --> 03:57:16,910
IN THE FOOD PATTERN MODELLING.

5007
03:57:16,910 --> 03:57:20,547
AGAIN, CHRIS, IF I SAID ANYTHING

5008
03:57:20,547 --> 03:57:30,890
WRONG, JUST JUMP IN.

5009
03:57:32,926 --> 03:57:34,060
OKAY, ANY CONCERNS WITH THIS?

5010
03:57:34,060 --> 03:57:39,999
I HAVE A COUPLE THUMBS UP AND 

5011
03:57:39,999 --> 03:57:43,770
NODS.

5012
03:57:43,770 --> 03:57:46,539
WE HEARD SOME OF THIS TODAY AND 

5013
03:57:46,539 --> 03:57:47,273
DISCUSSED IT THROUGH OUR 

5014
03:57:47,273 --> 03:57:48,975
PREVIOUS MEETING.

5015
03:57:48,975 --> 03:57:56,549
DEANNA EMPHASIZED IT IN HER 

5016
03:57:56,549 --> 03:57:58,918
PRESENTATION AND HEALTHY DIETARY

5017
03:57:58,918 --> 03:58:00,954
PATTERNS HAVE SIMILAR CORE 

5018
03:58:00,954 --> 03:58:04,157
ELEMENTS REGARDLESS OF THE LABEL

5019
03:58:04,157 --> 03:58:06,693
USED OR THE NAME THE DIETARY 

5020
03:58:06,693 --> 03:58:07,093
PATTERN IS CALLED.

5021
03:58:07,093 --> 03:58:08,561
SO WHEN WE TALK ABOUT THE 

5022
03:58:08,561 --> 03:58:10,730
DIETARY PATTERN, WE'RE TALKING 

5023
03:58:10,730 --> 03:58:15,101
ABOUT THE HEALTHY U.S. STYLE, 

5024
03:58:15,101 --> 03:58:18,571
HEALTHY VEGETARIAN, HEALTHY 

5025
03:58:18,571 --> 03:58:19,572
MEDITERRANEAN DIETARY PATTERN AS

5026
03:58:19,572 --> 03:58:21,407
WELL AS OTHER HEALTHY DIETARY 

5027
03:58:21,407 --> 03:58:23,109
PATTERNS NOT CONSIDERED HERE, 

5028
03:58:23,109 --> 03:58:25,445
THEY ARE ALL HAVE SIMILAR CORE 

5029
03:58:25,445 --> 03:58:28,548
ELEMENTS SUPPORTED BY THE 

5030
03:58:28,548 --> 03:58:29,816
SYSTEMATIC REVIEWS.

5031
03:58:29,816 --> 03:58:35,421
SO WE WOULD LIKE TO CONCLUDE 

5032
03:58:35,421 --> 03:58:37,523
THAT THIS COMMITTEE PROPOSES 

5033
03:58:37,523 --> 03:58:38,925
EMPHASIZING THE CORE ELEMENTS 

5034
03:58:38,925 --> 03:58:42,629
WITHIN THE HEALTHY DIETARY 

5035
03:58:42,629 --> 03:58:47,433
PATTERN AND PART OF THIS OVER 

5036
03:58:47,433 --> 03:58:48,368
ALL VIEWING THROUGH THE HEALTH 

5037
03:58:48,368 --> 03:58:51,104
EQUITY LENS, HIGHLIGHTING THE 

5038
03:58:51,104 --> 03:58:53,806
FLEXIBILITIES WITHIN THE CORE 

5039
03:58:53,806 --> 03:58:56,075
ELEMENTS, ACKNOWLEDGING ACROSS 

5040
03:58:56,075 --> 03:59:00,113
THE UNITED STATES OUR GOAL IS TO

5041
03:59:00,113 --> 03:59:04,017
ACHIEVE A HEALTHY DIETARY 

5042
03:59:04,017 --> 03:59:05,318
PATTERN DESPITE OUR DIVERSE 

5043
03:59:05,318 --> 03:59:07,487
BACKGROUNDS AND FOOD WASTE.

5044
03:59:07,487 --> 03:59:09,088
I BELIEVE EARLIER TODAY DIDI 

5045
03:59:09,088 --> 03:59:11,591
MADE A POINT THAT ANY 

5046
03:59:11,591 --> 03:59:13,326
MODIFICATIONS, ANY CHANGES LET'S

5047
03:59:13,326 --> 03:59:15,962
MAKE SURE THAT ALL IMPROVEMENTS 

5048
03:59:15,962 --> 03:59:20,533
RISE UP FOR ALL AND NO ONE'S 

5049
03:59:20,533 --> 03:59:24,237
LEFT BEHIND.

5050
03:59:24,237 --> 03:59:26,239
SO, ANY COMMENTS, REACTIONS, 

5051
03:59:26,239 --> 03:59:27,106
QUESTIONS ON THE CONCLUSION 

5052
03:59:27,106 --> 03:59:30,610
STATEMENT?

5053
03:59:30,610 --> 03:59:32,545
WOW.

5054
03:59:32,545 --> 03:59:36,949
OKAY.

5055
03:59:36,949 --> 03:59:47,427
THIS IS GOING TO BE GREAT.

5056
03:59:47,427 --> 03:59:57,904
WHAT DOES THAT MEAN?

5057
03:59:57,904 --> 04:00:00,540
THE GOAL IS TO CAPTURE DIETARY 

5058
04:00:00,540 --> 04:00:03,843
PATTERNS IN AN INCLUSIVE 

5059
04:00:03,843 --> 04:00:05,011
FLEXIBLE DIETARY PATTERN.

5060
04:00:05,011 --> 04:00:08,848
TO OPERATIONALIZE THAT, THIS 

5061
04:00:08,848 --> 04:00:12,819
COMMITTEE IS PROPOSING THAT 

5062
04:00:12,819 --> 04:00:15,021
INSTEAD OF THE CURRENT HEALTHY 

5063
04:00:15,021 --> 04:00:17,790
STYLES, DIETARY PATTERN PLUS THE

5064
04:00:17,790 --> 04:00:21,160
HEALTHY VEGETARIAN, PLUS THE 

5065
04:00:21,160 --> 04:00:23,396
HEALTHY MEDITERRANEAN WE JUST 

5066
04:00:23,396 --> 04:00:28,935
HAVE ONE, HEALTHY U.S. STYLE 

5067
04:00:28,935 --> 04:00:31,404
DIETARY PATTERN TO HAVE BUILT-IN

5068
04:00:31,404 --> 04:00:33,039
FLEXIBILITIES TO ADDRESS THE 

5069
04:00:33,039 --> 04:00:38,845
NEEDS OF THE ENTIRE U.S. POMS.

5070
04:00:38,845 --> 04:00:41,180
I'M GOING TO PAUSE THERE AND 

5071
04:00:41,180 --> 04:00:42,949
HAVE REACTION.

5072
04:00:42,949 --> 04:00:43,349
OKAY.

5073
04:00:43,349 --> 04:00:45,384
I'VE GOT MY FIRST THUMBS DOWN.

5074
04:00:45,384 --> 04:00:47,153
I'M GOING TO START WITH 

5075
04:00:47,153 --> 04:00:47,787
CHRISTINA AND THEN GO WITH 

5076
04:00:47,787 --> 04:00:57,997
CHRISTOPHER.

5077
04:01:01,000 --> 04:01:02,201
>> FROM EVERYTHING CHRIS
TRIED 

5078
04:01:02,201 --> 04:01:03,436
TO EXPLAIN TO US, IS THIS EVEN 

5079
04:01:03,436 --> 04:01:13,613
POSSIBLE?

5080
04:01:16,749 --> 04:01:19,752
>> IT IS POSSIBLE.

5081
04:01:19,752 --> 04:01:21,087
>> THERE WERE SPECIFIC 

5082
04:01:21,087 --> 04:01:22,755
ASSOCIATIONS WITH ANIMAL 

5083
04:01:22,755 --> 04:01:23,022
PROTEINS.

5084
04:01:23,022 --> 04:01:24,490
MAYBE I NEED MORE EXPLANATION, 

5085
04:01:24,490 --> 04:01:28,528
SORRY, IF I MISSED THIS.

5086
04:01:28,528 --> 04:01:33,099
>> NO, NO, THIS IS WHY
WE'RE 

5087
04:01:33,099 --> 04:01:33,900
DISCUSSING AND DO YOU WANT IT 

5088
04:01:33,900 --> 04:01:35,868
TALK ABOUT THE FOOD PATTERN 

5089
04:01:35,868 --> 04:01:37,537
MODELLING BECAUSE IT WOULD HELP 

5090
04:01:37,537 --> 04:01:39,472
ANSWER THE QUESTION?

5091
04:01:39,472 --> 04:01:42,742
>> THE ANALYSES WE DID WE
HAD TO

5092
04:01:42,742 --> 04:01:44,544
CONSOLIDATE DOWN TO CONCLUSIONS 

5093
04:01:44,544 --> 04:01:48,548
FROM TODAY.

5094
04:01:48,548 --> 04:01:49,682
WE LOOKED AT WHAT HAPPENED 

5095
04:01:49,682 --> 04:01:54,086
WITHIN THE FOOD GROUPS AND 

5096
04:01:54,086 --> 04:01:54,687
CREATING GUIDANCE AROUND 

5097
04:01:54,687 --> 04:01:55,822
PARTICULAR FOOD GROUPS AND SUB 

5098
04:01:55,822 --> 04:01:57,089
GROUPS BUT WITHIN THAT WE 

5099
04:01:57,089 --> 04:01:58,991
EVALUATED WHAT THE IMPLICATIONS 

5100
04:01:58,991 --> 04:02:02,295
WERE OF SHIFTING WITHIN THE FOOD

5101
04:02:02,295 --> 04:02:05,164
GROUPS AND SUB GROUPS WITHIN THE

5102
04:02:05,164 --> 04:02:08,534
FOOD GROUPS AND WHAT IT PROVIDES

5103
04:02:08,534 --> 04:02:12,538
IS AN OPPORTUNITY TO SAY HERE 

5104
04:02:12,538 --> 04:02:15,141
ARE FLEXIBILITIES YOU HAVE 

5105
04:02:15,141 --> 04:02:17,410
AROUND WHAT TYPE OF VEGETABLES 

5106
04:02:17,410 --> 04:02:20,346
AND GETTING ALL YOUR VEGETABLES 

5107
04:02:20,346 --> 04:02:21,347
FROM ONE VEGETABLE AND SAYING 

5108
04:02:21,347 --> 04:02:25,518
HERE'S THE BREADTH OF THOSE AND 

5109
04:02:25,518 --> 04:02:26,519
IF YOU'D LIKE MORE BEANS, PEAS 

5110
04:02:26,519 --> 04:02:28,054
AND LENTILS HERE'S THE 

5111
04:02:28,054 --> 04:02:28,955
FLEXIBILITIES WITHIN THAT AND 

5112
04:02:28,955 --> 04:02:32,925
WHAT THE NUTRIENT PROFILES ARE 

5113
04:02:32,925 --> 04:02:36,395
TO DO THAT WITHIN THE SCOPE OF 

5114
04:02:36,395 --> 04:02:37,597
THE HUSS PATTERN.

5115
04:02:37,597 --> 04:02:38,898
INSTEAD OF SAYING, WELL, I 

5116
04:02:38,898 --> 04:02:42,068
DECIDED I'M NOT GOING TO EAT ANY

5117
04:02:42,068 --> 04:02:43,469
VEGETABLE SO I'M GOING TO EAT 

5118
04:02:43,469 --> 04:02:44,937
THESE THINGS IT ALLOWS US TO 

5119
04:02:44,937 --> 04:02:47,406
LOOK AT FLEXIBILITIES WITHIN THE

5120
04:02:47,406 --> 04:02:50,276
FOOD GROUPS AND SAY I WANT TO 

5121
04:02:50,276 --> 04:02:52,778
EAT MORE PLANT-BASED PROTEINS, 

5122
04:02:52,778 --> 04:02:54,113
BEANS, PEAS AND LENTILS AND WHAT

5123
04:02:54,113 --> 04:02:54,814
IMPLICATIONS DOES THAT HAVE AND 

5124
04:02:54,814 --> 04:02:58,851
NOW I HAVE I AWAY TO DO THAT 

5125
04:02:58,851 --> 04:03:00,620
WITHIN THE PATTERN IN THE SCOPE.

5126
04:03:00,620 --> 04:03:03,256
IT ALLOWS US TO PUT THE 

5127
04:03:03,256 --> 04:03:06,559
FLEXIBILITIES OPTION WITHIN THE 

5128
04:03:06,559 --> 04:03:07,159
DIETARY PATTERN THAT WASN'T 

5129
04:03:07,159 --> 04:03:15,701
INHERENTLY THERE BEFORE.

5130
04:03:15,701 --> 04:03:17,503
>> YOU'LL SEE WHERE THE 

5131
04:03:17,503 --> 04:03:20,539
FLEXIBILITIES GET BUILT IN.

5132
04:03:20,539 --> 04:03:21,007
BUT A GREAT QUESTION.

5133
04:03:21,007 --> 04:03:28,414
OKAY, CHRIS FER.

5134
04:03:28,414 --> 04:03:30,983
>> THERE'S HAD I'LL SAY AS
A 

5135
04:03:30,983 --> 04:03:33,519
PUBLIC HEALTH NUTRITIONIST I'VE 

5136
04:03:33,519 --> 04:03:38,357
BEEN THRILLED EVER SINCE THREE 

5137
04:03:38,357 --> 04:03:41,661
PATTERNS WERE INTRODUCED.

5138
04:03:41,661 --> 04:03:46,299
I CAN'T TELL YOU HOW OFTEN I 

5139
04:03:46,299 --> 04:03:47,300
SUGGESTED MEDITERRANEAN AND 

5140
04:03:47,300 --> 04:03:48,334
VEGETARIAN, THERE'S LOTS OF WAYS

5141
04:03:48,334 --> 04:03:53,673
OF DOING THIS.

5142
04:03:53,673 --> 04:03:55,241
IF THERE WERE ONE PAGE SIMILAR 

5143
04:03:55,241 --> 04:03:59,478
TO THE UPS AND DOWN ARROWS IT 

5144
04:03:59,478 --> 04:04:01,647
DOESN'T SUGGEST -- IT SUGGESTS 

5145
04:04:01,647 --> 04:04:02,581
LITTLE FLEXIBILITY.

5146
04:04:02,581 --> 04:04:05,084
IT SUGGESTS THIS MANY SERVINGS 

5147
04:04:05,084 --> 04:04:06,218
OF MEAT OR WHATEVER.

5148
04:04:06,218 --> 04:04:07,219
MAYBE I DON'T UNDERSTAND WHAT 

5149
04:04:07,219 --> 04:04:12,591
THE NEXT ITERATION IS GOING TO 

5150
04:04:12,591 --> 04:04:18,431
LOOK LIKE AND IN AN H.A. PAPER 

5151
04:04:18,431 --> 04:04:21,100
BEING CITED IN OUR COMMITTEE 

5152
04:04:21,100 --> 04:04:23,970
REPORT BUT WE REALLY HAD A LOT 

5153
04:04:23,970 --> 04:04:26,472
OF FUN LOOKING AT ALL THE THINGS

5154
04:04:26,472 --> 04:04:29,642
TO EMPHASIZE, ALLOW TO INCLUDE, 

5155
04:04:29,642 --> 04:04:32,211
SUGGEST TO LIMIT AND TO 

5156
04:04:32,211 --> 04:04:34,313
ABSOLUTELY AVOID ACROSS A RANGE 

5157
04:04:34,313 --> 04:04:38,551
OF DIETARY PATTERNS AND IN THAT 

5158
04:04:38,551 --> 04:04:39,552
PARTICULAR PAPER WE SAID THERE'S

5159
04:04:39,552 --> 04:04:41,854
AT LEAST FOUR PATTERNS.

5160
04:04:41,854 --> 04:04:44,090
THIS IS SPECIFIC TO AMERICAN 

5161
04:04:44,090 --> 04:04:46,058
HEART AND CARDIOVASCULAR DISEASE

5162
04:04:46,058 --> 04:04:47,626
BUT AS WE'VE SEEN, IT'S PRETTY 

5163
04:04:47,626 --> 04:04:49,996
MUCH THE SAME PATTERN FOR HEART,

5164
04:04:49,996 --> 04:04:52,498
DIABETES, CANCER, ETCETERA AND 

5165
04:04:52,498 --> 04:04:57,336
WE VERY MUCH CONCLUDED DASH, 

5166
04:04:57,336 --> 04:05:04,276
MEDITERRANEAN AND PES CA PES CA 

5167
04:05:04,276 --> 04:05:06,145
TARIAN AND THEY WOULD PROVIDE 

5168
04:05:06,145 --> 04:05:08,547
THE BASIS FOR A HEART HEALTHY 

5169
04:05:08,547 --> 04:05:12,551
DIET AND THE CONCLUSION, THE 

5170
04:05:12,551 --> 04:05:15,821
MESSAGING OF MANY DIFFERENT 

5171
04:05:15,821 --> 04:05:26,298
PATTERNS AND IT'S BEEN VERY 

5172
04:05:27,933 --> 04:05:29,902
PRACTICAL FOR ME AS A NUTRITION 

5173
04:05:29,902 --> 04:05:31,137
SCIENTIST AND SOMEHOW THIS 

5174
04:05:31,137 --> 04:05:38,310
DIRECTION IS TERRIFYING ME.

5175
04:05:38,310 --> 04:05:39,845
>> POINT TAKEN.

5176
04:05:39,845 --> 04:05:40,379
WE'LL HEAR MORE OPINIONS.

5177
04:05:40,379 --> 04:05:46,285
DEANNA.

5178
04:05:46,285 --> 04:05:47,820
>> CHRISTOPHER, I DON'T 

5179
04:05:47,820 --> 04:05:49,188
UNDERSTAND WHERE YOU'RE COMING 

5180
04:05:49,188 --> 04:05:50,189
FROM BECAUSE THAT'S MORE WHERE I

5181
04:05:50,189 --> 04:05:52,324
WAS AT THE BEGINNING.

5182
04:05:52,324 --> 04:05:54,894
I THINK NOW WHAT I'M SEEING IS 

5183
04:05:54,894 --> 04:06:00,533
THIS IS KIND OF THE SCIENCE 

5184
04:06:00,533 --> 04:06:02,101
UNDERLYING THE VAGUE PATTERNS 

5185
04:06:02,101 --> 04:06:04,537
AND THE TRANSLATION OF IT, HOW 

5186
04:06:04,537 --> 04:06:09,275
IT GOES OUT IS ANOTHER THING AND

5187
04:06:09,275 --> 04:06:11,043
FOR THE CONSUMER SIDE, WE'RE 

5188
04:06:11,043 --> 04:06:14,246
REALLY GOING TO HAVE TO FOCUS ON

5189
04:06:14,246 --> 04:06:15,114
HOW YOU TRANSLATE THIS BECAUSE 

5190
04:06:15,114 --> 04:06:19,085
THEY'RE NOT GOING TO BE ABLE TO 

5191
04:06:19,085 --> 04:06:19,718
NECESSARILY SUBSTITUTE JUST BY 

5192
04:06:19,718 --> 04:06:29,962
LOOKING AT IT.

5193
04:06:31,297 --> 04:06:35,701
HAVE TRANSLATION OF IT INTO 

5194
04:06:35,701 --> 04:06:36,168
PUBLIC HEALTH ASPECT.

5195
04:06:36,168 --> 04:06:39,972
SO THAT'S KIND OF WHERE I'M COME

5196
04:06:39,972 --> 04:06:44,343
COMING FROM AND WE'LL SEE LATER 

5197
04:06:44,343 --> 04:06:45,111
THERE'S INTERESTING 

5198
04:06:45,111 --> 04:06:48,280
RECOMMENDATIONS KIND OF 

5199
04:06:48,280 --> 04:06:48,914
ASSOCIATED WITH IMPLEMENTATION 

5200
04:06:48,914 --> 04:06:55,421
OF THIS IN TRANSLATION.

5201
04:06:55,421 --> 04:06:57,456
>> THANK YOU FOR
DIFFERENTIATING

5202
04:06:57,456 --> 04:06:58,924
BETWEEN THE RECOMMENDATION AND 

5203
04:06:58,924 --> 04:07:00,559
IMPLEMENTATION AND WHAT NEEDS TO

5204
04:07:00,559 --> 04:07:09,635
BE DONE IN BETWEEN THAT.

5205
04:07:09,635 --> 04:07:11,437
>> I THINK WHAT I WAS
THINKING 

5206
04:07:11,437 --> 04:07:13,939
OF WHAT IS THE ROLE OF THE 

5207
04:07:13,939 --> 04:07:19,778
COMMITTEE IN MAKING 

5208
04:07:19,778 --> 04:07:23,716
RECOMMENDATIONS REGARDING AND 

5209
04:07:23,716 --> 04:07:27,353
EVERY GROUP SORT OF SEES THIS AS

5210
04:07:27,353 --> 04:07:29,889
A POSSIBILITY WITHIN THE PATTERN

5211
04:07:29,889 --> 04:07:31,190
THAT THEY ARE EAT.

5212
04:07:31,190 --> 04:07:34,894
I MEAN THE DIFFICULTY OF HAVING 

5213
04:07:34,894 --> 04:07:37,630
THE PATTERNS IN THE PUBLIC 

5214
04:07:37,630 --> 04:07:39,598
COMMENT AS WELL AS OTHER 

5215
04:07:39,598 --> 04:07:41,901
SETTINGS IF PEOPLE DON'T IF THE 

5216
04:07:41,901 --> 04:07:44,837
THREE LABELS DON'T RESONATE WITH

5217
04:07:44,837 --> 04:07:46,805
PEOPLE, THEN ESSENTIALLY THEY 

5218
04:07:46,805 --> 04:07:48,607
DON'T SEE THEMSELVES IN THOSE 

5219
04:07:48,607 --> 04:07:51,810
PATTERNS SO I THINK PART OF IT 

5220
04:07:51,810 --> 04:07:53,846
IS TO COMMUNICATE AND FOR US AS 

5221
04:07:53,846 --> 04:07:57,683
A COMMITTEE TO MAKE SOME 

5222
04:07:57,683 --> 04:07:58,984
RECOMMENDATIONS ABOUT WHAT MIGHT

5223
04:07:58,984 --> 04:08:03,222
NEED TO BE IN PLACE FOR 

5224
04:08:03,222 --> 04:08:05,591
IMPLEMENTATION TO ENSURE THAT 

5225
04:08:05,591 --> 04:08:08,527
ALL AMERICANS SEE THIS HEALTHY 

5226
04:08:08,527 --> 04:08:12,631
U.S. PATTERN AS WAYS THAT THEY 

5227
04:08:12,631 --> 04:08:17,770
CAN USE IT IN THE 

5228
04:08:17,770 --> 04:08:18,637
RECOMMENDATIONS.

5229
04:08:18,637 --> 04:08:25,844
I THINK THE IDEA OF SEEING A 

5230
04:08:25,844 --> 04:08:27,980
HEALTHY U.S. PATTERN I HOPE WE 

5231
04:08:27,980 --> 04:08:29,682
MAKE A RECOMMENDATION WE STRESS 

5232
04:08:29,682 --> 04:08:36,355
THE U.S. IS PRETTY DIVERSE.

5233
04:08:36,355 --> 04:08:40,559
AND A HEALTHY DIETARY PATTERN 

5234
04:08:40,559 --> 04:08:42,161
FOR U.S. CAPTURES THE DIVERSITY 

5235
04:08:42,161 --> 04:08:47,433
THAT IS INCLUDED IN THAT.

5236
04:08:47,433 --> 04:08:51,036
AND I KNOW WE HEAR THAT FROM A 

5237
04:08:51,036 --> 04:08:54,173
NUTRITION EDUCATION STANDPOINT 

5238
04:08:54,173 --> 04:08:56,075
EVEN WITH SOME EDUCATORS THE 

5239
04:08:56,075 --> 04:09:00,012
DIETARY GITE LINES PLAINLY IN 

5240
04:09:00,012 --> 04:09:01,747
TRANSLATION OF IT THEY FEEL IT 

5241
04:09:01,747 --> 04:09:07,052
DOESN'T ALWAYS REZ  -- RESONATE 

5242
04:09:07,052 --> 04:09:08,554
WITH THE CULTURES THEY WORK 

5243
04:09:08,554 --> 04:09:13,225
WITH.

5244
04:09:13,225 --> 04:09:14,093
>> HEATHER.

5245
04:09:14,093 --> 04:09:15,928
>> I WAS THINKING ALONG
THE SAME

5246
04:09:15,928 --> 04:09:17,029
LINES AS ANGELA.

5247
04:09:17,029 --> 04:09:27,573
I LIKE THE PROPOSED IDEA TO MAKE

5248
04:09:28,374 --> 04:09:30,409
THERE ONE HUSS PATTERN I FEEL 

5249
04:09:30,409 --> 04:09:33,445
THE IDEA OF A MEDITERRANEAN 

5250
04:09:33,445 --> 04:09:36,548
PATTERN JUST FOCUSSED ON FOODS 

5251
04:09:36,548 --> 04:09:38,250
FROM A CERTAIN REGION THEIR 

5252
04:09:38,250 --> 04:09:40,419
WORLD MAKE PEOPLE WHO HAVE 

5253
04:09:40,419 --> 04:09:43,689
HERITAGE AND CULTURES FROM OTHER

5254
04:09:43,689 --> 04:09:45,691
PLACES FEEL NOT REPRESENTED.

5255
04:09:45,691 --> 04:09:51,130
BECAUSE IT'S CALLING OUT THIS 

5256
04:09:51,130 --> 04:09:53,198
CERTAIN AREA AND I FEEL THAT 

5257
04:09:53,198 --> 04:09:55,367
LEADS US WITH THIS GAP AND IF WE

5258
04:09:55,367 --> 04:09:58,437
JUST HAVE ONE PATTERN AND THEN 

5259
04:09:58,437 --> 04:10:02,641
WE CAN TRANSLATE HOW FOODS FROM 

5260
04:10:02,641 --> 04:10:04,943
ALL OVER CAN FIT IN THAT PATTERN

5261
04:10:04,943 --> 04:10:09,715
AND NOT JUST CULTURAL BUT ALSO 

5262
04:10:09,715 --> 04:10:12,551
OTHER DIETARY THINGS, 

5263
04:10:12,551 --> 04:10:14,420
ADJUSTMENTS THAT NEED TO BE MADE

5264
04:10:14,420 --> 04:10:16,288
LIKE FOR VARIOUS REASONS FOR 

5265
04:10:16,288 --> 04:10:20,526
HEALTH OR FOR PREFERENCES ALL OF

5266
04:10:20,526 --> 04:10:23,796
THOSE PATTERNS ALL THOSE WAYS OF

5267
04:10:23,796 --> 04:10:26,432
EATING CAN FIT INTO THE HUSS 

5268
04:10:26,432 --> 04:10:27,566
PATTERN WITH DIFFERENT KINDS OF 

5269
04:10:27,566 --> 04:10:27,866
ADJUSTMENTS.

5270
04:10:27,866 --> 04:10:32,538
I FEEL THIS IS A GREAT WAY BUT 

5271
04:10:32,538 --> 04:10:37,109
9th TO BE GOING IN TO BE HAND IN

5272
04:10:37,109 --> 04:10:37,910
HAND WITH THE TRANSLATION OF HOW

5273
04:10:37,910 --> 04:10:47,686
THIS WORKS.

5274
04:10:47,686 --> 04:10:48,487
>> DIDI.

5275
04:10:48,487 --> 04:10:51,123
>> I'VE BEEN LOOKING
FORWARD TO 

5276
04:10:51,123 --> 04:10:55,561
THIS DISCUSSION AND CHRISTOPHER,

5277
04:10:55,561 --> 04:10:58,964
I'VE BEEN BACK AND FORTH ALONG 

5278
04:10:58,964 --> 04:11:04,236
THE LINES YOUR CONCERNS ARE 

5279
04:11:04,236 --> 04:11:05,571
RAISING WITH WHAT SEEMS LIKE THE

5280
04:11:05,571 --> 04:11:10,142
LOSS OF SOLID DIETARY PATTERNS 

5281
04:11:10,142 --> 04:11:13,612
BUT I THINK IN THE WAY I'VE COME

5282
04:11:13,612 --> 04:11:15,814
TO APPRECIATE A SINGLE HUSS IF I

5283
04:11:15,814 --> 04:11:17,883
CAN ADVOCATE FOR THAT IS THAT 

5284
04:11:17,883 --> 04:11:20,386
IT'S MORE SO ABSORBED THE 

5285
04:11:20,386 --> 04:11:21,620
BENEFITS OF THE OTHER PATTERNS 

5286
04:11:21,620 --> 04:11:25,023
RATHER THAN ELIMINATED THEM.

5287
04:11:25,023 --> 04:11:27,126
IN A LOT OF OUR MODELLING WE 

5288
04:11:27,126 --> 04:11:32,498
RECOGNIZE HOW SIMILAR THE HUSS 

5289
04:11:32,498 --> 04:11:36,101
BASE PATTERN IF YOU WILL THE 

5290
04:11:36,101 --> 04:11:39,138
TABLE WE SAW AND THE AMERICANED 

5291
04:11:39,138 --> 04:11:44,543
WERE SIMILAR AND ALMOST SEEMED A

5292
04:11:44,543 --> 04:11:46,578
LITTLE BIT REDUNDANT AND THE 

5293
04:11:46,578 --> 04:11:51,116
VEGETARIAN PATTERN CAN BE 

5294
04:11:51,116 --> 04:11:53,585
ACHIEVED IN SO MANY WAYS RATHER 

5295
04:11:53,585 --> 04:11:57,122
THAN THE PATTERN IN THE LAST 

5296
04:11:57,122 --> 04:11:57,322
ROUND.

5297
04:11:57,322 --> 04:11:58,724
BY OBSERVE BEING VEGETARIAN AND 

5298
04:11:58,724 --> 04:12:01,493
VARIOUS ITERATIONS IN WHICH IT 

5299
04:12:01,493 --> 04:12:04,730
IS CONSUMED WITHIN THE U.S. AND 

5300
04:12:04,730 --> 04:12:07,966
ALSO THE GRADIENT FROM WHERE THE

5301
04:12:07,966 --> 04:12:09,802
HUSS IS NOW TO SOMETHING THAT 

5302
04:12:09,802 --> 04:12:14,440
LOOKS VEGETARIAN SO INCREASINGLY

5303
04:12:14,440 --> 04:12:15,974
PLANT FORWARD WITHOUT BEING 

5304
04:12:15,974 --> 04:12:18,877
NECESSARILY ALL THE WAY INTO ONE

5305
04:12:18,877 --> 04:12:22,781
PATTERN I THIRN IS ALSO A 

5306
04:12:22,781 --> 04:12:24,049
FLEXIBILITY THAT WILL BE REALLY 

5307
04:12:24,049 --> 04:12:25,451
NOVEL BECAUSE WE CAN SHOW AS WE 

5308
04:12:25,451 --> 04:12:30,689
DID WITH OUR MODELLING THAT YOU 

5309
04:12:30,689 --> 04:12:35,327
KIND OF PRESERVE THE BENEFIT 

5310
04:12:35,327 --> 04:12:39,131
WITH THE MODELLING INTO 

5311
04:12:39,131 --> 04:12:42,768
INCREASINGLY VEG OR MEAT IF 

5312
04:12:42,768 --> 04:12:44,636
THAT'S WHAT SOMEONE WANTED TO 

5313
04:12:44,636 --> 04:12:45,237
DO.

5314
04:12:45,237 --> 04:12:47,406
THE OTHER POINT ABOUT TABLES 

5315
04:12:47,406 --> 04:12:48,540
REFLECTING THE VARIATIONS, I 

5316
04:12:48,540 --> 04:12:52,711
AGREE WITH.

5317
04:12:52,711 --> 04:12:56,515
I THINK WE NEED QUANTITATIVE 

5318
04:12:56,515 --> 04:12:59,485
PATTERNS IF WE'RE PROPOSING 

5319
04:12:59,485 --> 04:13:06,091
OPTIONS WE CAN OFFER SOME IN A 

5320
04:13:06,091 --> 04:13:09,094
QUANTITATIVE WAY OR SOMETHING 

5321
04:13:09,094 --> 04:13:11,497
PRESCRIPTIVE WOULD BE HELPFUL 

5322
04:13:11,497 --> 04:13:13,765
RATHER THAN PLANT BASED OR 

5323
04:13:13,765 --> 04:13:14,867
VEGETARIAN OR MEDITERRANEAN 

5324
04:13:14,867 --> 04:13:15,300
LIKE.

5325
04:13:15,300 --> 04:13:17,903
HAVING THE TABLES THAT WE SAW 

5326
04:13:17,903 --> 04:13:20,038
AND THAT WERE IN THE 2020 

5327
04:13:20,038 --> 04:13:23,242
VERSION AND THAT WE ANALYZED 

5328
04:13:23,242 --> 04:13:26,278
LIKE CRAZY FROM THE MODELLING 

5329
04:13:26,278 --> 04:13:30,449
PERSPECTIVE TO BE ABLE TO LAY 

5330
04:13:30,449 --> 04:13:32,317
OUT QUANTITIES OF THE DIFFERENT 

5331
04:13:32,317 --> 04:13:33,919
PATTERNS WE SUGGEST COULD BE 

5332
04:13:33,919 --> 04:13:34,953
VARIATIONS OF THE MAIN HUSS 

5333
04:13:34,953 --> 04:13:37,256
WOULD BE REALLY IMPORTANT TO 

5334
04:13:37,256 --> 04:13:37,789
INCLUDE.

5335
04:13:37,789 --> 04:13:39,124
BECAUSE THE TRANSLATION WILL BE 

5336
04:13:39,124 --> 04:13:44,129
OUT OF OUR CONTROL AND IF WE DO 

5337
04:13:44,129 --> 04:13:48,534
VALUE THE QUANTITIES THAT HAVE 

5338
04:13:48,534 --> 04:13:51,103
BEEN IN PREVIOUS VEG AND 

5339
04:13:51,103 --> 04:13:52,538
MEDITERRANEAN PATTERN AND NOW 

5340
04:13:52,538 --> 04:13:53,906
INCORPORATING INTO FLEXIBILITIES

5341
04:13:53,906 --> 04:13:57,109
OF THIS PATTERN WE SHOULD PUT 

5342
04:13:57,109 --> 04:13:58,510
THOSE GUARDRAILS IN OUR REPORT 

5343
04:13:58,510 --> 04:14:03,782
BUT AS A SINGLE HUSS IT MAKES IT

5344
04:14:03,782 --> 04:14:04,116
FLEXIBLE.

5345
04:14:04,116 --> 04:14:07,553
IT DOESN'T LOSE OR X OUT PAST 

5346
04:14:07,553 --> 04:14:08,086
COMMITTEE'S PATTERNS.

5347
04:14:08,086 --> 04:14:09,888
I THINK IT BRINGS THEM INTO THE 

5348
04:14:09,888 --> 04:14:15,427
FOLD AND MAKING THEM MORE 

5349
04:14:15,427 --> 04:14:22,801
PROMINENT OR AVAILABLE.

5350
04:14:22,801 --> 04:14:24,469
>> CHRISTINA.

5351
04:14:24,469 --> 04:14:27,172
>> CAN WE CHANGE THE NAME
AND 

5352
04:14:27,172 --> 04:14:31,577
SAY A FLEXIBLE HEALTHY -- 

5353
04:14:31,577 --> 04:14:33,745
>> WE CAN PROPOSE WHAT WE
AS A 

5354
04:14:33,745 --> 04:14:34,212
COMMITTEE WANT.

5355
04:14:34,212 --> 04:14:35,280
GO FOR IT.

5356
04:14:35,280 --> 04:14:36,882
>> FLEXIBLE HEALTHY
DIETARY 

5357
04:14:36,882 --> 04:14:47,426
PATTERN OR SOMETHING LIKE THAT.

5358
04:15:01,740 --> 04:15:06,578
>> AND PRESENT A PRO AND
CON.

5359
04:15:06,878 --> 04:15:10,315
DIDI I AGREE WITH YOU WITH THE 

5360
04:15:10,315 --> 04:15:15,821
UMBRELLA TERM FOR ALL THAT HAS 

5361
04:15:15,821 --> 04:15:18,724
BEEN AND I WOULD CALL TWO 

5362
04:15:18,724 --> 04:15:20,559
ITERATIONS AGO THE DIETARY 

5363
04:15:20,559 --> 04:15:23,261
GUIDELINES THE FIRST TIME WE SAW

5364
04:15:23,261 --> 04:15:29,601
THE DASH STYLE PATTERNS WITH 

5365
04:15:29,601 --> 04:15:34,106
THIS EMPHASIS ON THE SCIENCE 

5366
04:15:34,106 --> 04:15:35,173
WHICH WAS WHERE THE 

5367
04:15:35,173 --> 04:15:36,541
MEDITERRANEAN PATTERN WAS 

5368
04:15:36,541 --> 04:15:38,443
DEFERRING AND THEN OTHER THINGS 

5369
04:15:38,443 --> 04:15:42,180
HAD BEEN DONE AND JUMPING OFF 

5370
04:15:42,180 --> 04:15:43,415
FROM THE MEDITERRANEAN PATTERN 

5371
04:15:43,415 --> 04:15:48,153
IN VARIOUS WAYS BUT ALL 

5372
04:15:48,153 --> 04:15:48,954
RELATIVELY SIMILAR.

5373
04:15:48,954 --> 04:15:50,689
SOME THING WITH DASH SODIUM AND 

5374
04:15:50,689 --> 04:15:55,227
THEN OMNI AND THEN OMNI HEART 

5375
04:15:55,227 --> 04:15:56,828
AND CARBON.

5376
04:15:56,828 --> 04:16:00,265
ALL THESE ITERATIONS BUT THEY 

5377
04:16:00,265 --> 04:16:02,668
ALL CAME BACK TO THE ONE 

5378
04:16:02,668 --> 04:16:02,934
PATTERN.

5379
04:16:02,934 --> 04:16:04,936
I REMEMBER HAVING A SIMILAR 

5380
04:16:04,936 --> 04:16:06,171
REACTION WAIT ALL THOSE THINGS 

5381
04:16:06,171 --> 04:16:07,506
ARE NOW GOING TO GET LUMPED 

5382
04:16:07,506 --> 04:16:10,676
UNDER ONE UMBRELLA TERM.

5383
04:16:10,676 --> 04:16:15,147
AND THAT REMINDS ME OF THAT TIME

5384
04:16:15,147 --> 04:16:18,216
AND I THINK IT ALL WORKED OUT 

5385
04:16:18,216 --> 04:16:18,417
OKAY.

5386
04:16:18,417 --> 04:16:20,552
I THINK IT WILL BE FINE TO USE 

5387
04:16:20,552 --> 04:16:22,454
THIS NEW UMBRELLA TERM WHETHER 

5388
04:16:22,454 --> 04:16:24,489
WE CALL IT THIS OR WHATEVER 

5389
04:16:24,489 --> 04:16:28,694
CHRISTINA MIGHT HAVE IN MIND.

5390
04:16:28,694 --> 04:16:29,661
THE CHALLENGE WILL BE NOT LOSING

5391
04:16:29,661 --> 04:16:35,000
THE HISTORY OF IT AND REALLY 

5392
04:16:35,000 --> 04:16:35,834
COMMUNICATING CLEARLY THIS ISN'T

5393
04:16:35,834 --> 04:16:37,836
SOME BRAND NEW THING TESTED AND 

5394
04:16:37,836 --> 04:16:39,104
CALLED OUT IN THE LITERATURE 

5395
04:16:39,104 --> 04:16:41,907
IT'S AN AMALGAMATION OF A LOT OF

5396
04:16:41,907 --> 04:16:43,408
SCIENCE OVER A LOT OF YEARS THAT

5397
04:16:43,408 --> 04:16:46,878
NOW PUTS US IN THE SPACE WHERE 

5398
04:16:46,878 --> 04:16:48,880
WE CAN OFFER FLEXIBILITY UNDER 

5399
04:16:48,880 --> 04:16:49,481
THIS UMBRELLA.

5400
04:16:49,481 --> 04:16:51,349
THE PIECE WHERE I WANT TO JUST 

5401
04:16:51,349 --> 04:16:54,019
CONNECT US TO THAT I OFFER 

5402
04:16:54,019 --> 04:16:58,056
CAUTION IS AROUND THE DRIs.

5403
04:16:58,056 --> 04:17:02,127
SO IT REMEMBERS IN OUR RECENT 

5404
04:17:02,127 --> 04:17:03,795
DISCUSSIONS THAT WE ARE 

5405
04:17:03,795 --> 04:17:04,529
RECOMMENDATIONING AND MAYBE 

5406
04:17:04,529 --> 04:17:07,766
WE'LL DO IT THIS MORNING AS WELL

5407
04:17:07,766 --> 04:17:12,537
THE SUPPORT OF CONTINUED DRIs.

5408
04:17:12,537 --> 04:17:16,541
WHEN THE DRIs GET MADE THEY'RE 

5409
04:17:16,541 --> 04:17:23,148
GOING TO NEED TO GO BACK THE 

5410
04:17:23,148 --> 04:17:25,984
FULL SCOPE OF THE LITERATURE VIA

5411
04:17:25,984 --> 04:17:28,186
SYSTEMATIC REVIEW PROCESS OR 

5412
04:17:28,186 --> 04:17:31,656
RELY ON AUTHORITATIVE BODIES 

5413
04:17:31,656 --> 04:17:34,092
THAT HAVE DONE SYSTEMATIC REVIEW

5414
04:17:34,092 --> 04:17:34,659
TYPE THINGS.

5415
04:17:34,659 --> 04:17:35,894
THAT TRANSITION BEING ABLE TOO 

5416
04:17:35,894 --> 04:17:37,696
PICK OUT THE PATTERNS OVER TIME 

5417
04:17:37,696 --> 04:17:42,334
AND WHERE THE NUTRIENT LEVEL 

5418
04:17:42,334 --> 04:17:44,336
FELL WITH REGARDS TO HEALTH FOR 

5419
04:17:44,336 --> 04:17:48,540
SECT THE CDRRs AND OTHER 

5420
04:17:48,540 --> 04:17:54,446
COMPONENTS OF THE DRIs WILL BE 

5421
04:17:54,446 --> 04:17:57,549
INTERESTING IF THE STORY DIDN'T 

5422
04:17:57,549 --> 04:18:01,987
GET TOLD CORRECTLY.

5423
04:18:01,987 --> 04:18:06,057
PERHAPS A COMPANION PIECE TO 

5424
04:18:06,057 --> 04:18:08,660
CAPTURE THE HISTORY DIETARY 

5425
04:18:08,660 --> 04:18:12,564
PATTERNS SINCE  1997 IT DATES 

5426
04:18:12,564 --> 04:18:15,967
BACK TO THE MEDITERRANEAN BUT IN

5427
04:18:15,967 --> 04:18:19,704
THE U.S. THAT PARADIGM SHIFTING 

5428
04:18:19,704 --> 04:18:23,775
EFFORT DASH OF 90s TO CAPTURE 

5429
04:18:23,775 --> 04:18:24,543
U.S. RECOMMENDATIONS AND TEST 

5430
04:18:24,543 --> 04:18:28,547
THEM IN A WAY THAT I THINK WE 

5431
04:18:28,547 --> 04:18:33,985
ALL AGREE WAS STRONG AND MANY 

5432
04:18:33,985 --> 04:18:39,257
WAYS DEFINITIVE AND YOU THINK WE

5433
04:18:39,257 --> 04:18:48,633
SHOULD GET THAT GOING.

5434
04:18:48,633 --> 04:18:49,100
CHRISTOPHER.

5435
04:18:49,100 --> 04:18:51,937
>> I WANT TO BE OPEN
MINDED AND 

5436
04:18:51,937 --> 04:18:53,405
THE TOPIC CAME UP NOT LOOKING AT

5437
04:18:53,405 --> 04:18:59,277
THE VEGETARIAN BUT LOOKING AT 

5438
04:18:59,277 --> 04:19:00,779
THE MEDITERRANEAN AND SEEING HOW

5439
04:19:00,779 --> 04:19:04,349
MINIMALLY DIFFERENT IT WAS FROM 

5440
04:19:04,349 --> 04:19:08,920
U.S. AND VEGETARIAN WAS 

5441
04:19:08,920 --> 04:19:09,187
DIFFERENT.

5442
04:19:09,187 --> 04:19:10,889
I LOVE THE COMMENTS NO MATTER 

5443
04:19:10,889 --> 04:19:12,490
HOW MUCH YOU HAVE YOU'LL BE 

5444
04:19:12,490 --> 04:19:13,592
EXCLUDING SOMEONE.

5445
04:19:13,592 --> 04:19:16,661
I'VE BEEN PLACES WHERE THEY HAVE

5446
04:19:16,661 --> 04:19:20,665
A DOZEN OR TWO DOZEN BEAUTIFULLY

5447
04:19:20,665 --> 04:19:25,904
ARRANGED GORGEOUS LOOKING FOOD 

5448
04:19:25,904 --> 04:19:36,448
AND LATIN AMERICAN AND INDO -- 

5449
04:19:56,635 --> 04:20:00,338
OTHER FOOD GROUPS AND SAY NOTICE

5450
04:20:00,338 --> 04:20:04,743
GIVEN THERE'S 24 WE CERTAINLY 

5451
04:20:04,743 --> 04:20:08,546
COULDN'T HAVE HAD 2,400.

5452
04:20:08,546 --> 04:20:12,550
WE'RE JUST TRYING TO SHOW 

5453
04:20:12,550 --> 04:20:15,820
EVERYBODY WE'RE TRYING TO SHOW 

5454
04:20:15,820 --> 04:20:17,389
HOW BROAD AND FLEXIBLE THIS 

5455
04:20:17,389 --> 04:20:17,856
COULD BE.

5456
04:20:17,856 --> 04:20:22,127
I WANT TO PUT IN A NOTE WHEN WE 

5457
04:20:22,127 --> 04:20:22,928
DID THIS AMERICAN HEART 

5458
04:20:22,928 --> 04:20:24,529
ASSOCIATION OF PATTERN THERE'S A

5459
04:20:24,529 --> 04:20:26,097
POINT WHERE YOU'VE GONE TOO FAR.

5460
04:20:26,097 --> 04:20:28,266
AT ONE POINT WHERE YOU SAY IT'S 

5461
04:20:28,266 --> 04:20:29,034
VERY FLEXIBLE AND LOTS OF THINGS

5462
04:20:29,034 --> 04:20:32,404
CAN BE ACCOMMODATED, WE TRY TO 

5463
04:20:32,404 --> 04:20:33,905
DO THAT ON A CONTINUUM AND AT 

5464
04:20:33,905 --> 04:20:36,274
SOME POINT WHEN WE GOT TO LOW 

5465
04:20:36,274 --> 04:20:38,009
FAT VEGAN IT DIDN'T WORK.

5466
04:20:38,009 --> 04:20:39,778
LOW-FAT VEGAN DOESN'T WORK.

5467
04:20:39,778 --> 04:20:41,579
IT'S MISSING OUT ON HEALTHY 

5468
04:20:41,579 --> 04:20:42,113
UNSATURATED FATS.

5469
04:20:42,113 --> 04:20:47,285
WHEN YOU GO TO PALEO AND KETO IT

5470
04:20:47,285 --> 04:20:47,652
DOESN'T WORK.

5471
04:20:47,652 --> 04:20:49,287
WE COULD NOT COME UP WITH A WAY 

5472
04:20:49,287 --> 04:20:57,996
TO MAKE THOSE FIT.

5473
04:20:57,996 --> 04:21:00,532
MY SUGGESTION IF WE SHOW HOW 

5474
04:21:00,532 --> 04:21:01,399
FLEXIBLE IT IS WITH 24 PLATES 

5475
04:21:01,399 --> 04:21:04,369
THAT WORK, WHICH I WOULD LOVE, 

5476
04:21:04,369 --> 04:21:07,138
AND LOOK UNAPOLOGETICALLY 

5477
04:21:07,138 --> 04:21:08,940
DELICIOUS AND SHOULD TALK ABOUT 

5478
04:21:08,940 --> 04:21:10,809
THE FLAVORS BECAUSE WE NEED TO 

5479
04:21:10,809 --> 04:21:12,143
BRING THE JOY AND PLEASURE BACK 

5480
04:21:12,143 --> 04:21:17,615
TO FOOD AND INCLUDING NOT JUST 

5481
04:21:17,615 --> 04:21:20,552
RESTRICT BEING AND THIS ISN'T 

5482
04:21:20,552 --> 04:21:22,253
ANYTHING GOES.

5483
04:21:22,253 --> 04:21:24,923
YOU CAN'T MAKE ANY PATTERN WORK.

5484
04:21:24,923 --> 04:21:27,125
THERE'S SO THE PATTERNS THAT 

5485
04:21:27,125 --> 04:21:30,528
DON'T WORK HERE.

5486
04:21:30,528 --> 04:21:31,830
AND A LOT OF THE PATTERNS 

5487
04:21:31,830 --> 04:21:32,597
AMERICANS ARE TRYING RIGHT NOW 

5488
04:21:32,597 --> 04:21:40,538
WHICH IS A CONCERN I HAVE, PAST 

5489
04:21:40,538 --> 04:21:42,741
TO FA TTFATIMA.

5490
04:21:42,741 --> 04:21:43,074
>> THANK YOU.

5491
04:21:43,074 --> 04:21:45,143
I SOMETIMES STRUGGLE IN THESE 

5492
04:21:45,143 --> 04:21:47,012
CONVERSATIONS AS THE PERSON THAT

5493
04:21:47,012 --> 04:21:51,216
REALLY SPENDS A LOT OF TIME WITH

5494
04:21:51,216 --> 04:21:53,418
PATIENTS AND WONDER IF OUR 

5495
04:21:53,418 --> 04:21:55,520
LANGUAGE GETS ESOTERIC AND TOO 

5496
04:21:55,520 --> 04:21:58,089
FAR FROM WHAT HAPPENS AT THE 

5497
04:21:58,089 --> 04:22:00,692
LEVEL OF PATIENT OR PERSON THAT 

5498
04:22:00,692 --> 04:22:03,128
REALLY WAS RECEIVING THE 

5499
04:22:03,128 --> 04:22:06,498
INFORMATION.

5500
04:22:06,498 --> 04:22:11,803
AND TO MAKE SURE WHEN WE'RE 

5501
04:22:11,803 --> 04:22:13,538
THINKING ABOUT AND IT'S 

5502
04:22:13,538 --> 04:22:14,939
ACCESSIBLE IF YOU RECOGNIZE THE 

5503
04:22:14,939 --> 04:22:17,675
AVERAGE PERSON REALLY HAS AN 

5504
04:22:17,675 --> 04:22:18,309
EIGHTH GRADE EDUCATION HERE IN 

5505
04:22:18,309 --> 04:22:18,743
THE UNITED STATES.

5506
04:22:18,743 --> 04:22:21,112
ALL OF US ON THE CALL ARE HIGHLY

5507
04:22:21,112 --> 04:22:22,747
EDUCATED WITH OUR MULTIPLE 

5508
04:22:22,747 --> 04:22:24,582
DEGREES AND IF YOU LOOK AT ALL 

5509
04:22:24,582 --> 04:22:28,520
OF OUR LOVELY LETTERS AND 

5510
04:22:28,520 --> 04:22:30,321
CLASSIFICATIONS, WE ARE THE KIND

5511
04:22:30,321 --> 04:22:32,991
OF THE TOP ONE PERCENTERS IN 

5512
04:22:32,991 --> 04:22:34,926
TERMS OF OUR EDUCATION AND THIS 

5513
04:22:34,926 --> 04:22:36,928
GETS OUT OF THE LEVEL OF 

5514
04:22:36,928 --> 04:22:40,165
PROCESSING WHEN WE START TALKING

5515
04:22:40,165 --> 04:22:41,499
ABOUT WHAT THE AVERAGE AMERICAN 

5516
04:22:41,499 --> 04:22:42,934
IS GOING TO BE ABLE TO PROCESS 

5517
04:22:42,934 --> 04:22:44,536
IN TERMS OF NUTRITION AND 

5518
04:22:44,536 --> 04:22:45,804
NUTRITION STATUS.

5519
04:22:45,804 --> 04:22:48,673
WHEN THAT PERSON COMES IN TO SEE

5520
04:22:48,673 --> 04:22:51,109
ME THE 20 PATIENTS TOMORROW WILL

5521
04:22:51,109 --> 04:22:53,778
BE LIKE, DOC, WHAT AM I SUPPOSED

5522
04:22:53,778 --> 04:22:55,480
TO EAT WHATEVER PATTERN WE 

5523
04:22:55,480 --> 04:22:57,082
DECIDE TO NAME IT OR HOW WE 

5524
04:22:57,082 --> 04:22:59,184
DECIDE TO CLASSIFY IT.

5525
04:22:59,184 --> 04:23:00,919
WHETHER WE'RE VEGAN OR SOMEONE 

5526
04:23:00,919 --> 04:23:04,289
WHO WILL EAT A HUSS OR HEALTHY 

5527
04:23:04,289 --> 04:23:05,490
VEGETARIAN PATTERN, THEY ARE 

5528
04:23:05,490 --> 04:23:09,461
JUST WANT TO KNOW, DOC, WHAT AM 

5529
04:23:09,461 --> 04:23:11,629
I SUPPOSED TO EAT TO BE HEALTHY.

5530
04:23:11,629 --> 04:23:13,364
WE NEED TO BE THOUGHTFUL IN OUR 

5531
04:23:13,364 --> 04:23:14,799
CONSIDERATIONS AND TEND TO WORK 

5532
04:23:14,799 --> 04:23:17,435
WITH PATIENTS THAT WILL MAYBE 

5533
04:23:17,435 --> 04:23:18,403
HIGHER DEMOGRAPHIC AND WE HAVE 

5534
04:23:18,403 --> 04:23:20,305
TO THINK OF THOSE UNHOUSED OR 

5535
04:23:20,305 --> 04:23:21,706
FROM A LOWER SOCIO ECONOMIC 

5536
04:23:21,706 --> 04:23:22,040
POSITION.

5537
04:23:22,040 --> 04:23:24,976
I KNOW WE WORKED ON THE HEALTH 

5538
04:23:24,976 --> 04:23:27,178
EQUITY PIECE BUT I DON'T THINK 

5539
04:23:27,178 --> 04:23:29,013
WE'RE TALKING ABOUT THIS WHEN WE

5540
04:23:29,013 --> 04:23:31,583
MAKE THE CONSIDERATIONS AND 

5541
04:23:31,583 --> 04:23:33,651
THINKING HOW WILL PEOPLE ACCESS 

5542
04:23:33,651 --> 04:23:35,253
THIS INFORMATION IN A WAY TO 

5543
04:23:35,253 --> 04:23:38,556
PROCESS AND UNDERSTAND.

5544
04:23:38,556 --> 04:23:40,058
I DON'T THINK THEY'LL UNDERSTAND

5545
04:23:40,058 --> 04:23:41,092
IT IN THE WAY WE'RE ASSESSING 

5546
04:23:41,092 --> 04:23:42,961
THIS AND CAPTURING IT FOR THE 

5547
04:23:42,961 --> 04:23:43,495
AMERICAN POPULATION.

5548
04:23:43,495 --> 04:23:47,098
I WANT US TO TAKE A STEP BACK 

5549
04:23:47,098 --> 04:23:49,334
AND MAKE SURE WE ARE MAKING THIS

5550
04:23:49,334 --> 04:23:52,303
INFORMATION ACCESSIBLE TO AN 

5551
04:23:52,303 --> 04:23:53,004
EIGHTH GRADE EDUCATION LEVEL.

5552
04:23:53,004 --> 04:24:01,346
THAT'S MY THOUGHT.

5553
04:24:01,346 --> 04:24:07,685
>> IT BRINGS UP SOMETHING
DEANNA

5554
04:24:07,685 --> 04:24:18,129
RAISED ABOUT LOW LITERACY.

5555
04:24:18,129 --> 04:24:20,532
GREAT POINT.

5556
04:24:20,532 --> 04:24:30,642
CHRIS.

5557
04:24:31,342 --> 04:24:35,079
>> CHAPTER 10 REALLY HITS
ON A 

5558
04:24:35,079 --> 04:24:37,348
LOT OF THOSE IN TERMS OF WHAT 

5559
04:24:37,348 --> 04:24:39,817
SPECIFIC FLEXIBILITIES WE WERE 

5560
04:24:39,817 --> 04:24:41,719
LOOKING AT VERSUS TURNING THIS 

5561
04:24:41,719 --> 04:24:42,687
INTO A WILD WEST ANYTHING YOU 

5562
04:24:42,687 --> 04:24:44,889
WANT TO DO WITHIN THOSE.

5563
04:24:44,889 --> 04:24:47,825
WE'RE LOOKING AT THIS FROM AN 

5564
04:24:47,825 --> 04:24:49,093
EVIDENCE BASED PERSPECTIVE ON 

5565
04:24:49,093 --> 04:24:50,562
MEETING THE NUTRIENT 

5566
04:24:50,562 --> 04:24:51,129
RECOMMENDATIONS BASED ON 

5567
04:24:51,129 --> 04:24:53,364
SPECIFIC FLEXIBILITIES THAT DO 

5568
04:24:53,364 --> 04:24:55,166
WORK AND SOME FLEXIBILITIES THAT

5569
04:24:55,166 --> 04:24:57,569
DON'T WORK AND CREATE NUTRIENT 

5570
04:24:57,569 --> 04:24:58,870
GAPS.

5571
04:24:58,870 --> 04:25:00,905
6:SO, WE'RE REALLY LOOKING AT 

5572
04:25:00,905 --> 04:25:04,375
THIS MORE FROM A DO THE THREE 

5573
04:25:04,375 --> 04:25:07,645
PATTERNS BECOME ONE NOT CAN YOU 

5574
04:25:07,645 --> 04:25:08,513
TAKE ANYTHING ANYTHING YOU WANT 

5575
04:25:08,513 --> 04:25:11,015
TO EAT AND MAKE IT EVERYTHING 

5576
04:25:11,015 --> 04:25:14,219
THAT COMES FROM THAT FOOD 

5577
04:25:14,219 --> 04:25:14,519
CATEGORY.

5578
04:25:14,519 --> 04:25:17,088
AND NOW IS IT ABOUT THE 

5579
04:25:17,088 --> 04:25:17,622
MEDITERRANEAN THAT MUCH 

5580
04:25:17,622 --> 04:25:19,924
DIFFERENT FROM HUSS TO WHATEVER 

5581
04:25:19,924 --> 04:25:23,561
IT MIGHT BECOME YOU REALLY NEED 

5582
04:25:23,561 --> 04:25:26,631
TO HAVE TWO SEPARATE PATTERNS TO

5583
04:25:26,631 --> 04:25:27,865
SAY IF YOU WANT TO EAT A LITTLE 

5584
04:25:27,865 --> 04:25:30,335
BIT MORE FISH, THAT'S OKAY OR 

5585
04:25:30,335 --> 04:25:34,973
EAT MORE PLANT FORWARD AND EAT 

5586
04:25:34,973 --> 04:25:37,642
VEGETARIAN YOU CAN DO THAT 

5587
04:25:37,642 --> 04:25:38,910
WITHIN ONE PROFILE VERSUS 

5588
04:25:38,910 --> 04:25:40,511
CREATING FLEXIBILITIES THAT 

5589
04:25:40,511 --> 04:25:44,482
BECOME SO UNWIELDY YOU HAVE TO 

5590
04:25:44,482 --> 04:25:45,083
FIGURE OUT HOW TO MAKE THE 

5591
04:25:45,083 --> 04:25:55,260
DECISIONS.

5592
04:25:57,929 --> 04:26:02,734
>> WHAT WAS OPPOSED
EARLIER 

5593
04:26:02,734 --> 04:26:05,236
TODAY IS THAT OUR CHARGE IS TO 

5594
04:26:05,236 --> 04:26:06,971
PROVIDE GUIDANCE TO THE 

5595
04:26:06,971 --> 04:26:07,605
DEPARTMENTS.

5596
04:26:07,605 --> 04:26:09,641
AND THE DEPARTMENT WILL 

5597
04:26:09,641 --> 04:26:12,210
TRANSLATE THAT INTO THE DIETARY 

5598
04:26:12,210 --> 04:26:15,246
GUIDELINES FROM HEALTH CARE 

5599
04:26:15,246 --> 04:26:16,547
PROVIDERS.

5600
04:26:16,547 --> 04:26:24,656
AND THOSE WILL TRANSLATE IT.

5601
04:26:24,656 --> 04:26:27,625
WHILE I TRULY AGREE WE NEED TO 

5602
04:26:27,625 --> 04:26:30,862
HAVE ACCESSIBLE MESSAGES, I'M 

5603
04:26:30,862 --> 04:26:36,401
NOT SURE IT'S AT THE LEVEL OF 

5604
04:26:36,401 --> 04:26:46,477
OUR EXPERT REPORT AND HOW IT'S 

5605
04:26:46,477 --> 04:26:50,214
SUPPOSED FOR IMPLEMENTED.

5606
04:26:50,214 --> 04:26:53,818
>> THANK YOU.

5607
04:26:53,818 --> 04:26:54,218
ANGELA.

5608
04:26:54,218 --> 04:26:58,823
>> IT MADE ME THINK ABOUT
THE 

5609
04:26:58,823 --> 04:27:01,492
DIRECT RECOMMENDATION IN OUR 

5610
04:27:01,492 --> 04:27:07,231
REPORT OF WHO GOES OUT TO DO THE

5611
04:27:07,231 --> 04:27:17,642
EDUCATION AND AND YOU PUT A 

5612
04:27:17,642 --> 04:27:18,976
MESSAGE IN THE HANDS OF PEOPLE 

5613
04:27:18,976 --> 04:27:19,744
WITH BOOTS ON THE GROUND.

5614
04:27:19,744 --> 04:27:24,549
THEY'RE GOING TO TRANSLATE THAT 

5615
04:27:24,549 --> 04:27:27,552
MESSAGE PARTICULARLY TO 

5616
04:27:27,552 --> 04:27:28,553
PROFESSIONALS.

5617
04:27:28,553 --> 04:27:32,223
TO FATIMA'S POINT WE HAVE 

5618
04:27:32,223 --> 04:27:34,425
PROGRAMS THE WIC EDUCATORS 

5619
04:27:34,425 --> 04:27:39,597
ACROSS THE NATION.

5620
04:27:39,597 --> 04:27:42,367
THERE'S TONS OF PEOPLE AND 

5621
04:27:42,367 --> 04:27:44,535
WONDERING IF WHAT WE NEED TO DO 

5622
04:27:44,535 --> 04:27:46,571
IN OUR RECOMMENDATIONS WE NEED 

5623
04:27:46,571 --> 04:27:51,109
TO MAKE SURE THAT THOSE PROGRAMS

5624
04:27:51,109 --> 04:27:55,947
EDUCATORS AND DIETITIANS, HEALTH

5625
04:27:55,947 --> 04:27:57,482
CARE PROVIDERS ARE INCLUDED IN 

5626
04:27:57,482 --> 04:27:59,817
HOW THIS SHOULD BE TRANSLATED.

5627
04:27:59,817 --> 04:28:02,687
I'M EXCITED, IF I PUT MY 

5628
04:28:02,687 --> 04:28:04,122
PRACTITIONER HAT ON, I THINK 

5629
04:28:04,122 --> 04:28:07,592
ABOUT HOW EDUCATORS CAN REALLY 

5630
04:28:07,592 --> 04:28:10,895
CAN TALK ABOUT THE FLEXIBILITIES

5631
04:28:10,895 --> 04:28:12,930
ACROSS DIFFERENT CULTURES, 

5632
04:28:12,930 --> 04:28:15,700
ACROSS DIFFERENT CONTEXT BECAUSE

5633
04:28:15,700 --> 04:28:21,672
WE DO EDUCATE PEOPLE THAT ARE 

5634
04:28:21,672 --> 04:28:24,509
UNHOUSED.

5635
04:28:24,509 --> 04:28:27,945
AND THINKING ABOUT JUST IN OUR 

5636
04:28:27,945 --> 04:28:29,447
STATE AND PROBABLY REALLY BROAD 

5637
04:28:29,447 --> 04:28:31,716
WHEN YOU LOOK ACROSS THE 

5638
04:28:31,716 --> 04:28:31,949
COUNTRY.

5639
04:28:31,949 --> 04:28:34,118
I'M WONDERING IF WE COULD HAVE A

5640
04:28:34,118 --> 04:28:37,288
RECOMMENDATION TO ENGAGE THOSE 

5641
04:28:37,288 --> 04:28:40,691
PRACTITIONERS IN THE TRANSLATION

5642
04:28:40,691 --> 04:28:46,264
OF THIS BECAUSE I'M CURIOUS, I 

5643
04:28:46,264 --> 04:28:48,065
THINK PEOPLE WILL BE EXCITED AND

5644
04:28:48,065 --> 04:28:50,601
WOULD BE NICE TO HEAR MORE FROM 

5645
04:28:50,601 --> 04:28:53,337
THE EDUCATOR WHO IS REALLY 

5646
04:28:53,337 --> 04:28:54,138
WORKING TO TRANSLATE AND EDUCATE

5647
04:28:54,138 --> 04:28:55,039
THE PUBLIC.

5648
04:28:55,039 --> 04:29:04,081
>> THANK YOU, ANGELA.

5649
04:29:04,081 --> 04:29:08,553
>> THAT SUPPORTS WHAT
FATIMA 

5650
04:29:08,553 --> 04:29:17,695
SAID.

5651
04:29:17,695 --> 04:29:20,164
>> CAN YOU TALK ABOUT THE
BOOK 

5652
04:29:20,164 --> 04:29:22,533
ENDS OF THE FLEXIBLE PATTERN AND

5653
04:29:22,533 --> 04:29:23,501
WHERE DOES IT END?

5654
04:29:23,501 --> 04:29:25,203
I RECOGNIZE WE ARE NOT TALKING 

5655
04:29:25,203 --> 04:29:32,543
THE VEGAN REMOVING ALL THE 

5656
04:29:32,543 --> 04:29:36,547
CARBOHYDRATE AND MAKING IT MORE 

5657
04:29:36,547 --> 04:29:38,316
NUTRIENT DENSE PLANS-BASED MAYBE

5658
04:29:38,316 --> 04:29:41,419
THE FLEXIBILITY OF A FISH IN A 

5659
04:29:41,419 --> 04:29:45,990
VEGETARIAN PATTERN AND GOING TO 

5660
04:29:45,990 --> 04:29:47,758
LACTO -- IS THAT HOW WE'RE 

5661
04:29:47,758 --> 04:29:49,093
FOLDING ALL THESE PATTERNS INTO 

5662
04:29:49,093 --> 04:29:49,360
ONE?

5663
04:29:49,360 --> 04:29:56,767
>> THAT'S A REALLY GOOD 

5664
04:29:56,767 --> 04:30:01,405
QUESTION.

5665
04:30:01,405 --> 04:30:02,740
I DON'T THINK THERE'S BEEN 

5666
04:30:02,740 --> 04:30:04,542
DISCUSSION YET ON WHAT THE BOOK 

5667
04:30:04,542 --> 04:30:05,042
ENDS ARE.

5668
04:30:05,042 --> 04:30:06,143
I THINK THAT'S PART OF THE 

5669
04:30:06,143 --> 04:30:09,313
REASON WE'RE HAVING THE 

5670
04:30:09,313 --> 04:30:10,681
DISCUSSION NOW ABOUT THE BOOK 

5671
04:30:10,681 --> 04:30:11,215
ENDS, YES.

5672
04:30:11,215 --> 04:30:14,352
CHRIS, WOULD YOU AGREE OR 

5673
04:30:14,352 --> 04:30:20,525
HEATHER?

5674
04:30:20,525 --> 04:30:22,426
>> I THINK IT'S SET AROUND
OUR 

5675
04:30:22,426 --> 04:30:24,529
RECOMMENDATIONS FOR WHAT 

5676
04:30:24,529 --> 04:30:25,830
FLEXIBILITIES REALLY FIT FROM 

5677
04:30:25,830 --> 04:30:31,669
OUR DATA OUR ANALYSIS LOOKING AT

5678
04:30:31,669 --> 04:30:34,171
WHAT THINGS CAN WORK WITHIN THE 

5679
04:30:34,171 --> 04:30:36,007
FLEXIBILITIES WITHIN THE MEETING

5680
04:30:36,007 --> 04:30:37,208
NUTRIENT GOALS AND GIVING 

5681
04:30:37,208 --> 04:30:37,808
PARAMETERS BECAUSE WHEN WE 

5682
04:30:37,808 --> 04:30:39,677
LOOKED AT IT, YOU CAN DO SOME 

5683
04:30:39,677 --> 04:30:42,780
THINGS AND CAN REDUCE OR SHIFT 

5684
04:30:42,780 --> 04:30:45,449
THINGS AND REPLACE ALMOST ALL 

5685
04:30:45,449 --> 04:30:47,351
WITH ANOTHER AND THERE ARE OTHER

5686
04:30:47,351 --> 04:30:47,718
IMPLICATIONS.

5687
04:30:47,718 --> 04:30:50,755
FOR OTHERS YOU HAVE ONE OR TWO 

5688
04:30:50,755 --> 04:30:51,889
AND NOW ALL OF A SUDDEN WHEN 

5689
04:30:51,889 --> 04:30:53,591
YOU'RE STARTING TO EAT THIS 

5690
04:30:53,591 --> 04:30:57,194
INSTEAD OF THIS IT CREATES A 

5691
04:30:57,194 --> 04:30:58,029
DIFFERENT PROBLEM.

5692
04:30:58,029 --> 04:30:59,897
SO THERE'LL BE BUFFER ZONES 

5693
04:30:59,897 --> 04:31:03,768
AROUND WHERE THOSE FLEXIBILITIES

5694
04:31:03,768 --> 04:31:05,670
HERE AND START HERE AND 

5695
04:31:05,670 --> 04:31:07,271
MAKESHIFTS AROUND THERE BUT 

5696
04:31:07,271 --> 04:31:12,543
BEING ABLE TO ALSO PROVIDE THE 

5697
04:31:12,543 --> 04:31:14,011
QUANTIFICATION AS TO IF YOU 

5698
04:31:14,011 --> 04:31:17,014
START TO DO THESE YOU'LL HAVE TO

5699
04:31:17,014 --> 04:31:18,482
REPLACE THE FOLATE OR PROTEIN OR

5700
04:31:18,482 --> 04:31:20,551
WHATEVER IT MAY.

5701
04:31:20,551 --> 04:31:23,988
.

5702
04:31:23,988 --> 04:31:27,158
AND THERE'S ACTUALLY A COUPLE 

5703
04:31:27,158 --> 04:31:32,530
MORE CHANGES BEING PROPOSED THAT

5704
04:31:32,530 --> 04:31:33,965
I'M A LITTLE NERVOUS ABOUT 

5705
04:31:33,965 --> 04:31:34,699
PRESENTING.

5706
04:31:34,699 --> 04:31:35,733
BUT HOLD THAT THOUGHT.

5707
04:31:35,733 --> 04:31:46,143
I THINK THAT WILL COME UP AGAIN.

5708
04:31:46,143 --> 04:31:48,546
>> ALL RIGHT WITHIN THE
HUSS 

5709
04:31:48,546 --> 04:31:50,314
PATTERN THERE'S SO MUCH 

5710
04:31:50,314 --> 04:31:52,550
VARIABILITY THAT'S ENCOURAGED.

5711
04:31:52,550 --> 04:31:55,086
THAT'S KIND OF REPRESENTED LIKE 

5712
04:31:55,086 --> 04:31:56,554
THINKING ABOUT THE PROTEIN FOODS

5713
04:31:56,554 --> 04:31:57,221
LIKE THERE'S MANY THAT FIT 

5714
04:31:57,221 --> 04:32:03,427
THERE.

5715
04:32:03,427 --> 04:32:04,362
WE'RE ALREADY ENCOURAGING PEOPLE

5716
04:32:04,362 --> 04:32:05,930
TO EAT A VARIETY.

5717
04:32:05,930 --> 04:32:11,502
WE LOOKED AT SOME OF THE 

5718
04:32:11,502 --> 04:32:13,738
VARIABILITY AND WHAT WE DO AND 

5719
04:32:13,738 --> 04:32:14,672
ESPECIALLY AGAIN THINKING ABOUT 

5720
04:32:14,672 --> 04:32:16,774
THE VEGETABLE GROUPS AND ALL 

5721
04:32:16,774 --> 04:32:18,442
THOSE DIFFERENT SUB GROUPS AND 

5722
04:32:18,442 --> 04:32:20,911
WHAT HAPPENS WHEN WE INCREASE OR

5723
04:32:20,911 --> 04:32:21,412
DECREASE THE DIFFERENT 

5724
04:32:21,412 --> 04:32:29,854
QUANTITIES THERE.

5725
04:32:29,854 --> 04:32:35,192
WITH REGARD TO THOSE WHEN IT'S 

5726
04:32:35,192 --> 04:32:37,595
RAUL ONE THING THERE COULD 

5727
04:32:37,595 --> 04:32:39,730
BECOME NUTRIENT SHORTFALLS AND 

5728
04:32:39,730 --> 04:32:42,600
WE'VE BEEN ABLE TO NAIL THOSE 

5729
04:32:42,600 --> 04:32:43,734
DOWN SO PEOPLE HAVE MORE 

5730
04:32:43,734 --> 04:32:47,104
KNOWLEDGE OF WHAT DOES HAPPEN 

5731
04:32:47,104 --> 04:32:47,304
THERE.

5732
04:32:47,304 --> 04:32:54,245
IT HELPS PUT BOOK ENDS ON WHAT 

5733
04:32:54,245 --> 04:32:58,349
THAT SHOULD BE IN PARTICULAR AND

5734
04:32:58,349 --> 04:32:59,283
WHAT FLEXIBILITIES THERE ARE 

5735
04:32:59,283 --> 04:33:05,623
WITHIN THE GROUPS.

5736
04:33:05,623 --> 04:33:09,126
>> I SEE THE BOOK ENDS AS
THE 

5737
04:33:09,126 --> 04:33:10,361
NUTRIENT ADEQUACY BECAUSE IF IT 

5738
04:33:10,361 --> 04:33:11,529
GOES OUTSIDE OF THAT IS WHEN 

5739
04:33:11,529 --> 04:33:18,269
THINGS START TO BREAK DOWN.

5740
04:33:18,269 --> 04:33:20,571
THAT'S WHAT THE FOOD PATTERN 

5741
04:33:20,571 --> 04:33:22,406
MODELLING DOES WAS SHOW US WHERE

5742
04:33:22,406 --> 04:33:23,307
THE GUARDRAILS ARE.

5743
04:33:23,307 --> 04:33:25,009
THESE ARE PATTERNS SO THERE'S 

5744
04:33:25,009 --> 04:33:25,409
USUAL CONSUMPTION.

5745
04:33:25,409 --> 04:33:27,178
OVER A WEEK YOU MIGHT HAVE ONE 

5746
04:33:27,178 --> 04:33:31,182
OR TWO DAYS THAT DON'T LOOK THE 

5747
04:33:31,182 --> 04:33:33,584
SAME BUT OVER THE TOTALITY IT 

5748
04:33:33,584 --> 04:33:40,925
KIND OF MEETS THOSE GOALS.

5749
04:33:40,925 --> 04:33:42,426
>> THANK YOU VERY MUCH,
DEANNA.

5750
04:33:42,426 --> 04:33:43,461
THAT'S REALLY HELP.

5751
04:33:43,461 --> 04:33:44,328
.

5752
04:33:44,328 --> 04:33:46,263
OTHER QUESTIONS BEFORE WE PULL 

5753
04:33:46,263 --> 04:33:53,370
UP THE SLIDES AND GO TO THE NEXT

5754
04:33:53,370 --> 04:33:54,238
PROPO

5755
04:33:54,238 --> 04:33:56,574
PROPOSALS.

5756
04:33:56,574 --> 04:34:06,283
GREAT.

5757
04:34:06,283 --> 04:34:08,385
MOVING ON THE ASSUMPTION OF A 

5758
04:34:08,385 --> 04:34:18,929
MORE FLEXIBLE DIETARY PATTERN, 

5759
04:34:38,716 --> 04:34:39,717
WE'RE PROPOSING TO FLIP IT TO 

5760
04:34:39,717 --> 04:34:43,087
THE NUTS, SEEDS AND SOY PRODUCTS

5761
04:34:43,087 --> 04:34:45,222
ARE LISTED FIRST THEN SEAFOOD 

5762
04:34:45,222 --> 04:34:54,298
AND THEN MEAT, POULTRY AND EGG.

5763
04:34:54,298 --> 04:34:56,400
I WANTED TO STOP THERE WITH 

5764
04:34:56,400 --> 04:34:57,134
DIFFERENT DISCUSSIONS IN 

5765
04:34:57,134 --> 04:34:58,502
DIFFERENT SUBCOMMITTEES ABOUT 

5766
04:34:58,502 --> 04:35:04,909
THE INTERNAL ORDER WITHIN THOSE 

5767
04:35:04,909 --> 04:35:07,244
FOOD/SUB GROUPS AND WANTED TO 

5768
04:35:07,244 --> 04:35:08,546
SEE IF PEOPLE WERE COMFORTABLE 

5769
04:35:08,546 --> 04:35:11,849
AND IF THERE WERE CHANGES WITHIN

5770
04:35:11,849 --> 04:35:13,484
THE GROUPS LISTED HERE BECAUSE 

5771
04:35:13,484 --> 04:35:16,387
OF ANOTHER BIG CHANGE COMING UP.

5772
04:35:16,387 --> 04:35:20,524
I'VE GOT A THUMBS UP FROM 

5773
04:35:20,524 --> 04:35:22,459
CHRISTINA AND QUESTION FROM 

5774
04:35:22,459 --> 04:35:22,760
CHRISTOPHER.

5775
04:35:22,760 --> 04:35:28,465
>> I THINK IT MIGHT BE THE
NEXT 

5776
04:35:28,465 --> 04:35:29,433
SLIDE, REMOVING BEANS, PEAS AND 

5777
04:35:29,433 --> 04:35:30,067
LENTILS TO PROTEIN.

5778
04:35:30,067 --> 04:35:31,635
IS THAT PART OF THE QUESTION?

5779
04:35:31,635 --> 04:35:33,037
>> NO, THAT'S NOT PART OF
THE 

5780
04:35:33,037 --> 04:35:33,437
QUESTION.

5781
04:35:33,437 --> 04:35:35,306
YOU MAY NOT HAVE THAT RIGHT BUT 

5782
04:35:35,306 --> 04:35:37,174
NO, IT'S JUST WHAT WE'VE GOT ON 

5783
04:35:37,174 --> 04:35:38,375
THE SCREEN NOW.

5784
04:35:38,375 --> 04:35:41,946
JUST SO WE CAN SEPARATE OUT.

5785
04:35:41,946 --> 04:35:43,080
>> OKAY.

5786
04:35:43,080 --> 04:35:47,818
THE BEST SOURCE THAT IS GLOBALLY

5787
04:35:47,818 --> 04:35:48,552
CONSUMED IS BEANS, PEAS AND 

5788
04:35:48,552 --> 04:35:51,155
LENTILS NOT NUTS OR SEEDS.

5789
04:35:51,155 --> 04:35:51,655
>> OKAY.

5790
04:35:51,655 --> 04:35:57,127
SO YOU'RE OKAY WITH THIS ORDER?

5791
04:35:57,127 --> 04:35:58,028
>> YEAH.

5792
04:35:58,028 --> 04:35:59,897
SOMEHOW THE PLANT-BASED PROTEIN 

5793
04:35:59,897 --> 04:36:01,899
SOURCES I'D GO FOR IF THERE'S 

5794
04:36:01,899 --> 04:36:03,934
ONLY THREE CATEGORIES, THOSE 

5795
04:36:03,934 --> 04:36:09,073
THREE RIGHT THERE ARE FINE.

5796
04:36:09,073 --> 04:36:10,941
>> ANYBODY ELSE HAVE
DIFFICULTY 

5797
04:36:10,941 --> 04:36:11,475
WITH THE ORDER?

5798
04:36:11,475 --> 04:36:12,543
>> WAIT.

5799
04:36:12,543 --> 04:36:13,711
ADD ONE.

5800
04:36:13,711 --> 04:36:16,413
FOR THE MEATS, POULTRY AND EGGS,

5801
04:36:16,413 --> 04:36:18,849
PART OF WHAT WE SAW IN ALL OF 

5802
04:36:18,849 --> 04:36:20,217
OUR ANALYSES WERE THE RED MEATS 

5803
04:36:20,217 --> 04:36:22,152
WHETHER THEY WERE PROCESSED OR 

5804
04:36:22,152 --> 04:36:23,287
NOT WERE THE ONES TO REDUCE MORE

5805
04:36:23,287 --> 04:36:28,692
THAN THE POULTRY.

5806
04:36:28,692 --> 04:36:29,727
OR THE EGGS.

5807
04:36:29,727 --> 04:36:35,799
I WOULD HAVE PUT THEM VERY LAST.

5808
04:36:35,799 --> 04:36:37,601
I WOULD HAVE PUT MEATS LAST 

5809
04:36:37,601 --> 04:36:39,470
WITHIN THE CATEGORY.

5810
04:36:39,470 --> 04:36:42,239
>> SO EGGS, POULTRY AND
MEAT?

5811
04:36:42,239 --> 04:36:43,474
>> YEAH.

5812
04:36:43,474 --> 04:36:44,375
>> OKAY.

5813
04:36:44,375 --> 04:36:48,345
DOES ANYBODY HAVE OBJECTION TO 

5814
04:36:48,345 --> 04:36:48,545
THAT?

5815
04:36:48,545 --> 04:36:49,647
CHRISTOPHER, SO I'M 

5816
04:36:49,647 --> 04:36:51,148
UNDERSTANDING, THIS IS BEING 

5817
04:36:51,148 --> 04:36:53,150
DRIVEN BY THE SYSTEMATIC REVIEW 

5818
04:36:53,150 --> 04:36:53,417
EVIDENCE?

5819
04:36:53,417 --> 04:36:53,918
>> YES.

5820
04:36:53,918 --> 04:36:56,020
SO WHAT WE DID FOR SOURCES OF 

5821
04:36:56,020 --> 04:36:59,156
SATURATED FAT, WHAT WE DID FOR 

5822
04:36:59,156 --> 04:37:04,061
PATTERNS, IT WAS OFTEN WHAT YOU 

5823
04:37:04,061 --> 04:37:08,365
NEEDED TO REDUCED RED MEATS 

5824
04:37:08,365 --> 04:37:08,999
PROFES

5825
04:37:08,999 --> 04:37:10,567
PROCESSED OR UNPROCESSED.

5826
04:37:10,567 --> 04:37:11,302
>> GREAT.

5827
04:37:11,302 --> 04:37:12,536
ANYBODY ELSE HAVE COMMENTS OR 

5828
04:37:12,536 --> 04:37:19,176
CONCERNS?

5829
04:37:19,176 --> 04:37:19,343
OB.

5830
04:37:19,343 --> 04:37:22,046
NEXT SLIDE, PLEASE.

5831
04:37:22,046 --> 04:37:23,681
SO THIS IS WHERE COMMUNICATION 

5832
04:37:23,681 --> 04:37:27,751
IS GOING TO COME IN.

5833
04:37:27,751 --> 04:37:30,621
WE KNOW AS EVERYONE KNOWS WE'VE 

5834
04:37:30,621 --> 04:37:32,323
HAD A GREAT DEAL OF DISCUSSION 

5835
04:37:32,323 --> 04:37:33,657
AMONG THE COMMITTEE MEMBERS IN 

5836
04:37:33,657 --> 04:37:38,963
OUR PUBLIC MEETINGS ABOUT WHERE 

5837
04:37:38,963 --> 04:37:39,563
DO YOU HOUSE BEANS, PEAS AND 

5838
04:37:39,563 --> 04:37:42,599
LENTILS?

5839
04:37:42,599 --> 04:37:48,172
THEGS BECOMES  -- THIS BECOMES 

5840
04:37:48,172 --> 04:37:49,473
CHALLENGING LOOKING AT THE 

5841
04:37:49,473 --> 04:37:54,011
HEALTHY VEGETARIAN PATTERN WHERE

5842
04:37:54,011 --> 04:37:55,179
YOU HAVE BEANS, PEAS AND LENTILS

5843
04:37:55,179 --> 04:37:56,947
IN PROTEIN FOODS AND IN THE 

5844
04:37:56,947 --> 04:37:59,850
U.S. STYLE IT'S ALL IN THE 

5845
04:37:59,850 --> 04:38:01,986
VEGETABLE.

5846
04:38:01,986 --> 04:38:03,153
PLEASE NOTE, THERE ARE DIFFERENT

5847
04:38:03,153 --> 04:38:06,023
UNITS ASSOCIATED WITH THE 

5848
04:38:06,023 --> 04:38:07,424
DIFFERENT FOOD GROUPS.

5849
04:38:07,424 --> 04:38:08,058
WHEN BEANS, PEAS AND LENTILS ARE

5850
04:38:08,058 --> 04:38:10,094
IN THE VEGETABLE GROUP, THOSE 

5851
04:38:10,094 --> 04:38:12,529
ARE CUP EQUIVALENTS PER WEEK.

5852
04:38:12,529 --> 04:38:14,264
WHEN THEY'RE IN THE PROTEIN 

5853
04:38:14,264 --> 04:38:19,837
FOODS, THEY'RE OUNCE EQUIVALENT 

5854
04:38:19,837 --> 04:38:21,138
A WEEK.

5855
04:38:21,138 --> 04:38:24,541
AND PEOPLE WERE THINKING ABOUT 

5856
04:38:24,541 --> 04:38:33,250
SUBSTITUTIONS.

5857
04:38:33,250 --> 04:38:36,020
BEANS, PEAS AND LENTILS BE TAKEN

5858
04:38:36,020 --> 04:38:40,524
FROM THE VEGETABLE GROUP AND 

5859
04:38:40,524 --> 04:38:41,425
ENTIRELY HOUSED IN THE PROTEIN 

5860
04:38:41,425 --> 04:38:45,229
FOODS AGAIN ALIGNED WITH THE 

5861
04:38:45,229 --> 04:38:47,264
SYSTEMATIC EFFORTS TO ENCOURAGE 

5862
04:38:47,264 --> 04:38:51,335
PLANT SOURCES AND IT WILL GO 

5863
04:38:51,335 --> 04:38:52,936
FIRST THE NEXT NUTS AND SEEDS 

5864
04:38:52,936 --> 04:38:55,906
THEN THE SEAFOOD, AND WE HAVE 

5865
04:38:55,906 --> 04:38:58,208
ALREADY GOT EGGS, POULTRY AND 

5866
04:38:58,208 --> 04:38:59,076
MEATS.

5867
04:38:59,076 --> 04:39:00,544
CHRISTOPHER, SEE HOW FAST THAT 

5868
04:39:00,544 --> 04:39:03,380
HAPPENED.

5869
04:39:03,380 --> 04:39:06,617
NOW THE IMPLICATIONS OF THIS I 

5870
04:39:06,617 --> 04:39:08,752
WANT TO DRAW YOUR ATTENTION TO.

5871
04:39:08,752 --> 04:39:11,722
IT LOOKS LIKE WE'RE RECOMMENDING

5872
04:39:11,722 --> 04:39:22,366
AMERICANS EAT LESS VEGETABLES 

5873
04:39:23,133 --> 04:39:27,137
BECAUSE YOU'RE PULLING GROUPS 

5874
04:39:27,137 --> 04:39:29,473
AND LOOKS LIKE WE NEED TO EAT 

5875
04:39:29,473 --> 04:39:32,443
MORE PROTEIN FOODS.

5876
04:39:32,443 --> 04:39:34,878
THE MOST IMPORTANT THING IS 

5877
04:39:34,878 --> 04:39:36,013
PEOPLE DON'T EAT ENOUGH 

5878
04:39:36,013 --> 04:39:37,614
VEGETABLES ALREADY.

5879
04:39:37,614 --> 04:39:39,817
WE'RE THOUGHT SAYING PEOPLE NEED

5880
04:39:39,817 --> 04:39:43,620
TO EAT LESS IT'S JUST THE BEANS,

5881
04:39:43,620 --> 04:39:44,721
PEAS AND LENTILS PUT IN PROTEIN 

5882
04:39:44,721 --> 04:39:47,157
FOODS POULD HAVE TO BE A STRONG 

5883
04:39:47,157 --> 04:39:48,358
EMPHASIS ON HOW TO COMMUNICATE 

5884
04:39:48,358 --> 04:39:53,097
THAT TO THE U.S. PUBLIC.

5885
04:39:53,097 --> 04:39:53,297
OKAY.

5886
04:39:53,297 --> 04:39:59,136
I'M GOING TO THROW IT OUT FOR 

5887
04:39:59,136 --> 04:40:03,841
REACTION.

5888
04:40:03,841 --> 04:40:04,074
ANGELA.

5889
04:40:04,074 --> 04:40:14,551
>> I REALLY DON'T LIKE
THIS.

5890
04:40:19,256 --> 04:40:22,693
I DON'T LIKE THE LABEL PROTEIN 

5891
04:40:22,693 --> 04:40:24,561
FOODS BUT THE THING IS SEAS 

5892
04:40:24,561 --> 04:40:27,731
CONFUSING BUT I KNOW THERE'S 

5893
04:40:27,731 --> 04:40:30,367
BEEN FOCUS GROUPS IN OTHER 

5894
04:40:30,367 --> 04:40:32,469
THINGS BECAUSE PEOPLE LIKE THE 

5895
04:40:32,469 --> 04:40:32,736
IDEA.

5896
04:40:32,736 --> 04:40:36,640
IT WAS CHANGED FOR A REASON.

5897
04:40:36,640 --> 04:40:38,208
I THINK BEANS, PEAS AND LENTILS 

5898
04:40:38,208 --> 04:40:43,814
SHOULD BE IN ITS OWN GROUP BUT 

5899
04:40:43,814 --> 04:40:46,550
THAT'S ANOTHER -- GROUP THAT'S 

5900
04:40:46,550 --> 04:40:47,551
BEANS, PEAS AND LENTILS BUT TO 

5901
04:40:47,551 --> 04:40:53,524
ME IT'S ALMOST LIKE IN THE 

5902
04:40:53,524 --> 04:40:53,824
TRANSLATION.

5903
04:40:53,824 --> 04:40:54,925
LET PEOPLE WE'RE TRYING TO FORCE

5904
04:40:54,925 --> 04:41:00,531
PEOPLE IN WE'RE GOING TO MOVE IT

5905
04:41:00,531 --> 04:41:05,035
AND FORCE PEOPLE PROTEIN FOODS.

5906
04:41:05,035 --> 04:41:07,771
MY PURPOSE WOULD BE A ZONE GROUP

5907
04:41:07,771 --> 04:41:09,139
BUT IT'S OKAY TO BE IN THE 

5908
04:41:09,139 --> 04:41:13,710
VEGETABLES BECAUSE WE STILL HAVE

5909
04:41:13,710 --> 04:41:17,181
WANT TO REINFORCE THERE ARE 

5910
04:41:17,181 --> 04:41:19,483
CULTURES THAT BEANS, PEAS AND 

5911
04:41:19,483 --> 04:41:21,218
LENTILS AS VEGETABLES.

5912
04:41:21,218 --> 04:41:23,687
IT'S OKAY TO BE IN THE VEGETABLE

5913
04:41:23,687 --> 04:41:23,887
GROUP.

5914
04:41:23,887 --> 04:41:25,923
I ACTUALLY LIKE IT IN THE 

5915
04:41:25,923 --> 04:41:26,690
VEGETABLE GROUP.

5916
04:41:26,690 --> 04:41:27,925
>> OKAY.

5917
04:41:27,925 --> 04:41:30,694
DEANNA.

5918
04:41:30,694 --> 04:41:31,762
>> A COUPLE THINGS.

5919
04:41:31,762 --> 04:41:34,765
ONE IS WE DEVELOPED A HISPANIC 

5920
04:41:34,765 --> 04:41:36,533
FOOD PYRAMID AND BEANS WAS ITS 

5921
04:41:36,533 --> 04:41:46,777
OWN CATEGORY.

5922
04:41:49,446 --> 04:41:52,783
NO ONE EATS OUNCE EQUIVALENTS OF

5923
04:41:52,783 --> 04:41:53,483
BEANS, PEAS AND LENTILS IT NEEDS

5924
04:41:53,483 --> 04:42:03,860
TO BE IN CUPS SOMEHOW.

5925
04:42:12,803 --> 04:42:14,338
>> DOES ANYONE PROPOSE
BEANS, 

5926
04:42:14,338 --> 04:42:15,339
PEAS AND LENTILS BE ITS OWN FOOD

5927
04:42:15,339 --> 04:42:15,872
GROUP?

5928
04:42:15,872 --> 04:42:18,475
WHAT ARE THE PROS AND CONS?

5929
04:42:18,475 --> 04:42:27,284
GO WANT TO PROPOSE IT?

5930
04:42:27,284 --> 04:42:29,987
I'M SEEING A LOT OF NODS.

5931
04:42:29,987 --> 04:42:32,556
OKAY.

5932
04:42:32,556 --> 04:42:34,791
ALLINE.

5933
04:42:34,791 --> 04:42:41,064
>> I'M HEARING ALL THE
COMMENTS.

5934
04:42:41,064 --> 04:42:47,771
HAVING IT AS ANOTHER FOOD GROUP 

5935
04:42:47,771 --> 04:42:55,212
MAY A -- I THINK SOY IS A LEGUME

5936
04:42:55,212 --> 04:43:00,183
TOO BUT SOY HAS ALWAYS BEEN 

5937
04:43:00,183 --> 04:43:04,121
CONSIDERED AND PEANUTS BELONG 

5938
04:43:04,121 --> 04:43:06,490
THERE BUT WE MAY NOT WANT TOO 

5939
04:43:06,490 --> 04:43:09,926
MUCH BUT I WONDER IF WE'RE 

5940
04:43:09,926 --> 04:43:13,563
CONSIDERING THAT NEW CATEGORY OF

5941
04:43:13,563 --> 04:43:15,132
LEGUMES BEING BEANS, PEAS AND 

5942
04:43:15,132 --> 04:43:17,167
LENTILS AND WOULD SOY GET INTO 

5943
04:43:17,167 --> 04:43:23,206
THAT SO THEN IT MAKES MORE SENSE

5944
04:43:23,206 --> 04:43:24,541
RATHER THAN THE NUTS AND SEEDS 

5945
04:43:24,541 --> 04:43:31,615
CATEGORY.

5946
04:43:31,615 --> 04:43:33,817
THAT'S A GOOD POINT.

5947
04:43:33,817 --> 04:43:35,085
I THINK IT WILL BE A 

5948
04:43:35,085 --> 04:43:36,019
RECOMMENDATION FOR FUTURE 

5949
04:43:36,019 --> 04:43:36,353
COMMITTEES.

5950
04:43:36,353 --> 04:43:38,555
THAT'S VERY HELPFUL.

5951
04:43:38,555 --> 04:43:48,865
THANK YOU, ALLINE.

5952
04:43:50,033 --> 04:43:55,672
>> PART OF THE ISSUE IN
AMERICAN

5953
04:43:55,672 --> 04:43:57,007
IS THERE'S DIFFERENT 

5954
04:43:57,007 --> 04:43:57,574
PERSPECTIVES.

5955
04:43:57,574 --> 04:44:00,277
THAT ASIDE THIS CONVERSATION HAS

5956
04:44:00,277 --> 04:44:02,145
GIVEN ME ANOTHER IDEA OF PUTTING

5957
04:44:02,145 --> 04:44:04,548
THE PROTEIN FOODS NEXT TO 

5958
04:44:04,548 --> 04:44:05,749
VEGETABLES, ADD A BEAN ACCOUNT 

5959
04:44:05,749 --> 04:44:08,085
GY BUT HAVE DOTTED LINES.

5960
04:44:08,085 --> 04:44:10,120
NOT ONLY IS IT ITS OWN CATEGORY 

5961
04:44:10,120 --> 04:44:14,725
BUT BLURZ INTO VEGETABLES BLURS 

5962
04:44:14,725 --> 04:44:16,893
INTO PROTEINS.

5963
04:44:16,893 --> 04:44:19,796
YOU CAN SEE HOW IT MERITS ITS 

5964
04:44:19,796 --> 04:44:21,131
OWN CATEGORY BUT KIND OF DOUBLE 

5965
04:44:21,131 --> 04:44:22,199
COUNTS AS VEGETABLES AND 

5966
04:44:22,199 --> 04:44:23,300
PROTEINS FOR SOME PEOPLE.

5967
04:44:23,300 --> 04:44:27,137
I WONDER IF THERE'S A WAY TO 

5968
04:44:27,137 --> 04:44:37,647
GEOGRAPHICALLY REPRESENT THAT?

5969
04:44:39,850 --> 04:44:42,853
>> I HAVE AN OPPOSITE
REACTION 

5970
04:44:42,853 --> 04:44:45,389
TO INJURY THEM.

5971
04:44:45,389 --> 04:44:46,323
I LEAST IN THE HISPANIC CULTURE 

5972
04:44:46,323 --> 04:44:48,725
IS SEEN AS A PROTEIN GROUP AND 

5973
04:44:48,725 --> 04:44:50,694
IT'S COMBINED WITH RICE AND 

5974
04:44:50,694 --> 04:44:52,229
THAT'S WHAT MANY PEOPLE CONSUME.

5975
04:44:52,229 --> 04:44:54,331
RICE AND BEANS AND THAT'S IT.

5976
04:44:54,331 --> 04:44:55,899
THEY DON'T HAVE A MEAT OR ANY 

5977
04:44:55,899 --> 04:44:57,367
OTHER SOURCE OF PROTEIN.

5978
04:44:57,367 --> 04:45:01,905
THAT'S THE SOURCE OF PROTEIN.

5979
04:45:01,905 --> 04:45:08,779
IT MAY BE DIFFERENT IN DIFFERENT

5980
04:45:08,779 --> 04:45:14,651
CULTURES.

5981
04:45:14,651 --> 04:45:18,855
AND 

5982
04:45:18,855 --> 04:45:25,429
>> WHAT RAZE THE
VEGETABLE?

5983
04:45:25,429 --> 04:45:28,398
A LOT OF CULTURES USE ONE-POT 

5984
04:45:28,398 --> 04:45:30,667
MALES AND IN THE BEANS AND RICE 

5985
04:45:30,667 --> 04:45:32,869
WHAT WOULD BE CONSIDERED THE 

5986
04:45:32,869 --> 04:45:33,303
VEGETABLE?

5987
04:45:33,303 --> 04:45:34,905
>> IT VARIES.

5988
04:45:34,905 --> 04:45:38,708
IT'S VERY DIFFERENT IN HISPANIC 

5989
04:45:38,708 --> 04:45:39,176
CULTURES.

5990
04:45:39,176 --> 04:45:40,544
IT'S A BIG MELTING POD OF 

5991
04:45:40,544 --> 04:45:45,182
DIFFERENT CULTURES.

5992
04:45:45,182 --> 04:45:49,786
THERE'S VEGGIES USED IN THE 

5993
04:45:49,786 --> 04:45:52,989
COOKING, CILANTRO AND HERBS AND 

5994
04:45:52,989 --> 04:45:57,928
CARROTS AND SO IT VARIES.

5995
04:45:57,928 --> 04:46:00,530
IT'S EMBEDDED WITHIN THE COOKING

5996
04:46:00,530 --> 04:46:08,104
OF THE BEANS, PEAS AND LENTILS.

5997
04:46:08,104 --> 04:46:09,272
SOME MAY HAVE SOME SORT OF 

5998
04:46:09,272 --> 04:46:11,608
GREENS OR OTHERS MORE THE ORANGE

5999
04:46:11,608 --> 04:46:13,743
BUT I'M NOT AN EXPERT IN THE 

6000
04:46:13,743 --> 04:46:15,512
DIFFERENT HISPANIC CULTURES.

6001
04:46:15,512 --> 04:46:17,848
>> TOMATOES ALSO THOUGH
THEY'RE 

6002
04:46:17,848 --> 04:46:18,648
TECHNICALLY A FRUIT.

6003
04:46:18,648 --> 04:46:28,892
>> THANK YOU.

6004
04:46:29,392 --> 04:46:34,130
>> THIS IS A GREAT
DISCUSSION.

6005
04:46:34,130 --> 04:46:35,465
I'M A LITTLE BIT ON BOTH SIDES.

6006
04:46:35,465 --> 04:46:37,767
IT'S A TOUGH ONE.

6007
04:46:37,767 --> 04:46:42,339
BUT FROM A STRICTLY SCIENTIFIC 

6008
04:46:42,339 --> 04:46:44,541
PERSPECTIVE I DON'T LIKE 

6009
04:46:44,541 --> 04:46:47,310
DISTINGUISHING PROTEIN I MEAN 

6010
04:46:47,310 --> 04:46:50,480
ANIMAL AND PLANT PROTEIN BECAUSE

6011
04:46:50,480 --> 04:46:52,682
PROBABLY THE HEALTH EFFECTS HAVE

6012
04:46:52,682 --> 04:46:54,584
LITTLE TO DO WITH THE PROTEIN 

6013
04:46:54,584 --> 04:46:57,821
BUT WHAT COMES ALONG WITH IT OR 

6014
04:46:57,821 --> 04:46:59,856
DOESN'T SO IT'S LIKE THE FIBE 

6015
04:46:59,856 --> 04:47:01,591
ESH AND ALL THE NUTRIENTS THAT 

6016
04:47:01,591 --> 04:47:02,292
ARE IMPORTANT.

6017
04:47:02,292 --> 04:47:06,062
SO PRETEEN IS REALLY NOT 

6018
04:47:06,062 --> 04:47:11,134
IMPORTANT ISSUE FROM THAT 

6019
04:47:11,134 --> 04:47:13,570
PERSPECTIVE BUT A LOT OF PEOPLE 

6020
04:47:13,570 --> 04:47:15,405
FEEL PROTEIN IS IMPORTANT.

6021
04:47:15,405 --> 04:47:17,707
IT'S ONE OF THE FEW ITEMS PEOPLE

6022
04:47:17,707 --> 04:47:21,011
WERE EXCEEDING AND A LOT OF 

6023
04:47:21,011 --> 04:47:24,347
PEOPLE THINK AT LEAST PEOPLE I 

6024
04:47:24,347 --> 04:47:25,649
TALK TO YOU HAVE TO EAT MEAT AND

6025
04:47:25,649 --> 04:47:28,919
THAT'S WHERE YOU GET YOUR 

6026
04:47:28,919 --> 04:47:29,185
PROTEIN.

6027
04:47:29,185 --> 04:47:30,620
I THINK A LOT OF PEOPLE DON'T 

6028
04:47:30,620 --> 04:47:34,791
THINK OF BEANS AND PEAS AS 

6029
04:47:34,791 --> 04:47:36,726
ACCOUNTING FOR PROTEIN.

6030
04:47:36,726 --> 04:47:38,194
I THINK THAT WOULD BE A 

6031
04:47:38,194 --> 04:47:40,530
POTENTIAL ADVANTAGE OF INCLUDING

6032
04:47:40,530 --> 04:47:49,139
IT AS A PROTEIN FOOD.

6033
04:47:49,139 --> 04:47:50,140
AND FROM THE SCIENTIFIC AND 

6034
04:47:50,140 --> 04:47:51,808
PRACTICAL PERSPECTIVE.

6035
04:47:51,808 --> 04:47:52,475
>> THANK YOU, ED.

6036
04:47:52,475 --> 04:47:58,715
SAMEERA.

6037
04:47:58,715 --> 04:48:04,654
>> ASIAN CULTURE WOULD
CONSIDER 

6038
04:48:04,654 --> 04:48:06,256
BEANS, PEAS AND LENTILS AS 

6039
04:48:06,256 --> 04:48:06,556
PROTEIN.

6040
04:48:06,556 --> 04:48:08,558
IN VEGETARIAN DIETS IT'S THE 

6041
04:48:08,558 --> 04:48:12,295
SOLE PROTEIN IF THEY DON'T EAT 

6042
04:48:12,295 --> 04:48:14,097
EGG EITHER.

6043
04:48:14,097 --> 04:48:16,866
I WOULD BE OKAY MOVING IT TO THE

6044
04:48:16,866 --> 04:48:20,770
PROTEIN GROUP IF THAT'S 

6045
04:48:20,770 --> 04:48:21,504
FEASIBLE.

6046
04:48:21,504 --> 04:48:22,405
>> DIDI.

6047
04:48:22,405 --> 04:48:24,040
>> ONE THING THAT
SURPRISED ME 

6048
04:48:24,040 --> 04:48:25,775
FROM OUR MODELLING WAS THE 

6049
04:48:25,775 --> 04:48:28,545
AMOUNT OF PROTEIN IN THE DIET 

6050
04:48:28,545 --> 04:48:32,816
COMES ONLY HALF FROM FROM THE 

6051
04:48:32,816 --> 04:48:34,117
PROTEIN GROUP THAT A LOT OF THE 

6052
04:48:34,117 --> 04:48:39,055
NUTRIENT PROTEIN COMES FROM ALL 

6053
04:48:39,055 --> 04:48:39,923
THE OTHER GROUPS TOGETHER.

6054
04:48:39,923 --> 04:48:41,992
PUTTING MORE PROTEIN SOURCES IN 

6055
04:48:41,992 --> 04:48:43,026
THE CATEGORY MAKES A LITTLE BIT 

6056
04:48:43,026 --> 04:48:49,232
OF SENSE JUST TO HAVE IT MORE OF

6057
04:48:49,232 --> 04:48:51,401
MAIN PROTEIN SOURCES.

6058
04:48:51,401 --> 04:48:52,035
BEHAVIORALLY BECAUSE THE 

6059
04:48:52,035 --> 04:48:57,540
CALCULUS AT THE END OF THE DAY 

6060
04:48:57,540 --> 04:49:07,217
IS THE STATEMENT.

6061
04:49:07,217 --> 04:49:10,153
AND THERE'S MORE PROTEINS IN THE

6062
04:49:10,153 --> 04:49:13,657
PROTEIN CATEGORY THAT COULD HELP

6063
04:49:13,657 --> 04:49:17,127
OVERCOME THAT MISLABELLING OR 

6064
04:49:17,127 --> 04:49:19,663
MISNOMER OR MISINFORMATION FROM 

6065
04:49:19,663 --> 04:49:21,064
HAVING IT MORE PROMINENTLY NOT 

6066
04:49:21,064 --> 04:49:30,273
JUST ALL THE MEAT LINE.

6067
04:49:30,273 --> 04:49:33,176
AND OFFERED FLEXIBILITY IN THE 

6068
04:49:33,176 --> 04:49:35,912
SWAPS WHERE WE'D HAVE 

6069
04:49:35,912 --> 04:49:37,247
INCREASINGLY PLANT BASED THAT'S 

6070
04:49:37,247 --> 04:49:38,682
BEANS, PEAS AND LENTILS AT THE 

6071
04:49:38,682 --> 04:49:40,283
EXPENSE OF OTHER MEAT PRODUCTS 

6072
04:49:40,283 --> 04:49:45,622
NOT SO MUCH TO DISPLACE 

6073
04:49:45,622 --> 04:49:47,590
VEGETA

6074
04:49:47,590 --> 04:49:48,558
VEGETA

6075
04:49:48,558 --> 04:49:50,593
VEGETA

6076
04:49:50,593 --> 04:49:51,227
VEGETA

6077
04:49:51,227 --> 04:49:51,861
VEGETA

6078
04:49:51,861 --> 04:49:52,529
VEGETA

6079
04:49:52,529 --> 04:49:55,365
VEGETA

6080
04:49:55,365 --> 04:49:56,566
VEGETABLES I APPRECIATE THE 

6081
04:49:56,566 --> 04:50:05,942
CULTURE ASPECT OF ACTING MORE OF

6082
04:50:05,942 --> 04:50:12,582
A PROTEIN AND MENUS AND I SEE A 

6083
04:50:12,582 --> 04:50:17,287
LOT OF PROS FOR IT BEING IN THE 

6084
04:50:17,287 --> 04:50:18,822
PROTEIN UP IN TERMS OF 

6085
04:50:18,822 --> 04:50:19,723
COMMUNICATION AND HELPING 

6086
04:50:19,723 --> 04:50:20,557
EMPHASIZE PROTEIN COMES FROM 

6087
04:50:20,557 --> 04:50:22,358
MORE THAN JUST ANIMAL PRODUCTS 

6088
04:50:22,358 --> 04:50:23,026
BECAUSE RIGHT NOW THAT'S WHAT 

6089
04:50:23,026 --> 04:50:23,793
MOST PEOPLE THINK.

6090
04:50:23,793 --> 04:50:25,795
YOU HAVE TO HAVE YOUR MEAT TO 

6091
04:50:25,795 --> 04:50:28,531
GET PROTEINS AND FROM ALL THE 

6092
04:50:28,531 --> 04:50:32,268
MODELLING WE SEE THAT'S SIMPLY 

6093
04:50:32,268 --> 04:50:32,602
NOT THE CASE.

6094
04:50:32,602 --> 04:50:38,408
>> THANK YOU, DIDI FOR
THAT 

6095
04:50:38,408 --> 04:50:38,708
PERSPECTIVE.

6096
04:50:38,708 --> 04:50:38,942
HOLLIE.

6097
04:50:38,942 --> 04:50:41,644
>> I WANT TO REINFORCE HER

6098
04:50:41,644 --> 04:50:42,679
COMMENT FROM A BEHAVIORAL 

6099
04:50:42,679 --> 04:50:43,980
PERSPECTIVE HAVING MORE PLANT 

6100
04:50:43,980 --> 04:50:48,551
FORWARD IN THE PROTEIN WILL 

6101
04:50:48,551 --> 04:50:53,389
ENCOURAGE CHOICE MORE OFTEN.

6102
04:50:53,389 --> 04:50:56,559
AND IT WILL GIVE MORE 

6103
04:50:56,559 --> 04:50:57,393
FLEXIBILITY.

6104
04:50:57,393 --> 04:50:58,261
FROM A POOR SUBSTITUTION 

6105
04:50:58,261 --> 04:51:00,530
PERSPECTIVE PLACING IT IN THAT 

6106
04:51:00,530 --> 04:51:04,567
CATEGORY WILL HELP.

6107
04:51:04,567 --> 04:51:06,803
>> THANK YOU, HOLLIE.

6108
04:51:06,803 --> 04:51:07,036
ANDREA.

6109
04:51:07,036 --> 04:51:08,805
>> THIS IS REINFORCING
WHAT THEY

6110
04:51:08,805 --> 04:51:09,172
BOTH SAID.

6111
04:51:09,172 --> 04:51:11,608
I AGREE AND I DO THINK THE 

6112
04:51:11,608 --> 04:51:13,476
PERSPECTIVE -- I THINK IT'S 

6113
04:51:13,476 --> 04:51:15,044
BETTER FOR ME OF PEOPLE SEEING 

6114
04:51:15,044 --> 04:51:16,279
IT IN THE PROTEIN GROUP MAKES A 

6115
04:51:16,279 --> 04:51:18,848
LOT MORE SENSE BECAUSE THEN 

6116
04:51:18,848 --> 04:51:21,084
THEY'RE ABLE TO I THINK PEOPLE 

6117
04:51:21,084 --> 04:51:24,554
THINK OF JUST MEAT, EGGS AND NO 

6118
04:51:24,554 --> 04:51:28,258
THOSE SOURCES AND HAVING IT IN A

6119
04:51:28,258 --> 04:51:35,398
PROTEIN GROUP WOULD ENCOURAGE 

6120
04:51:35,398 --> 04:51:36,166
EAT BEING MORE BEANS, PEAS AND 

6121
04:51:36,166 --> 04:51:36,399
LENTILS.

6122
04:51:36,399 --> 04:51:39,202
>> I KNOW THIS SOMETHING
YOU HAD

6123
04:51:39,202 --> 04:51:42,839
A STRONG REACTION TO.

6124
04:51:42,839 --> 04:51:47,744
HOW ARE YOU FEELING?

6125
04:51:47,744 --> 04:51:49,612
>> GOOD.

6126
04:51:49,612 --> 04:51:51,114
>> IT'S LOOK LIKE YOU'D
HAVE TO 

6127
04:51:51,114 --> 04:51:52,549
NOT MAKE IT A PROTEIN GROUP AND 

6128
04:51:52,549 --> 04:51:55,985
WOULD HAVE TO HAVE A MEAT GROUP 

6129
04:51:55,985 --> 04:51:57,554
AND BEANS GROUP.

6130
04:51:57,554 --> 04:51:59,556
I THINK PEOPLE DO EAT PROTEIN 

6131
04:51:59,556 --> 04:52:02,525
AND FOCUS ON THE GROUP TO 

6132
04:52:02,525 --> 04:52:11,334
CONSUME MORE PROTEIN AND I'M 

6133
04:52:11,334 --> 04:52:13,536
CURIOUS IF YOU USE IT AS PROTEIN

6134
04:52:13,536 --> 04:52:18,808
OR WILL REALLY MAKE THE SHIFT.

6135
04:52:18,808 --> 04:52:20,310
I THINK THE NEXT COMMITTEE WILL 

6136
04:52:20,310 --> 04:52:22,912
BE ABLE IT SEE IF THAT HAPPENS 

6137
04:52:22,912 --> 04:52:23,980
AND THE DIFFERENT LABELLING.

6138
04:52:23,980 --> 04:52:30,353
>> GREAT, THANK YOU.

6139
04:52:30,653 --> 04:52:30,787
 

6140
04:52:30,787 --> 04:52:33,189
>> I THINK THIS HAS BEEN
AN 

6141
04:52:33,189 --> 04:52:34,490
AMAZING DISCUSSION LOOKING AT 

6142
04:52:34,490 --> 04:52:38,094
THE SUBJECT THROUGH A HEALTH 

6143
04:52:38,094 --> 04:52:39,462
EQUITY LENS.

6144
04:52:39,462 --> 04:52:40,897
WE COULDN'T HAVE HAD A RICHER 

6145
04:52:40,897 --> 04:52:41,197
DISCUSSION.

6146
04:52:41,197 --> 04:52:41,664
THANK YOU VERY MUCH.

6147
04:52:41,664 --> 04:52:47,904
WE'RE NOW GOING TO GO TO SOME 

6148
04:52:47,904 --> 04:52:54,277
MORE SLIDES.

6149
04:52:54,277 --> 04:52:57,213
THIS IS DRAFTED BY WHAT THE 

6150
04:52:57,213 --> 04:52:59,215
COMMITTEE I THINK AND THIS HAS 

6151
04:52:59,215 --> 04:53:00,717
COME UP IN THE DISCUSSION WE'RE 

6152
04:53:00,717 --> 04:53:02,952
GOING TO NEED NARRATIVE ADVICE 

6153
04:53:02,952 --> 04:53:04,554
AND TABLES AROUND FLEXIBILITIES 

6154
04:53:04,554 --> 04:53:06,456
WITHIN THE CORE ELEMENTS.

6155
04:53:06,456 --> 04:53:08,157
SO THERE WAS A LOT OF REACTION 

6156
04:53:08,157 --> 04:53:09,359
INITIALLY ABOUT WHAT ARE THE 

6157
04:53:09,359 --> 04:53:12,028
BOOK ENDS AND THE FLEXIBILITIES 

6158
04:53:12,028 --> 04:53:15,231
AND I THINK THAT AS WE EXPLORE 

6159
04:53:15,231 --> 04:53:18,167
THIS THEY WILL BECOME I THINK 

6160
04:53:18,167 --> 04:53:22,505
IDEAS WILL BUBBLE UP.

6161
04:53:22,505 --> 04:53:27,443
FOR EXAMPLE, VIS MENT-- CHRIS 

6162
04:53:27,443 --> 04:53:28,544
MENTIONED THIS WITH THE FOOD 

6163
04:53:28,544 --> 04:53:30,246
PATTERN MODELLING THERE WERE 

6164
04:53:30,246 --> 04:53:30,680
TERRIFIC EXERCISES.

6165
04:53:30,680 --> 04:53:32,415
WHAT HAPPENS IF ALL THE 

6166
04:53:32,415 --> 04:53:33,983
VEGETABLES COME FROM ONE 

6167
04:53:33,983 --> 04:53:36,386
VEGETABLE SUBGROUP VERSUS WHAT 

6168
04:53:36,386 --> 04:53:39,222
HAPPENS IF YOU INCREASE DARK 

6169
04:53:39,222 --> 04:53:40,189
GREEN VEGETABLES?

6170
04:53:40,189 --> 04:53:43,559
WHILE WE SAW IMPROVEMENTS IN 

6171
04:53:43,559 --> 04:53:46,396
NUTRIENT AND THERE WERE SOME 

6172
04:53:46,396 --> 04:53:48,531
COMBINATIONS WHERE THERE WERE 

6173
04:53:48,531 --> 04:53:50,466
NUTRIENT SHORTFALLS CORRECTLY 

6174
04:53:50,466 --> 04:53:52,735
IDENTIFIED AS CONTAINED IN THE 

6175
04:53:52,735 --> 04:53:55,004
CHAPTER, I THINK WE ALSO WERE 

6176
04:53:55,004 --> 04:53:58,207
GUIDED BY THE SYSTEMATIC 

6177
04:53:58,207 --> 04:53:58,441
REVIEWS.

6178
04:53:58,441 --> 04:54:01,210
I THINK THE FOOD PATTERN 

6179
04:54:01,210 --> 04:54:04,314
MODELLING EXERCISES ALLOWS FOR 

6180
04:54:04,314 --> 04:54:05,481
MORE CONSIDERATION AND 

6181
04:54:05,481 --> 04:54:08,051
FLEXIBILITIES BEYOND WHAT WE 

6182
04:54:08,051 --> 04:54:09,852
HAVE IN SOME OF THE SYSTEMATIC 

6183
04:54:09,852 --> 04:54:11,421
REVIEWS BECAUSE THEY DID NOT 

6184
04:54:11,421 --> 04:54:14,057
NECESSARILY GIVE US THE 

6185
04:54:14,057 --> 04:54:15,892
GRANULARITY OF WHAT SPECIFIC 

6186
04:54:15,892 --> 04:54:18,594
VEGETABLES OR THEY DIDN'T USE 

6187
04:54:18,594 --> 04:54:19,529
THE CATEGORIES PER SE THAT WERE 

6188
04:54:19,529 --> 04:54:29,439
USED IN THE HUSS.

6189
04:54:29,439 --> 04:54:32,508
AND INTAKE SHOULD BE AT LEAST 

6190
04:54:32,508 --> 04:54:35,178
HALF WHOLE GRAIN AND 

6191
04:54:35,178 --> 04:54:36,546
HIGHLIGHTING MORE SHIFT TOWARDS 

6192
04:54:36,546 --> 04:54:45,521
MORE WHOLE GRAINS.

6193
04:54:45,521 --> 04:54:47,557
AND WE HEARD FROM THE SUBGROUP 

6194
04:54:47,557 --> 04:54:48,024
AMOUNTS.

6195
04:54:48,024 --> 04:54:51,160
I THINK THIS HAS BEEN PRETTY 

6196
04:54:51,160 --> 04:54:52,528
WELL DISCUSSED WITH THE BEANS, 

6197
04:54:52,528 --> 04:54:55,164
PEAS AND LENTILS DISCUSSION.

6198
04:54:55,164 --> 04:55:00,703
SO WE'LL GO TO THE NEXT AND STOP

6199
04:55:00,703 --> 04:55:06,809
ME IF -- SO, THESE ARE THE 

6200
04:55:06,809 --> 04:55:10,146
CURRENT GUIDELINES.

6201
04:55:10,146 --> 04:55:14,517
THIS IS THE 2020 COMMITTEE'S 

6202
04:55:14,517 --> 04:55:16,586
REVIEW AND THE DIETARY 

6203
04:55:16,586 --> 04:55:18,888
GUIDELINES 2020 HAVE FOUR 

6204
04:55:18,888 --> 04:55:20,289
RECOMMENDATIONS.

6205
04:55:20,289 --> 04:55:24,127
FOLLOW A HEALTHY DIETARY PATTERN

6206
04:55:24,127 --> 04:55:26,562
AT EVERY LIFESTYLE AND CUSTOMIZE

6207
04:55:26,562 --> 04:55:30,933
AND ENJOY NUTRIENT DENSE FOODS 

6208
04:55:30,933 --> 04:55:32,402
AND FOCUS ON NUTRIENT NEEDS AND 

6209
04:55:32,402 --> 04:55:34,937
STAY WITHIN CALORIE LIMITS AND 

6210
04:55:34,937 --> 04:55:35,972
LIMIT FOOTSDZ AND BEVERAGES 

6211
04:55:35,972 --> 04:55:37,540
HIGHER IN ADDED SHUG RAR AND 

6212
04:55:37,540 --> 04:55:39,642
SATURATED FAT AND SODIUM.

6213
04:55:39,642 --> 04:55:42,945
SO WE NOW WANT TO SHIFT GEARS A 

6214
04:55:42,945 --> 04:55:47,283
BIT AND SAY OKAY, WHAT ARE OUR 

6215
04:55:47,283 --> 04:55:47,650
RECOMMENDATIONS?

6216
04:55:47,650 --> 04:55:49,819
WHAT ARE OUR REACTIONS TO THESE 

6217
04:55:49,819 --> 04:55:55,858
FOUR CURRENT GUIDELINES?

6218
04:55:55,858 --> 04:56:00,296
SO WE  SO WE 

6219
04:56:00,296 --> 04:56:02,231
HAVEFSO WE 

6220
04:56:02,231 --> 04:56:03,266
HAVESO WE 

6221
04:56:03,266 --> 04:56:13,342
HA

6222
04:56:29,959 --> 04:56:32,528
THE FOUR GUIDELINES WE NEED TO 

6223
04:56:32,528 --> 04:56:34,330
TAKE THE GUIDELINE AND ADD 9th 

6224
04:56:34,330 --> 04:56:38,101
MORE OF A SYSTEMS LEVEL NOT 

6225
04:56:38,101 --> 04:56:41,104
INDIVIDUAL LEVEL ALSO TO 

6226
04:56:41,104 --> 04:56:43,272
INCORPORATE THE HEALTH EQUITY 

6227
04:56:43,272 --> 04:56:45,241
LENS AND WE ALSO AND THIS HAS 

6228
04:56:45,241 --> 04:56:46,943
BEEN DISCUSSED MANY TIMES TODAY.

6229
04:56:46,943 --> 04:56:52,582
YOU CAN SAY WHAT TO EAT BUT YOU 

6230
04:56:52,582 --> 04:56:58,554
NEED A GUIDELINE HOW TO 

6231
04:56:58,554 --> 04:57:00,523
IMPLEMENT SO IT'S NOT JUST WHAT 

6232
04:57:00,523 --> 04:57:03,659
BUT ALSO HOW.

6233
04:57:03,659 --> 04:57:05,228
I THINK WE PROBABLY NEED TO HAVE

6234
04:57:05,228 --> 04:57:05,895
SOME DISCUSSION TO BETTER REFINE

6235
04:57:05,895 --> 04:57:07,330
THEM.

6236
04:57:07,330 --> 04:57:12,235
SO I'M JUST GOING TO STOP THERE 

6237
04:57:12,235 --> 04:57:15,571
AND HAVE SOME REACTION TO DRAFT 

6238
04:57:15,571 --> 04:57:15,805
ADVICE.

6239
04:57:15,805 --> 04:57:21,511
THERE ARE MULTIPLE ONES SO YOU 

6240
04:57:21,511 --> 04:57:23,045
THROWING IT OUT THERE AND 

6241
04:57:23,045 --> 04:57:24,780
REACTION TO THESE TWO.

6242
04:57:24,780 --> 04:57:25,815
PARTICULARLY PEOPLE WHO HAVE 

6243
04:57:25,815 --> 04:57:27,250
DISCUSSED THESE OVER THE COURSE 

6244
04:57:27,250 --> 04:57:36,092
OF THE DAY.

6245
04:57:36,092 --> 04:57:39,462
YOU KNOW WHAT, I'M GOING TO ASK 

6246
04:57:39,462 --> 04:57:39,695
DEANNA.

6247
04:57:39,695 --> 04:57:41,430
I KNOW YOU TALKED A LOT ABOUT 

6248
04:57:41,430 --> 04:57:41,931
IMPLEMENTATION SCIENCE.

6249
04:57:41,931 --> 04:57:47,603
I WONDER IF YOU HAD A REACTION 

6250
04:57:47,603 --> 04:57:48,838
TO PARTICULARLY THE SECOND ONE.

6251
04:57:48,838 --> 04:57:52,141
>> I WAS JUST GOING TO PUT
MY 

6252
04:57:52,141 --> 04:57:53,276
HAND UP ABOUT THAT.

6253
04:57:53,276 --> 04:57:57,213
I THINK KEY IS HOW WE IMPLEMENT 

6254
04:57:57,213 --> 04:57:57,413
THEM.

6255
04:57:57,413 --> 04:58:00,850
THE GUIDELINES EVEN IF YOU LOOK 

6256
04:58:00,850 --> 04:58:02,552
AT THE CONCLUSION STATEMENT THEY

6257
04:58:02,552 --> 04:58:04,220
HAVEN'T CHANGED A LOT.

6258
04:58:04,220 --> 04:58:06,355
WE MAKE TWEAKS HERE AND THERE 

6259
04:58:06,355 --> 04:58:09,625
AND WHAT CHERYL ALWAYS SAY ABOUT

6260
04:58:09,625 --> 04:58:15,131
THE HCI AND SO HOW DO YOU DO 

6261
04:58:15,131 --> 04:58:18,134
THAT AND PUTTING AN 

6262
04:58:18,134 --> 04:58:20,536
IMPLEMENTATION BRINGING IN 

6263
04:58:20,536 --> 04:58:26,108
LEARNINGS FROM IMPLEMENTATION 

6264
04:58:26,108 --> 04:58:27,977
SCIENCE AND CONTRIBUTE TO IT 

6265
04:58:27,977 --> 04:58:29,445
BECAUSE IT'S MORE THAN AN 

6266
04:58:29,445 --> 04:58:34,417
INDIVIDUAL GOING OUT AND 

6267
04:58:34,417 --> 04:58:36,552
PURCHASING FOOD.

6268
04:58:36,552 --> 04:58:38,421
AND WE HAVE TO HAVE AFFORDABLE 

6269
04:58:38,421 --> 04:58:39,689
AND HAS TO BE AND THEY ARE HAVE 

6270
04:58:39,689 --> 04:58:42,525
TO HAVE ACCESS TO HEALTHY FOODS.

6271
04:58:42,525 --> 04:58:43,859
I THINK THOSE ARE ALL WHERE WE 

6272
04:58:43,859 --> 04:58:45,561
NEED TO GO NEXT WITH THIS.

6273
04:58:45,561 --> 04:58:47,463
>> GREAT, THANK YOU.

6274
04:58:47,463 --> 04:58:52,802
OTHER COMMENTS OR REACTIONS?

6275
04:58:52,802 --> 04:58:55,071
TO THE INDIVIDUAL WHO TOOK THE 

6276
04:58:55,071 --> 04:58:57,139
SLIDES DOWN, DO YOU MIND PUTTING

6277
04:58:57,139 --> 04:58:58,207
THEM UP?

6278
04:58:58,207 --> 04:58:59,675
I THINK IT'S HELPFUL TO HAVE 

6279
04:58:59,675 --> 04:59:00,142
THEM ON THE SCREEN.

6280
04:59:00,142 --> 04:59:01,344
THANK YOU VERY MUCH.

6281
04:59:01,344 --> 04:59:02,044
I APPRECIATE THAT.

6282
04:59:02,044 --> 04:59:08,551
ANY OTHER REACTIONS TO THIS ONE?

6283
04:59:08,551 --> 04:59:14,123
CHRISTINA.

6284
04:59:14,123 --> 04:59:16,392
>> WHEN YOU SAY AT A
SYSTEMS 

6285
04:59:16,392 --> 04:59:19,829
LEVEL, I WONDER IF YOU CAN BE 

6286
04:59:19,829 --> 04:59:23,032
MORE SPECIFIC AND MAKE SURE THAT

6287
04:59:23,032 --> 04:59:24,533
ALL THE STAKEHOLDERS ARE CALLED 

6288
04:59:24,533 --> 04:59:26,168
OUT HERE.

6289
04:59:26,168 --> 04:59:28,337
WE HAVE TALKED ABOUT THE 

6290
04:59:28,337 --> 04:59:28,638
ENVIRONMENT.

6291
04:59:28,638 --> 04:59:32,541
BUT THAT HAS TO DO WITH MANY 

6292
04:59:32,541 --> 04:59:35,011
STAKEHOLDERS HERE.

6293
04:59:35,011 --> 04:59:36,345
AND SO I THINK I LIKE THIS 

6294
04:59:36,345 --> 04:59:36,612
APPROACH.

6295
04:59:36,612 --> 04:59:46,922
I REALLY LIKE IT.

6296
04:59:47,490 --> 04:59:49,792
I THINK WE SHOULD CALL OUT BUT I

6297
04:59:49,792 --> 04:59:51,560
LIKE THIS.

6298
04:59:51,560 --> 04:59:53,596
>> GREAT, CHRISTINA.

6299
04:59:53,596 --> 04:59:53,829
CHERYL.

6300
04:59:53,829 --> 04:59:56,699
>> YEAH, I'M NOT SURE IF
THIS IS

6301
04:59:56,699 --> 05:00:01,470
HERE ALREADY AND MAYBE I CAN'T 

6302
05:00:01,470 --> 05:00:03,572
SEE IT YET.

6303
05:00:03,572 --> 05:00:05,875
WHERE IN THIS IS THE DIRECTION 

6304
05:00:05,875 --> 05:00:07,109
AROUND THE FOOD SUPPLY THAT 

6305
05:00:07,109 --> 05:00:12,214
WE'VE BEEN ESSENTIALLY COMING 

6306
05:00:12,214 --> 05:00:12,581
BACK TO ALL DAY?

6307
05:00:12,581 --> 05:00:15,217
>> THAT IS A GOOD POINT
AND I 

6308
05:00:15,217 --> 05:00:17,887
THINK YOU KNOW YOU RAISED A GOOD

6309
05:00:17,887 --> 05:00:19,455
QUESTION, CHERYL AND I'M JUST 

6310
05:00:19,455 --> 05:00:20,189
GOING TO JUMP IN HERE.

6311
05:00:20,189 --> 05:00:22,391
MY APOLOGIES.

6312
05:00:22,391 --> 05:00:25,161
I THINK WHEN WE WERE TALKING 

6313
05:00:25,161 --> 05:00:26,529
ABOUT THE SYSTEMS LEVEL WE WERE 

6314
05:00:26,529 --> 05:00:28,130
THINKING MORE FROM THE 

6315
05:00:28,130 --> 05:00:28,764
PERSPECTIVE OF THE HEALTH EQUITY

6316
05:00:28,764 --> 05:00:33,269
LENS.

6317
05:00:33,269 --> 05:00:34,704
LESS AT THE LEVEL OF THE FOOD 

6318
05:00:34,704 --> 05:00:38,207
ENVIRONMENT AND FOOD SYSTEMS.

6319
05:00:38,207 --> 05:00:40,443
I THINK THESE RICH DISCUSSIONS 

6320
05:00:40,443 --> 05:00:42,578
OF FOOD SYSTEMS HAVE BUBBLED UP 

6321
05:00:42,578 --> 05:00:43,779
REALLY TODAY MORE THAN WE'VE 

6322
05:00:43,779 --> 05:00:46,215
HEARD IN THE PAST.

6323
05:00:46,215 --> 05:00:48,684
SO I WOULD WELCOME A 

6324
05:00:48,684 --> 05:00:49,051
RECOMMENDATION.

6325
05:00:49,051 --> 05:00:53,522
BECAUSE I DO NOT BELIEVE WE HAVE

6326
05:00:53,522 --> 05:00:56,559
ANY OTHER DRAFT ADVICE AROUND 

6327
05:00:56,559 --> 05:01:02,231
THE FOOD SYSTEMS.

6328
05:01:02,231 --> 05:01:04,633
I'M THROWING IT OUT TO ANYBODY 

6329
05:01:04,633 --> 05:01:05,935
AND EVERYBODY BECAUSE I THINK 

6330
05:01:05,935 --> 05:01:07,336
CHERYL IS RAISING A REALLY GOOD 

6331
05:01:07,336 --> 05:01:07,536
POINT.

6332
05:01:07,536 --> 05:01:09,372
>> I WONDER IF WE THINK
ABOUT 

6333
05:01:09,372 --> 05:01:12,408
THE CURRENT STRUCTURE OF THE 

6334
05:01:12,408 --> 05:01:14,844
FIRST BOX HERE AT A GUIDELINE TO

6335
05:01:14,844 --> 05:01:17,046
INCORPORATE THE HEALTH EQUITY 

6336
05:01:17,046 --> 05:01:17,813
LENS.

6337
05:01:17,813 --> 05:01:21,250
PERHAPS IT'S A GUIDELINE AT THE 

6338
05:01:21,250 --> 05:01:22,685
SYSTEMS LEVEL TO IMPACT THE FOOD

6339
05:01:22,685 --> 05:01:28,457
SUPPLY.

6340
05:01:28,457 --> 05:01:30,059
AND WE USE SODIUM EARLIER AS A 

6341
05:01:30,059 --> 05:01:33,229
BIT OF A CONVERSATION STARTER.

6342
05:01:33,229 --> 05:01:39,001
BUT WHAT MANY COMMITTEE MEMBERS 

6343
05:01:39,001 --> 05:01:40,536
ALSO CONTRIBUTED WAS FOR 

6344
05:01:40,536 --> 05:01:43,839
NUTRIENTS WE NEED TO THINK ABOUT

6345
05:01:43,839 --> 05:01:47,743
ARE THEY USED IN CAREFUL, 

6346
05:01:47,743 --> 05:01:50,079
THOUGHTFUL WAYS WITHIN THE FOOD 

6347
05:01:50,079 --> 05:01:51,180
SUPPLY SUCH THAT WHEN 

6348
05:01:51,180 --> 05:01:52,047
RECOMMENDATIONS COME THROUGH 

6349
05:01:52,047 --> 05:01:53,916
EVERY FIVE YEARS IT MAKES IT 

6350
05:01:53,916 --> 05:01:55,351
EASIER FOR EVERYONE TO MEET THEM

6351
05:01:55,351 --> 05:02:00,222
BECAUSE AS WE SAW, PRETTY 

6352
05:02:00,222 --> 05:02:01,223
CONSISTENTLY DOESN'T MATTER WHO 

6353
05:02:01,223 --> 05:02:03,192
YOU ARE IN THE UNITED STATES OF 

6354
05:02:03,192 --> 05:02:08,531
AMERICA, THE THREAT IS REAL FOR 

6355
05:02:08,531 --> 05:02:12,301
US TO NOT GET THERE.

6356
05:02:12,301 --> 05:02:15,104
>> I LIKE THAT.

6357
05:02:15,104 --> 05:02:17,173
AT A GUIDELINE SYSTEMS LEVEL TO 

6358
05:02:17,173 --> 05:02:18,674
IMPACT THE FOOD SUPPLY.

6359
05:02:18,674 --> 05:02:20,309
I LIKE THE CONCEPT.

6360
05:02:20,309 --> 05:02:21,343
THANK YOU, CHERYL.

6361
05:02:21,343 --> 05:02:23,546
AND THEN ARE YOU THINKING MAYBE 

6362
05:02:23,546 --> 05:02:24,580
HAVING A SECOND ONE ABOUT THE 

6363
05:02:24,580 --> 05:02:28,517
HEALTH EQUITY LENS?

6364
05:02:28,517 --> 05:02:31,654
>> YEAH, I WAS THINKING
THAT AS 

6365
05:02:31,654 --> 05:02:34,123
LONG AS PEOPLE ARE OKAY WITH IT 

6366
05:02:34,123 --> 05:02:36,826
LEAVE THE HEALTH EQUITY LENS ONE

6367
05:02:36,826 --> 05:02:38,527
AND MAKE THE IMPLEMENTATION 

6368
05:02:38,527 --> 05:02:40,129
SCIENCE ONE.

6369
05:02:40,129 --> 05:02:45,301
JUST IN EXPLICIT STATEMENT 

6370
05:02:45,301 --> 05:02:46,969
AROUND THE FOOD SUPPLY IS 

6371
05:02:46,969 --> 05:02:53,042
CHALLENGING.

6372
05:02:53,042 --> 05:02:55,077
 IT NEEDS TO BE EASIER FOR US TO

6373
05:02:55,077 --> 05:02:57,279
BE ABLE TO DO WHAT WE'RE ASKED 

6374
05:02:57,279 --> 05:02:57,680
TO DO.

6375
05:02:57,680 --> 05:02:58,581
>> GREAT, THANK YOU.

6376
05:02:58,581 --> 05:03:08,257
ANY OTHER REACTIONS TO THIS?

6377
05:03:08,257 --> 05:03:09,825
YES, JENNY.

6378
05:03:09,825 --> 05:03:11,160
>> THE OBVIOUS.

6379
05:03:11,160 --> 05:03:12,628
OUR COMMITTEE WAS TASKED TO LOOK

6380
05:03:12,628 --> 05:03:14,964
AT EVIDENCE ON THE HOWs.

6381
05:03:14,964 --> 05:03:16,031
BEHAVIORAL STRATEGIES AROUND 

6382
05:03:16,031 --> 05:03:21,036
MANAGEMENT AND THE HOWS OF 

6383
05:03:21,036 --> 05:03:21,704
FEEDING CHILDREN.

6384
05:03:21,704 --> 05:03:26,375
I WOULD JUST LIKE TO SEE FUTURE 

6385
05:03:26,375 --> 05:03:27,343
GUIDELINES REFLECT BEHAVIORAL 

6386
05:03:27,343 --> 05:03:28,677
SCIENCE AS WELL NUTRITIONAL 

6387
05:03:28,677 --> 05:03:30,880
SCIENCE ON HOW TO ACHIEVE THE 

6388
05:03:30,880 --> 05:03:31,180
GUIDELINES.

6389
05:03:31,180 --> 05:03:36,552
I THINK IT'S BEEN A GREAT 

6390
05:03:36,552 --> 05:03:37,019
ADDITION.

6391
05:03:37,019 --> 05:03:38,354
>> UM, THANK YOU, JENNY.

6392
05:03:38,354 --> 05:03:40,155
I'M SORRY, I'M GOING THROUGH MY 

6393
05:03:40,155 --> 05:03:42,424
NOTES BECAUSE I BELIEVE IT COMES

6394
05:03:42,424 --> 05:03:44,727
UP LATER BUT JUST IF YOU COULD 

6395
05:03:44,727 --> 05:03:47,696
JUST HOLD THAT AND IF IT DOESN'T

6396
05:03:47,696 --> 05:03:49,131
COME UP, THEN WHY DON'T WE ADD 

6397
05:03:49,131 --> 05:03:52,501
IT AND I KNOW WE'LL HAVE A RICH 

6398
05:03:52,501 --> 05:03:53,869
CONVERSATION ABOUT THAT VERY I'M

6399
05:03:53,869 --> 05:03:54,570
IN THE CROSS-CUTTING THEMES 

6400
05:03:54,570 --> 05:03:57,973
TOMORROW.

6401
05:03:57,973 --> 05:03:59,341
YEAH, GREAT, OKAY.

6402
05:03:59,341 --> 05:04:00,543
SO I'M GOING TO GO TO THE NEXT 

6403
05:04:00,543 --> 05:04:03,379
ONE.

6404
05:04:03,379 --> 05:04:05,314
NEXT SLIDE, PLEASE.

6405
05:04:05,314 --> 05:04:12,288
WE HAVE FIVE ADDITIONAL 

6406
05:04:12,288 --> 05:04:12,655
CONSIDERATIONS.

6407
05:04:12,655 --> 05:04:16,525
SO, ONE IS ABOUT HOW THE DIETARY

6408
05:04:16,525 --> 05:04:19,028
GUIDELINES CAN BE ADAPTED FOR 

6409
05:04:19,028 --> 05:04:21,363
DIFFERENT CULTURAL DIETS.

6410
05:04:21,363 --> 05:04:24,466
CHRISTOPHER, I'M IMAGINING THE 

6411
05:04:24,466 --> 05:04:31,874
WONDERFUL PHOTOGRAPHS OF THE

6412
05:04:31,874 --> 05:04:32,508
>> WHEN WE TALK ABOUT THE

6413
05:04:32,508 --> 05:04:34,910
FLEXIBILITIES AND PEOPLE TALKER

6414
05:04:34,910 --> 05:04:37,580
TALKING ABOUT THE TABLES, IT IS

6415
05:04:37,580 --> 05:04:40,049
2024. I MEAN, WE CAN LEND

6416
05:04:40,049 --> 05:04:44,653
LOCKETS BY MACHINES. WE CAN HAVE

6417
05:04:44,653 --> 05:04:47,623
PEOPLE'S HART BEAT TRANSMITTED

6418
05:04:47,623 --> 05:04:49,124
TO THEIR PERSONAL HEALTHCARE

6419
05:04:49,124 --> 05:04:51,994
PROVIDER.  IT'S A TIME WHEN

6420
05:04:51,994 --> 05:04:54,129
THESE COULD -- I THINK THAT WE

6421
05:04:54,129 --> 05:04:56,899
SHOULD BE ADVOCATING FOR

6422
05:04:56,899 --> 05:04:58,901
LEVERAGING THE TECHNOLOGY AND

6423
05:04:58,901 --> 05:05:00,769
THE DATA SCIENCES TO REALLY

6424
05:05:00,769 --> 05:05:02,972
PROVIDE MORE ATTRACTIVE

6425
05:05:02,972 --> 05:05:08,978
GUIDANCE. I REALLY DO THINK THAT

6426
05:05:08,978 --> 05:05:10,512
STATIC, THE STATIC PAPER IS NOT

6427
05:05:10,512 --> 05:05:12,548
GOING TO BE THE WAY TO MOVE

6428
05:05:12,548 --> 05:05:13,682
FORWARD PARTICULARLY WHEN WE ARE

6429
05:05:13,682 --> 05:05:16,652
TALKING ABOUT BUILDING IN THE

6430
05:05:16,652 --> 05:05:18,487
FLEXIBILITIES WITHIN -- WHILE

6431
05:05:18,487 --> 05:05:20,923
BEING, MEETING NUTRIENT NEEDS.  

6432
05:05:20,923 --> 05:05:23,759
WE ALSO HAD A LOT OF DISCUSSIONS

6433
05:05:23,759 --> 05:05:25,494
PARTICULARLY EARLY ON ABOUT THE

6434
05:05:25,494 --> 05:05:26,929
TERMINOLOGY AROUND THE LIFE

6435
05:05:26,929 --> 05:05:30,032
STAGES. AND A LOT OF THE CURRENT

6436
05:05:30,032 --> 05:05:33,068
GUIDANCE SAYS FOR THOSE ONE PLUS

6437
05:05:33,068 --> 05:05:35,070
YEARS OF AGE OR FOR THOSE TWO

6438
05:05:35,070 --> 05:05:37,706
PLUS YEARS OF AGE, IT REALLY

6439
05:05:37,706 --> 05:05:39,341
SPANS THE WHOLE LIFE CYCLE. SO I

6440
05:05:39,341 --> 05:05:41,877
CAN TELL YOU I DO NOT RELATE TO

6441
05:05:41,877 --> 05:05:44,113
WHAT A TWO-YEAR-OLD EATS. I

6442
05:05:44,113 --> 05:05:46,582
DON'T EVEN RELATE TO WHAT AN AN

6443
05:05:46,582 --> 05:05:48,651
LESS SENT EATS SO I PERSONAL --

6444
05:05:48,651 --> 05:05:50,753
ADOLESCENT EATS SO I FIND WHEN I

6445
05:05:50,753 --> 05:05:53,022
SEE GUIDANCE FOR TWO PLUS YEARS

6446
05:05:53,022 --> 05:05:55,524
IT IS SOMETIMES HARD TO FIND OUT

6447
05:05:55,524 --> 05:05:58,060
WHERE I FIT IN. SO THIS -- I'M

6448
05:05:58,060 --> 05:05:59,628
JUST PERSONALIZING IT HERE BUT

6449
05:05:59,628 --> 05:06:02,831
THIS IS BEING A DISCUSSION. AND

6450
05:06:02,831 --> 05:06:03,932
THE OTHER THING, THIS IS

6451
05:06:03,932 --> 05:06:08,170
PROBABLY A BIG ONE, BUT IT DID

6452
05:06:08,170 --> 05:06:10,839
COME UP IN OUR DISCUSSIONS. I DO

6453
05:06:10,839 --> 05:06:14,109
BELIEVE ANGELA, YOU RAISED IT.

6454
05:06:14,109 --> 05:06:16,145
THE FOCUS OF THE DIETARY

6455
05:06:16,145 --> 05:06:17,246
GUIDELINES, WE HAVE DISCUSSED

6456
05:06:17,246 --> 05:06:21,083
THIS IN OUR PUBLIC MEETING, IT

6457
05:06:21,083 --> 05:06:23,886
IS REALLY DISEASE REDUCTION. BUT

6458
05:06:23,886 --> 05:06:26,221
SHOULD THERE BE A SHIFT TO

6459
05:06:26,221 --> 05:06:28,691
REALLY LOOKING AT HOW DIET

6460
05:06:28,691 --> 05:06:31,126
PROMOTES GROWTH AND DEVELOPMENT

6461
05:06:31,126 --> 05:06:32,361
BUT ALSO PARTICULARLY WHEN YOU

6462
05:06:32,361 --> 05:06:34,029
START THINKING OF THE ENTIRE

6463
05:06:34,029 --> 05:06:36,331
LIFE CYCLE AND YOU GO INTO THE

6464
05:06:36,331 --> 05:06:40,836
OLDER ADULTS, IMPROVING HEALTH

6465
05:06:40,836 --> 05:06:43,706
SPAN, SO THOSE VERY DIFFERENT

6466
05:06:43,706 --> 05:06:46,208
QUESTIONS THAT WOULD BE ASKED.

6467
05:06:46,208 --> 05:06:49,545
SO I'M TURNING ALL THOSE FIVE

6468
05:06:49,545 --> 05:06:51,213
OUT GAVE YOU SOME CONTEXT AND

6469
05:06:51,213 --> 05:06:52,581
WOULD LOVE TO HAVE SOME REACTION

6470
05:06:52,581 --> 05:06:59,922
TO THEM. IT IS THE END OF THE

6471
05:06:59,922 --> 05:07:04,693
DAY. YES. THANK YOU.

6472
05:07:04,693 --> 05:07:07,996
>> I THINK -- I DO AGREE
WITH

6473
05:07:07,996 --> 05:07:10,365
FOCUSING ON PROMOTING GROWTH AND

6474
05:07:10,365 --> 05:07:11,366
DEVELOPMENT AND IMPROVING THE

6475
05:07:11,366 --> 05:07:13,168
HEALTH SPAN. I DO LIKE THAT. BUT

6476
05:07:13,168 --> 05:07:16,171
I THINK CHRONIC DISEASE RISK

6477
05:07:16,171 --> 05:07:18,140
REDUCTION AMONG CHILDREN AND

6478
05:07:18,140 --> 05:07:19,408
ADOLESCENTS, I MEAN, WE DON'T

6479
05:07:19,408 --> 05:07:20,809
HAVE A GOOD EVIDENCE BASE FOR

6480
05:07:20,809 --> 05:07:26,615
THAT YET.  I ALSO THINK IN

6481
05:07:26,615 --> 05:07:30,052
PREGNANCY, WE KNOW THAT LIKE

6482
05:07:30,052 --> 05:07:30,886
HYPERTENSIVE DISEASE AND

6483
05:07:30,886 --> 05:07:33,622
PREGNANCY IS INCREASING, SO I

6484
05:07:33,622 --> 05:07:35,057
THINK THAT THERE ARE OTHER

6485
05:07:35,057 --> 05:07:37,793
GROUPS WE NEED TO KEEP THE FOCUS

6486
05:07:37,793 --> 05:07:39,161
ON CHRONIC DISEASE RISK

6487
05:07:39,161 --> 05:07:40,629
REDUCTION. 

6488
05:07:40,629 --> 05:07:43,465
>> THAT'S GREAT POINT.
THANK

6489
05:07:43,465 --> 05:07:47,836
YOU. HOLLY, THEN DEE DEE.

6490
05:07:47,836 --> 05:07:52,708
>> I ALSO REALLY LIKE THE
IDEA

6491
05:07:52,708 --> 05:07:54,376
OF FOCUS ON PROMOTION OF GROWTH

6492
05:07:54,376 --> 05:07:55,511
AND DEVELOPMENT IMPROVING THE

6493
05:07:55,511 --> 05:07:58,313
HEALTH SPAN SO I THINK THAT

6494
05:07:58,313 --> 05:07:59,214
WOULD BE A GREAT MOVEMENT

6495
05:07:59,214 --> 05:08:01,583
FORWARD AND I ALSO AGREE ABOUT

6496
05:08:01,583 --> 05:08:02,584
LEVERAGING TECHNOLOGIES.  WE

6497
05:08:02,584 --> 05:08:04,920
NEED TO MOVE TO A MUCH DIFFERENT

6498
05:08:04,920 --> 05:08:07,256
PLACE AS COMPARED TO HAVING JUST

6499
05:08:07,256 --> 05:08:12,094
BROCHURES OR HA HANDOUTS ARE VEY

6500
05:08:12,094 --> 05:08:13,362
UNIDIMENSIONAL WAYS TO HELP

6501
05:08:13,362 --> 05:08:18,300
PEOPLE UNDERSTAND.

6502
05:08:18,300 --> 05:08:21,003
>> THANK YOU VERY MUCH.
DEE DEE.

6503
05:08:21,003 --> 05:08:23,372
>> FOR THE LAST BOX, I
DON'T SEE

6504
05:08:23,372 --> 05:08:25,040
THESE AS EITHER OR. I THINK THAT

6505
05:08:25,040 --> 05:08:28,911
ARE SO INCREDIBLY IMPORTANT TO

6506
05:08:28,911 --> 05:08:31,680
HIGHLIGHT BOTH. REDUCE CHRONIC

6507
05:08:31,680 --> 05:08:35,984
DISEASE FOCUS WHEN IT IS

6508
05:08:35,984 --> 05:08:37,452
SKYROCKETING WOULD SEEM LIKE

6509
05:08:37,452 --> 05:08:39,321
MESSED UP IN MY OPINION. AND SO

6510
05:08:39,321 --> 05:08:41,156
MANY CHRONIC DISEASES NOT ONLY

6511
05:08:41,156 --> 05:08:42,724
ARE THEY HIGHLY PREVALENT BUT

6512
05:08:42,724 --> 05:08:44,526
WERE MEANT TO HAVE GUIDELINES AS

6513
05:08:44,526 --> 05:08:48,931
WE DISCUSSED ALL ALONG, THAT ARE

6514
05:08:48,931 --> 05:08:50,499
GENERALIZABLE TO THE AVERAGE

6515
05:08:50,499 --> 05:08:52,601
AMERICAN AND WHEN HALF OR NOT

6516
05:08:52,601 --> 05:08:54,837
MORE HAVE A MAJOR CHRONIC

6517
05:08:54,837 --> 05:08:56,505
DISEASE IT WOULD BE REALLY

6518
05:08:56,505 --> 05:08:58,373
IMPORTANT FOR HEM TO BE ABLE TO

6519
05:08:58,373 --> 05:09:00,142
IDENTIFY WITH THE PATTERNS AND

6520
05:09:00,142 --> 05:09:02,010
WITH THE RECOMMENDATIONS. AND

6521
05:09:02,010 --> 05:09:04,346
NOT BE EXCLUSIVE TO THOSE WHO

6522
05:09:04,346 --> 05:09:05,781
EITHER ARE FREE OF CHRONIC

6523
05:09:05,781 --> 05:09:07,249
DISEASE OR MAYBE NOT WORRIED

6524
05:09:07,249 --> 05:09:09,351
ABOUT CHRONIC DISEASE. I KNOW

6525
05:09:09,351 --> 05:09:12,120
THAT IS NOT WHAT IT IS SAYING

6526
05:09:12,120 --> 05:09:15,123
BUT MAY COME ACROSS THAT WA WAY.

6527
05:09:15,123 --> 05:09:17,092
GROSS DEVELOPMENT AND HEALTH

6528
05:09:17,092 --> 05:09:19,361
SPAN ARE CLOSELY TIED IF NOT THE

6529
05:09:19,361 --> 05:09:20,896
FLIP SIDE HAVING CHRONIC DISEASE

6530
05:09:20,896 --> 05:09:23,999
HAVING A HEALTH SPAN. SO I THINK

6531
05:09:23,999 --> 05:09:28,570
THEY BOTH NEED TO BE PRIORITIES

6532
05:09:28,570 --> 05:09:32,641
AND DAMPING THE FOCUS ON FOCUS

6533
05:09:32,641 --> 05:09:34,710
ON CHRONIC DISEASE SEEMS LIKE

6534
05:09:34,710 --> 05:09:37,579
VERY BAD TIME TO DO THAT IN

6535
05:09:37,579 --> 05:09:40,148
TRAJECTORY OF U.S. HEALTH.

6536
05:09:40,148 --> 05:09:41,516
>> THANK YOU VERY MUCH,
DEE DEE.

6537
05:09:41,516 --> 05:09:41,984
THAT'S GREAT.

6538
05:09:41,984 --> 05:09:44,586
>> I THINK I WOULD ECHO
THAT. TO

6539
05:09:44,586 --> 05:09:46,488
ME PROMOTING GROWTH AND

6540
05:09:46,488 --> 05:09:47,823
DEVELOPMENT AND I IMPROVING THE

6541
05:09:47,823 --> 05:09:55,364
LIFE SPAN WOULD INCLUDE REDUCING

6542
05:09:55,364 --> 05:09:56,832
CHRONIC RISK IF YOU WILL. IF YOU

6543
05:09:56,832 --> 05:09:59,234
WANT TO PROMOTE. SO SOMEHOW TO

6544
05:09:59,234 --> 05:10:01,236
ME THERE ARE MORE LINKS THAN

6545
05:10:01,236 --> 05:10:02,037
THERE ARE SHOWN HERE. BUT I

6546
05:10:02,037 --> 05:10:03,805
WANTED TO MAKE A POINT ON

6547
05:10:03,805 --> 05:10:05,641
LEVERAGING TECHNOLOGIES AND

6548
05:10:05,641 --> 05:10:09,244
REINFORCE HOLLY'S FEEDBACK ON

6549
05:10:09,244 --> 05:10:13,115
THAT LINE. I THINK WE NEED TO

6550
05:10:13,115 --> 05:10:15,784
THINK ABOUT THOSE TECHNOLOGIES

6551
05:10:15,784 --> 05:10:18,253
TO DO THE WHAT AND THE HOW. SO

6552
05:10:18,253 --> 05:10:23,258
HELPING PEOPLE IDENTIFY WHAT THE

6553
05:10:23,258 --> 05:10:24,493
THEY NEED TO EAT WITHIN THE

6554
05:10:24,493 --> 05:10:26,094
CONFINE OF THEIR RESOURCES AND

6555
05:10:26,094 --> 05:10:29,331
HOW CAN THEY GET THERE.

6556
05:10:29,331 --> 05:10:35,470
>> THANK YOU. .

6557
05:10:35,470 --> 05:10:38,173
>> I WAS GOING TO MAKE THE
SAME

6558
05:10:38,173 --> 05:10:40,142
POINT ESSENTIALLY AS DEE DEE

6559
05:10:40,142 --> 05:10:42,711
DID. I THINK -- I REALLY THINK

6560
05:10:42,711 --> 05:10:46,682
WE STILL NEED TO FOCUS A LOT ON

6561
05:10:46,682 --> 05:10:49,918
CHRONIC DISEASE. IT IS ALSO THE

6562
05:10:49,918 --> 05:10:52,254
PRACTICALLY SPEAKING THE EASIER

6563
05:10:52,254 --> 05:10:53,855
ONE TO STUDY, WHEN YOU START

6564
05:10:53,855 --> 05:10:56,625
TALKING ABOUT HEALTH SPAN,

6565
05:10:56,625 --> 05:10:59,528
USUALLY CHRONIC -- AVOIDANCE OF

6566
05:10:59,528 --> 05:11:01,029
CHRONIC DISEASE IS PART OF THE

6567
05:11:01,029 --> 05:11:02,597
DEFINITION. I THINK ONE ASPECT

6568
05:11:02,597 --> 05:11:05,600
OF THAT, THAT MIGHT BE USEFUL IS

6569
05:11:05,600 --> 05:11:08,370
THE COMMONALITY ACROSS A LOT OF

6570
05:11:08,370 --> 05:11:11,239
CHRONIC DISEASES. SO I THINK WE

6571
05:11:11,239 --> 05:11:12,808
LOOKED AT DIABETES, CARDS OWE

6572
05:11:12,808 --> 05:11:15,444
VASCULAR DISEASE, CANCER,

6573
05:11:15,444 --> 05:11:18,647
SEPARATELY, BUT I THINK IN

6574
05:11:18,647 --> 05:11:20,315
ACTUALITY, PROCESSES LIKE

6575
05:11:20,315 --> 05:11:22,317
INSULIN RESISTANCE AND

6576
05:11:22,317 --> 05:11:28,123
INFLAMMATION ARE UNDERLYING LIKE

6577
05:11:28,123 --> 05:11:29,257
THE LINK BETWEEN DIET AND

6578
05:11:29,257 --> 05:11:31,059
CHRONIC DISEASE SO THAT IS A

6579
05:11:31,059 --> 05:11:33,895
GOOD WAY TO THINK OF NOT THE

6580
05:11:33,895 --> 05:11:34,763
CHRONIC DISEASES INDIVIDUALLY

6581
05:11:34,763 --> 05:11:35,964
BUT THE UNDERLYING PROCESSES

6582
05:11:35,964 --> 05:11:37,799
THAT CONTRIBUTE TO A LOT OF THEM

6583
05:11:37,799 --> 05:11:40,202
AT THE SAME TIME.

6584
05:11:40,202 --> 05:11:47,843
>> GREAT POINT. THANK YOU.

6585
05:11:47,843 --> 05:11:50,645
>> SO I FEEL LIFE SPAN IS
LENGTH

6586
05:11:50,645 --> 05:11:51,580
FINAL YOUR LOOF AND LIFE SPAN IS

6587
05:11:51,580 --> 05:11:53,215
NUMBER OF YEARS YOU LIVE YOUR

6588
05:11:53,215 --> 05:11:54,850
LIFE DISEASE FREE. I FEEL THAT

6589
05:11:54,850 --> 05:11:58,020
IS ANOTHER WAY OF SAYING

6590
05:11:58,020 --> 05:11:59,354
PREVENTION OF CHRONIC DISEASE

6591
05:11:59,354 --> 05:12:00,889
AND ED MENTION AD LOT OF CROPPIC

6592
05:12:00,889 --> 05:12:03,158
DISEASE HAVE A SIMILAR RISK

6593
05:12:03,158 --> 05:12:05,660
FACTOR. SO I DO LIKE THE LAST

6594
05:12:05,660 --> 05:12:07,362
BALANCE SHEET BREATH AS IS

6595
05:12:07,362 --> 05:12:08,697
IMPROVING THE HEALTH SPAN BUT

6596
05:12:08,697 --> 05:12:12,634
YES. IT MAY NOT -- ACADEMICS

6597
05:12:12,634 --> 05:12:13,568
MIGHT UNDERSTAND A BETTER

6598
05:12:13,568 --> 05:12:15,203
UNDERSTANDING FOR IT, MAY NOT

6599
05:12:15,203 --> 05:12:16,938
TRANSLATE WELL SO IT MIGHT BE

6600
05:12:16,938 --> 05:12:18,206
SOMETHING THAT WE MIGHT HAVE TO

6601
05:12:18,206 --> 05:12:20,642
GO BACK TO ACHRONIC DISEASE

6602
05:12:20,642 --> 05:12:22,511
VERSUS HEALTH SPAN BUT I DO

6603
05:12:22,511 --> 05:12:23,845
THINK IT GETS AT THE SAME

6604
05:12:23,845 --> 05:12:25,380
BASICALLY CONCEPT, REDUCING

6605
05:12:25,380 --> 05:12:26,048
CHRONIC DISEASE.

6606
05:12:26,048 --> 05:12:30,285
>> GREAT.  THANK YOU.
HEATHER.

6607
05:12:30,285 --> 05:12:32,554
>> I WAS THINKING A BIT
MORE

6608
05:12:32,554 --> 05:12:34,222
ABOUT THE SECOND ONE HERE

6609
05:12:34,222 --> 05:12:36,191
LEVERAGING TECHNOLOGIES TO

6610
05:12:36,191 --> 05:12:38,126
PROVIDE MORE INTERACTIVE

6611
05:12:38,126 --> 05:12:40,996
GUIDANCE. I THINK THAT COULD BE

6612
05:12:40,996 --> 05:12:44,699
PARTICULARLY RELEVANT TO YOUTH

6613
05:12:44,699 --> 05:12:48,437
LIKE ADOLESCENTS AND ALSO KIND

6614
05:12:48,437 --> 05:12:51,540
OF CONSIDERING OUR DISCUSSIONS

6615
05:12:51,540 --> 05:12:54,509
ABOUT THE FOOD ENVIRONMENT. I

6616
05:12:54,509 --> 05:12:56,511
THINK FOR YOUTH THEY ARE IN SUCH

6617
05:12:56,511 --> 05:12:57,979
A DIGITAL SOCIAL ENVIRONMENT ALL

6618
05:12:57,979 --> 05:13:01,216
THE TIME AND WE REALLY DON'T --

6619
05:13:01,216 --> 05:13:03,318
WE ARE ALSO THINKING ABOUT HOW

6620
05:13:03,318 --> 05:13:05,087
WE WANT -- WE WOULD LIKE TO

6621
05:13:05,087 --> 05:13:07,823
PROMOTE CHANGES IN THE FOOD

6622
05:13:07,823 --> 05:13:10,292
SUPPLY BUT THEY ARE IN THE

6623
05:13:10,292 --> 05:13:11,526
DIGITAL ENVIRONMENT, I DON'T

6624
05:13:11,526 --> 05:13:15,597
FEEL LIKE THERE'S VERY MANY

6625
05:13:15,597 --> 05:13:18,800
CHECKS ON THE KIND OF MEDIA AND

6626
05:13:18,800 --> 05:13:21,503
PROMOTION OF A LOT OF FOODS WE

6627
05:13:21,503 --> 05:13:23,138
WANT TO LIMIT AND THEY ARE

6628
05:13:23,138 --> 05:13:25,040
EXPOSED TO THAT MARKETING

6629
05:13:25,040 --> 05:13:27,909
THROUGH. SO I FEEL LIKE WE COULD

6630
05:13:27,909 --> 05:13:31,780
DO A BETTER JOB LEVERAGING

6631
05:13:31,780 --> 05:13:35,817
TECHNOLOGY TO PROMOTE A MORE

6632
05:13:35,817 --> 05:13:37,486
HEALTHFUL SOCIAL ENVIRONMENT

6633
05:13:37,486 --> 05:13:40,489
AROUND FOOD IN PARTICULAR FOR

6634
05:13:40,489 --> 05:13:42,390
ADOLESCENTS. IF WE ARE NOT GOING

6635
05:13:42,390 --> 05:13:46,027
TO HAVE POLICIES THAT PROTECT

6636
05:13:46,027 --> 05:13:47,395
KIDS IN THAT ENVIRONMENT. SO I

6637
05:13:47,395 --> 05:13:49,498
THINK THAT IS A DUAL THING.

6638
05:13:49,498 --> 05:13:53,135
COULD WE DO MORE TO PROTECT KIDS

6639
05:13:53,135 --> 05:13:54,803
IN THAT SPACE? AND COULD WE DO

6640
05:13:54,803 --> 05:13:57,873
MORE TO PROMOTE MORE HEALTHFUL

6641
05:13:57,873 --> 05:14:03,845
FOODS ESPECIALLY FOR THAT REALLY

6642
05:14:03,845 --> 05:14:06,248
VULNERABLE AGE GROUP OF

6643
05:14:06,248 --> 05:14:06,815
ADOLESCENTS.

6644
05:14:06,815 --> 05:14:09,384
>> THANK YOU, HEATHER, FOR
THAT

6645
05:14:09,384 --> 05:14:11,253
PERSPECTIVE. ANY MORE COMMENTS?

6646
05:14:11,253 --> 05:14:13,288
SO COULD WE PLEASE HAVE THE NEXT

6647
05:14:13,288 --> 05:14:21,062
SLIDE. I THINK WE HAVE HAD QUITE

6648
05:14:21,062 --> 05:14:24,466
A BIT OF DISCUSSION ABOUT FIRST

6649
05:14:24,466 --> 05:14:27,569
ONE, THE RECOMMENDATION TO SHIFT

6650
05:14:27,569 --> 05:14:29,171
TO NUTRIENT DENSE PLANT BASED

6651
05:14:29,171 --> 05:14:33,875
MEALS.  WE ALSO TALKED ABOUT

6652
05:14:33,875 --> 05:14:37,979
GRAINS. AND REALLY STRENGTHENING

6653
05:14:37,979 --> 05:14:39,581
THE RECOMMENDATION, THE GRAINS

6654
05:14:39,581 --> 05:14:41,783
MOSTLY WHOLE GRAINS. NOW, I

6655
05:14:41,783 --> 05:14:46,288
THINK THROUGH THE FOOD PATTERN

6656
05:14:46,288 --> 05:14:48,156
MODELING, IT WAS REVEALED THAT

6657
05:14:48,156 --> 05:14:50,592
ONE OF THE CHALLENGES WITH THE

6658
05:14:50,592 --> 05:14:54,429
SHIFT FROM REFINED WHOLE GRAINS

6659
05:14:54,429 --> 05:14:55,964
IS NUTRIENTS THAT ARE FORTIFIED

6660
05:14:55,964 --> 05:15:00,368
IN REFINED GRAINS. WHAT I HAVE

6661
05:15:00,368 --> 05:15:06,074
HEARD -- WE HAVE HEARD IS WE

6662
05:15:06,074 --> 05:15:09,444
NEED TO SUPPORT AND ENCOURAGE

6663
05:15:09,444 --> 05:15:11,079
MANDATORY FOLATE FORTIFICATION

6664
05:15:11,079 --> 05:15:13,181
FOR EXAMPLE TO INCLUDE WHOLE

6665
05:15:13,181 --> 05:15:16,718
GRAINS. I THINK THERE WAS A

6666
05:15:16,718 --> 05:15:18,286
DISCUSSION THE INITIAL

6667
05:15:18,286 --> 05:15:19,721
FORTIFICATION PLAN, THEY JUST

6668
05:15:19,721 --> 05:15:24,259
WANTED PEOPLE TO CONSUME HIGHER

6669
05:15:24,259 --> 05:15:26,461
AMOUNTS OF FOLATE, PARTICULARLY

6670
05:15:26,461 --> 05:15:28,363
WOMEN IN THE PERICONCEPTTIVE

6671
05:15:28,363 --> 05:15:30,999
PHASE BUT NOW THAT IT IS WELL

6672
05:15:30,999 --> 05:15:34,202
RECEIVED AND SUCCESSFUL SHIFTING

6673
05:15:34,202 --> 05:15:38,773
WHAT THE FOODS ARE THAT ARE

6674
05:15:38,773 --> 05:15:40,575
FORTIFIED. ANY COMMENTS, I THINK

6675
05:15:40,575 --> 05:15:42,477
THIS IS SUMMARIZING A LOT OF THE

6676
05:15:42,477 --> 05:15:45,347
DISCUSSION WE HAD UP TO NOW. ANY

6677
05:15:45,347 --> 05:15:52,821
OTHER COMMENTS ON THAT? YES.

6678
05:15:52,821 --> 05:15:53,054
CAROL.

6679
05:15:53,054 --> 05:15:55,190
>> CHRIS, CORRECT ME IF
THIS IS

6680
05:15:55,190 --> 05:15:57,058
NOT CORRECT BUT WHEN WE DID THE

6681
05:15:57,058 --> 05:15:59,060
FOOD PATTERN MODELING WE SAW AS

6682
05:15:59,060 --> 05:16:02,430
WE INCREASED WHOLE GRAIN, WE

6683
05:16:02,430 --> 05:16:04,299
WERE LOSING SOME OF THE IRON

6684
05:16:04,299 --> 05:16:06,501
ESPECIALLY FOR SOME VULNERABLE

6685
05:16:06,501 --> 05:16:08,970
GROUPS. I'M WONDERING IF WE

6686
05:16:08,970 --> 05:16:11,039
MIGHT WANT TO THINK ABOUT GOING

6687
05:16:11,039 --> 05:16:13,875
BEYOND FOLATE FORTIFICATION, TO

6688
05:16:13,875 --> 05:16:15,610
THE FULL ENRICHMENT PACKAGE THAT

6689
05:16:15,610 --> 05:16:19,481
WE TYPICALLY SEE IN REFINED

6690
05:16:19,481 --> 05:16:22,017
GRAINS SO THERE IS A GREATER

6691
05:16:22,017 --> 05:16:24,686
OPPORTUNITY TO RECOMMEND MORE

6692
05:16:24,686 --> 05:16:25,687
WHOLE GRAINS. CHRIS, I DON'T

6693
05:16:25,687 --> 05:16:26,788
KNOW IF YOU CAN FOLLOW-UP ON

6694
05:16:26,788 --> 05:16:30,425
THAT.

6695
05:16:30,425 --> 05:16:33,328
>> YEAH, THAT IS CORRECT.
IT WAS

6696
05:16:33,328 --> 05:16:35,664
MORE THAN JUST FOLATE WITHIN

6697
05:16:35,664 --> 05:16:37,999
THAT AND THEN WHEN WE LOOKED AT

6698
05:16:37,999 --> 05:16:41,770
THE NUTRIENT PROFILE FOR WHOLE

6699
05:16:41,770 --> 05:16:45,273
GRAINS THE FORTIFIED WHOLE

6700
05:16:45,273 --> 05:16:46,975
GRAINS BREAKFAST CEREALS WERE

6701
05:16:46,975 --> 05:16:50,378
MOST COMMONLY MAKING UP THE

6702
05:16:50,378 --> 05:16:52,714
NUTRIENT PROFILE BECAUSE FOR THE

6703
05:16:52,714 --> 05:16:56,551
MOST PART IF PEOPLE WERE

6704
05:16:56,551 --> 05:17:00,188
CONSUMING BREAD LESS LIKELY

6705
05:17:00,188 --> 05:17:02,424
CONSUMING WHOLEWHEAT BREAD, IT

6706
05:17:02,424 --> 05:17:03,958
WAS COMING FROM BREAKFAST

6707
05:17:03,958 --> 05:17:05,894
CEREALS WHICH IS MORE LIKELY TO

6708
05:17:05,894 --> 05:17:10,432
BE ENRICHED. SO THE PROFILE IS A

6709
05:17:10,432 --> 05:17:12,701
LITTLE SKEWED THAT WHEN YOU ARE

6710
05:17:12,701 --> 05:17:14,836
LOOKING AT BREADS THE BRANDS

6711
05:17:14,836 --> 05:17:16,338
HAVE A TENDENCY TO BE REFINED

6712
05:17:16,338 --> 05:17:19,107
GRAIN BUT THE CEREALS MADE UP

6713
05:17:19,107 --> 05:17:20,875
THE WHOLE GRAIN SO THIS

6714
05:17:20,875 --> 05:17:22,010
TRANSITION WOULD MEAN IF YOU ARE

6715
05:17:22,010 --> 05:17:23,912
GOING TO MAKE A SWITCH FROM

6716
05:17:23,912 --> 05:17:28,683
REFINED GRAIN BREAD TO WHOLE

6717
05:17:28,683 --> 05:17:30,452
GRAIN BREAD, YOU ARE MORE LIKELY

6718
05:17:30,452 --> 05:17:32,320
TO INTRODUCE THE ISSUES THAT

6719
05:17:32,320 --> 05:17:33,788
CAROL WAS MENTIONING AROUND THE

6720
05:17:33,788 --> 05:17:35,690
FOLATE, THE IRON BECAUSE YOU ARE

6721
05:17:35,690 --> 05:17:38,460
NOT GOING TO SOMETHING MORE

6722
05:17:38,460 --> 05:17:40,128
LIKELY GOING TO BE -- HAVE LOTS

6723
05:17:40,128 --> 05:17:42,564
OF THINGS ADDED TO IT. IT WILL

6724
05:17:42,564 --> 05:17:46,901
BE A WHOLE GRAIN VERSION OF THAT

6725
05:17:46,901 --> 05:17:47,268
FOOD.

6726
05:17:47,268 --> 05:17:48,670
>> CRISS JUST SO I
UNDERSTAND

6727
05:17:48,670 --> 05:17:50,305
THIS CORRECTLY, BECAUSE AS I WAS

6728
05:17:50,305 --> 05:17:53,074
SAYING IT I REMEMBERED IRON CAME

6729
05:17:53,074 --> 05:17:56,878
UP BUT WHAT WOULD BE THE

6730
05:17:56,878 --> 05:17:57,245
RECOMMENDATION?

6731
05:17:57,245 --> 05:18:00,682
>> SO THE RECOMMENDATION
WOULD

6732
05:18:00,682 --> 05:18:05,153
BE FOR MATCHING THE NUTRIENT

6733
05:18:05,153 --> 05:18:07,756
PROFILE. FOR REFINED GRAINS TO

6734
05:18:07,756 --> 05:18:10,158
WHOLE GRAINS. SO LOOKING AT IF

6735
05:18:10,158 --> 05:18:11,893
IRON BECOMES A LIMITING FACTOR

6736
05:18:11,893 --> 05:18:13,261
YOU WANT TO MAKE SURE THAT IRON

6737
05:18:13,261 --> 05:18:15,397
IS IN THE WHOLE GRAINS AS WELL

6738
05:18:15,397 --> 05:18:17,399
AS IN THE REFINED GRAINS. 

6739
05:18:17,399 --> 05:18:19,434
>> GREAT.  THANK YOU VERY
MUCH.

6740
05:18:19,434 --> 05:18:21,136
THANK YOU, CAROL, FOR POINTING

6741
05:18:21,136 --> 05:18:21,503
THAT OUT.

6742
05:18:21,503 --> 05:18:25,407
>> I HAD A DIFFERENT ONE.

6743
05:18:25,407 --> 05:18:26,441
>> PLEASE.

6744
05:18:26,441 --> 05:18:29,544
>> IN THE ENCOURAGE

6745
05:18:29,544 --> 05:18:31,212
RECOMMENDATIONS TO SHIFT TO

6746
05:18:31,212 --> 05:18:33,148
NUTRIENT DENSE PLANT BASED

6747
05:18:33,148 --> 05:18:35,216
MEALS, THIS IS KIND OF A -- IS

6748
05:18:35,216 --> 05:18:37,185
IT A TERMINOLOGY THING OF

6749
05:18:37,185 --> 05:18:40,488
ENCOURAGING PEOPLE WHO'S FROM

6750
05:18:40,488 --> 05:18:43,591
DATA ANALYSIS EATING LESS PLANT

6751
05:18:43,591 --> 05:18:49,497
BASED MEALS OR IS IT A

6752
05:18:49,497 --> 05:18:51,933
CONSENSUAL FRAMEWORK TO SAY THE

6753
05:18:51,933 --> 05:18:53,401
GUIDELINES WERE PROMOTING MORE

6754
05:18:53,401 --> 05:18:54,602
PLANT BASED?  BECAUSE PLANT

6755
05:18:54,602 --> 05:18:57,505
BASED HAS A TENDENCY TO BE USED

6756
05:18:57,505 --> 05:19:01,576
AS A CODE WORD FOR VEGAN AS

6757
05:19:01,576 --> 05:19:04,078
OPPOSED TO EATING MORE PLANT

6758
05:19:04,078 --> 05:19:06,147
PROTEIN OR EATING MORE PLANT

6759
05:19:06,147 --> 05:19:08,550
PRODUCTS.  BECAUSE IF YOU LOOK

6760
05:19:08,550 --> 05:19:11,419
AT THE RECOMMENDATIONS IN THE

6761
05:19:11,419 --> 05:19:15,056
HUSS, IT IS A FOUNDATION OF

6762
05:19:15,056 --> 05:19:16,825
GRAINS, FOUNDATION OF FRUITS AND

6763
05:19:16,825 --> 05:19:17,826
VEGETABLES WITH SOME MEAT

6764
05:19:17,826 --> 05:19:21,229
POULTRY AND EGGS AND DAIRY

6765
05:19:21,229 --> 05:19:22,630
PRODUCTS, SEAFOOD, WHICH DOESN'T

6766
05:19:22,630 --> 05:19:26,968
MEAN THAT IT IS VEGAN BUT IT IS

6767
05:19:26,968 --> 05:19:29,737
MOTHER PLANT-BASED. SO THE

6768
05:19:29,737 --> 05:19:30,972
TERMINOLOGY HERE IN TERMS OF

6769
05:19:30,972 --> 05:19:33,741
WHAT THAT -- LIKE WHAT IS THE

6770
05:19:33,741 --> 05:19:37,045
CONCEPT THAT WE ARE REALLY

6771
05:19:37,045 --> 05:19:38,379
TRYING TO -- AND THAT IS MY

6772
05:19:38,379 --> 05:19:38,813
QUESTION.

6773
05:19:38,813 --> 05:19:41,282
>> CHRIS YOU RAISED A
REALLY

6774
05:19:41,282 --> 05:19:42,750
GOOD POINT. I KNOW THERE'S BEEN

6775
05:19:42,750 --> 05:19:46,154
A LOT OF DISCUSSION, BECAUSE

6776
05:19:46,154 --> 05:19:48,590
DIFFERENT WORDS AND DIFFERENT

6777
05:19:48,590 --> 05:19:50,692
TERMS HAVE DIFFERENT

6778
05:19:50,692 --> 05:19:51,993
CONNOTATION. I THINK THIS IS

6779
05:19:51,993 --> 05:19:55,230
WHERE A GOODIES CUSHION WOULD

6780
05:19:55,230 --> 05:19:57,098
COME OUT SO I'M HOPING THAT IS

6781
05:19:57,098 --> 05:20:00,201
WHAT IS GOING TO COME UP BUT YOU

6782
05:20:00,201 --> 05:20:01,769
RAISE AD REALLY GOOD POINT, I

6783
05:20:01,769 --> 05:20:04,539
DON'T THINK IT LANDED ON PERHAPS

6784
05:20:04,539 --> 05:20:08,076
THE PERFECT TERM YET SO HEATHER,

6785
05:20:08,076 --> 05:20:08,309
PLEASE.

6786
05:20:08,309 --> 05:20:12,947
>> I'M NOT A BIG FAN OF
THE

6787
05:20:12,947 --> 05:20:18,186
FIRST ONE THERE TO ENCOURAGE

6788
05:20:18,186 --> 05:20:19,888
SHIFT TO PLANT BASED MEALS

6789
05:20:19,888 --> 05:20:21,589
BECAUSE I ALSO FEEL LIKE THIS IS

6790
05:20:21,589 --> 05:20:23,825
KIND OF DISREGARDING THE DAIRY

6791
05:20:23,825 --> 05:20:28,897
AND FORTIFIED SOY GROUP. WE KNOW

6792
05:20:28,897 --> 05:20:30,665
A LOOT OF -- ALSO NOT JUST

6793
05:20:30,665 --> 05:20:34,002
BECAUSE OF DAIRY BUT OUR ANIMAL

6794
05:20:34,002 --> 05:20:35,904
SOURCES OF MANY NUTRIENTS IN

6795
05:20:35,904 --> 05:20:40,208
GENERAL ARE MORE BIOAVAILABLE. I

6796
05:20:40,208 --> 05:20:47,215
THINK IN PARTICULAR FOR OUR

6797
05:20:47,215 --> 05:20:49,450
GROWING AGE GROUPS, ADOLESCENTS

6798
05:20:49,450 --> 05:20:52,687
AND KIDS, THEY ARE ALREADY NOT

6799
05:20:52,687 --> 05:20:55,023
HAVING ENOUGH FROM LIKE THE

6800
05:20:55,023 --> 05:20:58,993
DAIRY GROUP AND IT WAS SO

6801
05:20:58,993 --> 05:21:00,028
IMPORTANT FOR BONE HEALTH THAT

6802
05:21:00,028 --> 05:21:02,130
THEY ARE GETTING BIOAVAILABLE

6803
05:21:02,130 --> 05:21:03,765
SOURCES SO I FEEL THE WAY THAT

6804
05:21:03,765 --> 05:21:07,535
THAT IS WRITTEN THERE IS OLD

6805
05:21:07,535 --> 05:21:10,305
LIKE EMPHASIZING THOSE REALLY

6806
05:21:10,305 --> 05:21:12,173
IMPORTANT FOOD GROUPS FOR

6807
05:21:12,173 --> 05:21:13,875
NUTRIENTS THAT ARE ALREADY

6808
05:21:13,875 --> 05:21:18,079
UNDERCONSUMED. 

6809
05:21:18,079 --> 05:21:20,848
>> GOOD POINTS.
CHRISTOPHER.

6810
05:21:20,848 --> 05:21:22,850
>> ONE TERMINOLOGY. SORRY
MY

6811
05:21:22,850 --> 05:21:24,652
INTERNET WENT OUT SO I'M PART

6812
05:21:24,652 --> 05:21:26,321
PHONE NOW AND PART HOT SPOTTING

6813
05:21:26,321 --> 05:21:28,056
OFF MY PHON PHONE. SO I HOPE THS

6814
05:21:28,056 --> 05:21:30,725
COMES THROUGH. I WOULD AGREE

6815
05:21:30,725 --> 05:21:34,996
PLANT BASED IN THE PAST WAS VERY

6816
05:21:34,996 --> 05:21:37,765
MUCH MORE INCLUSIVE. IT ISN'T

6817
05:21:37,765 --> 05:21:39,968
PLANT RESTRICTIVE OR PLANT

6818
05:21:39,968 --> 05:21:41,836
INCLUSIVE, THIS IS PLANT BASED.

6819
05:21:41,836 --> 05:21:43,605
THIS IS SHIFTING. A LOT OF

6820
05:21:43,605 --> 05:21:45,807
PEOPLE ARE USING PLANT BASED

6821
05:21:45,807 --> 05:21:48,343
INSTEAD OF VEGAN, VEGAN ALREADY

6822
05:21:48,343 --> 05:21:50,445
HAS BAD CONNOTATION AND NOW

6823
05:21:50,445 --> 05:21:51,879
PEOPLE ARE ANNE BRING THEY

6824
05:21:51,879 --> 05:21:53,448
SWITCHED THE WORD BUT KEPT THE

6825
05:21:53,448 --> 05:21:56,017
VEGAN THING BUT I THINK PLANT

6826
05:21:56,017 --> 05:21:57,352
FORWARD MAY WORK. I DON'T WANT

6827
05:21:57,352 --> 05:21:59,654
TO ANSWER THAT QUESTION NOW, WE

6828
05:21:59,654 --> 05:22:01,356
JUST SHOULD BE CAREFUL, THIS

6829
05:22:01,356 --> 05:22:05,360
COULD BE PLANT FOODS. MOTHER

6830
05:22:05,360 --> 05:22:08,463
NUTRIENT DENSE PLANT FOODS --

6831
05:22:08,463 --> 05:22:11,099
MORE NUTRIENT DENSE PLANT

6832
05:22:11,099 --> 05:22:12,667
SOURCED FOODS. THIS ALSO BRINGS

6833
05:22:12,667 --> 05:22:16,104
UP THE PLANT BASED MEATS, DAIRY,

6834
05:22:16,104 --> 05:22:17,405
THE FAKE THINGS. SO WE'LL HAVE

6835
05:22:17,405 --> 05:22:21,876
TO BE CAREFUL THERE. BUT TO

6836
05:22:21,876 --> 05:22:26,981
BUILD ON THE LAST POINT, MAYBE

6837
05:22:26,981 --> 05:22:28,683
IT NEEDS TO BE SPECIFIC BY AGE

6838
05:22:28,683 --> 05:22:31,019
GROUP. HEATHER, FOR THE ADULTS,

6839
05:22:31,019 --> 05:22:34,222
THE DAIRY, I DON'T THINK WOULD

6840
05:22:34,222 --> 05:22:35,690
BE AS IMPORTANT -- I DIDN'T

6841
05:22:35,690 --> 05:22:37,158
REALLY SEE THAT SHIFTING AWAY

6842
05:22:37,158 --> 05:22:38,726
FROM DAIRY BUT I TOTALLY

6843
05:22:38,726 --> 05:22:40,695
RECOGNIZE YOUR POINT FOR KIDS,

6844
05:22:40,695 --> 05:22:43,364
THAT THAT MIGHT CARRY ACROSS FOR

6845
05:22:43,364 --> 05:22:45,166
KIDS. MAYBE THIS NEEDS TO HAVE

6846
05:22:45,166 --> 05:22:47,502
ADULT BECAUSE WHEN WE GET TO

6847
05:22:47,502 --> 05:22:50,171
SATURATED FOOD SOURCES OF

6848
05:22:50,171 --> 05:22:52,040
SATURATED FATTED TOMORROW FOR

6849
05:22:52,040 --> 05:22:53,474
ADULTS IT WILL BE PRETTY CLEAR

6850
05:22:53,474 --> 05:22:58,112
TO SWITCH TO MORE PLANT SOURCED

6851
05:22:58,112 --> 05:23:01,015
FOODS. SO MAYBE SHIFT TO MORE,

6852
05:23:01,015 --> 05:23:03,718
NOT JUST A SHIFT TO -- AND YEAH,

6853
05:23:03,718 --> 05:23:06,020
THERE'S GOING TO BE A LOT OF

6854
05:23:06,020 --> 05:23:07,321
TERMINOLOGY QUESTIONS HAPPY PI

6855
05:23:07,321 --> 05:23:08,356
TO HELP IF I CAN BUT IT IS

6856
05:23:08,356 --> 05:23:09,290
CONFUSING AT THE MOMENT.

6857
05:23:09,290 --> 05:23:11,793
>> THANK YOU. AND I DO
REALIZE

6858
05:23:11,793 --> 05:23:17,799
MEALS IS A VERY CONFUSING TERM,

6859
05:23:17,799 --> 05:23:18,933
THAT PROBABLY IS PART OF THE

6860
05:23:18,933 --> 05:23:20,101
CHALLENGE. ANGELA.

6861
05:23:20,101 --> 05:23:21,836
>> YEAH, I WAS WONDERING
WHAT IS

6862
05:23:21,836 --> 05:23:26,240
THE SOURCE OF THIS, BECAUSE LIKE

6863
05:23:26,240 --> 05:23:27,709
WE HAVE CONCLUSION STATEMENTS

6864
05:23:27,709 --> 05:23:29,077
DOES THIS SUPPORT? I'M WONDERING

6865
05:23:29,077 --> 05:23:31,646
IF WE NEED A LEVEL OF

6866
05:23:31,646 --> 05:23:32,747
SPECIFICITY. BECAUSE I THINK

6867
05:23:32,747 --> 05:23:34,449
WHEN YOU SAY SHIFT, THAT MEANS

6868
05:23:34,449 --> 05:23:38,319
SHIFT AWAY FROM SOMETHING. IF WE

6869
05:23:38,319 --> 05:23:40,154
ARE TALKING ABOUT PLANT FOODS

6870
05:23:40,154 --> 05:23:44,258
THAT ALSO INCLUDES -- WE MAKE IT

6871
05:23:44,258 --> 05:23:46,027
PLANT FOODS AND NOT PLANT

6872
05:23:46,027 --> 05:23:50,531
PROTEINS THAT WOULD INCLUDE

6873
05:23:50,531 --> 05:23:52,967
VEGETABLES, GRAINS, LIKE -- SO

6874
05:23:52,967 --> 05:23:55,970
I'M WONDERING WHAT WAS THE

6875
05:23:55,970 --> 05:24:01,242
SOURCE THAT THIS ADVISE CAME

6876
05:24:01,242 --> 05:24:03,344
FROM? WHICH ARE WE TRYING TO

6877
05:24:03,344 --> 05:24:03,711
EMPHASIZE?

6878
05:24:03,711 --> 05:24:05,580
>> I THINK THESE ARE ALL
REALLY

6879
05:24:05,580 --> 05:24:07,315
GOOD POINTS, I THINK WE REALLY

6880
05:24:07,315 --> 05:24:11,853
NEED TO GO BACK AND THINK THIS,

6881
05:24:11,853 --> 05:24:13,521
I THINK MORE IN LINE WITH THE

6882
05:24:13,521 --> 05:24:18,793
DISCUSSIONS THAT WE HAD EARLIER

6883
05:24:18,793 --> 05:24:23,097
ABOUT THE PROTEIN FOOD FOODS. AO

6884
05:24:23,097 --> 05:24:25,533
I'M ACTUALLY THINKING WE SHOULD

6885
05:24:25,533 --> 05:24:28,703
HOLD THIS AND MAYBE GO TO THE

6886
05:24:28,703 --> 05:24:30,705
WRAPSS. THEN IF WE HAVE TIME

6887
05:24:30,705 --> 05:24:31,906
CIRCLE BACK. DOES THAT SOUND

6888
05:24:31,906 --> 05:24:35,443
LIKE A GOOD IDEA? CRIST IFER,

6889
05:24:35,443 --> 05:24:38,513
DID YOU WANT TO SAY ANYTHING?

6890
05:24:38,513 --> 05:24:39,680
>> SOMEWHERE JUST TO
ANSWER

6891
05:24:39,680 --> 05:24:43,317
LANGUAGE, THAT WAS CBD PATTERNS

6892
05:24:43,317 --> 05:24:45,219
AND SOURCES OF SATURATED FAT,

6893
05:24:45,219 --> 05:24:47,388
BOTH WHICH I'M ON. I'M NOT SURE

6894
05:24:47,388 --> 05:24:49,891
IF YOU WERE ON EITHER OF THOSE,

6895
05:24:49,891 --> 05:24:50,124
ANGELA.

6896
05:24:50,124 --> 05:24:53,895
>> THANK YOU, CHRISTOPHER.

6897
05:24:53,895 --> 05:24:54,162
HEATHER.

6898
05:24:54,162 --> 05:24:57,198
>> I JUST WANTED TO SAY
ONE

6899
05:24:57,198 --> 05:24:59,934
QUICK THING ABOUT THE SECOND

6900
05:24:59,934 --> 05:25:02,904
POINT THERE ABOUT THE

6901
05:25:02,904 --> 05:25:05,640
RECOMMENDATION FOR THE GRAINS. I

6902
05:25:05,640 --> 05:25:07,408
COULD BE IN SUPPORT OF THAT BUT

6903
05:25:07,408 --> 05:25:09,844
I ALSO FEEL LIKE IF THAT IS

6904
05:25:09,844 --> 05:25:11,212
GOING TO HAPPEN THERE NEEDS TO

6905
05:25:11,212 --> 05:25:14,048
BE A LOT MORE EDUCATION AROUND

6906
05:25:14,048 --> 05:25:16,284
WHAT WHOLE GRAINS ARE, BECAUSE I

6907
05:25:16,284 --> 05:25:17,652
STILL FEEL LIKE PEOPLE ARE VERY

6908
05:25:17,652 --> 05:25:23,357
CONFUSED BY THAT. THERE IS -- WE

6909
05:25:23,357 --> 05:25:24,859
HAVE HAD THE RECOMMENDATION FOR

6910
05:25:24,859 --> 05:25:26,694
HAVING HALF FOR A WHILE. AND I

6911
05:25:26,694 --> 05:25:28,162
FEEL LIKE ONE OF THE GAPS THERE

6912
05:25:28,162 --> 05:25:29,730
IS JUST THAT PEOPLE DON'T KNOW

6913
05:25:29,730 --> 05:25:33,801
WHAT WHOLE GRAINS ARE. 

6914
05:25:33,801 --> 05:25:43,044
>> GOOD POINT. THANK YOU.
THE

6915
05:25:43,044 --> 05:25:45,646
OTHER WAS WHEN WE -- ADVICE TO

6916
05:25:45,646 --> 05:25:50,751
THE DEPARTMENTS IS TO EXERCISE

6917
05:25:50,751 --> 05:25:52,220
NUTRIENT DENSE OPTIONS.  THESE

6918
05:25:52,220 --> 05:25:54,088
ARE FORMS WITHOUT ADDED SUGAR

6919
05:25:54,088 --> 05:25:57,024
SATURATED FAT AND SODIUM. I

6920
05:25:57,024 --> 05:26:02,196
THINK WE HAD A LOT OF DISCUSSION

6921
05:26:02,196 --> 05:26:04,632
ABOUT THE FOOD SUPPLY HIGH IN

6922
05:26:04,632 --> 05:26:06,167
SODIUM BECAUSE IT IS A DIET

6923
05:26:06,167 --> 05:26:11,172
SIMILAR RATIO -- SIMULATION.  WE

6924
05:26:11,172 --> 05:26:13,941
GOT AND AD VICE HERE THAT WE

6925
05:26:13,941 --> 05:26:17,044
SUPPORT MAKING VOLUNTARY TARGETS

6926
05:26:17,044 --> 05:26:18,779
MANDATORY TO SUPPORT FOOD SUPPLY

6927
05:26:18,779 --> 05:26:23,251
LOWER IN SODIUM. WE ALSO HERE IS

6928
05:26:23,251 --> 05:26:27,822
WHERE WE EXPLAINED WHY WE

6929
05:26:27,822 --> 05:26:28,990
RECOMMENDED THAT MOST OF THE

6930
05:26:28,990 --> 05:26:32,560
CALORIES ARE NEEDED, MOST OF ALL

6931
05:26:32,560 --> 05:26:34,695
CALORIES ARE NEEDED TO FOOD

6932
05:26:34,695 --> 05:26:36,330
GROUP NEEDS EVEN WITH THE MOST

6933
05:26:36,330 --> 05:26:40,034
NUTRIENT DENSE OPTIONS. THEN THE

6934
05:26:40,034 --> 05:26:43,938
SECOND ONE IS VERY SIMILAR TO

6935
05:26:43,938 --> 05:26:44,772
THE CURRENT RECOMMENDATION WHICH

6936
05:26:44,772 --> 05:26:47,642
LIMIT FOOD AND BEVERAGES HIGH IN

6937
05:26:47,642 --> 05:26:50,077
ADDED SUGARS AND SATURATED FAT

6938
05:26:50,077 --> 05:26:52,346
AND LIMIT ENERGY DENSE FOOD AND

6939
05:26:52,346 --> 05:26:55,449
BEVERAGES THAT ARE LOW IN

6940
05:26:55,449 --> 05:26:57,885
NUTRIENTS OF CONCERN. SO I WOULD

6941
05:26:57,885 --> 05:26:58,986
LIKE TO HAVE SOME REACTION TO

6942
05:26:58,986 --> 05:27:04,225
THAT. CHRISTOPHER, YOUR HAND

6943
05:27:04,225 --> 05:27:05,426
SUP, I DON'T KNOW IF THAT IS A

6944
05:27:05,426 --> 05:27:10,698
LEGACY HAND OR NEW HAND. THANKS 

6945
05:27:10,698 --> 05:27:19,473
ANY REACTION, CONCERN? OKAY. GO

6946
05:27:19,473 --> 05:27:24,845
TO NEXT, NEXT SLIDE, THANK YOU.

6947
05:27:24,845 --> 05:27:29,784
SO FOR JUST TO CONFIRM, THIS

6948
05:27:29,784 --> 05:27:31,919
COMMITTEE WHERE IS THE 2020

6949
05:27:31,919 --> 05:27:33,054
COMMITTEE DID HAVE ADVICE AROUND

6950
05:27:33,054 --> 05:27:35,856
THE TOPIC OF ALCOHOLIC BEVERAGES

6951
05:27:35,856 --> 05:27:39,860
AND HEALTH OUTCOMES.  BECAUSE

6952
05:27:39,860 --> 05:27:42,763
HHS AND USDA ARE ADDRESSING

6953
05:27:42,763 --> 05:27:46,934
SCIENTIFIC REVIEWS ON THIS TOPIC

6954
05:27:46,934 --> 05:27:48,202
THIS INDEPENDENT OF THE WORK WE

6955
05:27:48,202 --> 05:27:52,506
ARE DOING, AND THEY ARE LISTED

6956
05:27:52,506 --> 05:27:56,610
HERE, WE MADE A DECISION NOT TO

6957
05:27:56,610 --> 05:27:58,212
CONSIDER REVIEWS ON THIS TOPIC

6958
05:27:58,212 --> 05:28:01,315
AN THEREFORE WE ARE NOT WEIGHING

6959
05:28:01,315 --> 05:28:05,586
IN. THE FINDINGS OF THOSE TWO

6960
05:28:05,586 --> 05:28:06,354
COMPLIMENTARY EFFORTS ARE

6961
05:28:06,354 --> 05:28:10,358
AVAILABLE BY END OF DECEMBER

6962
05:28:10,358 --> 05:28:11,926
2024, WHICH IS AFTER A REPORT

6963
05:28:11,926 --> 05:28:13,627
WILL BE SUBMITTED, SO WE ARE

6964
05:28:13,627 --> 05:28:16,597
GOING TO RECOMMEND THE

6965
05:28:16,597 --> 05:28:17,932
DEPARTMENTS CONSIDER THE

6966
05:28:17,932 --> 05:28:20,568
FINDINGS OF THE TWO INDEPENDENT

6967
05:28:20,568 --> 05:28:22,269
SCIENTIFIC REVIEWS WHEN

6968
05:28:22,269 --> 05:28:25,706
CONSIDERING THE NEXT EDITION OF

6969
05:28:25,706 --> 05:28:28,876
THE 2025, 2030 DIETARY

6970
05:28:28,876 --> 05:28:29,910
GUIDELINES. ANY CONCERNS ABOUT

6971
05:28:29,910 --> 05:28:38,486
THIS? GOOD. OKAY. WE ARE AT THE

6972
05:28:38,486 --> 05:28:45,059
LAST ONE.  THERE WERE THROUGH

6973
05:28:45,059 --> 05:28:47,461
OUR CONVERSATIONPS SOME REAL

6974
05:28:47,461 --> 05:28:49,764
RECOMMENDATIONS ABOUT

6975
05:28:49,764 --> 05:28:54,235
NOMENCLATURE. THE EMPHASIS ON

6976
05:28:54,235 --> 05:28:55,803
CONDUCTING CONSUMER RESEARCH ON

6977
05:28:55,803 --> 05:29:00,408
FOOD GROUPS AN SUBGROUP NAMES.

6978
05:29:00,408 --> 05:29:02,076
AND THE FOOD MARKET, WHAT'S

6979
05:29:02,076 --> 05:29:03,144
AVAILABLE ON THE MARKET IS

6980
05:29:03,144 --> 05:29:06,747
EVOLVING VERY RAPIDLY. AND WHAT

6981
05:29:06,747 --> 05:29:09,016
MAY HAVE BEEN AN APPROPRIATE

6982
05:29:09,016 --> 05:29:10,351
TERM TO CONSUMERS IN THE PAST

6983
05:29:10,351 --> 05:29:13,554
MAY NOT BE RELEVANT NOW. SO ONE

6984
05:29:13,554 --> 05:29:16,390
AREA IS ON THE CONCEPT PROTEIN

6985
05:29:16,390 --> 05:29:18,826
FOODS. AND I THINK DEE DEE, YOU

6986
05:29:18,826 --> 05:29:21,028
RAISED THIS. FOODS AND OTHER

6987
05:29:21,028 --> 05:29:23,197
FOOD GROUPS ALSO CONTAIN PROTEIN

6988
05:29:23,197 --> 05:29:27,835
SO BIT OF A MISNOMER. THEN WE

6989
05:29:27,835 --> 05:29:30,371
ALSO THERE WAS SOME

6990
05:29:30,371 --> 05:29:31,739
CONSIDERATION ABOUT BEING UNDER

6991
05:29:31,739 --> 05:29:34,341
THE DAIRY CATEGORY, NOT

6992
05:29:34,341 --> 05:29:36,177
REFERRING TO LACTOSE FREE

6993
05:29:36,177 --> 05:29:39,013
OPTIONS AND FORTIFIED SOY MILK

6994
05:29:39,013 --> 05:29:40,681
AND YOGURT AS ALTERNATIVES

6995
05:29:40,681 --> 05:29:44,085
BECAUSE THEY ARE PART OF THAT

6996
05:29:44,085 --> 05:29:45,986
DAIRY GROUP. ALSO DETERMINE IF

6997
05:29:45,986 --> 05:29:48,322
DAIRY IS THE WEST TERM TO CAP --

6998
05:29:48,322 --> 05:29:49,623
BEST TERM TO CAPTURE THE

6999
05:29:49,623 --> 05:29:50,624
RECOMMENDED FOOD WITHIN THAT

7000
05:29:50,624 --> 05:29:55,262
GROUP TO INCLUDE MILK, SOY MILK 

7001
05:29:55,262 --> 05:29:58,999
YOGURT, SOY YOGURT AN CHEESE.

7002
05:29:58,999 --> 05:30:01,735
FINALLY, THERE ARE MANY, MANY

7003
05:30:01,735 --> 05:30:03,370
VEGETABLES THAT FALL IN THE

7004
05:30:03,370 --> 05:30:08,776
OTHER VEGETABLE CATEGORY. SO WE

7005
05:30:08,776 --> 05:30:11,979
ARE RECOMMENDING THAT THERE BE

7006
05:30:11,979 --> 05:30:13,614
CONSUMER RESEARCH ON WHAT WOULD

7007
05:30:13,614 --> 05:30:17,051
BE A BETTER WAY OR IF THIS IS

7008
05:30:17,051 --> 05:30:19,620
THE RIGHT NOMENCLATURE, HOW I

7009
05:30:19,620 --> 05:30:23,023
SHOULD PHRASE IT, IS OTHER A

7010
05:30:23,023 --> 05:30:24,391
GOOD CATEGORY GIVEN THE VAST

7011
05:30:24,391 --> 05:30:27,128
NUMBERD ON THE BROAD NUMBER OF

7012
05:30:27,128 --> 05:30:28,629
VEGETABLES IN THAT CATEGORY,

7013
05:30:28,629 --> 05:30:33,200
INCLUDING SOME VERY POPULAR ON

7014
05:30:33,200 --> 05:30:35,469
ONES. ANY REACTION TO THAT?

7015
05:30:35,469 --> 05:30:35,703
ANGELA.

7016
05:30:35,703 --> 05:30:36,971
>> I THINK ALL OF THESE
ARE

7017
05:30:36,971 --> 05:30:39,507
GOOD. I WAS WONDERING IF WE DO

7018
05:30:39,507 --> 05:30:42,776
RECOMMEND -- IF WE ARE MAKING

7019
05:30:42,776 --> 05:30:45,112
THE RECOMMENDATION THE BEANS

7020
05:30:45,112 --> 05:30:46,780
LENTILS O THE PROTEIN GROUP I

7021
05:30:46,780 --> 05:30:48,415
WILL ADD THAT TO ONE, ALSO ON

7022
05:30:48,415 --> 05:30:50,551
THE CLASSIFICATION.

7023
05:30:50,551 --> 05:30:53,154
>> THANK YOU, ANGELA.
GREAT

7024
05:30:53,154 --> 05:30:57,691
POINT. CHRISTOPHER.

7025
05:30:57,691 --> 05:31:01,695
>> FOR PAPER TO CITED 2019

7026
05:31:01,695 --> 05:31:03,497
NUTRITION REVIEWINGS MADE A

7027
05:31:03,497 --> 05:31:05,466
HEATED MAD SHOWING ALL PLANT

7028
05:31:05,466 --> 05:31:09,270
FOODS HAVE 20 AMINO ACIDS

7029
05:31:09,270 --> 05:31:11,505
INCLUDING ALL NON-CERTAIN AMINO

7030
05:31:11,505 --> 05:31:14,275
ACIDS. HAVING TO CHUCK THAT IN

7031
05:31:14,275 --> 05:31:18,546
THIS HEAT MAP OF AMMINO ACIDS,

7032
05:31:18,546 --> 05:31:19,313
EVERYONE NEEDS TO BE BLOWN AWAY

7033
05:31:19,313 --> 05:31:22,850
THAT THEY ARE NOT MISSING. AS

7034
05:31:22,850 --> 05:31:24,952
FOR OTHER VEGETABLES MAYBE

7035
05:31:24,952 --> 05:31:26,820
ADDITIONAL VEGETABLES OR ALSO

7036
05:31:26,820 --> 05:31:27,621
VEGETABLES.  THERE MUST BE

7037
05:31:27,621 --> 05:31:30,624
SOMETHING.  COULD STILL KEEP

7038
05:31:30,624 --> 05:31:33,160
VEGETABLE BUS SAY ADDITIONAL --

7039
05:31:33,160 --> 05:31:34,828
BUT SAY ADDITIONAL VEGETABLES

7040
05:31:34,828 --> 05:31:35,029
MAYBE.

7041
05:31:35,029 --> 05:31:40,434
>> GREAT. ANGELA, WAS THAT
A NEW

7042
05:31:40,434 --> 05:31:44,271
QUESTION? OKAY. NO PROBLEM.

7043
05:31:44,271 --> 05:31:51,745
ANYBODY ELSE HAVE ANY COMMENTS?

7044
05:31:51,745 --> 05:31:52,313
YEAH, ELLEN.

7045
05:31:52,313 --> 05:31:54,815
>> I THINK FOR THE LAST
ONE WE

7046
05:31:54,815 --> 05:31:57,351
NEED TO PUT IT INTO CONTEXT OF

7047
05:31:57,351 --> 05:32:00,421
THE CATEGORY OF THE DARK GREEN

7048
05:32:00,421 --> 05:32:04,858
RED AND ORANGE AND --

7049
05:32:04,858 --> 05:32:08,095
(INDISCERNIBLE) BECAUSE I THINK

7050
05:32:08,095 --> 05:32:09,129
THAT SHIFT IT IS OTHER

7051
05:32:09,129 --> 05:32:10,064
CATEGORIES AS WELL. 

7052
05:32:10,064 --> 05:32:14,802
>> VERY GOOD POINT, ELENE.
THANK

7053
05:32:14,802 --> 05:32:20,140
YOU. OTHER QUESTIONS, COMMENTS? 

7054
05:32:20,140 --> 05:32:22,876
OKAY. NEXT SLIDE WHICH IS THE

7055
05:32:22,876 --> 05:32:26,080
LAST SLIDE OF THE DAY. DOES

7056
05:32:26,080 --> 05:32:27,715
ANYONE HAVE ANYTHING THEY WANT

7057
05:32:27,715 --> 05:32:29,950
TO TISS DOES THAT WE HAVE NOT

7058
05:32:29,950 --> 05:32:32,186
DISCUSSED UP TO NOW? REMEMBERING

7059
05:32:32,186 --> 05:32:36,357
THAT WE DO HAVE A FUTURE

7060
05:32:36,357 --> 05:32:38,826
DIRECTIONS AND CROSS CUTTING

7061
05:32:38,826 --> 05:32:40,361
THEMES DISCUSSION TOMORROW, WE

7062
05:32:40,361 --> 05:32:43,998
ARE ALSO HOPING ALL OF YOU HAVE

7063
05:32:43,998 --> 05:32:45,232
TIME TO REST TONIGHT AND

7064
05:32:45,232 --> 05:32:46,934
TOMORROW YOU WILL HAVE TIME TO

7065
05:32:46,934 --> 05:32:49,236
SYNTHESIZE THIS AND HAVE A WHOLE

7066
05:32:49,236 --> 05:32:52,406
NEW SET OF GREAT RECOMMENDATIONS

7067
05:32:52,406 --> 05:32:54,975
AND ADVICE. ANYBODY HAVE ANY

7068
05:32:54,975 --> 05:32:55,709
FINAL WORDS THEY WOULD LIKE TO

7069
05:32:55,709 --> 05:33:03,017
SAY? IF THAT IS NOT -- IF THAT

7070
05:33:03,017 --> 05:33:03,751
IS THE CASE FIRST I WANT TO

7071
05:33:03,751 --> 05:33:07,187
THANK YOU. THIS WAS SUCH A RICH

7072
05:33:07,187 --> 05:33:08,889
DISCUSSION. I AM JUST

7073
05:33:08,889 --> 05:33:12,860
CONTINUALLY BLOWN AWAY HOW THIS

7074
05:33:12,860 --> 05:33:15,829
COMMITTEE CAN COME TOGETHER AND

7075
05:33:15,829 --> 05:33:18,165
REACH CONSENSUS IN SUCH AN

7076
05:33:18,165 --> 05:33:19,833
INFORMED AND COLLEGIAL WAY.

7077
05:33:19,833 --> 05:33:22,169
AMAZING, AMAZING TEAM. AND I'M

7078
05:33:22,169 --> 05:33:25,873
GOING TO HAND IT NOW OVER TO

7079
05:33:25,873 --> 05:33:30,377
JANET TO WRAP UP TODAY'S

7080
05:33:30,377 --> 05:33:30,778
MEETING.

7081
05:33:30,778 --> 05:33:32,479
>> YES. ECHOING WHAT YOU
SAID,

7082
05:33:32,479 --> 05:33:34,481
SARA. THANK YOU SO MUCH FOR THAT

7083
05:33:34,481 --> 05:33:38,052
VERY THOUGHTFUL CONVERSATION AND

7084
05:33:38,052 --> 05:33:39,620
REPORTING AND OUT OF YOUR

7085
05:33:39,620 --> 05:33:40,854
COMMITTEE AND ALL THE WONDERFUL

7086
05:33:40,854 --> 05:33:42,723
WORK THAT YOU HAVE BEEN DOING.

7087
05:33:42,723 --> 05:33:45,492
SO JUST A NOTE, WE WILL

7088
05:33:45,492 --> 05:33:48,128
RECONVENE TOMORROW AT 11 A.M.

7089
05:33:48,128 --> 05:33:50,230
EASTERN TIME. I HOPE YOU HAVE A

7090
05:33:50,230 --> 05:33:51,999
WONDERFUL EVENING. WITH THAT I

7091
05:33:51,999 --> 05:33:52,900
WILL ADJOURN THE MEETING. THANK

7092
05:33:52,900 --> 05:34:02,900
YOU.