1
00:00:06,530 --> 00:00:11,535
>> GOOD MORNING AND
WELCOME TO 

2
00:00:11,535 --> 00:00:13,670
DAY TWO OF TODAY'S DIETARY 

3
00:00:13,670 --> 00:00:14,938
GUIDELINES ADVISORY COMMITTEE
MEETING.

4
00:00:14,938 --> 00:00:25,775


5
00:00:25,775 --> 00:00:28,945
WE'LL START REPORTING ON 

6
00:00:28,945 --> 00:00:30,280
COMPLIMENTARY FEEDING AND 

7
00:00:30,280 --> 00:00:31,982
FEEDING PRACTICES DURING 

8
00:00:31,982 --> 00:00:32,248
CHILDHOOD.

9
00:00:32,248 --> 00:00:34,551
THEY'LL MOVE TO DESCRIBING THEIR

10
00:00:34,551 --> 00:00:35,785
EFFORTS REVIEW AND ADVICE ON 

11
00:00:35,785 --> 00:00:41,725
BEVERAGES AND FOOD SOURCES OF 

12
00:00:41,725 --> 00:00:47,130
SATURATED FAULT FOLLOWING THAT 

13
00:00:47,130 --> 00:00:57,674
FREQUENCY OF MEALS AND SNACKING 

14
00:01:01,011 --> 00:01:03,613
AND PORTION SIZE AND WRAP UP 

15
00:01:03,613 --> 00:01:05,382
WITH NEXT STEPS AND ADJOURNMENT.

16
00:01:05,382 --> 00:01:10,854
WITH THAT I'D LIKE TO TURN IT 

17
00:01:10,854 --> 00:01:13,490
OVER TO DR. FISHER AND ANDRES.

18
00:01:13,490 --> 00:01:16,526
>> GOOD MORNING, EVERYONE.

19
00:01:16,526 --> 00:01:21,664
IT'S REALLY EXCITING TO BE ABLE 

20
00:01:21,664 --> 00:01:24,534
TO PRESENT OUR DRAFT ADVICE TO 

21
00:01:24,534 --> 00:01:33,009
THE DEPARTMENT ALONG WITH ALIGN 

22
00:01:33,009 --> 00:01:35,378
ING THING WITH ANDRES AND WE 

23
00:01:35,378 --> 00:01:40,917
LOOKED AT PREGNANCY AND BIRTH 

24
00:01:40,917 --> 00:01:43,319
THROUGH ADOLESCENCE AND WE LOOK 

25
00:01:43,319 --> 00:01:44,687
AT CRITICAL ROLE REVIEW AND 

26
00:01:44,687 --> 00:01:47,824
INTEGRATION OF THE EVIDENCE ON 

27
00:01:47,824 --> 00:01:50,627
QUESTIONS RELATED TO 

28
00:01:50,627 --> 00:01:52,295
COMPLEMENTARY FEEDING AND 

29
00:01:52,295 --> 00:01:53,997
FEEDING STYLES AND PRACTICES 

30
00:01:53,997 --> 00:01:55,065
DURING CHILDHOOD.

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BEFORE WE GO FURTHER WE'D LIKE 

32
00:01:56,299 --> 00:01:57,634
TO RECOGNIZE THE CONTRIBUTIONS 

33
00:01:57,634 --> 00:01:59,469
OF OUR COMMITTEE MEMBERS AND THE

34
00:01:59,469 --> 00:02:00,403
WONDERFUL STAFF WHO HAVE BEEN 

35
00:02:00,403 --> 00:02:07,644
VERY COMMITTED TO THIS WORK.

36
00:02:07,644 --> 00:02:10,380
SO OUR REVIEW OF THE EVIDENCE 

37
00:02:10,380 --> 00:02:12,182
AND ADVICE TO THE DEPARTMENTS 

38
00:02:12,182 --> 00:02:13,950
PERTAIN TO THE HOWs AND WHATs OF

39
00:02:13,950 --> 00:02:15,618
FEEDING YOUNG CHILDREN.

40
00:02:15,618 --> 00:02:18,154
IN CHAPTER 5 OF OUR REPORT WE 

41
00:02:18,154 --> 00:02:19,456
SUMMARIZE FROM REVIEWS ON THE 

42
00:02:19,456 --> 00:02:21,257
RELATIONSHIPS BETWEEN TIMING AND

43
00:02:21,257 --> 00:02:24,561
TYPES OF FOODS AND BEVERAGES 

44
00:02:24,561 --> 00:02:26,329
INTRODUCED DURING THE 

45
00:02:26,329 --> 00:02:28,698
COMPLIMENTARY FEEDING PERIOD AND

46
00:02:28,698 --> 00:02:30,733
GROWTH, BODY COMPOSITION AND 

47
00:02:30,733 --> 00:02:34,270
RISK OF OBESITY AMONG CHILDREN.

48
00:02:34,270 --> 00:02:35,505
COMPLIMENTARY FEEDING REFERS TO 

49
00:02:35,505 --> 00:02:36,272
THE PERIOD WHEN CHILDREN 

50
00:02:36,272 --> 00:02:40,143
TRANSITION TO FROM A SOLELY 

51
00:02:40,143 --> 00:02:42,278
MILK-BASED DIET INVOLVING HUMAN 

52
00:02:42,278 --> 00:02:44,714
MILK AND/OR FORMULA TO ONE WHERE

53
00:02:44,714 --> 00:02:47,450
MILK IS COMPLIMENTED FROM 

54
00:02:47,450 --> 00:02:49,085
INTRODUCTION OF FOODS AND 

55
00:02:49,085 --> 00:02:49,352
BEVERAGES.

56
00:02:49,352 --> 00:02:51,721
FOODS AND BEVERAGES TAKE ON AN 

57
00:02:51,721 --> 00:02:53,089
INCREASINGLY IMPORTANT ROLE IN 

58
00:02:53,089 --> 00:02:54,491
SUSTAINING ADEQUATE GROWTH FROM 

59
00:02:54,491 --> 00:02:56,426
THE LATTER PART OF INFANCY TO 

60
00:02:56,426 --> 00:02:58,128
THE SECOND YEAR.

61
00:02:58,128 --> 00:02:58,862
IMPORTANTLY THEY INTRODUCE 

62
00:02:58,862 --> 00:03:00,063
CHILDREN TO THE FOODS OF THEIR 

63
00:03:00,063 --> 00:03:01,397
FAMILIES AND CULTURE AND THEIR 

64
00:03:01,397 --> 00:03:04,767
LOCAL ENVIRONMENTS.

65
00:03:04,767 --> 00:03:06,269
IN THIS CHAPTER WE'RE PRESENTING

66
00:03:06,269 --> 00:03:08,304
OUR FINDING ON ASSOCIATION OF 

67
00:03:08,304 --> 00:03:11,374
CAREGIVER PRACTICE STYLES AND 

68
00:03:11,374 --> 00:03:11,641
PRACTICES.

69
00:03:11,641 --> 00:03:13,276
WITH OUTCOMES RELATED TO FOOD 

70
00:03:13,276 --> 00:03:15,512
ACCEPTANCE, DIETARY INTAKE AND 

71
00:03:15,512 --> 00:03:15,778
GROWTH.

72
00:03:15,778 --> 00:03:17,947
SO FEEDING STYLES REALLY REFER 

73
00:03:17,947 --> 00:03:22,152
TO THE OVER ALL OR BROAD 

74
00:03:22,152 --> 00:03:24,988
APPROACH THAT PARENTS USE TO 

75
00:03:24,988 --> 00:03:26,689
FEEDING CHILDREN WHEREAS FEEDING

76
00:03:26,689 --> 00:03:28,958
PRACTICES REFER TO VERY SPECIFIC

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00:03:28,958 --> 00:03:32,061
GOAL ORIENTED BEHAVIORS USED TO 

78
00:03:32,061 --> 00:03:32,996
GUIDE, SHAPE AND DIRECT 

79
00:03:32,996 --> 00:03:34,230
CHILDREN'S EATING BEHAVIORS.

80
00:03:34,230 --> 00:03:37,567
OUR REVIEW OF THE EVIDENCE 

81
00:03:37,567 --> 00:03:38,468
CONSIDERED BOTH THESE BROAD 

82
00:03:38,468 --> 00:03:39,569
STYLES AS WELL AS SPECIFIC 

83
00:03:39,569 --> 00:03:43,206
PRACTICES USED BY CAREGIVERS OF 

84
00:03:43,206 --> 00:03:46,109
CHILDREN AGE 2-6 YEARS OF AGE.

85
00:03:46,109 --> 00:03:47,944
ONE THING WE'D LIKE TO POINT OUT

86
00:03:47,944 --> 00:03:50,113
IS IN THIS WORK WE LIKE TO USE 

87
00:03:50,113 --> 00:03:52,815
THE WORD CAREGIVERS TO BE 

88
00:03:52,815 --> 00:03:54,584
INCLUSIVE OF ALL INDIVIDUALS 

89
00:03:54,584 --> 00:03:56,452
PROVIDING PRIMARY CARE AND 

90
00:03:56,452 --> 00:03:59,055
FEEDING YOUNG CHILDREN IN THE 

91
00:03:59,055 --> 00:03:59,522
HOMES.

92
00:03:59,522 --> 00:04:00,657
THIS INCLUDES PARENTS, 

93
00:04:00,657 --> 00:04:02,325
GRANDPARENTS AND OTHER FAMILY 

94
00:04:02,325 --> 00:04:02,859
MEMBERS AS WELL AS LEGAL 

95
00:04:02,859 --> 00:04:08,865
GUARDIANS.

96
00:04:08,865 --> 00:04:12,068
THE COMMITTEE CONDUCTED FOUR 

97
00:04:12,068 --> 00:04:13,269
SYSTEMATIC REVIEWS AND IN THE 

98
00:04:13,269 --> 00:04:15,171
INTEREST OF UNDERSTANDING HOW 

99
00:04:15,171 --> 00:04:15,772
COMPLIMENTARY FEEDING BEST 

100
00:04:15,772 --> 00:04:16,873
SUPPORTS HEALTHY GROWTH.

101
00:04:16,873 --> 00:04:18,608
WE REVIEWED THE SCIENCE 

102
00:04:18,608 --> 00:04:19,943
ADDRESSING THE QUESTION WHAT IS 

103
00:04:19,943 --> 00:04:21,044
THE RELATIONSHIP BETWEEN 

104
00:04:21,044 --> 00:04:22,278
COMPLIMENTARY FEEDING AND GROWTH

105
00:04:22,278 --> 00:04:24,480
AND BODY COMPOSITION AND RISK OF

106
00:04:24,480 --> 00:04:24,781
OBESITY.

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00:04:24,781 --> 00:04:26,049
THIS IS SHOWN AS A SINGLE 

108
00:04:26,049 --> 00:04:26,316
QUESTION.

109
00:04:26,316 --> 00:04:27,483
IT'S IMPORTANT TO POINT OUT THAT

110
00:04:27,483 --> 00:04:30,920
WE REVIEWED THE EVIDENCE ACROSS 

111
00:04:30,920 --> 00:04:32,989
A WIDE RANGE OF COMPLEMENTARY 

112
00:04:32,989 --> 00:04:36,092
FOODS FROM VEGETABLES TO GRAINS 

113
00:04:36,092 --> 00:04:37,293
TO PROTEIN FOODS AND NEW 

114
00:04:37,293 --> 00:04:37,961
EVALUATED THE EVIDENCE IN TERMS 

115
00:04:37,961 --> 00:04:40,897
OF TIMING OF INTRODUCTION AS 

116
00:04:40,897 --> 00:04:42,899
WELL AS THE AMOUNT CONSUMED.

117
00:04:42,899 --> 00:04:44,601
SO THERE'S A LOT OF DIFFERENT 

118
00:04:44,601 --> 00:04:46,636
COMPONENTS IN A SINGLE QUESTION.

119
00:04:46,636 --> 00:04:48,771
THE REMAINING THREE QUESTIONS 

120
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REALLY PERTAIN TO THE HOWs OF 

121
00:04:51,341 --> 00:04:51,574
FEEDING.

122
00:04:51,574 --> 00:04:52,642
WE ASKED TWO QUESTIONS THAT 

123
00:04:52,642 --> 00:04:57,513
SOUGHT TO IDENTIFY DIFFERENT 

124
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TYPES OF FEEDING STYLES ALIGNED 

125
00:04:59,349 --> 00:05:02,185
WITH THE DIETARY GUIDELINES AND 

126
00:05:02,185 --> 00:05:04,153
ASSOCIATED WITH FAVORABLE GROWTH

127
00:05:04,153 --> 00:05:05,221
OUTCOMES AND THESE WERE IN 

128
00:05:05,221 --> 00:05:07,991
CHILDREN 2-6 YEARS OF AGE.

129
00:05:07,991 --> 00:05:09,626
FINALLY, WE LOOKED AT THE 

130
00:05:09,626 --> 00:05:10,693
EVIDENCE ON A VERY SPECIFIC 

131
00:05:10,693 --> 00:05:12,562
FEEDING PRACTICE WHICH IS 

132
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PROVIDING REPEATED EXPOSURE TO 

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NEW FOODS BY ASKING THE 

134
00:05:15,898 --> 00:05:16,966
QUESTION, WHAT IS THE 

135
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RELATIONSHIP BETWEEN REPEATED 

136
00:05:18,868 --> 00:05:20,637
EXPOSURE TO FOOD AND FOOD 

137
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ACCEPTANCE.

138
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HERE WE CONSIDERED STUDIES OF 

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00:05:23,806 --> 00:05:25,074
REPEATED EXPOSURE DURING INFANCY

140
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UP TO AGE 6.

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00:05:27,944 --> 00:05:30,613
REALLY IT WAS A WIDE SLOT OF 

142
00:05:30,613 --> 00:05:33,383
EARLY CHILDHOOD, IF YOU WILL.

143
00:05:33,383 --> 00:05:36,419
WE PRESENTED FINDINGS AT OUR 

144
00:05:36,419 --> 00:05:37,453
PREVIOUS PUBLIC MEETING SO WE'D 

145
00:05:37,453 --> 00:05:38,588
LIKE TO FOCUS ON THE INTEGRATION

146
00:05:38,588 --> 00:05:41,824
OF THESE FINDINGS AS THE AS 

147
00:05:41,824 --> 00:05:42,625
ADVICE TO THE DEPARTMENT TO 

148
00:05:42,625 --> 00:05:46,129
SUPPORT THE NEXT EDITION OF THE 

149
00:05:46,129 --> 00:05:46,629
DIETARY GUIDELINES FOR 

150
00:05:46,629 --> 00:05:46,896
AMERICANS.

151
00:05:46,896 --> 00:05:49,365
WITH THAT I'D LIKE TO TURN IT 

152
00:05:49,365 --> 00:05:55,805
OVER TO ALINE ANDRES TO FOCUS ON

153
00:05:55,805 --> 00:05:56,306
DIETARY FEEDING.

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00:05:56,306 --> 00:05:58,308
>> IT'S A PLEASURE TO BE
WITH 

155
00:05:58,308 --> 00:05:58,975
YOU TODAY.

156
00:05:58,975 --> 00:06:02,779
AS JENNY SAID, COMPLIMENTARY 

157
00:06:02,779 --> 00:06:04,881
FEEDING IS A PROCESS OF STARTING

158
00:06:04,881 --> 00:06:07,583
IN HUMAN MILK OR FORMULA 

159
00:06:07,583 --> 00:06:18,261
COMPLEMENTED BY OTHER FOODS AND 

160
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PREFER

161
00:06:18,828 --> 00:06:19,329
BEVERAGES AND TYPICALLY 

162
00:06:19,329 --> 00:06:19,962
CONTINUES UP TO 24 MONTH AS THE 

163
00:06:19,962 --> 00:06:20,530
YOUNG CHILD TRANSITIONS TO 

164
00:06:20,530 --> 00:06:20,863
FAMILY FOODS.

165
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PREVIOUS COMMITTEE AND 

166
00:06:22,598 --> 00:06:24,033
ORGANIZATIONS CAREFULLY 

167
00:06:24,033 --> 00:06:24,500
CONSIDERED NUTRIENTS 

168
00:06:24,500 --> 00:06:26,135
REQUIREMENTS AND OTHER ASPECTS 

169
00:06:26,135 --> 00:06:31,541
OF THE DIET DURING COMPLEMENTARY

170
00:06:31,541 --> 00:06:31,774
FEEDING.

171
00:06:31,774 --> 00:06:34,177
WE WERE SPECIFICALLY TASKED WITH

172
00:06:34,177 --> 00:06:34,877
REVIEWING THE EVIDENCE ON THE 

173
00:06:34,877 --> 00:06:40,583
AMOUNT AND TIMING OF 

174
00:06:40,583 --> 00:06:41,217
INTRODUCTION OF PARTICULAR FOODS

175
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TO UNDERSTAND THE BODY OF 

176
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EVIDENCE IN THIS ASPECT AND 

177
00:06:44,754 --> 00:06:46,222
PROVIDE A SCIENTIFIC BASIS FOR 

178
00:06:46,222 --> 00:06:47,156
MAKING CHANGES TO THE CURRENT 

179
00:06:47,156 --> 00:06:57,333
GUIDANCE.

180
00:07:00,470 --> 00:07:03,272
FIRST THE COMMITTEE DREW THREE 

181
00:07:03,272 --> 00:07:08,644
CONCLUSION STATEMENTS THAT 

182
00:07:08,644 --> 00:07:10,012
HIGHLIGHTED FRUIT AND VEGETABLE 

183
00:07:10,012 --> 00:07:12,648
CONSUMPTION UP TO 24 MONTHS IS 

184
00:07:12,648 --> 00:07:14,450
NOT UNFAVORABLY ASSOCIATED WITH 

185
00:07:14,450 --> 00:07:19,522
GROWTH PATTERN IN CHILDHOOD.

186
00:07:19,522 --> 00:07:22,892
AND CONSUMPTION FROM AGE 6 UP TO

187
00:07:22,892 --> 00:07:25,061
24 MONTHS IS NOT FAVORLY 

188
00:07:25,061 --> 00:07:27,797
ASSOCIATED WITH GROWTH PATTERN 

189
00:07:27,797 --> 00:07:29,465
AND RISK OF OBESITY IN 

190
00:07:29,465 --> 00:07:29,732
CHILDHOOD.

191
00:07:29,732 --> 00:07:34,771
ALL THESE THREE CONCLUSION 

192
00:07:34,771 --> 00:07:35,805
STATEMENTS WERE BASED ON 

193
00:07:35,805 --> 00:07:38,608
EVIDENCE CREATED AS LIMITED AND 

194
00:07:38,608 --> 00:07:42,812
FRUITS, VEGETABLES AND GRAINS 

195
00:07:42,812 --> 00:07:45,782
AROUND 6 MONTHS AND THE 

196
00:07:45,782 --> 00:07:46,616
COMPLIMENTARY FEEDING PERIOD.

197
00:07:46,616 --> 00:07:48,418
SO THE COMMITTEE DREW A 

198
00:07:48,418 --> 00:07:50,586
CONCLUSION STATEMENT THAT 

199
00:07:50,586 --> 00:07:52,255
HIGHLIGHTED INTRODUCTION OF 

200
00:07:52,255 --> 00:07:58,127
GRAIN AT/OR BEFORE 8 MONTHS IS 

201
00:07:58,127 --> 00:08:01,664
ASSOCIATED WITH HIGHER BMI SCORE

202
00:08:01,664 --> 00:08:02,498
DURING CHILDHOOD BASED ON 

203
00:08:02,498 --> 00:08:05,501
EVIDENCE GRADED AS LIMITED.

204
00:08:05,501 --> 00:08:07,603
THIS CONCLUSION STATEMENT 

205
00:08:07,603 --> 00:08:10,173
REINFORCES A COMPLIMENTARY 

206
00:08:10,173 --> 00:08:12,141
FEEDING SHOULD NOT BEGIN BEFORE 

207
00:08:12,141 --> 00:08:14,310
AGE 4 MONTHS WHICH ALIGNS WITH 

208
00:08:14,310 --> 00:08:17,513
THE CURRENT DIETARY GUIDELINE 

209
00:08:17,513 --> 00:08:19,315
RECOMMENDATION TO INTRODUCE 

210
00:08:19,315 --> 00:08:22,819
COMPLIMENTARY FOOD AROUND AGE 6 

211
00:08:22,819 --> 00:08:28,224
MONTHS.

212
00:08:28,224 --> 00:08:32,028
A CONCLUSION COULD NOT BE DRAWN 

213
00:08:32,028 --> 00:08:34,897
FOR SEVEN AREAS FOR THE AGE OF 

214
00:08:34,897 --> 00:08:37,266
INTRODUCTION FOR SPECIFIC 

215
00:08:37,266 --> 00:08:39,802
COMPLEMENTARY FOODS AND BROTHER 

216
00:08:39,802 --> 00:08:41,237
BODY COMPOSITION AND RISK OF 

217
00:08:41,237 --> 00:08:41,537
OBESITY.

218
00:08:41,537 --> 00:08:43,105
FIRST CONCLUSION STATEMENTS WERE

219
00:08:43,105 --> 00:08:44,540
NOT DRAWN IN FOUR AREAS DUE TO A

220
00:08:44,540 --> 00:08:46,409
LACK OF EVIDENCE.

221
00:08:46,409 --> 00:08:49,912
AND THESE INCLUDED THE AGE OF 

222
00:08:49,912 --> 00:08:52,615
INTRODUCTION OF 100% JUICE, 

223
00:08:52,615 --> 00:09:03,392
FRUITS AND VEGETABLES AND BODY 

224
00:09:04,260 --> 00:09:05,328
COMPOSITION AND OBESITY AS WELL 

225
00:09:05,328 --> 00:09:08,097
AS GRAINS IN BODY COMPOSITION.

226
00:09:08,097 --> 00:09:09,398
CONCLUSION STATEMENT WAS NOT 

227
00:09:09,398 --> 00:09:11,868
DRAWN IN THREE ADDITIONAL AREAS 

228
00:09:11,868 --> 00:09:12,902
DUE TO CONCERNS REGARDING THE 

229
00:09:12,902 --> 00:09:15,104
CONSISTENCY OF THE BODIES OF 

230
00:09:15,104 --> 00:09:16,706
EVIDENCE AND THOSE INCLUDED THE 

231
00:09:16,706 --> 00:09:20,376
AGE OF INTRODUCTION OF PROTEIN 

232
00:09:20,376 --> 00:09:24,680
FOODS, DAIRY FOOD, 

233
00:09:24,680 --> 00:09:25,348
SUGAR-SWEETENED BEVERAGES AND 

234
00:09:25,348 --> 00:09:32,688
GROWTH BODY COMPOSITION AND RISK

235
00:09:32,688 --> 00:09:34,023
OF OBESITY.

236
00:09:34,023 --> 00:09:36,025
CONCLUSION STATEMENT COULD NOT 

237
00:09:36,025 --> 00:09:39,529
BE DRAWN FOR ANOTHER SIX AREAS 

238
00:09:39,529 --> 00:09:40,997
RELATED TO THE AMOUNT OF FOOD 

239
00:09:40,997 --> 00:09:44,300
EATEN DURING THE COMPLIMENTARY 

240
00:09:44,300 --> 00:09:46,135
FEEDING PERIOD AND RISK OF 

241
00:09:46,135 --> 00:09:46,602
OBESITY.

242
00:09:46,602 --> 00:09:48,037
FIRST, CONCLUSION STATEMENT WERE

243
00:09:48,037 --> 00:09:49,372
NOT DRAWN IN THREE AREAS BECAUSE

244
00:09:49,372 --> 00:09:52,909
OF THE LACK OF EVIDENCE AND THAT

245
00:09:52,909 --> 00:09:54,577
INCLUDED THE AMOUNT OF FOOD 

246
00:09:54,577 --> 00:09:56,312
SOURCES OF ADDED SUGAR CONSUMED 

247
00:09:56,312 --> 00:09:58,614
AND GROWTH BODY COMPOSITION AND 

248
00:09:58,614 --> 00:09:59,715
RISK OF OBESITY.

249
00:09:59,715 --> 00:10:01,984
AMOUNT OF FRUITS AND VEGETABLES 

250
00:10:01,984 --> 00:10:08,624
CONSUMED AND BODY COMPOSITION 

251
00:10:08,624 --> 00:10:09,892
AND RISK OF OBESITY AND 

252
00:10:09,892 --> 00:10:11,227
CONCLUSION STATEMENTS WERE NOT 

253
00:10:11,227 --> 00:10:21,771
DRAWN IN THREE ADDITIONAL AREAS 

254
00:10:22,672 --> 00:10:28,578
OF THESE INCLUDED THE AMOUNT OF 

255
00:10:28,578 --> 00:10:34,417
DAIRY CONSUMED DUES OF PROTEIN 

256
00:10:34,417 --> 00:10:36,352
AND FOOD CONSUMED DUE TO 

257
00:10:36,352 --> 00:10:37,787
CONCERNS IN CONSISTENCY AND 

258
00:10:37,787 --> 00:10:40,990
DIRECTNESS AND AMOUNT OF 100% 

259
00:10:40,990 --> 00:10:41,757
JUICE CONSUMED DUE TO CONCERNS 

260
00:10:41,757 --> 00:10:46,395
OF CONSISTENCY.

261
00:10:46,395 --> 00:10:50,900
-- CONSISTENCY AND PRECISION.

262
00:10:50,900 --> 00:10:52,835
SO THERE ARE UNIQUE 

263
00:10:52,835 --> 00:10:55,871
CONSIDERATION FOR THE INFANCY 

264
00:10:55,871 --> 00:10:59,308
AND EARLY CHILDHOOD LIFE STAGES 

265
00:10:59,308 --> 00:11:00,977
WITH THE COMPLEMENTARY FEEDING 

266
00:11:00,977 --> 00:11:01,444
PERIOD.

267
00:11:01,444 --> 00:11:04,280
WE SUPPORT THE RECOMMENDATION TO

268
00:11:04,280 --> 00:11:05,615
INTRODUCE COMPLEMENTARY FOOD 

269
00:11:05,615 --> 00:11:08,317
AROUND AGE 6 MONTHS AND 

270
00:11:08,317 --> 00:11:11,887
INTRODUCTION OF GRAIN AT/OR 

271
00:11:11,887 --> 00:11:13,456
BEFORE 6 MONTHS IS ASSOCIATED 

272
00:11:13,456 --> 00:11:16,258
WITH HIGHER BMI SCORES IN 

273
00:11:16,258 --> 00:11:16,559
CHILDHOOD.

274
00:11:16,559 --> 00:11:20,696
TO ESTABLISH A HEALTHY DIETARY 

275
00:11:20,696 --> 00:11:22,932
PATTERN IT'S IMPORTANT TO 

276
00:11:22,932 --> 00:11:26,702
ENCOURAGE A VARIETY OF FOOD FROM

277
00:11:26,702 --> 00:11:28,771
ALL FOOD GROUPS.

278
00:11:28,771 --> 00:11:29,772
INCLUDING FOODS RICH IN IRON AND

279
00:11:29,772 --> 00:11:32,308
ZINC PARTICULARLY FOR INFANTS 

280
00:11:32,308 --> 00:11:33,409
FED HUMAN MILK.

281
00:11:33,409 --> 00:11:37,546
BASED ON THIS COMMITTEE'S REVIEW

282
00:11:37,546 --> 00:11:39,348
OF THE EVIDENCE FRUITS, 

283
00:11:39,348 --> 00:11:41,717
VEGETABLES AND GRAIN ARE 

284
00:11:41,717 --> 00:11:42,585
COMPLIMENTARY FOOD OPTION 

285
00:11:42,585 --> 00:11:44,987
BETWEEN 6 AND 24 MONTHS NOT 

286
00:11:44,987 --> 00:11:46,255
ASSOCIATED WITH UNFAVORABLE 

287
00:11:46,255 --> 00:11:48,324
OUTCOME AND RISK OF OBESITY AND 

288
00:11:48,324 --> 00:11:49,258
SINCE THEY'RE NUTRIENT DENSE 

289
00:11:49,258 --> 00:11:51,160
OPTION THAT ARE PART OF HEALTHY 

290
00:11:51,160 --> 00:11:56,432
DIETARY PATTERNS RECOMMENDED FOR

291
00:11:56,432 --> 00:11:59,135
ALL LIFE STAGES AND THE 

292
00:11:59,135 --> 00:12:00,670
COMMITTEE SUPPORTS THE INCLUSION

293
00:12:00,670 --> 00:12:02,271
OF FRUITS, VEGETABLES AND GRAINS

294
00:12:02,271 --> 00:12:04,974
AS COMPLIMENTARY FOODS.

295
00:12:04,974 --> 00:12:06,676
DURING THE LIFE STAGE, YOU 

296
00:12:06,676 --> 00:12:08,811
SHOULD AVOID OFFERING FOOD AND 

297
00:12:08,811 --> 00:12:12,982
BEVERAGES WITH ADDED SUGAR AND 

298
00:12:12,982 --> 00:12:15,151
OFFER FOOD BEVERAGES HIGH IN 

299
00:12:15,151 --> 00:12:15,751
SODIUM.

300
00:12:15,751 --> 00:12:16,786
THIS ADVICE REGARDING ADDED 

301
00:12:16,786 --> 00:12:19,255
SUGAR IS IN LINE WITH THE 

302
00:12:19,255 --> 00:12:20,322
CONCLUSION STATEMENT DRAWN AS 

303
00:12:20,322 --> 00:12:22,525
PART OF THE SYSTEMATIC REVIEW 

304
00:12:22,525 --> 00:12:25,928
WITH THE META-ANALYSIS ON 

305
00:12:25,928 --> 00:12:27,396
SUGAR-SWEETEN BEVERAGE 

306
00:12:27,396 --> 00:12:28,798
CONSUMPTION AND GROWTH BODY 

307
00:12:28,798 --> 00:12:30,599
COMPOSITION AND RISK OF OBESITY 

308
00:12:30,599 --> 00:12:33,469
ACROSS THE LIFE SPAN AND THAT 

309
00:12:33,469 --> 00:12:36,038
ANALYSIS AND SYSTEMATIC REVIEW 

310
00:12:36,038 --> 00:12:37,940
FOUND SUGAR-SWEETENED BEVERAGES 

311
00:12:37,940 --> 00:12:40,910
IN INFANT, CHILDREN AND ADULTS 

312
00:12:40,910 --> 00:12:42,578
IS ASSOCIATED WITH UNFAVORABLE 

313
00:12:42,578 --> 00:12:45,014
GROWTH PATTERN AND BODY 

314
00:12:45,014 --> 00:12:46,615
COMPOSITION AS WELL AS HIGHER 

315
00:12:46,615 --> 00:12:50,586
RISK OF OBESITY IN CHILDHOOD UP 

316
00:12:50,586 --> 00:13:00,830
TO EARLY ADULTHOOD.

317
00:13:00,830 --> 00:13:03,399
IT'S ALSO TO INTRODUCE FOOD OF 

318
00:13:03,399 --> 00:13:06,335
VARYING FLAVORS AND TEXTURES AND

319
00:13:06,335 --> 00:13:08,003
PROMOTE ACCEPTANCE OF A VARIETY 

320
00:13:08,003 --> 00:13:09,638
OF FOODS.

321
00:13:09,638 --> 00:13:10,806
THIS IS ESPECIALLY IMPORTANT IN 

322
00:13:10,806 --> 00:13:12,641
THE LIFE STAGE AS CHILDREN DON'T

323
00:13:12,641 --> 00:13:14,610
HAVE MUCH ROOM TO INCLUDE 

324
00:13:14,610 --> 00:13:19,815
ENERGY-DENSE FOOD.

325
00:13:19,815 --> 00:13:22,184
CONTINUE TO RECOMMEND OFFER 

326
00:13:22,184 --> 00:13:22,852
DEVELOPMENTALLY APPROPRIATE SIZE

327
00:13:22,852 --> 00:13:23,719
AND TEXTURE OF FOOD TO PREVENT 

328
00:13:23,719 --> 00:13:32,328
CHOKING.

329
00:13:32,328 --> 00:13:34,597
I'LL TURN IT BACK.

330
00:13:34,597 --> 00:13:35,831
>> NOW TO THE WORK ON
FEEDING 

331
00:13:35,831 --> 00:13:36,565
STYLES AND PRACTICES.

332
00:13:36,565 --> 00:13:38,634
FOR THOSE WHO MAY NOT HAVE 

333
00:13:38,634 --> 00:13:40,102
ATTENDED OR OUR PREVIOUS 

334
00:13:40,102 --> 00:13:42,605
MEETINGS, THIS IS THE FIRST 

335
00:13:42,605 --> 00:13:46,976
DIETARY GUIDELINES ADVISORY 

336
00:13:46,976 --> 00:13:54,583
COMMITTEE TO HAVE THE GOAL OF 

337
00:13:54,583 --> 00:13:55,885
EVIDENCE-BASED STRATEGIES TO 

338
00:13:55,885 --> 00:13:58,020
SUPPORT THE DEVELOPMENT OF 

339
00:13:58,020 --> 00:13:58,754
HEALTHY EATING BEHAVIORS.

340
00:13:58,754 --> 00:14:00,956
IN SIMPLE TERMS WE KNOW 

341
00:14:00,956 --> 00:14:03,592
VEGETABLES ARE HEALTHY FOODS FOR

342
00:14:03,592 --> 00:14:06,595
KIDS BUT HOW DO WE GET KIDS TO 

343
00:14:06,595 --> 00:14:09,231
EAT VEGETABLES AND FROM A 

344
00:14:09,231 --> 00:14:09,965
BEHAVIORAL STANDPOINT HOW DO YOU

345
00:14:09,965 --> 00:14:13,035
GET CHILDREN TO LIKE VEGETABLES?

346
00:14:13,035 --> 00:14:14,603
THE EVIDENCE AND CAREGIVERS NOTE

347
00:14:14,603 --> 00:14:16,972
CHILDREN DO NOT EAT WHAT THEY DO

348
00:14:16,972 --> 00:14:21,410
NOT LIKE.

349
00:14:21,410 --> 00:14:22,578
WITH THAT I'D LIKE TO PRESENT 

350
00:14:22,578 --> 00:14:25,681
THE SUMMARY OF OUR FINDINGS AND 

351
00:14:25,681 --> 00:14:27,483
ADVICE RELATED TO FEEDING STYLES

352
00:14:27,483 --> 00:14:28,818
AND PRACTICES AND THEIR 

353
00:14:28,818 --> 00:14:29,952
ASSOCIATION WITH FOOD ACCEPTANCE

354
00:14:29,952 --> 00:14:33,522
AND DIETARY INTAKE AND OUTCOMES 

355
00:14:33,522 --> 00:14:35,224
RELATED TO GROWTH BODY 

356
00:14:35,224 --> 00:14:36,392
COMPOSITION AND RISK OF OBESITY 

357
00:14:36,392 --> 00:14:46,001
FROM CHILDREN 2-6 YEARS OF AGE.

358
00:14:46,001 --> 00:14:47,336
WE ORGANIZED OUR FINDINGS BASED 

359
00:14:47,336 --> 00:14:50,606
ON THE DIRECTION OF ASSOCIATIONS

360
00:14:50,606 --> 00:14:52,975
WE SAW WITH OUTCOMES OF INTEREST

361
00:14:52,975 --> 00:14:55,244
IN SYSTEMATIC REVIEWS.

362
00:14:55,244 --> 00:14:56,178
THE COMMITTEE DREW STATEMENTS 

363
00:14:56,178 --> 00:14:57,513
DRAWING FAVORABLE ASSOCIATIONS 

364
00:14:57,513 --> 00:14:58,981
OF FEEDING STYLES AND PRACTICES 

365
00:14:58,981 --> 00:15:00,850
WITH FOOD ACCEPTANCE AND DIETARY

366
00:15:00,850 --> 00:15:04,987
INTAKE DURING CHILDHOOD.

367
00:15:04,987 --> 00:15:06,488
ONE CONCLUSION FOCUSSED ON THE 

368
00:15:06,488 --> 00:15:08,224
USE OF STRUCTURED FEEDING 

369
00:15:08,224 --> 00:15:10,960
PRACTICES AND THIS REFERS TO 

370
00:15:10,960 --> 00:15:12,027
PRACTICES THAT ORGANIZE PHYSICAL

371
00:15:12,027 --> 00:15:18,601
AND SOCIAL ASPECTS OF CHILDREN'S

372
00:15:18,601 --> 00:15:21,637
EATING ENVIRONMENT TO SHAPE 

373
00:15:21,637 --> 00:15:23,772
DESIRABLE EATING BEHAVIORS AND 

374
00:15:23,772 --> 00:15:25,708
BASED ON PROSPECTIVE COHORT 

375
00:15:25,708 --> 00:15:27,910
STUDIES THE COMMITTEE CONCLUDED 

376
00:15:27,910 --> 00:15:29,511
FEEDING PRACTICES THAT PROVIDE 

377
00:15:29,511 --> 00:15:31,080
STRUCTURE FOR CHILDREN'S EATING 

378
00:15:31,080 --> 00:15:32,047
ARE ASSOCIATED WITH HIGHER 

379
00:15:32,047 --> 00:15:34,884
INTAKES OF VEGETABLES AN FRUITS 

380
00:15:34,884 --> 00:15:36,919
AMONG CHILDREN 2-6 YEARS OF AGE.

381
00:15:36,919 --> 00:15:40,623
BASED ON THE TYPES OF PRACTICES 

382
00:15:40,623 --> 00:15:43,459
EVALUATED IN THIS LITERATURE, 

383
00:15:43,459 --> 00:15:46,629
THIS CONCLUDES CHILDREN'S INTAKE

384
00:15:46,629 --> 00:15:51,300
OF VEGETABLES AND FRUITS AN 

385
00:15:51,300 --> 00:15:53,002
STRUCTURE ENVIRONMENT MAKING 

386
00:15:53,002 --> 00:15:54,603
FRUITS AND VEGETABLES AVAILABLE 

387
00:15:54,603 --> 00:15:56,038
AND ACCESSIBLE TO CHILDREN AND 

388
00:15:56,038 --> 00:15:58,274
PRACTICES THAT STRUCTURE SOCIAL 

389
00:15:58,274 --> 00:15:59,275
ASPECTS OF EATING.

390
00:15:59,275 --> 00:16:03,145
THINGS LIKE HAVING REGULAR 

391
00:16:03,145 --> 00:16:06,315
ROUTINES THAT INVOLVE FRUITS AND

392
00:16:06,315 --> 00:16:08,117
VEGETABLES AND SETTING LIMITS ON

393
00:16:08,117 --> 00:16:10,085
OTHER LESS NUTRIENT DENSE FOODS 

394
00:16:10,085 --> 00:16:11,954
AND WHERE CAREGIVERS EAT AND 

395
00:16:11,954 --> 00:16:13,222
ENJOY HEALTHY FOODS WITH 

396
00:16:13,222 --> 00:16:13,489
CHILDREN.

397
00:16:13,489 --> 00:16:16,992
NEXT THERE WERE SEVEN CONE 

398
00:16:16,992 --> 00:16:18,627
COLLUSION STATEMENTS DEVELOPED 

399
00:16:18,627 --> 00:16:20,362
TO CHARACTERIZE FAVORABLE 

400
00:16:20,362 --> 00:16:23,565
EFFECTS OF FRUIT AND VEGETABLE 

401
00:16:23,565 --> 00:16:24,967
ACCEPTANCE AMONG CHILDREN.

402
00:16:24,967 --> 00:16:26,602
PROVIDING CHILDREN WITH REPEATED

403
00:16:26,602 --> 00:16:29,371
EXPOSURE WAS A FEEDING PRACTICE 

404
00:16:29,371 --> 00:16:30,306
OF PARTICULAR INTEREST WITHIN 

405
00:16:30,306 --> 00:16:32,775
THIS BROAD CATEGORY OF 

406
00:16:32,775 --> 00:16:33,509
STRUCTURED FEEDING PRACTICE.

407
00:16:33,509 --> 00:16:35,978
FIVE OF THE CONCLUSIONS ON 

408
00:16:35,978 --> 00:16:38,280
REPEATED EXPOSURE WERE SUPPORTED

409
00:16:38,280 --> 00:16:39,581
FROM EVIDENCE FROM CONTROLLED 

410
00:16:39,581 --> 00:16:40,349
TRIALS.

411
00:16:40,349 --> 00:16:42,584
IT HIGHLIGHTS THE ROBUST NATURE 

412
00:16:42,584 --> 00:16:45,387
OF THE EVIDENCE.

413
00:16:45,387 --> 00:16:48,157
AMONG CHILDREN AND WE SAW 

414
00:16:48,157 --> 00:16:51,226
REPEATED EXPOSURE WAS PROMOTED 

415
00:16:51,226 --> 00:16:53,062
ACCEPTANCE OF A PARTICULAR FUT 

416
00:16:53,062 --> 00:16:54,797
OR VEGETABLE CHILDREN WERE 

417
00:16:54,797 --> 00:16:57,333
EXPOSED AND ACCEPTANCE OF 

418
00:16:57,333 --> 00:17:00,369
NON-EXPOSED FOOD WITHIN THE SAME

419
00:17:00,369 --> 00:17:01,170
CATEGORY.

420
00:17:01,170 --> 00:17:02,805
FOR INSTANCE, PROVIDED REPEATED 

421
00:17:02,805 --> 00:17:06,608
EXPOSURE TO PEAS YOU MAY SEE 

422
00:17:06,608 --> 00:17:08,777
FAVORABLE ACCEPTANCE SAME WITH 

423
00:17:08,777 --> 00:17:09,178
BROCCOLI.

424
00:17:09,178 --> 00:17:12,548
THE EFFECTS OF REPEATED EXPOSURE

425
00:17:12,548 --> 00:17:13,649
ARE GENERALIZED SUGGESTING THE 

426
00:17:13,649 --> 00:17:16,552
STRATEGY MAY NOT ONLY PROMOTE 

427
00:17:16,552 --> 00:17:18,153
ACCEPTANCE OF SPECIFIC FOODS BUT

428
00:17:18,153 --> 00:17:20,622
GENERALLY ENCOURAGE ACCEPTANCE 

429
00:17:20,622 --> 00:17:22,424
OF A VARIETY OF HEALTHFUL FOODS 

430
00:17:22,424 --> 00:17:23,826
DURING COMPLIMENTARY FEEDING 

431
00:17:23,826 --> 00:17:25,327
WHEN CHILDREN ARE INTRODUCED TO 

432
00:17:25,327 --> 00:17:26,996
NOW FOODS THAT LAY A FOUNDATION 

433
00:17:26,996 --> 00:17:35,504
TO EARLY DIETARY PATTERNS.

434
00:17:35,504 --> 00:17:37,773
AND WE SAW ACCEPTANCE FOR NOVEL 

435
00:17:37,773 --> 00:17:39,174
MEANING NEW FOODS, FAMILIAR 

436
00:17:39,174 --> 00:17:42,611
FOODS AND PREVIOUSLY DISLIKED 

437
00:17:42,611 --> 00:17:43,746
FOODS AND THESE WERE 

438
00:17:43,746 --> 00:17:46,115
SPECIFICALLY VEGETABLES.

439
00:17:46,115 --> 00:17:49,184
THIS CONCLUSION AND REPEATED 

440
00:17:49,184 --> 00:17:50,486
EXPOSURE MAY HAVE FAVORABLE 

441
00:17:50,486 --> 00:17:55,257
EFFECTS OF CHILDREN'S ACCEPTANCE

442
00:17:55,257 --> 00:17:56,759
OF VEGETABLES AND FOR VEGETABLES

443
00:17:56,759 --> 00:17:58,594
THEY MAY OR MAY NOT INITIALLY 

444
00:17:58,594 --> 00:17:58,994
LIKE.

445
00:17:58,994 --> 00:18:00,829
THE COMMITTEE ALSO INCLUDED 

446
00:18:00,829 --> 00:18:02,398
PROVIDING OTHER TYPES OF SENSORY

447
00:18:02,398 --> 00:18:03,632
EXPOSURE TO FRUITS AND 

448
00:18:03,632 --> 00:18:08,003
VEGETABLES OUTSIDE OF TASTINGS 

449
00:18:08,003 --> 00:18:09,371
SO THINGS LIKE TOUCHING AND 

450
00:18:09,371 --> 00:18:10,973
SMELLING FOODS AND LISTENING TO 

451
00:18:10,973 --> 00:18:14,610
STORY ABOUT FOOD AND HAVING 

452
00:18:14,610 --> 00:18:15,744
ACTIVITIES THAT INVOLVE 

453
00:18:15,744 --> 00:18:18,580
PREPARING FOODS ALSO APPEAR TO 

454
00:18:18,580 --> 00:18:19,448
BENEFIT ACCEPTANCE AMONG 

455
00:18:19,448 --> 00:18:21,817
CHILDREN 2-6 YEARS OF AGE AND 

456
00:18:21,817 --> 00:18:22,584
SPECIFICALLY CHILDREN'S 

457
00:18:22,584 --> 00:18:25,354
WILLINGNESS TO TRY FOODS.

458
00:18:25,354 --> 00:18:27,523
SO THIS CONCLUSION SUGGESTS 

459
00:18:27,523 --> 00:18:28,991
PROVIDING CHILDREN WITH DIVERSE 

460
00:18:28,991 --> 00:18:31,226
TYPES OF POSITIVE EXPERIENCES 

461
00:18:31,226 --> 00:18:33,562
WITH NEW FOODS EVEN OUTSIDE 

462
00:18:33,562 --> 00:18:35,097
ASKING THEM TO TRY THOSE FOODS 

463
00:18:35,097 --> 00:18:36,398
MAY INCREASE THE EFFECTIVENESS 

464
00:18:36,398 --> 00:18:39,868
OF REPEATED EXPOSURE BY 

465
00:18:39,868 --> 00:18:41,370
INCREASING CHILDREN'S 

466
00:18:41,370 --> 00:18:44,173
WILLINGNESS TO TASTE THOSE 

467
00:18:44,173 --> 00:18:44,373
FOODS.

468
00:18:44,373 --> 00:18:46,542
SO COLLECTIVELY THE EVIDENCE 

469
00:18:46,542 --> 00:18:49,778
PROVIDES A ROBUST EMPIRICAL 

470
00:18:49,778 --> 00:18:51,814
BASIS FOR GUIDANCE ON FEEDING 

471
00:18:51,814 --> 00:18:52,915
THAT HIGHLIGHTS STRUCTURED 

472
00:18:52,915 --> 00:18:54,850
FEEDING PRACTICES AND REPEATED 

473
00:18:54,850 --> 00:18:57,586
EXPOSURE IN PARTICULAR AS 

474
00:18:57,586 --> 00:18:58,921
EVIDENCE-BASED STRATEGIES FOR 

475
00:18:58,921 --> 00:19:01,123
PROMOTING YOUNG CHILDREN'S 

476
00:19:01,123 --> 00:19:04,593
ACCEPTANCE AND INTAKE OF 

477
00:19:04,593 --> 00:19:07,129
HEALTHFUL FOODS.

478
00:19:07,129 --> 00:19:08,764
MOVING FROM FAVORABLE 

479
00:19:08,764 --> 00:19:09,898
ASSOCIATIONS TO AREAS IN WHICH 

480
00:19:09,898 --> 00:19:20,442
WE SAW NO ASSOCIATIONS, WE SAW 

481
00:19:27,216 --> 00:19:28,917
ELT WAS NOT ASSOCIATED WITH 

482
00:19:28,917 --> 00:19:30,419
CHILD GROWTH BODY COMPOSITION 

483
00:19:30,419 --> 00:19:33,455
AND RISK OF OBESITY OUTCOMES 

484
00:19:33,455 --> 00:19:37,459
SUGGESTI IING MONITORING OF 

485
00:19:37,459 --> 00:19:39,061
CHILDREN'S EATING DOES NOT HAVE 

486
00:19:39,061 --> 00:19:40,429
CONSEQUENCES FOR WEIGHT-RELATED 

487
00:19:40,429 --> 00:19:41,563
OUTCOMES BUT IT'S IMPORTANT TO 

488
00:19:41,563 --> 00:19:44,333
POINT OUT ASSOCIATIONS OF A 

489
00:19:44,333 --> 00:19:45,134
SINGLE PRACTICE WITH A FAIRLY 

490
00:19:45,134 --> 00:19:50,606
DISTAL OUTCOME RELATED TO WEIGHT

491
00:19:50,606 --> 00:19:55,544
IS REALLY SHOULD BE INTERPRETED 

492
00:19:55,544 --> 00:19:58,580
WITH CAUTION HOW IN THE PRACTICE

493
00:19:58,580 --> 00:20:08,023
INFLUENCES CHILDREN'S EEKT.

494
00:20:08,023 --> 00:20:10,192
YOU SEE CONCLUSION STATEMENTS.

495
00:20:10,192 --> 00:20:12,461
THERE WERE FIVE CASES WHERE WE 

496
00:20:12,461 --> 00:20:13,729
CALLED TO THE DRAW CONCLUSIONS 

497
00:20:13,729 --> 00:20:16,999
DUE TO A LACK OF STUDY IN THE 

498
00:20:16,999 --> 00:20:19,301
AREA AND THESE INVOLVE 

499
00:20:19,301 --> 00:20:20,736
ASSOCIATIONS FOR SUPPORT WITH 

500
00:20:20,736 --> 00:20:23,405
DIETARY INTAKE AMONG KIDS, 

501
00:20:23,405 --> 00:20:26,575
ASSOCIATIONS OF STRUCTURED FEETH

502
00:20:26,575 --> 00:20:28,477
PRACTICES WITH BODY COMPOSITION 

503
00:20:28,477 --> 00:20:30,846
AND RISK OF OUTCOMES AND 

504
00:20:30,846 --> 00:20:34,583
REPEATED EXPOSURE AND ACCEPTANCE

505
00:20:34,583 --> 00:20:36,351
OF FRUITS MUN CHILDREN 2-6 YEARS

506
00:20:36,351 --> 00:20:38,153
OF AGE.

507
00:20:38,153 --> 00:20:39,621
AND THERE WERE OTHER CASES WHERE

508
00:20:39,621 --> 00:20:44,760
THE CONCERNS OF CONSISTENCY OR 

509
00:20:44,760 --> 00:20:46,094
INCONSISTENCIES IN THE FINDINGS 

510
00:20:46,094 --> 00:20:48,263
MADE IT DIFFICULT TO DRAW 

511
00:20:48,263 --> 00:20:49,031
MEANINGFUL CONCLUSIONS AND THERE

512
00:20:49,031 --> 00:20:50,599
TENDING TO BE A SMALL NUMBER OF 

513
00:20:50,599 --> 00:20:51,800
STUDIES AND CONTRIBUTION.

514
00:20:51,800 --> 00:20:54,469
THIS WITH YOU THE CASE FOR 

515
00:20:54,469 --> 00:20:55,504
ASSOCIATIONS OF CAREGIVER 

516
00:20:55,504 --> 00:21:01,076
FEEDING STYLES AND PRACTICED AND

517
00:21:01,076 --> 00:21:11,687
CONTROLLING PRACTICES EARLY 

518
00:21:41,016 --> 00:21:42,251
CHILDHOOD IS RECOGNIZED AS A 

519
00:21:42,251 --> 00:21:43,919
CRITICAL PERIOD FOR THE 

520
00:21:43,919 --> 00:21:45,654
ESTABLISHMENT OF CHILDREN'S 

521
00:21:45,654 --> 00:21:46,688
EATING BEHAVIORS AS WELL AS FOR 

522
00:21:46,688 --> 00:21:49,291
THE SOCIALIZATION OF CHILDREN'S 

523
00:21:49,291 --> 00:21:49,725
EATING BEHAVIORS.

524
00:21:49,725 --> 00:21:52,461
THE SYSTEMATIC REVIEW FINDINGS 

525
00:21:52,461 --> 00:21:53,395
ACTUALLY PROVIDE THREE SEPARATE 

526
00:21:53,395 --> 00:21:56,765
LINES OF EVIDENCE POINTING TO 

527
00:21:56,765 --> 00:21:58,166
FAVORABLE ASSOCIATIONS OF 

528
00:21:58,166 --> 00:21:59,001
STRUCTURED FEEDING PRACTICES 

529
00:21:59,001 --> 00:22:01,637
WITH FRUIT AND VEGETABLE 

530
00:22:01,637 --> 00:22:03,038
CONSUMPTION AMONG CHILDREN 2-6 

531
00:22:03,038 --> 00:22:03,739
YEARS OF AGE.

532
00:22:03,739 --> 00:22:05,941
THE CURRENT ADDITION OF THE 

533
00:22:05,941 --> 00:22:06,742
DIETARY GUIDELINES INCLUDE 

534
00:22:06,742 --> 00:22:10,579
EXAMPLES OF THESE TYPES OF 

535
00:22:10,579 --> 00:22:11,747
PRACTICES BUT BASED ON THE 

536
00:22:11,747 --> 00:22:14,583
SYSTEMATIC REVIEW FINDINGS, THE 

537
00:22:14,583 --> 00:22:16,351
COMMITTEE RECOMMENDS THAT THIS 

538
00:22:16,351 --> 00:22:21,023
GUIDANCE SHOULD BE STRENGTHENED.

539
00:22:21,023 --> 00:22:21,657
GUIDANCE DISTINGUISHED PRACTICES

540
00:22:21,657 --> 00:22:25,594
THAT ORGANIZE PHYSICAL ASPECTS 

541
00:22:25,594 --> 00:22:26,595
OF CHILDREN'S EATING ENVIRONMENT

542
00:22:26,595 --> 00:22:29,831
FROM ORGANIZED SOCIAL AS 

543
00:22:29,831 --> 00:22:30,098
PROSPECTS.

544
00:22:30,098 --> 00:22:30,999
YOU CAN SEE IN THE FIGURE 

545
00:22:30,999 --> 00:22:33,735
THERE'S A NUMBER OF DIFFERENT 

546
00:22:33,735 --> 00:22:34,403
PRACTICES THAT FALL UNDER THE 

547
00:22:34,403 --> 00:22:38,674
GENERAL DIMENSION OF STRUCTURE.

548
00:22:38,674 --> 00:22:41,009
PRACTICES THAT EMPHASIZE 

549
00:22:41,009 --> 00:22:42,577
PHYSICAL ASPECTS THAT ORGANIZE 

550
00:22:42,577 --> 00:22:44,346
PHYSICAL ASPECTS OF CHILDREN'S 

551
00:22:44,346 --> 00:22:45,747
EATING ENVIRONMENT COULD BE 

552
00:22:45,747 --> 00:22:48,050
POTENTIALLY IMPORTANT BECAUSE 

553
00:22:48,050 --> 00:22:49,351
THEY DICTATE THE TYPES AND AMS 

554
00:22:49,351 --> 00:22:51,420
OF FOODS AVAILABLE TO CHILDREN 

555
00:22:51,420 --> 00:22:54,589
AND BECOME FAMILIAR TO CHILDREN.

556
00:22:54,589 --> 00:22:58,593
THESE INCLUDE THINGS LIKE MAKING

557
00:22:58,593 --> 00:23:00,729
HEALTHY FOODS AVAILABLE IN THE 

558
00:23:00,729 --> 00:23:05,033
HOME IN FORMS ACCESSIBLE TO 

559
00:23:05,033 --> 00:23:07,102
CHILDREN, PROVIDING APPROPRIATE 

560
00:23:07,102 --> 00:23:09,104
PORTION SIZE AND EXPOSURE.

561
00:23:09,104 --> 00:23:10,572
AS A COMMITTEE MEMBER SAID 

562
00:23:10,572 --> 00:23:13,141
YESTERDAY, THESE TYPES OF 

563
00:23:13,141 --> 00:23:14,209
STRUCTURED FEEDING PRACTICES MAY

564
00:23:14,209 --> 00:23:16,144
BE CRITICAL BECAUSE THEY MAKE 

565
00:23:16,144 --> 00:23:19,548
THE HEALTHY CHOICE THE EASY 

566
00:23:19,548 --> 00:23:19,781
CHOICE.

567
00:23:19,781 --> 00:23:21,817
BUT ALSO THERE ARE STRUCTURED 

568
00:23:21,817 --> 00:23:25,053
PRACTICES IN THIS LIST THAT 

569
00:23:25,053 --> 00:23:26,588
REALLY EMPHASIZE ORGANIZATION OF

570
00:23:26,588 --> 00:23:29,024
SOCIAL AS INSPECTIONS AROUND 

571
00:23:29,024 --> 00:23:29,358
EATING.

572
00:23:29,358 --> 00:23:31,960
AND THESE MAY BE IMPORTANT 

573
00:23:31,960 --> 00:23:34,429
BECAUSE THEY MAY DIRECTLY GUIDE 

574
00:23:34,429 --> 00:23:35,330
CHILDREN'S BEHAVIORS AS WELL AS 

575
00:23:35,330 --> 00:23:36,998
SHAPE POSITIVE EXPERIENCES 

576
00:23:36,998 --> 00:23:39,568
AROUND EATING.

577
00:23:39,568 --> 00:23:43,438
SO THESE THINGS INCLUDE REGULAR 

578
00:23:43,438 --> 00:23:44,373
EATING ROUTINES, OFFERING 

579
00:23:44,373 --> 00:23:46,575
CHILDREN GUIDED CHOICES THAT 

580
00:23:46,575 --> 00:23:47,943
ALLOW THEM TO CHOOSE BETWEEN TWO

581
00:23:47,943 --> 00:23:50,145
HEALTHY OPTIONS AND PROVIDING A 

582
00:23:50,145 --> 00:23:50,912
POSITIVE SOCIAL ENVIRONMENT 

583
00:23:50,912 --> 00:23:52,881
WHERE CAREGIVERS ARE EATING AND 

584
00:23:52,881 --> 00:23:55,517
OTHERS IN A FAMILY ENJOY HEALTHY

585
00:23:55,517 --> 00:23:56,885
FOODS TOGETHER WITH CHILDREN.

586
00:23:56,885 --> 00:24:00,122
THE COMMITTEE ALSO RECOMMENDS 

587
00:24:00,122 --> 00:24:00,989
THAT TO FACILITATE 

588
00:24:00,989 --> 00:24:03,625
IMPLEMENTATION, GUIDANCE ON 

589
00:24:03,625 --> 00:24:04,760
STRUCTURED MEETING SHOULD 

590
00:24:04,760 --> 00:24:06,595
PROVIDE CONCRETE EXAMPLES OF HOW

591
00:24:06,595 --> 00:24:08,063
SUCH STRATEGIES CAN BE EMPLOYED 

592
00:24:08,063 --> 00:24:09,798
BY CAREGIVERS AT HOME AND 

593
00:24:09,798 --> 00:24:11,333
POTENTIALLY IN OTHER SETTINGS 

594
00:24:11,333 --> 00:24:15,570
WHERE CHILDREN ROUTINELY EAT.

595
00:24:15,570 --> 00:24:20,509
THE SECOND PART OF OUR ADVICE TO

596
00:24:20,509 --> 00:24:22,177
DEPARTMENT FOCUSES ON THE 

597
00:24:22,177 --> 00:24:24,179
SPECIFIC REPEATED PRACTICE OF 

598
00:24:24,179 --> 00:24:24,880
REPEATED EXPOSURE.

599
00:24:24,880 --> 00:24:29,017
IF YOU THINK ABOUT IT STRUCTURES

600
00:24:29,017 --> 00:24:32,788
FIS  -- PHYSICAL ASPECTS LIKE 

601
00:24:32,788 --> 00:24:34,222
HOW OFTEN A PARTICULAR FOOD IS 

602
00:24:34,222 --> 00:24:38,160
AVAILABLE TO CHILDREN AT MEALS 

603
00:24:38,160 --> 00:24:41,029
AND SNACKS AND IT'S MOSTLY 

604
00:24:41,029 --> 00:24:42,597
RANDOMIZED CONTROL TRIALS 

605
00:24:42,597 --> 00:24:46,101
REVEALS CONSISTENT FAVORABLE 

606
00:24:46,101 --> 00:24:48,804
ACCEPTANCE OF FOODS UP TO 6 

607
00:24:48,804 --> 00:24:50,572
YEARS OF ABLE.

608
00:24:50,572 --> 00:24:52,073
IT'S A STRAIGHTFORWARD STRATEGY 

609
00:24:52,073 --> 00:24:55,477
AND ONE ALL CAREGIVERS CAN ADAPT

610
00:24:55,477 --> 00:24:56,745
INCLUDING EARLY CHILDCARE 

611
00:24:56,745 --> 00:24:57,012
EDUCATORS.

612
00:24:57,012 --> 00:24:59,948
BASED ON THE SYSTEMATIC REVIEW 

613
00:24:59,948 --> 00:25:01,716
FINDINGS THE COMMITTEE 

614
00:25:01,716 --> 00:25:03,585
RECOMMENDS THE DEPARTMENTS 

615
00:25:03,585 --> 00:25:05,020
CONTINUE WITH CURRENT GUIDANCE 

616
00:25:05,020 --> 00:25:07,355
AND ENCOURAGE CAREGIVERS OF 

617
00:25:07,355 --> 00:25:10,158
YOUNG CHILDREN TO 24 MONTHS TO 

618
00:25:10,158 --> 00:25:11,993
OFFER NEW FOODS EIGHT TO 10 

619
00:25:11,993 --> 00:25:14,196
TIMES TO PROMOTE THE ACCEPTANCE 

620
00:25:14,196 --> 00:25:16,298
OF THOSE FOODS AND THE COMMITTEE

621
00:25:16,298 --> 00:25:18,567
RECOMMENDS THE GUIDANCE SHOULD 

622
00:25:18,567 --> 00:25:20,402
BE ENHANCED TO BENEFIT REPEATED 

623
00:25:20,402 --> 00:25:21,570
EXPOSURE FOR CHILDREN UP TO 6 

624
00:25:21,570 --> 00:25:26,007
YEARS OF AGE AND ENHANCEMENT 

625
00:25:26,007 --> 00:25:27,609
SHOULD PROVIDE REPEATED EXPOSURE

626
00:25:27,609 --> 00:25:30,745
IN A POSITIVE EATING CONTEXT.

627
00:25:30,745 --> 00:25:32,481
MEANING WITHOUT PRESSURE.

628
00:25:32,481 --> 00:25:35,050
AND IT'S IMPORTANT TO POINT OUT 

629
00:25:35,050 --> 00:25:38,587
THAT OUR EVIDENCE WOULD SUGGEST 

630
00:25:38,587 --> 00:25:40,188
THAT CAREGIVERS CAN SUPPORT 

631
00:25:40,188 --> 00:25:40,889
CHILDREN'S ACCEPTANCE OF NEW 

632
00:25:40,889 --> 00:25:43,124
FOODS IN A POSITIVE ENVIRONMENT 

633
00:25:43,124 --> 00:25:46,628
AGAIN BY EATING AND ENJOYING 

634
00:25:46,628 --> 00:25:50,999
THOSE FOODS WITH CHILDREN.

635
00:25:50,999 --> 00:25:52,033
THE COMMITTEE ALREADY PROVIDES 

636
00:25:52,033 --> 00:25:54,936
OTHER TYPES OF SENSORY TO 

637
00:25:54,936 --> 00:25:58,106
EXPOSURE TO HEALTHY FOODS SUCH 

638
00:25:58,106 --> 00:26:01,743
AS READING PICTURE BOOKS AND IT 

639
00:26:01,743 --> 00:26:05,013
INDICATES PROVIDING CHILDREN 

640
00:26:05,013 --> 00:26:13,388
WITH THE  NON-SENSORY TYPES OF 

641
00:26:13,388 --> 00:26:14,789
EXPOSURES MAKE CHILDREN MORE 

642
00:26:14,789 --> 00:26:17,359
WILLING TO TRY AND TASTE THE 

643
00:26:17,359 --> 00:26:18,593
FOODS.

644
00:26:18,593 --> 00:26:20,262
THE COMMITTEE RECOMMENDS 

645
00:26:20,262 --> 00:26:23,865
EXPLICIT PORTION ON PORTION 

646
00:26:23,865 --> 00:26:24,466
SIZE.

647
00:26:24,466 --> 00:26:26,501
AND THE FOODS AND BEVERAGES 

648
00:26:26,501 --> 00:26:27,769
REPRESENT ANOTHER ASPECT OF 

649
00:26:27,769 --> 00:26:30,372
STRUCTURE THAT SHAPES THE 

650
00:26:30,372 --> 00:26:31,239
PHYSICAL ENVIRONMENT AROUND 

651
00:26:31,239 --> 00:26:33,842
EATING THE LOCAL ENVIRONMENT AT 

652
00:26:33,842 --> 00:26:36,278
THE TABLE, IF YOU WILL.

653
00:26:36,278 --> 00:26:40,549
THE EVIDENCE AND PORTION SIDE IN

654
00:26:40,549 --> 00:26:41,216
CHIRNLZ EATING WILL BE DETAILED 

655
00:26:41,216 --> 00:26:43,351
AS PART OF CLAPTER 7 ON PORTION 

656
00:26:43,351 --> 00:26:43,618
SIZES.

657
00:26:43,618 --> 00:26:44,719
HOWEVER WE BRIEFLY WANTED TO 

658
00:26:44,719 --> 00:26:47,355
HIGHLIGHT THE FINDINGS HERE AS 

659
00:26:47,355 --> 00:26:51,493
PART OF THE SCIENTIFIC BASIS FOR

660
00:26:51,493 --> 00:26:53,028
SUPPORTING GUIDANCE ON 

661
00:26:53,028 --> 00:26:54,162
STRUCTURED APPROACHES TO FEEDING

662
00:26:54,162 --> 00:26:55,397
YOUNG CHILDREN.

663
00:26:55,397 --> 00:26:58,333
AS YOU'LL HEAR THE SYSTEMATIC 

664
00:26:58,333 --> 00:27:00,335
REVIEW FINDINGS PROVIDE MODERATE

665
00:27:00,335 --> 00:27:03,271
EVIDENCE THAT PROVIDING LARGE 

666
00:27:03,271 --> 00:27:05,040
PORTIONS OF ENERGY DENSE FOODS 

667
00:27:05,040 --> 00:27:06,575
PROMOTES DAILY ENERGY INTAKE 

668
00:27:06,575 --> 00:27:08,009
OVER SHORT PERIODS.

669
00:27:08,009 --> 00:27:11,046
THIS FINDING SUGGESTS THAT 

670
00:27:11,046 --> 00:27:13,481
GUIDANCE ON HOW FEEDING SHOULD 

671
00:27:13,481 --> 00:27:15,083
BE ENHANCED TO INCREASE 

672
00:27:15,083 --> 00:27:17,252
ATTENTION TO THE IMPORTANCE OF 

673
00:27:17,252 --> 00:27:22,357
PROVIDING CHILD SIZE PORTION AND

674
00:27:22,357 --> 00:27:23,425
THIS GUIDANCE SHOULD EMPHASIZE 

675
00:27:23,425 --> 00:27:25,393
PRACTICAL STRATEGIES FOR PORTION

676
00:27:25,393 --> 00:27:25,627
CONTROL.

677
00:27:25,627 --> 00:27:26,628
THE COMMITTEE ALSO FOUND 

678
00:27:26,628 --> 00:27:28,363
EVIDENCE THAT INCREASING FRUIT 

679
00:27:28,363 --> 00:27:30,565
AND VEGETABLE PORTIONS CAN BE 

680
00:27:30,565 --> 00:27:33,201
USED STRATEGICALLY TO PROMOTE 

681
00:27:33,201 --> 00:27:34,469
INTAKE WITHOUT PRESSURABLE 

682
00:27:34,469 --> 00:27:37,639
EFFECTS ON ENERGY INTAKE.

683
00:27:37,639 --> 00:27:39,341
BECAUSE VEGETABLES ARE AMONG THE

684
00:27:39,341 --> 00:27:40,642
LEAST PREFERRED FOOD GROUP BY 

685
00:27:40,642 --> 00:27:44,179
CHILDREN WE BELIEVE THE STRATEGY

686
00:27:44,179 --> 00:27:46,648
IS POTENTIALLY PROMISING BUT 

687
00:27:46,648 --> 00:27:48,783
SHOULD BE IMPLEMENTED WITH 

688
00:27:48,783 --> 00:27:49,851
CAREFUL CONSIDERATION OF OTHER 

689
00:27:49,851 --> 00:27:52,787
APPROACH FOR PROMOTING 

690
00:27:52,787 --> 00:27:53,421
CHILDREN'S ACCEPTANCE OF THOSE 

691
00:27:53,421 --> 00:27:57,859
FOODS.

692
00:27:57,859 --> 00:27:59,828
AND THE COMMITTEE NOTED TWO 

693
00:27:59,828 --> 00:28:01,463
OTHER CONSIDERATIONS REGARDING 

694
00:28:01,463 --> 00:28:03,264
ADVICE ON THE FEEDING CONSISTENT

695
00:28:03,264 --> 00:28:05,066
WITH CERTAIN CONSENSUAL 

696
00:28:05,066 --> 00:28:05,367
FRAMEWORKS.

697
00:28:05,367 --> 00:28:08,069
WE REVIEWED THE EVIDENCE ON 

698
00:28:08,069 --> 00:28:10,639
FEEDING PRACTICES ALONG THESE 

699
00:28:10,639 --> 00:28:12,807
VERY HIGH ORDER CONCEPTUAL 

700
00:28:12,807 --> 00:28:14,609
DIMENSIONS OF AUTONOMY, SUPPORT 

701
00:28:14,609 --> 00:28:16,111
AND CONTROL.

702
00:28:16,111 --> 00:28:18,480
THE COMMITTEE BELIEVES THE 

703
00:28:18,480 --> 00:28:19,481
CONCEPTUAL DIMENSIONS ARE USEFUL

704
00:28:19,481 --> 00:28:22,317
AND SHOULD BE INCORPORATED IN 

705
00:28:22,317 --> 00:28:23,051
THE GUIDANCE IN FEEDING.

706
00:28:23,051 --> 00:28:25,687
HOWEVER, GIVEN THE LACK OF 

707
00:28:25,687 --> 00:28:27,689
CONCLUSIONS DRAWN ON CONTROL AND

708
00:28:27,689 --> 00:28:29,724
AUTONOMY SUPPORT, THE COMMITTEE 

709
00:28:29,724 --> 00:28:32,394
ALSO RECOMMENDS THAT THIS 

710
00:28:32,394 --> 00:28:34,663
GUIDANCE ON THE HOWS OF FEEDING 

711
00:28:34,663 --> 00:28:35,997
SHOULD EMPHASIZE STRUCTURED 

712
00:28:35,997 --> 00:28:37,532
PRACTICES TO A GREATER DEGREE 

713
00:28:37,532 --> 00:28:38,633
THAN THOSE INVOLVING CONTROL AND

714
00:28:38,633 --> 00:28:41,369
AUTONOMY SUPPORT.

715
00:28:41,369 --> 00:28:43,905
IT'S IN THE INTEREST OF 

716
00:28:43,905 --> 00:28:45,640
EMPHASIZING EVIDENCE-BASED 

717
00:28:45,640 --> 00:28:46,174
GUIDANCE.

718
00:28:46,174 --> 00:28:47,575
AND FINALLY WHILE THE EVIDENCE 

719
00:28:47,575 --> 00:28:48,810
REVIEWED BY THE COMMITTEE 

720
00:28:48,810 --> 00:28:49,644
PERTAINS TO CHILDREN UP TO SIX 

721
00:28:49,644 --> 00:28:52,080
YEARS OF AGE, THE COMMITTEE 

722
00:28:52,080 --> 00:28:53,048
BELIEVES STRUCTURED MEETING 

723
00:28:53,048 --> 00:28:56,051
PRACTICES MAY IN FACT SUPPORT A 

724
00:28:56,051 --> 00:28:57,185
HEALTHY DIETARY PATTERN 

725
00:28:57,185 --> 00:28:58,286
THROUGHOUT CHILDHOOD AND 

726
00:28:58,286 --> 00:29:00,722
ADOLESCENCE WHICH IS THE LIFE 

727
00:29:00,722 --> 00:29:03,224
SPAN PERIOD ASSOCIATED WITH 

728
00:29:03,224 --> 00:29:05,293
LOWEST DIETARY QUALITY.

729
00:29:05,293 --> 00:29:06,895
STRUCTURED FEEDING PRACTICES WE 

730
00:29:06,895 --> 00:29:09,664
BELIEVE MAY SUPPORT HEALTHY 

731
00:29:09,664 --> 00:29:12,100
DIETARY PATTERNS BY INCREASING 

732
00:29:12,100 --> 00:29:17,272
AVAILABILITY OF MORE NUTRIENT 

733
00:29:17,272 --> 00:29:23,178
DENSE FOODS AND THOSE WITH LOWER

734
00:29:23,178 --> 00:29:32,287
NUTRIENT DENSE IF I.

735
00:29:32,287 --> 00:29:33,321
WHILE SYSTEMATIC REVIEWS POINT 

736
00:29:33,321 --> 00:29:36,191
TO STRUCTURE THERE'S STUDIES IN 

737
00:29:36,191 --> 00:29:38,259
THE PARENTING LITERATURE THAT 

738
00:29:38,259 --> 00:29:39,527
SHOW OVERLY STRUCTURED 

739
00:29:39,527 --> 00:29:42,630
APPROACHES TO PARENTING COULD BE

740
00:29:42,630 --> 00:29:42,931
DETRIMENTAL.

741
00:29:42,931 --> 00:29:47,602
THE EVIDENCE WE REVIEWED DID NOT

742
00:29:47,602 --> 00:29:48,737
ALLOW TO US EVALUATE THIS 

743
00:29:48,737 --> 00:29:50,371
POSSIBILITY BUT GIVEN EVIDENCE 

744
00:29:50,371 --> 00:29:53,742
IN OTHER AREAS WE BELIEVE IT'S 

745
00:29:53,742 --> 00:29:56,044
PRUDENT TO TAKE INTO ACCOUNT THE

746
00:29:56,044 --> 00:29:57,245
POSSIBILITY WHEN DEVELOPING 

747
00:29:57,245 --> 00:29:59,314
GUIDANCE IN STRUCTURE AND 

748
00:29:59,314 --> 00:29:59,547
FEEDING.

749
00:29:59,547 --> 00:30:01,149
THE COMMITTEE ACKNOWLEDGES THE 

750
00:30:01,149 --> 00:30:02,617
APPROACH TO FEEDING CHILDREN 

751
00:30:02,617 --> 00:30:05,754
REALLY REFLECTS A COMPLEX 

752
00:30:05,754 --> 00:30:07,355
INTERPLAY OF CULTURE, CONTEXT 

753
00:30:07,355 --> 00:30:09,991
AND THE ENVIRONMENT IN WHICH 

754
00:30:09,991 --> 00:30:12,460
FEEDING OCCURS AND SO AS SUCH 

755
00:30:12,460 --> 00:30:15,730
I'M TRYING TO UNDERSTAND HOW A 

756
00:30:15,730 --> 00:30:19,601
PARTICULAR PRACTICE EFFECTS 

757
00:30:19,601 --> 00:30:23,037
DEVELOPMENTAL OUTCOMES, INTAKE, 

758
00:30:23,037 --> 00:30:24,172
ETCETERA AND REQUIRES 

759
00:30:24,172 --> 00:30:25,340
CONTRIBUTION OF THE COMPLEXITY 

760
00:30:25,340 --> 00:30:26,608
AND THE COMMITTEE HAS SPENT A 

761
00:30:26,608 --> 00:30:29,611
LOT OF TIME TALKING ABOUT THESE 

762
00:30:29,611 --> 00:30:30,745
ISSUES AND HIGHLIGHTED NEED FOR 

763
00:30:30,745 --> 00:30:32,647
RESEARCH AND MEASUREMENT TOOLS 

764
00:30:32,647 --> 00:30:35,416
TO ADDRESS HOW DIVERSE CULTURAL 

765
00:30:35,416 --> 00:30:38,153
PERSPECTIVES, SOCIO ECONOMIC 

766
00:30:38,153 --> 00:30:39,554
CONTEXT AND ENVIRONMENTS SHAPE 

767
00:30:39,554 --> 00:30:40,722
APPROACHES TO FEEDING YOUNG 

768
00:30:40,722 --> 00:30:41,055
CHILDREN.

769
00:30:41,055 --> 00:30:48,763
THANK YOU.

770
00:30:48,763 --> 00:30:51,065
>> THANK YOU, JENNY AND
ALINE.

771
00:30:51,065 --> 00:30:52,433
I'D LIKE TO ASK THE COMMITTEE TO

772
00:30:52,433 --> 00:30:54,402
TURN ON YOUR CAMERAS.

773
00:30:54,402 --> 00:30:54,602
GREAT.

774
00:30:54,602 --> 00:30:54,869
THANK YOU.

775
00:30:54,869 --> 00:31:02,310
THANK YOU TO YOU AND YOUR GROUP 

776
00:31:02,310 --> 00:31:05,046
BECAUSE I FEEL YOU'VE DONE AN 

777
00:31:05,046 --> 00:31:06,147
OUTSTANDING JOB OF CONTINUING 

778
00:31:06,147 --> 00:31:08,917
THE GROUNDBREAKING WORK THE 

779
00:31:08,917 --> 00:31:10,819
PREVIOUS 2020 GUIDELINE ADVISORY

780
00:31:10,819 --> 00:31:15,023
COMMITTEE DID ON BIRTH TO 24 

781
00:31:15,023 --> 00:31:17,225
MONTHS BUT I REALLY AM IMPRESSED

782
00:31:17,225 --> 00:31:18,660
HOW WE'RE GOING THROUGH THE 

783
00:31:18,660 --> 00:31:18,860
HOUSE.

784
00:31:18,860 --> 00:31:29,170
VERY INTERESTING.

785
00:31:31,539 --> 00:31:34,809
>> THAT WAS A BEAUTIFUL 

786
00:31:34,809 --> 00:31:35,143
PRESENTATION.

787
00:31:35,143 --> 00:31:35,910
THE SLIDES WERE ELEGANT.

788
00:31:35,910 --> 00:31:38,613
THE FLOW WAS AMAZING AND MADE IT

789
00:31:38,613 --> 00:31:40,181
EASY TO FOLLOW THE THOUGHT 

790
00:31:40,181 --> 00:31:40,782
PROCESS THE SUBCOMMITTEE HAS 

791
00:31:40,782 --> 00:31:49,224
BEEN GOING THROUGH.

792
00:31:49,224 --> 00:31:50,358
WHAT I LOVED ABOUT THE WAY I 

793
00:31:50,358 --> 00:31:55,496
SOTE UP  -- SET UP THE PORTION 

794
00:31:55,496 --> 00:31:57,131
OF THE REPORT IS THIS IS WHERE 

795
00:31:57,131 --> 00:31:59,901
YOU INTRODUCE INDIVIDUALS THE 

796
00:31:59,901 --> 00:32:01,536
FOODS OF THEIR VARIOUS THINGS.

797
00:32:01,536 --> 00:32:05,640
THEIR FAMILIES, THEIR CULTURE 

798
00:32:05,640 --> 00:32:07,675
AND THE LOCAL ENVIRONMENT AROUND

799
00:32:07,675 --> 00:32:09,210
THEM.

800
00:32:09,210 --> 00:32:12,413
SO THINKING BACK TO YESTERDAY 

801
00:32:12,413 --> 00:32:14,249
AROUND HOW THE THINGS THAT WE 

802
00:32:14,249 --> 00:32:15,950
NOTED TO BE NUTRIENTS OF 

803
00:32:15,950 --> 00:32:18,620
CONCERN, HOW IMPORTANT IT IS TO 

804
00:32:18,620 --> 00:32:20,655
LINK THIS BACK TO THE SUPPLY OF 

805
00:32:20,655 --> 00:32:26,628
FOODS IN THOSE ENVIRONMENTS THAT

806
00:32:26,628 --> 00:32:29,063
PEOPLE ARE EXPOSED TO I KEPT 

807
00:32:29,063 --> 00:32:30,431
THINKING ABOUT THE FACT 

808
00:32:30,431 --> 00:32:32,066
BEHAVIORS GET SET IN CHILDHOOD 

809
00:32:32,066 --> 00:32:35,169
AND THE DATA IS CLEAR IF YOU CAN

810
00:32:35,169 --> 00:32:40,308
REPEATEDLY EXPOSE CHILDREN TO 

811
00:32:40,308 --> 00:32:42,443
HEALTHFUL FOODS AND GIVE THEM 

812
00:32:42,443 --> 00:32:44,846
NEW FOODS IN A SUSTAIN WAY IT 

813
00:32:44,846 --> 00:32:45,713
WILL INCREASE THEIR WILLINGNESS 

814
00:32:45,713 --> 00:32:49,217
TO TRI  TRY THEM AND IF WE CAN 

815
00:32:49,217 --> 00:32:52,120
GET CHILDREN TO CONSUME THE 

816
00:32:52,120 --> 00:32:56,257
FOODS IT BECOMES IMPORTANT FOR 

817
00:32:56,257 --> 00:32:58,626
HEALTHY BODY GROWTH AND 

818
00:32:58,626 --> 00:32:59,060
COMPOSITION.

819
00:32:59,060 --> 00:33:04,365
IF LOCAL ENVIRONMENTS AREN'T 

820
00:33:04,365 --> 00:33:06,167
ALIGNED WITH THE GUIDE ANDS IT 

821
00:33:06,167 --> 00:33:07,135
MAKES IT HARD TO DO THESE 

822
00:33:07,135 --> 00:33:07,368
THINGS.

823
00:33:07,368 --> 00:33:08,970
I HAD A FLASH BACK TO THE 

824
00:33:08,970 --> 00:33:11,072
HEALTHY EATING INDEX FOR THE 

825
00:33:11,072 --> 00:33:12,840
YOUNGEST OF OUR AMERICAN 

826
00:33:12,840 --> 00:33:15,777
CITIZENS WHICH, RIGHT NOW IT'S 

827
00:33:15,777 --> 00:33:18,613
SUGGESTING THE ENVIRONMENTS THAT

828
00:33:18,613 --> 00:33:20,014
THEY'RE EXPOSED TO IN THE EARLY 

829
00:33:20,014 --> 00:33:23,952
AGES SET THEM UP TO HAVE HEIs IN

830
00:33:23,952 --> 00:33:28,723
THE HIGH 50s.

831
00:33:28,723 --> 00:33:37,465
SO I WONDERED AND THE FINAL 

832
00:33:37,465 --> 00:33:38,299
RECOMMENDATIONS, WAS THERE A 

833
00:33:38,299 --> 00:33:43,871
CONVERSATION AROUND THE 

834
00:33:43,871 --> 00:33:46,207
STRUCTURED FEEDING WITH PHYSICAL

835
00:33:46,207 --> 00:33:48,309
AND SOCIAL COMPONENTS OF 

836
00:33:48,309 --> 00:33:49,510
STRUCTURE AND THINK SYSTEMS THAT

837
00:33:49,510 --> 00:33:52,880
SUPPORT THE PHYSICAL AND SOCIAL 

838
00:33:52,880 --> 00:33:53,648
ENVIRONMENTS?

839
00:33:53,648 --> 00:33:55,883
I DIDN'T SEE THAT CALLED OUT 

840
00:33:55,883 --> 00:33:59,887
EXPLICITLY AND I WONDERED WHAT 

841
00:33:59,887 --> 00:34:01,389
WAS THE CONVERSATION LIKE AND 

842
00:34:01,389 --> 00:34:02,957
WHETHER OR NOT THERE'S AN 

843
00:34:02,957 --> 00:34:04,525
OPPORTUNITY TO BE A BIT MORE 

844
00:34:04,525 --> 00:34:05,793
EXPLICIT ABOUT NEEDING TO LINK 

845
00:34:05,793 --> 00:34:11,065
THIS BACK AS WE THINK THROUGH 

846
00:34:11,065 --> 00:34:12,667
THE HEALTH EQUITY LENS TO HOW 

847
00:34:12,667 --> 00:34:13,935
ARE THEY SUPPLIED IN THE 

848
00:34:13,935 --> 00:34:15,436
ENVIRONMENTS WITH THINGS TO 

849
00:34:15,436 --> 00:34:18,906
ULTIMATELY SET THEN UP 

850
00:34:18,906 --> 00:34:20,808
POSITIVELY FOR FOOD PREP, 

851
00:34:20,808 --> 00:34:31,352
AVAILABILITY, ACCESS, ETCETERA.

852
00:34:32,186 --> 00:34:36,090
>> I WAS THINKING ALONG
THE SAME

853
00:34:36,090 --> 00:34:40,428
LINES THIS MORNING ABOUT OUR 

854
00:34:40,428 --> 00:34:43,231
DISCUSSION OF SYSTEM SCIENCE AND

855
00:34:43,231 --> 00:34:44,298
THERE ARE A LOT OF SOCIO 

856
00:34:44,298 --> 00:34:45,400
ECOLOGICAL MODELS HAVE BEEN 

857
00:34:45,400 --> 00:34:48,369
AROUND A LONG TIME AND HAVE 

858
00:34:48,369 --> 00:34:50,138
HELPED US CONCEPTUALIZE 

859
00:34:50,138 --> 00:34:52,206
INDIVIDUAL BEHAVIOR AND EATING 

860
00:34:52,206 --> 00:34:54,609
BEHAVIORS IN CHILDREN AS NOT 

861
00:34:54,609 --> 00:34:56,677
BEING VIEWED IN ISOLATION BUT 

862
00:34:56,677 --> 00:34:58,746
RATHER IN THE CONTEXT OF THE 

863
00:34:58,746 --> 00:35:00,748
FAMILY ENVIRONMENT AND IN THE 

864
00:35:00,748 --> 00:35:03,284
ENVIRONMENTS WHICH FAMILIES ARE 

865
00:35:03,284 --> 00:35:06,287
LIVING AND EXPOSED TO.

866
00:35:06,287 --> 00:35:11,025
I THINK ADOPTING THAT LENS AND 

867
00:35:11,025 --> 00:35:13,027
ALLOWING THAT SORT OF COMPLEXITY

868
00:35:13,027 --> 00:35:18,533
IS ACTUALLY A REALLY GREAT 

869
00:35:18,533 --> 00:35:21,502
SUGGESTION BECAUSE IT OFFERS US 

870
00:35:21,502 --> 00:35:23,638
THE OPPORTUNITY TO START 

871
00:35:23,638 --> 00:35:24,705
ARTICULATING AS YOU MENTIONED 

872
00:35:24,705 --> 00:35:28,443
THE HOWS NOT ONLY OF INDIVIDUAL 

873
00:35:28,443 --> 00:35:33,081
BEHAVIOR AND REALLY OF 

874
00:35:33,081 --> 00:35:34,148
SUPPORTING THOSE AT HIGHER 

875
00:35:34,148 --> 00:35:35,083
LEVELS OF THE SYSTEMS.

876
00:35:35,083 --> 00:35:38,252
I JUST WANT TO SAY I ABSOLUTELY 

877
00:35:38,252 --> 00:35:40,855
THINK YOUR POINT IS WELL TAKEN 

878
00:35:40,855 --> 00:35:43,724
AND I WOULD SAY CERTAINLY WE 

879
00:35:43,724 --> 00:35:46,094
VIEWED OUR WORK THROUGH SOCIO 

880
00:35:46,094 --> 00:35:49,864
ECOLOGICAL LENS AND I THINK THAT

881
00:35:49,864 --> 00:35:51,732
IS SOMETHING WE SHOULD BE 

882
00:35:51,732 --> 00:35:52,700
ENCOURAGING FUTURE COMMITTEES TO

883
00:35:52,700 --> 00:36:01,075
REALLY DEVELOP.

884
00:36:01,075 --> 00:36:02,143
DOES ANYONE ELSE HAVE ANYTHING 

885
00:36:02,143 --> 00:36:02,844
TO ADD?

886
00:36:02,844 --> 00:36:06,147
>> I'LL ADD THE COMMITTEE
ALSO 

887
00:36:06,147 --> 00:36:07,348
TALKED ABOUT EARLY CHILDCARE, 

888
00:36:07,348 --> 00:36:12,954
SCHOOLS AND ALL THOSE HAVE A 

889
00:36:12,954 --> 00:36:16,991
VARIETY OF PROGRAMS THAT HELP 

890
00:36:16,991 --> 00:36:17,625
SUPPORT THE HEALTHY EATING BUT 

891
00:36:17,625 --> 00:36:19,560
WE CAN POINT OUT ALL THE 

892
00:36:19,560 --> 00:36:21,362
RECOMMENDATIONS NEED TO BE 

893
00:36:21,362 --> 00:36:22,597
INTEGRATED FOR ALL OF THE PLACES

894
00:36:22,597 --> 00:36:23,898
WHERE THE CHILDREN ARE EXPOSED 

895
00:36:23,898 --> 00:36:31,472
TO THOSE FOODS.

896
00:36:31,472 --> 00:36:34,008
DEANNA.

897
00:36:34,008 --> 00:36:34,876
>> FIRST OF ALL THANKS FOR
THE 

898
00:36:34,876 --> 00:36:45,119
PRESENTATION.

899
00:36:51,459 --> 00:36:52,059
ONE THING THAT'S IMPORTANT IS 

900
00:36:52,059 --> 00:36:55,163
YOU POINT OUT STRUCTURE.

901
00:36:55,163 --> 00:36:56,430
IT'S NOT A SURPRISE NECESSARILY 

902
00:36:56,430 --> 00:36:57,498
THAT WOULD BE IMPORTANT BECAUSE 

903
00:36:57,498 --> 00:37:02,136
IF YOU LOOK ACROSS THE CHILDHOOD

904
00:37:02,136 --> 00:37:03,437
DEVELOPMENTAL LITERATURE I KNOW 

905
00:37:03,437 --> 00:37:05,006
LIKE OUR STUDIES HAVE SHOWN IF 

906
00:37:05,006 --> 00:37:06,607
PARENTS HAVE A REGULAR BED TIME,

907
00:37:06,607 --> 00:37:08,976
ALL THE OTHER BEHAVIORS ARE 

908
00:37:08,976 --> 00:37:09,277
BETTER.

909
00:37:09,277 --> 00:37:11,546
IF YOU HAVE A REGULAR FAMILY 

910
00:37:11,546 --> 00:37:15,983
MEAL TIME, YOU HAVE BETTER 

911
00:37:15,983 --> 00:37:17,585
NUTRIENT INTAKES.

912
00:37:17,585 --> 00:37:23,090
REALLY I THINK EMPHASIZING THAT 

913
00:37:23,090 --> 00:37:30,531
AND SO A LOT OF THIS IS PARENT 

914
00:37:30,531 --> 00:37:30,765
RELATED.

915
00:37:30,765 --> 00:37:35,069
I SEE AN OPPORTUNITY IN WIC TO 

916
00:37:35,069 --> 00:37:36,804
DO PARENT EDUCATION ESPECIALLY 

917
00:37:36,804 --> 00:37:38,406
ABOUT INTRODUCING THE 

918
00:37:38,406 --> 00:37:40,174
COMPLIMENTARY FOODS AND WE'VE 

919
00:37:40,174 --> 00:37:42,276
BEEN DOING IT FOR A WHILE.

920
00:37:42,276 --> 00:37:46,480
HOW ARE Y'ALL PROPOSING TO REACH

921
00:37:46,480 --> 00:37:48,716
PARENTS BECAUSE ALL THESE ARE 

922
00:37:48,716 --> 00:37:50,618
PARENT BEHAVIORS IS WHAT THEY 

923
00:37:50,618 --> 00:38:00,928
ARE COME DOWN TO.

924
00:38:04,699 --> 00:38:06,267
>> THAT'S A GREAT QUESTION
AND 

925
00:38:06,267 --> 00:38:08,603
WE HAVE HAD DISCUSSIONS BUT I 

926
00:38:08,603 --> 00:38:11,539
SEE THAT AS IMPLEMENTATION OF 

927
00:38:11,539 --> 00:38:13,407
THE GUIDANCE AND WE WERE TASKED 

928
00:38:13,407 --> 00:38:17,245
WITH ANSWERING THE QUESTIONS FOR

929
00:38:17,245 --> 00:38:19,013
THE FIRST TIME ABOUT DOES IT 

930
00:38:19,013 --> 00:38:22,617
MATTER AND IF SO, WHAT MATTERS?

931
00:38:22,617 --> 00:38:23,618
WHAT CAN WE FIND IN THE 

932
00:38:23,618 --> 00:38:25,686
LITERATURE THAT CAN BE HELPFUL?

933
00:38:25,686 --> 00:38:30,625
THIS IS REALLY A FIRST STEP IN 

934
00:38:30,625 --> 00:38:32,260
IDENTIFYING SKETCH OUT THOSE 

935
00:38:32,260 --> 00:38:34,662
PIECES AND YOUR ABSOLUTELY SPOT 

936
00:38:34,662 --> 00:38:37,898
ON THAT THESE FINDINGS REALLY --

937
00:38:37,898 --> 00:38:42,970
I MEAN IT'S ACTUALLY RENICE -- 

938
00:38:42,970 --> 00:38:46,874
VERY NICE TO  SEE THEM BECAUSE 

939
00:38:46,874 --> 00:38:49,744
THEY PARALLEL THE DEVELOPMENTAL 

940
00:38:49,744 --> 00:38:50,945
LITERATURE ON PARENTING.

941
00:38:50,945 --> 00:38:53,281
SO I THINK THEY'RE NICE AND 

942
00:38:53,281 --> 00:38:58,386
CONSISTENT IN THOSE MESSAGES.

943
00:38:58,386 --> 00:38:59,687
I THINK IT WILL BE IMPORTANT TO 

944
00:38:59,687 --> 00:39:02,823
UNDERSTAND HOW TO GET THOSE 

945
00:39:02,823 --> 00:39:05,092
MESSAGES OUT AND FOR ME I THINK 

946
00:39:05,092 --> 00:39:09,230
OUR WORK -- THIS WORK IS -- MANY

947
00:39:09,230 --> 00:39:10,798
OF YOU HAVE POINTED OUT HOME IS 

948
00:39:10,798 --> 00:39:12,967
ONLY ONE CONTEXT IN WHICH 

949
00:39:12,967 --> 00:39:14,268
CHILDREN ARE ROUTINELY EATING 

950
00:39:14,268 --> 00:39:19,006
AND WHILE WE THINK OF THIS AS 

951
00:39:19,006 --> 00:39:21,475
INDIVIDUAL TRANSACTIONS BETWEEN 

952
00:39:21,475 --> 00:39:22,977
CAREGIVERS AND CHILDREN, THAT'S 

953
00:39:22,977 --> 00:39:25,946
WHAT THE RESEARCH SPECIFICALLY 

954
00:39:25,946 --> 00:39:28,249
WAS DESIGN TO LOOK AT.

955
00:39:28,249 --> 00:39:30,418
THERE'S OTHER RESEARCH THAT 

956
00:39:30,418 --> 00:39:32,219
CONSIDERS HOW THOSE APPROACHES, 

957
00:39:32,219 --> 00:39:33,554
WHAT THEY ARE MEAN WHEN THEY'RE 

958
00:39:33,554 --> 00:39:37,091
ROLLED OUT IN POLICY IN FEDERAL 

959
00:39:37,091 --> 00:39:37,892
PROGRAMS AND PLACES WHERE 

960
00:39:37,892 --> 00:39:39,560
CHILDREN ROUTINELY EAT AND 

961
00:39:39,560 --> 00:39:41,629
THAT'S GOING TO BE AN IMPORTANT 

962
00:39:41,629 --> 00:39:44,699
FUTURE FOR THIS WORK IN MY VIEW 

963
00:39:44,699 --> 00:39:47,435
GIVEN THE IMPORTANCE OF THESE 

964
00:39:47,435 --> 00:39:48,969
GUIDELINES FOR ALL FEDERAL 

965
00:39:48,969 --> 00:39:51,372
PROGRAMS THAT REACH YOUNG 

966
00:39:51,372 --> 00:39:51,639
CHILDREN.

967
00:39:51,639 --> 00:39:54,608
>> YEAH, AND I REALLY
AGREE 

968
00:39:54,608 --> 00:39:56,410
ABOUT REACHING THE PARENTS.

969
00:39:56,410 --> 00:39:59,113
I KNOW WITH THE SCHOOL-BASED 

970
00:39:59,113 --> 00:40:00,481
WORK THAT'S ALWAYS THE HOLY 

971
00:40:00,481 --> 00:40:01,549
GRAIL IS HOW DO YOU REACH THE 

972
00:40:01,549 --> 00:40:04,518
PARENTS AND GET TO THEM AND AT 

973
00:40:04,518 --> 00:40:06,554
CERTAIN AGES IT'S EASIER THAN 

974
00:40:06,554 --> 00:40:07,054
OTHER AGES.

975
00:40:07,054 --> 00:40:12,526
BUT WE JUST DON'T HAVE THE SAME 

976
00:40:12,526 --> 00:40:17,098
INTERVENTIONS OR PLACES TO GO TO

977
00:40:17,098 --> 00:40:18,599
INFLUENCE PARENTS OR TO EDUCATE 

978
00:40:18,599 --> 00:40:23,838
PARENTS AS WE DO WITH KIDS.

979
00:40:23,838 --> 00:40:25,406
>> I AGREE.

980
00:40:25,406 --> 00:40:28,843
I THINK THERE'S A LOT OF 

981
00:40:28,843 --> 00:40:30,177
OPPORTUNITIES INCLUDING -- 

982
00:40:30,177 --> 00:40:32,313
FATIMA WAS ON THE CALL AS A 

983
00:40:32,313 --> 00:40:33,848
CLINICIAN BECAUSE I THINK SHE 

984
00:40:33,848 --> 00:40:36,250
WOULD PROBABLY SAY A LOT OF THIS

985
00:40:36,250 --> 00:40:37,418
IS RELEVANT IN WELL CHILD 

986
00:40:37,418 --> 00:40:38,219
VISITS.

987
00:40:38,219 --> 00:40:40,254
I KNOW WHEN I HAD CHILDREN IN 

988
00:40:40,254 --> 00:40:44,125
2005 I WAS GIVEN A TYPE-WRITTEN 

989
00:40:44,125 --> 00:40:46,794
PAGE THAT WAS JUST LIKE FROM THE

990
00:40:46,794 --> 00:40:48,662
TWILIGHT ZONE ON FEEDING KIDS.

991
00:40:48,662 --> 00:40:51,132
I THINK THIS HAS A LOT OF 

992
00:40:51,132 --> 00:40:53,134
POTENTIAL TO BRING EVIDENCE, 

993
00:40:53,134 --> 00:40:56,137
STRONG BEHAVIORAL EVIDENCE TO 

994
00:40:56,137 --> 00:40:57,738
THOSE INTERACTIONS WHERE 

995
00:40:57,738 --> 00:40:58,672
CAREGIVERS ARE REALLY LOOKING 

996
00:40:58,672 --> 00:41:03,077
FOR INFORMATION.

997
00:41:03,077 --> 00:41:05,079
>> GREAT.

998
00:41:05,079 --> 00:41:09,150
>> I WANTED TO ADD TO
DEANNA 

999
00:41:09,150 --> 00:41:09,950
YOUR POINT.

1000
00:41:09,950 --> 00:41:14,321
NOT ONLY THE PARENTS AND 

1001
00:41:14,321 --> 00:41:16,457
CAREGIVERS BUT WE SAW FROM THE 

1002
00:41:16,457 --> 00:41:18,626
VIEW THE REPEATED EXPOSURES THE 

1003
00:41:18,626 --> 00:41:20,928
IMPORTANCE OF THAT AND ALSO IN 

1004
00:41:20,928 --> 00:41:22,129
SCHOOLS SO THE SCHOOL LUNCH 

1005
00:41:22,129 --> 00:41:25,466
PROGRAM I KNOW FROM OUR 

1006
00:41:25,466 --> 00:41:27,401
EXPERIENCE THAT KIDS WILL NOT 

1007
00:41:27,401 --> 00:41:30,037
CONSUME CERTAIN WHOLE GRAIN 

1008
00:41:30,037 --> 00:41:34,341
FOODS AND ALL THE VEGGIES AND 

1009
00:41:34,341 --> 00:41:36,143
FRUITS IN THEIR TRAY SO BEING 

1010
00:41:36,143 --> 00:41:38,546
CONSISTENT WITH THE MESSAGE FROM

1011
00:41:38,546 --> 00:41:42,483
THE SCHOOLS AND IN THE HOME 

1012
00:41:42,483 --> 00:41:44,251
ABOUT REPEATED EXPOSURES AND 

1013
00:41:44,251 --> 00:41:46,454
INCREASING THE LIKELINESS OF 

1014
00:41:46,454 --> 00:41:49,390
THEM TO TRY IT.

1015
00:41:49,390 --> 00:41:52,626
IT'S THE SYSTEM AND MAKING SURE 

1016
00:41:52,626 --> 00:41:55,095
THAT THEY ARE ALSO HEARING THE 

1017
00:41:55,095 --> 00:41:56,797
SAME MESSAGES IN SCHOOL AND IN 

1018
00:41:56,797 --> 00:42:07,308
HOME AND IN DIFFERENT PLACES.

1019
00:42:08,375 --> 00:42:11,612
>> OTHER QUESTIONS FOR
JENNY OR 

1020
00:42:11,612 --> 00:42:12,146
ALINE.

1021
00:42:12,146 --> 00:42:13,214
>> GREAT PRESENTATION AND
IT'S 

1022
00:42:13,214 --> 00:42:15,282
BEEN GREAT TO BE OFTEN THE 

1023
00:42:15,282 --> 00:42:16,183
COMMITTEE AND WATCH THIS 

1024
00:42:16,183 --> 00:42:21,489
LITERATURE SEE WHERE SOME OF THE

1025
00:42:21,489 --> 00:42:21,856
LIMITATIONS ARE.

1026
00:42:21,856 --> 00:42:22,957
AND ONE OF THE THINGS THAT WAS 

1027
00:42:22,957 --> 00:42:24,658
SO STRIKING AND I'M CURIOUS WHAT

1028
00:42:24,658 --> 00:42:29,096
KIND OF RECOMMENDATIONS, WE TALK

1029
00:42:29,096 --> 00:42:30,898
WITH PARENTS BUT A LOT OF THIS 

1030
00:42:30,898 --> 00:42:33,067
LITERATURE WAS MOTHERS.

1031
00:42:33,067 --> 00:42:35,569
WE DIDN'T INCLUDE A LOT OF 

1032
00:42:35,569 --> 00:42:39,006
FATHERS OR OTHER CAREGIVERS.

1033
00:42:39,006 --> 00:42:39,974
THERE WASN'T A LOT OF STUDIES 

1034
00:42:39,974 --> 00:42:43,711
DONE AND I WAS WONDERING IF 

1035
00:42:43,711 --> 00:42:44,879
THERE'S ANY COURTS ABOUT HOW TO 

1036
00:42:44,879 --> 00:42:49,884
BE MORE INCLUSIVE WHEN IT COMES 

1037
00:42:49,884 --> 00:42:51,285
TO OTHER CAREGIVERS AND 

1038
00:42:51,285 --> 00:42:54,221
GRANDPARENTS AND FATHERS AND WE 

1039
00:42:54,221 --> 00:42:55,322
TALK ABOUT PARENTS BUT THE 

1040
00:42:55,322 --> 00:43:00,661
LITERATURE WHICH IS SO STRIKING 

1041
00:43:00,661 --> 00:43:04,465
WAS REALLY PRIMARILY OR ALMOST 

1042
00:43:04,465 --> 00:43:05,099
EXCLUSIVELY MOTHERS.

1043
00:43:05,099 --> 00:43:11,438
>> THANKS FOR POINTING
THAT OUT.

1044
00:43:11,438 --> 00:43:14,208
AS YOU KNOW WE SAW A LOT OF 

1045
00:43:14,208 --> 00:43:15,876
NEEDS FOR GREATER REPRESENTATION

1046
00:43:15,876 --> 00:43:17,111
OF DIVERSITY NOT ONLY IN TERMS 

1047
00:43:17,111 --> 00:43:19,580
OF WHO THE CAREGIVERS ARE BUT 

1048
00:43:19,580 --> 00:43:21,916
FAMILIES, CULTURAL PERSPECTIVES,

1049
00:43:21,916 --> 00:43:26,287
SOCIO ECONOMIC POSITION.

1050
00:43:26,287 --> 00:43:27,688
I THINK THERE'S ONE OF THE 

1051
00:43:27,688 --> 00:43:29,557
CHALLENGES IN TRYING TO MAKE 

1052
00:43:29,557 --> 00:43:30,824
GENERALIZATIONS ON BEHAVIOR IS 

1053
00:43:30,824 --> 00:43:37,031
IT'S REALLY HARD TO THINK OF HOW

1054
00:43:37,031 --> 00:43:38,699
ONE SPECIFIC STRATEGY COULD 

1055
00:43:38,699 --> 00:43:49,209
POSSIBLY BE ONE SIZE FITS ALL.

1056
00:43:51,245 --> 00:43:55,082
AND DEVELOP GUIDANCE THAT IS 

1057
00:43:55,082 --> 00:43:55,950
REPRESENTATIVE OF THAT DIVERSITY

1058
00:43:55,950 --> 00:43:56,850
AND MAKES CONTACT.

1059
00:43:56,850 --> 00:44:02,489
I KNOW OF A NUMBER OF SCIENTISTS

1060
00:44:02,489 --> 00:44:03,724
WHO ARE INTERESTED IN FATHERS 

1061
00:44:03,724 --> 00:44:05,092
AND HOPEFULLY SOME OF THAT WORK 

1062
00:44:05,092 --> 00:44:06,927
WILL BE COMING OUT IN THE NEAR 

1063
00:44:06,927 --> 00:44:09,129
FUTURE BUT I'M GLAD YOU POINTED 

1064
00:44:09,129 --> 00:44:12,399
THAT OUT BECAUSE I THINK THAT 

1065
00:44:12,399 --> 00:44:13,934
WAS JUST HAS BEEN A HISTORICAL 

1066
00:44:13,934 --> 00:44:15,603
PERSPECTIVE IN THIS AREA IN 

1067
00:44:15,603 --> 00:44:17,037
TERMS OF PARTICIPATION.

1068
00:44:17,037 --> 00:44:20,608
BUT I THINK THE RESEARCH CLEARLY

1069
00:44:20,608 --> 00:44:23,811
NEEDS TO GO IN A WAY THAT 

1070
00:44:23,811 --> 00:44:24,411
PROVIDES BROADER PERSPECTIVES.

1071
00:44:24,411 --> 00:44:28,382
SO THANK YOU.

1072
00:44:28,382 --> 00:44:30,384
>> GREAT.

1073
00:44:30,384 --> 00:44:30,618
HEATHER.

1074
00:44:30,618 --> 00:44:33,721
>> I JUST WANTED TO ADD ON
TO 

1075
00:44:33,721 --> 00:44:38,459
THAT MAYBE JEN YOU CAN TALK A 

1076
00:44:38,459 --> 00:44:41,428
LITTLE BIT MORE TOO ABOUT KIND 

1077
00:44:41,428 --> 00:44:43,564
HOW -- LIKE ONE THING WE 

1078
00:44:43,564 --> 00:44:44,865
STRUGGLED WITH WAS WHEN WE WERE 

1079
00:44:44,865 --> 00:44:46,533
TRYING TO PUT TOGETHER SOME OF 

1080
00:44:46,533 --> 00:44:47,868
THE EVIDENCE ON THE FEEDING 

1081
00:44:47,868 --> 00:44:49,670
STYLES AND PRACTICES WAS JUST 

1082
00:44:49,670 --> 00:44:54,375
HOW WHEN YOU DO CONSIDER THE 

1083
00:44:54,375 --> 00:44:56,577
DIVERSITY, HOW IT'S HARD TO 

1084
00:44:56,577 --> 00:44:58,912
SOMETIMES MAKE MEANING OF WHAT 

1085
00:44:58,912 --> 00:45:00,614
DIFFERENT CULTURES MAY -- WHAT 

1086
00:45:00,614 --> 00:45:04,318
VALUE THEY MAY ASSIGN TO 

1087
00:45:04,318 --> 00:45:07,121
DIFFERENT FEEDING STYLES AND 

1088
00:45:07,121 --> 00:45:10,391
PRACTICES AND HOW THAT IS KIND 

1089
00:45:10,391 --> 00:45:14,328
OF LIKE AN AREA WHERE WE'D LOVE 

1090
00:45:14,328 --> 00:45:16,430
TO HAVE MORE INFORMATION, MORE 

1091
00:45:16,430 --> 00:45:16,697
RESEARCH.

1092
00:45:16,697 --> 00:45:18,932
I THOUGHT THAT WAS SUCH A GREAT 

1093
00:45:18,932 --> 00:45:20,668
CONVERSATION WE HAD.

1094
00:45:20,668 --> 00:45:21,568
YOU CAN ARTICULATE IT BETTER 

1095
00:45:21,568 --> 00:45:28,575
THAN ME.

1096
00:45:28,575 --> 00:45:32,346
>> NOT AT ALL.

1097
00:45:32,346 --> 00:45:34,348
THIS RESEARCH I WOULD SAY IN A 

1098
00:45:34,348 --> 00:45:37,584
BROAD SENSE MOST THESE STUDIES 

1099
00:45:37,584 --> 00:45:38,585
USE QUESTIONNAIRE-BASED MEASURES

1100
00:45:38,585 --> 00:45:41,155
AND QUESTIONNAIRES HAVE BEEN 

1101
00:45:41,155 --> 00:45:43,924
CERTAINLY USED AND SUBJECTIVE TO

1102
00:45:43,924 --> 00:45:47,928
VARIOUS PSYCHO METRIC TESTING IN

1103
00:45:47,928 --> 00:45:49,029
DIVERSE GROUPS FOR THE MOST 

1104
00:45:49,029 --> 00:45:50,998
PARTS BUT MANY OF THESE 

1105
00:45:50,998 --> 00:45:53,567
INSTRUMENTS ARE NOW OLD AND MAY 

1106
00:45:53,567 --> 00:45:55,569
NOT REFLECT WHAT PEOPLE ARE 

1107
00:45:55,569 --> 00:45:57,438
CURRENTLY DOING BUT IT'S ONE 

1108
00:45:57,438 --> 00:45:59,106
THING TO SORT OF DEVELOP AN 

1109
00:45:59,106 --> 00:46:01,475
INSTRUMENT AND THEN SAY IT LOOKS

1110
00:46:01,475 --> 00:46:02,609
SIMILAR IN A DIFFERENT GROUP 

1111
00:46:02,609 --> 00:46:06,346
VERSUS TO ACTUALLY GO INTO 

1112
00:46:06,346 --> 00:46:08,749
DIVERSE GROUPS AND USE 

1113
00:46:08,749 --> 00:46:10,718
QUALITATIVE METHODS TO IDENTIFY 

1114
00:46:10,718 --> 00:46:13,854
THEMES AND PRACTICES AND VALUES 

1115
00:46:13,854 --> 00:46:15,322
THAT ARE RELEVANT TO THOSE 

1116
00:46:15,322 --> 00:46:15,756
GROUPS.

1117
00:46:15,756 --> 00:46:19,093
I THINK THAT IS REALLY WHERE THE

1118
00:46:19,093 --> 00:46:21,662
RESEARCH NEEDS TO HAPPEN MORE SO

1119
00:46:21,662 --> 00:46:24,765
THAN JUST USING THE SAME 

1120
00:46:24,765 --> 00:46:26,066
MEASURES WITH DIFFERENT GROUPS, 

1121
00:46:26,066 --> 00:46:27,835
SO TO SPEAK, IF THAT MAKES 

1122
00:46:27,835 --> 00:46:28,035
SENSE.

1123
00:46:28,035 --> 00:46:34,608
WE'RE ONLY GEPTH ANSWERS FROM 

1124
00:46:34,608 --> 00:46:36,076
QUESTIONNAIRES THE 

1125
00:46:36,076 --> 00:46:36,710
QUESTIONNAIRES ASK AND THAT'S 

1126
00:46:36,710 --> 00:46:37,611
THE ISSUE.

1127
00:46:37,611 --> 00:46:40,380
IT'S SUCH AN IMPORTANT POINT AND

1128
00:46:40,380 --> 00:46:42,649
I THINK CAROL NOTED THIS A LONG 

1129
00:46:42,649 --> 00:46:47,121
TIME AGO WE REALLY NEED 

1130
00:46:47,121 --> 00:46:51,024
QUALITATIVE STUDIES, COGNITIVE 

1131
00:46:51,024 --> 00:46:53,127
INTERVIEWING TO DO THAT.

1132
00:46:53,127 --> 00:46:54,628
I THINK IT'S IMPORTANT TO HAVE A

1133
00:46:54,628 --> 00:46:56,029
DESCRIPTION OF THE LIVED 

1134
00:46:56,029 --> 00:46:59,299
EXPERIENCES OF TO THE PEOPLE 

1135
00:46:59,299 --> 00:47:02,603
THAT YOU'RE TRYING TO 

1136
00:47:02,603 --> 00:47:03,403
UNDERSTAND.

1137
00:47:03,403 --> 00:47:04,471
SO, YEAH, THANKS FOR BRINGING 

1138
00:47:04,471 --> 00:47:07,407
THAT UP, HEATHER, I THINK THAT'S

1139
00:47:07,407 --> 00:47:08,408
A REALLY IMPORTANT POINT.

1140
00:47:08,408 --> 00:47:13,547
>> WELL, THANK YOU AGAIN,
JENNY,

1141
00:47:13,547 --> 00:47:14,948
ALINE AND THE SUBCOMMITTEE FOR 

1142
00:47:14,948 --> 00:47:17,451
THE GREAT PRESENTATION AND GREAT

1143
00:47:17,451 --> 00:47:17,818
WORK.

1144
00:47:17,818 --> 00:47:20,154
AND I'M NOW GOING TO HAND OVER 

1145
00:47:20,154 --> 00:47:25,626
THE PODIUM TO DEANNA WHO WILL BE

1146
00:47:25,626 --> 00:47:26,493
INTER-DUFFING OUR CONTINUATION 

1147
00:47:26,493 --> 00:47:29,563
OF THE DIETARY PATTERNS GROUP 

1148
00:47:29,563 --> 00:47:32,332
AND I'D LIKE EVERYBODY TO NOT 

1149
00:47:32,332 --> 00:47:33,267
SPEAKING TO TURN YOUR CAMERA OFF

1150
00:47:33,267 --> 00:47:34,601
DURING THE PRESENTATION.

1151
00:47:34,601 --> 00:47:38,205
THANK YOU.

1152
00:47:38,205 --> 00:47:41,108
>> THANKS, SARAH.

1153
00:47:41,108 --> 00:47:43,310
SO YESTERDAY YOU HEARD ONE OF 

1154
00:47:43,310 --> 00:47:46,647
THE THREE CHAPTERS OF OUR 

1155
00:47:46,647 --> 00:47:48,081
DIETARY PATTERNS SUBCOMMITTEE.

1156
00:47:48,081 --> 00:47:50,117
SO THIS MORNING YOU'LL HEAR THE 

1157
00:47:50,117 --> 00:47:53,120
OTHER TWO CHAPTERS.

1158
00:47:53,120 --> 00:47:56,323
AND THESE CHAPTERS HAVE TO DO 

1159
00:47:56,323 --> 00:47:58,592
WITH DIETARY PATTERNS AND 

1160
00:47:58,592 --> 00:48:09,102
COMPONENTS CROSS LIFE STAGES.

1161
00:48:11,205 --> 00:48:16,143
I'D LIKE TO HAND IT OVER TO 

1162
00:48:16,143 --> 00:48:22,716
HOLLIE RAYNOR AND ANDREA 

1163
00:48:22,716 --> 00:48:23,116
DEIERLEIN.

1164
00:48:23,116 --> 00:48:24,718
>> AS I GET STARTED I WANT
TO 

1165
00:48:24,718 --> 00:48:26,153
ACKNOWLEDGE THE CONTRIBUTIONS OF

1166
00:48:26,153 --> 00:48:27,020
THE COMMITTEE AS WELL AS THE 

1167
00:48:27,020 --> 00:48:29,122
STAFF WHO HAVE WORKED IN THIS 

1168
00:48:29,122 --> 00:48:37,497
AREA.

1169
00:48:37,497 --> 00:48:41,134
SO, BEVERAGES SUCH AS WATER, 

1170
00:48:41,134 --> 00:48:50,878
MILK AND SUGAR-SWEETENED 

1171
00:48:50,878 --> 00:48:52,746
BEVERAGES CONTRIBUTE TO THE 

1172
00:48:52,746 --> 00:48:54,615
INTAKE AND IMPORTANT NUTRIENTS 

1173
00:48:54,615 --> 00:48:57,351
LIKE CALCIUM AND VITAMINS D AND 

1174
00:48:57,351 --> 00:48:57,484
C.

1175
00:48:57,484 --> 00:49:01,355
FOR EXAMPLE AMONG CHILDREN IN 

1176
00:49:01,355 --> 00:49:01,989
ADOLESCENTS, BEVERAGES 

1177
00:49:01,989 --> 00:49:04,391
CONTRIBUTE 42% OF DAILY CALCIUM 

1178
00:49:04,391 --> 00:49:06,226
INTAKE AND OVER HALF OF DAILY 

1179
00:49:06,226 --> 00:49:10,597
VITAMIN D INTAKE AND FOR ADULTS 

1180
00:49:10,597 --> 00:49:13,834
VEGETABLES CONTRIBUTE ONE-THIRD 

1181
00:49:13,834 --> 00:49:17,137
OF DAILY VITAMIN C INTAKES AND 

1182
00:49:17,137 --> 00:49:19,473
CONSUMPTION OF HIGHER QUANTITIES

1183
00:49:19,473 --> 00:49:22,609
OF CERTAIN BEVERAGES CAN 

1184
00:49:22,609 --> 00:49:24,611
CONTRIBUTE TO EXCESS ENERGY AND 

1185
00:49:24,611 --> 00:49:26,780
CERTAIN NUTRIENTS THAT SHOULD BE

1186
00:49:26,780 --> 00:49:30,017
LIMITED.

1187
00:49:30,017 --> 00:49:32,452
THE 2025 COMMUNITY SCIENTIFIC 

1188
00:49:32,452 --> 00:49:35,122
QUESTIONS ABOUT BEVERAGES WERE 

1189
00:49:35,122 --> 00:49:39,526
DEVELOPED TO FOCUS ON COMMON 

1190
00:49:39,526 --> 00:49:40,994
BEVERAGES THAT PROVIDE BENEFIT 

1191
00:49:40,994 --> 00:49:43,697
SUCH AS VITAMIN C, D AND 

1192
00:49:43,697 --> 00:49:44,164
CALCIUM.

1193
00:49:44,164 --> 00:49:47,734
LIKE 100% JUICE AND MILK AND 

1194
00:49:47,734 --> 00:49:49,303
BEVERAGES THAT DO NOT PROVIDE 

1195
00:49:49,303 --> 00:49:52,239
DIETARY BENEFITS BUT CONTRIBUTE 

1196
00:49:52,239 --> 00:49:53,573
ADDED SUGARS AND EXCESS ENERGY 

1197
00:49:53,573 --> 00:49:56,910
LIKE SUGAR-SWEETENED BEVERAGES.

1198
00:49:56,910 --> 00:50:01,615
WHILE LOW AND NO-CALORIE 

1199
00:50:01,615 --> 00:50:03,417
SWEETENED BEVERAGES ARE NOT 

1200
00:50:03,417 --> 00:50:05,152
CONSIDERED TO BE PROMOTE ENERGY 

1201
00:50:05,152 --> 00:50:07,454
OR ESSENTIAL NUTRIENTS IN THE 

1202
00:50:07,454 --> 00:50:10,590
DIET THEY WERE INCLUDES BECAUSE 

1203
00:50:10,590 --> 00:50:13,727
APPROXIMATELY 1 IN 10 ADULTS 

1204
00:50:13,727 --> 00:50:16,530
CONSUME THE BEVERAGES AND 

1205
00:50:16,530 --> 00:50:18,165
UNCERTAINTY EXISTS FOR GROWTH, 

1206
00:50:18,165 --> 00:50:20,000
BODY COMPOSITION AND RISK OF 

1207
00:50:20,000 --> 00:50:30,510
OBESITY AND TYPE II DIABETES.

1208
00:50:50,664 --> 00:50:51,865
 THE COMMITTEE CONSIDERED MORE 

1209
00:50:51,865 --> 00:50:52,165
THAT.

1210
00:50:52,165 --> 00:50:55,369
ONE BEVERAGE USUALLY CONSUMED IN

1211
00:50:55,369 --> 00:50:56,870
A TYPICAL DIET AND EXAMINING ONE

1212
00:50:56,870 --> 00:50:57,971
BEVERAGE IN ISOLATION TO 

1213
00:50:57,971 --> 00:51:02,609
DETERMINE IMPACTS ON HEALTH DOES

1214
00:51:02,609 --> 00:51:05,645
NOT REALLY REPRESENT HOW 

1215
00:51:05,645 --> 00:51:08,382
BEVERAGES ARE TYPICALLY CONSUMED

1216
00:51:08,382 --> 00:51:09,649
AND SHOULD INSTEAD BE EXAMINED 

1217
00:51:09,649 --> 00:51:11,251
WITHIN A PATTERN OF INTAKE 

1218
00:51:11,251 --> 00:51:14,621
SIMILAR TO HOW WE LOOK AT FOOD 

1219
00:51:14,621 --> 00:51:23,030
AND DIETARY PATTERNS. 

1220
00:51:23,030 --> 00:51:24,998
IT LOOKS AT THE OVER ALL 

1221
00:51:24,998 --> 00:51:26,633
BEVERAGE INTAKE AND HEALTH 

1222
00:51:26,633 --> 00:51:36,810
OUTCOMES.

1223
00:51:39,546 --> 00:51:42,582
THE 2020 WHICH THE LOOKED AT 

1224
00:51:42,582 --> 00:51:44,618
BEVERAGE CONSUMPTION RELATED TO 

1225
00:51:44,618 --> 00:51:49,956
GROWTH, SIZE, BODY COMPOSITION 

1226
00:51:49,956 --> 00:51:51,024
AND RISK OF OBESITY.

1227
00:51:51,024 --> 00:51:52,626
THEY EXPANDED WORK IN SEVERAL 

1228
00:51:52,626 --> 00:51:54,594
WAYS.

1229
00:51:54,594 --> 00:51:57,030
WE EXAMINED THE EVIDENCE FOR 

1230
00:51:57,030 --> 00:51:59,232
BEVERAGE PATTERNS IN RELATED TO 

1231
00:51:59,232 --> 00:52:04,704
GROWTH, BODY COMPOSITION AND 

1232
00:52:04,704 --> 00:52:10,610
RISK OF OBESITY.

1233
00:52:10,610 --> 00:52:14,114
THEY LOOKED AT SUGAR SWEETENED 

1234
00:52:14,114 --> 00:52:16,083
BEVERAGES AND FOR TYPE II 

1235
00:52:16,083 --> 00:52:17,150
DIABETES THEY LOOKED AT 

1236
00:52:17,150 --> 00:52:19,252
LONG-TERM OBSERVATIONAL STUDIES 

1237
00:52:19,252 --> 00:52:22,756
WITH TYPE II DIABETES AS THE 

1238
00:52:22,756 --> 00:52:24,524
OUTCOME AND INTERMEDIATE 

1239
00:52:24,524 --> 00:52:30,597
OUTCOMES SUCH AS HEMOGLOBIN A1C 

1240
00:52:30,597 --> 00:52:32,165
AND LOOKED AT META-ANALYSIS FOR 

1241
00:52:32,165 --> 00:52:32,799
SUGAR SWEETENED BEVERAGES AND 

1242
00:52:32,799 --> 00:52:34,734
GROWTH AND BODY COMPOSITION AND 

1243
00:52:34,734 --> 00:52:36,136
RISK OF OBESITY FROM INFANCY 

1244
00:52:36,136 --> 00:52:46,446
THROUGH ADULTHOOD.

1245
00:52:48,248 --> 00:52:53,887
AND THEY ARE LOOKED RAT AGE OF 

1246
00:52:53,887 --> 00:53:04,064
19 YEARS.

1247
00:53:14,107 --> 00:53:19,880
42% OF CHILDREN AGES 2-5, 28% 

1248
00:53:19,880 --> 00:53:25,018
6-11 YEARS AND 16% OF CHILDREN 

1249
00:53:25,018 --> 00:53:26,620
IN ADOLESCENCE CONSUMED 100% 

1250
00:53:26,620 --> 00:53:34,594
FRUIT JUICE ON A GIVEN DAY.

1251
00:53:34,594 --> 00:53:37,297
EYE  

1252
00:53:37,297 --> 00:53:40,834
THE COMMITTEE CONDUCTED SYS

1253
00:53:40,834 --> 00:53:50,577
SYSTEMATIC REVIEWS AND EXAMINE 

1254
00:53:50,577 --> 00:53:52,812
THE RISKS AND EXPOSURES ARE 

1255
00:53:52,812 --> 00:53:55,515
PATTERNS, DAIRY MILK 

1256
00:53:55,515 --> 00:53:59,786
ALTERNATIVES AND LOW AND 

1257
00:53:59,786 --> 00:54:02,389
NO-CALORIE BEVERAGES AND THE 

1258
00:54:02,389 --> 00:54:08,028
RISK OF TYPE II DIABETES FOR THE

1259
00:54:08,028 --> 00:54:18,405
EXPOSURES OF YOU OF SUGAR 

1260
00:54:18,405 --> 00:54:21,174
SWEETENED BEVERAGES.

1261
00:54:21,174 --> 00:54:26,112
SIMILAR TO YESTERDAY WE VIEWED 

1262
00:54:26,112 --> 00:54:31,952
CONCLUSION STATEMENTS BY 

1263
00:54:31,952 --> 00:54:37,090
ORGANIZING REVIEWS AND FAVORABLE

1264
00:54:37,090 --> 00:54:41,194
ASSOCIATIONS WITH BEVERAGES AND 

1265
00:54:41,194 --> 00:54:47,867
GREATER BEVERAGE INTAKE AND NO 

1266
00:54:47,867 --> 00:54:48,501
ASSOCIATION BETWEEN BEVERAGES 

1267
00:54:48,501 --> 00:54:54,608
AND HEALTH OUTCOMES AND A 

1268
00:54:54,608 --> 00:54:57,110
CONCLUSION STATEMENT COULD NOT 

1269
00:54:57,110 --> 00:55:02,616
BE DRAWN AND FOUND FAVORABLE 

1270
00:55:02,616 --> 00:55:09,256
ASSOCIATIONS.

1271
00:55:09,256 --> 00:55:11,191
AND THE EXPOSURES WERE TOTAL 

1272
00:55:11,191 --> 00:55:14,694
MILK AND THEN HIGHER FAT DAIRY 

1273
00:55:14,694 --> 00:55:21,534
MILK IN COMPARISON TO LOWER FAT 

1274
00:55:21,534 --> 00:55:22,602
DAIRY MILK AND THEY COMPARED TO 

1275
00:55:22,602 --> 00:55:26,973
LOWER FAT DAIRY MILK MAY NOT 

1276
00:55:26,973 --> 00:55:29,175
EXCESSIVE ENERGY FOR CHILDREN'S 

1277
00:55:29,175 --> 00:55:30,777
2-5 YEARS THOUGH THEY WERE BASED

1278
00:55:30,777 --> 00:55:35,382
ON EVIDENCE GRADED AS LIMITED.

1279
00:55:35,382 --> 00:55:37,384
THESE BEVERAGES MAY PROVIDE 

1280
00:55:37,384 --> 00:55:39,085
IMPORTANT NUTRIENTS FOR GROWTH 

1281
00:55:39,085 --> 00:55:42,756
BUT NUTRIENTS SUCH AS PROTEIN, 

1282
00:55:42,756 --> 00:55:49,129
VITAMIN D, PHOSPHORUS AND 

1283
00:55:49,129 --> 00:55:50,997
MAGNESIUM AND CALCIUM.

1284
00:55:50,997 --> 00:55:54,134
WE IDENTIFIED OR HAD FOUR 

1285
00:55:54,134 --> 00:55:55,835
CONCLUSION STATEMENTS THAT 

1286
00:55:55,835 --> 00:55:58,605
IDENTIFIED UNFAVORABLE 

1287
00:55:58,605 --> 00:56:01,808
ASSOCIATIONS ALL OF WHICH 

1288
00:56:01,808 --> 00:56:02,609
EXAMINES SUGAR SWEETENED 

1289
00:56:02,609 --> 00:56:03,877
BEVERAGES CONSUMPTION AND 

1290
00:56:03,877 --> 00:56:04,978
INCLUDED A META-ANALYSIS AND 

1291
00:56:04,978 --> 00:56:08,982
WERE BASED ON EVIDENCE GRADED AS

1292
00:56:08,982 --> 00:56:09,249
MODERATE.

1293
00:56:09,249 --> 00:56:10,784
THE LIFE STAGES INCLUDED IN THE 

1294
00:56:10,784 --> 00:56:13,520
CONCLUSION STATEMENTS WERE 

1295
00:56:13,520 --> 00:56:17,190
INFANCY THROUGH ADOLESCENCE WITH

1296
00:56:17,190 --> 00:56:20,060
UNFAVORABLE GROWTH PATTERNS AND 

1297
00:56:20,060 --> 00:56:24,597
BODY COMPOSITION AND IN ADULTS 

1298
00:56:24,597 --> 00:56:27,867
WITH HIGHER RISK OF OBESITY AND 

1299
00:56:27,867 --> 00:56:31,905
RISK OF TYPE II DIABETES.

1300
00:56:31,905 --> 00:56:32,639
THIS SETTING SUGAR SWEETENED 

1301
00:56:32,639 --> 00:56:33,907
BEVERAGES INTAKE CONTRIBUTE TO 

1302
00:56:33,907 --> 00:56:35,108
EXCESS ENERGY INTAKE AND 

1303
00:56:35,108 --> 00:56:45,585
UNFAVORABLE HEALTH OUTCOMES.

1304
00:56:53,259 --> 00:56:55,261
FOUR CONCLUSION STATEMENTS LAD 

1305
00:56:55,261 --> 00:57:02,102
EVIDENCE GRADE D AS MODERATE AN 

1306
00:57:02,102 --> 00:57:07,173
THERE WAS NO ASSOCIATION WITH 

1307
00:57:07,173 --> 00:57:09,809
BODY COMPOSITION AND RISK OF 

1308
00:57:09,809 --> 00:57:10,977
OBESITY FOR ADOLESCENCE FOCUSSED

1309
00:57:10,977 --> 00:57:17,484
ON 100% JUICE AND ADULTS AND 

1310
00:57:17,484 --> 00:57:22,322
100% JUICE AND MILK AND NO 

1311
00:57:22,322 --> 00:57:25,258
ASSOCIATION EXISTS BETWEEN 

1312
00:57:25,258 --> 00:57:26,593
CONSUMPTION OF THESE BEVERAGES 

1313
00:57:26,593 --> 00:57:29,162
AND RISK OF OBESITY IN THE 

1314
00:57:29,162 --> 00:57:31,598
POPULATIONS THAT WERE EXAMINED.

1315
00:57:31,598 --> 00:57:32,932
WE ALSO HAD FOUR CONCLUSION 

1316
00:57:32,932 --> 00:57:33,700
STATEMENTS IN WHICH THE EVIDENCE

1317
00:57:33,700 --> 00:57:38,605
WAS GRADED AS LIMITED AND ONE OF

1318
00:57:38,605 --> 00:57:40,273
THOSE OUTCOMES WAS NO 

1319
00:57:40,273 --> 00:57:41,908
ASSOCIATION WITH GROWTH, BODY 

1320
00:57:41,908 --> 00:57:43,943
COMPOSITION AND RISK OF OBESITY 

1321
00:57:43,943 --> 00:57:47,147
AND THIS WAS FOR CHILDREN AND 

1322
00:57:47,147 --> 00:57:50,583
ADOLESCENCE FOR LOW AND 

1323
00:57:50,583 --> 00:57:52,051
NO-CALORIE SWEETENED BEVERAGES 

1324
00:57:52,051 --> 00:57:54,788
OR FOR SWEETENED MILK, ADULTS 

1325
00:57:54,788 --> 00:57:57,524
FOCUSSED ON WEIGHT GAIN FOR 100%

1326
00:57:57,524 --> 00:57:59,125
JUICE AND NO ASSOCIATION WITH 

1327
00:57:59,125 --> 00:58:01,027
RISK OF TYPE 2 DIABETES AND THE 

1328
00:58:01,027 --> 00:58:06,599
WAS FOR ADULTS WITH LOW AND NO 

1329
00:58:06,599 --> 00:58:11,738
CALORIE SWEETENED BEVERAGES AND 

1330
00:58:11,738 --> 00:58:13,506
GIVEN THE LACK OF CONSISTENCY 

1331
00:58:13,506 --> 00:58:17,110
AND FINDINGS A SMALL NUMBER OF 

1332
00:58:17,110 --> 00:58:18,144
RANDOMIZED TRIALS IN THE POOR 

1333
00:58:18,144 --> 00:58:18,812
GENERALIZABILITY MORE RESEARCH 

1334
00:58:18,812 --> 00:58:29,222
IS NEEDED IN THIS AREA.

1335
00:58:30,657 --> 00:58:33,059
WE ALSO HAD 19 CONCLUSION 

1336
00:58:33,059 --> 00:58:38,598
STATEMENTS IN WHICH A CONCLUSION

1337
00:58:38,598 --> 00:58:49,142
COULD NOT BE DRAWN PREGNANCY AND

1338
00:59:14,868 --> 00:59:18,605
POSTPARTUM INDICATED NOT ENOUGH 

1339
00:59:18,605 --> 00:59:21,307
FOR SIX CONCLUSION STATEMENTS 

1340
00:59:21,307 --> 00:59:22,609
EVIDENCE WAS AVAILABLE.

1341
00:59:22,609 --> 00:59:31,317
AND WITH THAT I WILL TURN IT TO 

1342
00:59:31,317 --> 00:59:32,118
ANDREA.

1343
00:59:32,118 --> 00:59:42,195
>> THANK YOU.

1344
00:59:42,195 --> 00:59:45,398
THIS COMMITTEE HAD A GREATER 

1345
00:59:45,398 --> 00:59:46,299
NUMBER OF CONCLUSION STATEMENTS.

1346
00:59:46,299 --> 00:59:48,401
29 COMPARED TO 12 FOR THE 

1347
00:59:48,401 --> 00:59:50,603
PREVIOUS COMMITTEE.

1348
00:59:50,603 --> 00:59:52,138
AND WE ALSO DEVELOPED CONCLUSION

1349
00:59:52,138 --> 00:59:53,172
STATEMENTS FOR ADDITIONAL LIFE 

1350
00:59:53,172 --> 00:59:56,609
STAGES INCLUDING INFANTS AND 

1351
00:59:56,609 --> 00:59:59,245
YOUNG CHILDREN, PREGNANCY AND 

1352
00:59:59,245 --> 01:00:02,815
POSTPARTUM AND THE 2020 

1353
01:00:02,815 --> 01:00:06,252
COMMITTEE DEVELOPED STATEMENT 

1354
01:00:06,252 --> 01:00:09,522
ONLY FOR CHILDREN AND ADULTS.

1355
01:00:09,522 --> 01:00:10,623
FOR EXAMPLE THE EVIDENCE GROUPS 

1356
01:00:10,623 --> 01:00:12,926
CHANGES IN SOME CASES AND THIS 

1357
01:00:12,926 --> 01:00:14,594
COMMITTEE WAS ABLE TO DRAW 

1358
01:00:14,594 --> 01:00:16,930
SEPARATE CONCLUSION STATEMENTS 

1359
01:00:16,930 --> 01:00:22,602
FOR MILK LOOKING AT TOTAL MILK 

1360
01:00:22,602 --> 01:00:29,175
AS WELL AS SWEETENED MILK.

1361
01:00:29,175 --> 01:00:37,216
AND THEY LOOKED AT CONCLUSION 

1362
01:00:37,216 --> 01:00:38,851
STATEMENT COMPARED TO THE 2020 

1363
01:00:38,851 --> 01:00:41,120
COMMITTEE'S FINDING, MILK WAS 

1364
01:00:41,120 --> 01:00:42,221
THE BEVERAGE WITH THE GREATEST 

1365
01:00:42,221 --> 01:00:44,257
CHANGE IN CONCLUSION STATEMENTS.

1366
01:00:44,257 --> 01:00:46,626
WHEN WE LOOK AT WITH THIS 

1367
01:00:46,626 --> 01:00:48,995
COMMITTEE FOUND CONCERNING 

1368
01:00:48,995 --> 01:00:50,597
CHILDREN AND ADOLESCENCE, 

1369
01:00:50,597 --> 01:00:52,065
FAVORABLE GROWTH AND BODY 

1370
01:00:52,065 --> 01:00:54,100
COMPOSITION AND LOWER RISK OF 

1371
01:00:54,100 --> 01:00:56,936
OBESITY IN YOUNGER CHILDREN 2-5 

1372
01:00:56,936 --> 01:00:59,973
YEARS FOR HIGHER MILK AND HIGHER

1373
01:00:59,973 --> 01:01:03,176
FAT VERSUS LOWER FAT AND WE 

1374
01:01:03,176 --> 01:01:04,944
FOUND NO ASSOCIATION WITH 

1375
01:01:04,944 --> 01:01:07,180
GROWTH, BODY COMPOSITION OR RISK

1376
01:01:07,180 --> 01:01:10,216
OF OBESITY FOR SWEETENED MILK IN

1377
01:01:10,216 --> 01:01:11,517
OLDER ADULTS AND ADOLESCENCE AND

1378
01:01:11,517 --> 01:01:12,852
THIS IS A GRADE OF LIMITED.

1379
01:01:12,852 --> 01:01:14,921
THIS COMPARES TO WHAT THE 2020 

1380
01:01:14,921 --> 01:01:15,622
COMMITTEE FOUND.

1381
01:01:15,622 --> 01:01:17,890
THERE WAS NO RELATIONSHIP 

1382
01:01:17,890 --> 01:01:20,593
BETWEEN TOTAL MILK AND ADIPOSITY

1383
01:01:20,593 --> 01:01:22,595
IN CHILDREN AND GRADE OF LIMITED

1384
01:01:22,595 --> 01:01:24,530
FOR THAT COMMITTEE AND THEY WERE

1385
01:01:24,530 --> 01:01:26,866
UNABLE TO DRAW CONCLUSION FOR 

1386
01:01:26,866 --> 01:01:30,036
TYPE OF MILK INCLUDING FLAVORED 

1387
01:01:30,036 --> 01:01:32,038
AND MILK-FAT CONTENT WIN 

1388
01:01:32,038 --> 01:01:33,306
ADIPOSITY IN CHILDREN.

1389
01:01:33,306 --> 01:01:34,607
FOR ADULTS THERE WAS AN INCREASE

1390
01:01:34,607 --> 01:01:35,642
IN THE STRENGTH OF THE EVIDENCE 

1391
01:01:35,642 --> 01:01:38,611
FROM LIMITED TO MODERATE FOR THE

1392
01:01:38,611 --> 01:01:39,779
CONCLUSION STATEMENT OF NO 

1393
01:01:39,779 --> 01:01:41,180
ASSOCIATION BETWEEN TOTAL MILK 

1394
01:01:41,180 --> 01:01:45,351
AND BODY COMPOSITION OR RISK OF 

1395
01:01:45,351 --> 01:01:45,952
OBESITY.

1396
01:01:45,952 --> 01:01:47,186
THE ABILITY TO DRAW ADDITIONAL 

1397
01:01:47,186 --> 01:01:48,221
AND DIFFERENT CONCLUSION 

1398
01:01:48,221 --> 01:01:49,656
STATEMENTS WAS MOST LIKELY DUE 

1399
01:01:49,656 --> 01:01:51,758
TO A LARGER BODY OF EVIDENCE 

1400
01:01:51,758 --> 01:01:53,993
THAT ENABLED THIS COMMITTEE TO 

1401
01:01:53,993 --> 01:01:55,862
MORE FINALLY ORGANIZE THE 

1402
01:01:55,862 --> 01:01:56,929
EVIDENCE BY LIFE STAGE AS WELL 

1403
01:01:56,929 --> 01:01:57,864
AS SEPARATE THE EVIDENCE FOR THE

1404
01:01:57,864 --> 01:02:08,274
DIFFERENT TYPES OF MILK.

1405
01:02:08,274 --> 01:02:10,610
LOOKING AT 100% JUICE AND OUR 

1406
01:02:10,610 --> 01:02:12,845
FINDINGS VERSUS THE 2020 

1407
01:02:12,845 --> 01:02:14,380
COMMITTEE, THE STRENGTH OF THE 

1408
01:02:14,380 --> 01:02:15,581
EVIDENCE UNDERLYING TWO 

1409
01:02:15,581 --> 01:02:16,649
CONCLUSION STATEMENTS INCREASED 

1410
01:02:16,649 --> 01:02:19,485
FROM LIMITED TO MODERATE FOR 

1411
01:02:19,485 --> 01:02:21,020
CONSUMPTION OF 100% JUICE.

1412
01:02:21,020 --> 01:02:22,088
WE FOUND NO ASSOCIATION WITH 

1413
01:02:22,088 --> 01:02:23,423
GROWTH, BODY COMPOSITION AND 

1414
01:02:23,423 --> 01:02:26,426
RISK OF OBESITY IN CHILDREN AND 

1415
01:02:26,426 --> 01:02:27,794
ADOLESCENTS AND FOUND NO 

1416
01:02:27,794 --> 01:02:30,596
ASSOCIATION FOR 100% JUICE 

1417
01:02:30,596 --> 01:02:31,397
CONSUMPTION WITH BODY 

1418
01:02:31,397 --> 01:02:33,533
COMPOSITION IN ADULTS.

1419
01:02:33,533 --> 01:02:41,207
AND FOR THE CONCLUSION STATEMENT

1420
01:02:41,207 --> 01:02:43,209
IN CHILDREN/ADOLESCENTS THOUGH 

1421
01:02:43,209 --> 01:02:44,911
THIS WAS NO DIFFERENCE THEY 

1422
01:02:44,911 --> 01:02:46,079
WOULD DIFFER THERE WAS LITTLE 

1423
01:02:46,079 --> 01:02:46,679
EVIDENCE FOR THE YOUNGER LIFE 

1424
01:02:46,679 --> 01:02:48,815
STAGES.

1425
01:02:48,815 --> 01:02:51,384
AND SO IT'S IMPORTANT IN THESE 

1426
01:02:51,384 --> 01:02:52,585
YOUNGER LIFE STAGES THAT HAVE 

1427
01:02:52,585 --> 01:02:55,421
LOWER ENERGY INTAKES THAT 100% 

1428
01:02:55,421 --> 01:02:58,057
JUICE NOT REPLACE OTHER NUTRIENT

1429
01:02:58,057 --> 01:02:59,225
DENSE FOODS LIKE WHOLE FRUITS 

1430
01:02:59,225 --> 01:03:06,799
AND VEGETABLES.

1431
01:03:06,799 --> 01:03:07,533
LOOKING AT SUGAR SWEETENED 

1432
01:03:07,533 --> 01:03:09,368
BEVERAGES AND THE CONCLUSION 

1433
01:03:09,368 --> 01:03:10,603
STATEMENTS FOR THIS COMMITTEE 

1434
01:03:10,603 --> 01:03:13,039
VERSUS THIS 2020 COMMITTEES, THE

1435
01:03:13,039 --> 01:03:14,240
STRENGTH OF EVIDENCE UNDERLYING 

1436
01:03:14,240 --> 01:03:16,309
THE CONCLUSION STATEMENT FOR 

1437
01:03:16,309 --> 01:03:17,210
BODY COMPOSITION AND RISK OF 

1438
01:03:17,210 --> 01:03:21,981
OBESITY IN ADULTS INCREASED FROM

1439
01:03:21,981 --> 01:03:22,415
LIMITED TO MODERATE.

1440
01:03:22,415 --> 01:03:24,584
THE CONCLUSION STATEMENT FOR 

1441
01:03:24,584 --> 01:03:25,251
UNFAVORABLE ASSOCIATION WITH 

1442
01:03:25,251 --> 01:03:27,320
GROWTH, BODY COMPOSITION AND 

1443
01:03:27,320 --> 01:03:29,822
RISK OF OBESITY EXTENDED TO 

1444
01:03:29,822 --> 01:03:30,223
OUTCOMES.

1445
01:03:30,223 --> 01:03:32,492
THERE WERE OUTCOMES MEASURED 

1446
01:03:32,492 --> 01:03:34,560
DURING CHILDHOOD AND ADOLESCENCE

1447
01:03:34,560 --> 01:03:36,028
THROUGH EARLY ADULTHOOD.

1448
01:03:36,028 --> 01:03:37,396
THIS IS BASED ON MODERATE 

1449
01:03:37,396 --> 01:03:37,930
EVIDENCE.

1450
01:03:37,930 --> 01:03:41,200
WE DID NOT INCLUDE A SEPARATE 

1451
01:03:41,200 --> 01:03:44,637
CONCLUSION STATEMENTS FOR SUGAR 

1452
01:03:44,637 --> 01:03:50,610
SWEETENED BEVERAGES VERSUS NO 

1453
01:03:50,610 --> 01:03:56,282
AND LOW-CALORIE SUGAR SWEETENED 

1454
01:03:56,282 --> 01:03:57,416
BEVERAGE BECAUSE THEY WERE 

1455
01:03:57,416 --> 01:04:00,153
COMPARING HIGHER VERSUS LOWER 

1456
01:04:00,153 --> 01:04:01,454
AMOUNTS OF SUGAR SWEETENED 

1457
01:04:01,454 --> 01:04:04,223
BEVERAGES AND CONSUMPTION OF 

1458
01:04:04,223 --> 01:04:04,824
SUGAR SWEETENED BEVERAGES TO 

1459
01:04:04,824 --> 01:04:05,458
WATER CONSUMPTION AS WELL AS 

1460
01:04:05,458 --> 01:04:06,592
SUGAR SWEETENED BEVERAGES 

1461
01:04:06,592 --> 01:04:09,929
CONSUMPTION TO LOW AND 

1462
01:04:09,929 --> 01:04:12,532
NO-CALORIE BEVERAGE CONSUMPTION 

1463
01:04:12,532 --> 01:04:14,901
AND INCLUDED AN YOU EVER 

1464
01:04:14,901 --> 01:04:16,536
FAVORABLE ASSOCIATION WITH RIFF 

1465
01:04:16,536 --> 01:04:17,403
OF TYPE II DIABETES BASED ON 

1466
01:04:17,403 --> 01:04:18,604
MODERN EVERYDAY.

1467
01:04:18,604 --> 01:04:23,810
SO OVER ALL, THE EVIDENCE 

1468
01:04:23,810 --> 01:04:25,444
LINKING SUGAR SWEETENED BEVERAGE

1469
01:04:25,444 --> 01:04:28,848
TO UNFAVORABLE OUTCOMES HAS 

1470
01:04:28,848 --> 01:04:30,416
STRENGTHENED OVER TIME.

1471
01:04:30,416 --> 01:04:31,751
GIVEN THE EVIDENCE AND PRACTICAL

1472
01:04:31,751 --> 01:04:33,886
AND ETHICAL CHALLENGES OF 

1473
01:04:33,886 --> 01:04:35,221
CONDUCTING LONG-TERM RANDOMIZED 

1474
01:04:35,221 --> 01:04:37,323
CONTROL TRIALS IN THIS AREA, THE

1475
01:04:37,323 --> 01:04:40,693
FOCUS SHOULD SHIFT TO RESEARCH 

1476
01:04:40,693 --> 01:04:44,297
AND COMMUNICATION STRATEGIES FOR

1477
01:04:44,297 --> 01:04:44,931
HELPING INDIVIDUALS LIMIT THEIR 

1478
01:04:44,931 --> 01:04:46,632
SUGAR SWEETENED BEVERAGE 

1479
01:04:46,632 --> 01:04:48,601
CONSUMPTION.

1480
01:04:48,601 --> 01:04:54,607
LOOKING AT KNOW LOW AND NO 

1481
01:04:54,607 --> 01:04:55,208
CALORIE-SWEETENED BEVERAGES 

1482
01:04:55,208 --> 01:04:57,944
COMPARED TO THE 2020 COMMITTEE'S

1483
01:04:57,944 --> 01:04:59,712
FINDINGS, WE FOUND AN INCREASE 

1484
01:04:59,712 --> 01:05:02,582
IN THE STRENGTH OF EVIDENCE AND 

1485
01:05:02,582 --> 01:05:05,551
CHANGE IN DIRECTIONALITY FOR 

1486
01:05:05,551 --> 01:05:10,590
BODY COMPOSITION AND RISK OF 

1487
01:05:10,590 --> 01:05:13,492
OBESITY.

1488
01:05:13,492 --> 01:05:14,493
THERE WAS LIMITED ASSOCIATION 

1489
01:05:14,493 --> 01:05:17,063
FOR RISK OF ADIPOSITY AND FOUND 

1490
01:05:17,063 --> 01:05:18,431
MODERATE EVIDENCE FOR NO 

1491
01:05:18,431 --> 01:05:18,731
ASSOCIATION.

1492
01:05:18,731 --> 01:05:23,135
WE ALSO INCLUDED A CONCLUSION 

1493
01:05:23,135 --> 01:05:27,106
STATEMENT FOR RISK OF TYPE II 

1494
01:05:27,106 --> 01:05:27,640
DIABETES BASED ON LIMITED 

1495
01:05:27,640 --> 01:05:30,343
EVIDENCE.

1496
01:05:30,343 --> 01:05:33,880
SO THE FIND BEINGS FROM THE 

1497
01:05:33,880 --> 01:05:38,584
SYSTEMATIC REVIEWS SUPPORT THE 

1498
01:05:38,584 --> 01:05:40,953
EXISTING GUIDANCE THE PRIMARY 

1499
01:05:40,953 --> 01:05:44,891
BEVERAGES CONSUMED SHOULD BE 

1500
01:05:44,891 --> 01:05:46,492
CALORIE-FREE BEVERAGES AND THOSE

1501
01:05:46,492 --> 01:05:49,495
THAT CONTRIBUTE FAT-FREE AND 

1502
01:05:49,495 --> 01:05:52,098
LOW-FAT MILK AND 100% JUICES AND

1503
01:05:52,098 --> 01:05:55,067
INTAKE OF BEVERAGES THAT CONTAIN

1504
01:05:55,067 --> 01:05:57,904
CALORIES WHILE LIMITED OR NO 

1505
01:05:57,904 --> 01:05:59,906
BENEFICIAL NUTRIENTS OR ADDED 

1506
01:05:59,906 --> 01:06:02,408
SUGARS IN SATURATED FAT SHOULD 

1507
01:06:02,408 --> 01:06:02,909
BE REDUCED.

1508
01:06:02,909 --> 01:06:05,111
WHILE THIS COMMITTEE DID NOT 

1509
01:06:05,111 --> 01:06:08,748
SPECIFICALLY EXAMINE COFFEE AND 

1510
01:06:08,748 --> 01:06:10,917
TEA DATA FROM THE DATA ANALYSIS 

1511
01:06:10,917 --> 01:06:12,885
SUPPORT THE EXISTING 

1512
01:06:12,885 --> 01:06:13,753
RECOMMENDATIONS COFFEE, TEA AND 

1513
01:06:13,753 --> 01:06:14,287
FLAVORED WATERS ARE ALSO 

1514
01:06:14,287 --> 01:06:16,956
OPTIONS.

1515
01:06:16,956 --> 01:06:18,557
BUT THE MOST NUTRIENT DENSE 

1516
01:06:18,557 --> 01:06:22,495
OPTIONS INCLUDE LITTLE, IF ANY, 

1517
01:06:22,495 --> 01:06:23,930
SWEETENERS OR CREAMS AND 

1518
01:06:23,930 --> 01:06:25,031
CAFFEINE CONTENT SHOULD BE 

1519
01:06:25,031 --> 01:06:26,766
CONSIDERED OR LIMITED BASED ON 

1520
01:06:26,766 --> 01:06:28,401
LIFE STAGE.

1521
01:06:28,401 --> 01:06:33,973
THE COMMITTEE SUGGESTED 

1522
01:06:33,973 --> 01:06:44,550
ENHANCEMENTS TO THESE BEVERAGES.

1523
01:06:44,550 --> 01:06:46,619
THE FIRST IS RECOMMENDING PLAIN 

1524
01:06:46,619 --> 01:06:47,687
DRINKING WATER AS THE PRIMARY 

1525
01:06:47,687 --> 01:06:52,191
BEVERAGE FOR PEOPLE TO CONSUME.

1526
01:06:52,191 --> 01:06:54,160
WATER BEVERAGES WITH A SMALL 

1527
01:06:54,160 --> 01:06:57,563
AMOUNT OF FRUIT JUICE MAY ALSO 

1528
01:06:57,563 --> 01:07:01,133
BE SUGGESTED AS A HEALTHY 

1529
01:07:01,133 --> 01:07:01,834
OPTION.

1530
01:07:01,834 --> 01:07:05,237
MILK CONSUMPTION IS FAT FREE OR 

1531
01:07:05,237 --> 01:07:09,675
LOW-FAT DAIRY MILKS OR SOY 

1532
01:07:09,675 --> 01:07:10,576
BEVERAGES.

1533
01:07:10,576 --> 01:07:16,515
THOUGH SWEETENED BEVERAGES 

1534
01:07:16,515 --> 01:07:23,622
CONTAIN NUTRIENTS THEY CONTAIN 

1535
01:07:23,622 --> 01:07:25,758
SUGAR AND FOR CHILDREN IT WAS 

1536
01:07:25,758 --> 01:07:26,692
CONSIDERED NOT TO CHANGE THE 

1537
01:07:26,692 --> 01:07:28,160
EXISTING RECOMMENDATIONS TO ARE 

1538
01:07:28,160 --> 01:07:30,696
PRIMARY CONSUMPTION OF LOWER FAT

1539
01:07:30,696 --> 01:07:33,299
MILKS IN THIS AGE RANGE.

1540
01:07:33,299 --> 01:07:37,169
THE 2020-2025 EDITION OF THE 

1541
01:07:37,169 --> 01:07:38,938
GUIDELINES DOES NOT RECOMMEND 

1542
01:07:38,938 --> 01:07:41,907
CONSUMPTION OF COW'S MILK IN 

1543
01:07:41,907 --> 01:07:46,645
PLACE OF HUMAN MILK OR INFANT 

1544
01:07:46,645 --> 01:07:49,048
FORMULA BEFORE 12 MONTHS.

1545
01:07:49,048 --> 01:07:52,084
UNSWEETENED SOY BEVERAGES CAN BE

1546
01:07:52,084 --> 01:07:54,387
OFFERED AGES 12-23 MONTHS WITH 

1547
01:07:54,387 --> 01:07:58,024
TRANSITION TO FAT-FRE OR LOW-FAT

1548
01:07:58,024 --> 01:08:02,628
UNSWEETENED DAIRY MILK START 

1549
01:08:02,628 --> 01:08:05,064
STARTING AT 24 MONTHS.

1550
01:08:05,064 --> 01:08:05,965
PRODUCTS ADDED TO BEVERAGES WITH

1551
01:08:05,965 --> 01:08:09,602
HIGH CALORIES AND SATURATED FATS

1552
01:08:09,602 --> 01:08:12,338
AND/OR ADDED SUGARS SUCH AS HALF

1553
01:08:12,338 --> 01:08:15,207
AND HALF, CREAM AND NON-DAIRY 

1554
01:08:15,207 --> 01:08:18,044
CREAMERS SHOULD BE REPLACED WITH

1555
01:08:18,044 --> 01:08:18,911
LOWER FAT VERSIONS WITHOUT ADDED

1556
01:08:18,911 --> 01:08:23,549
SUGARS.

1557
01:08:23,549 --> 01:08:24,850
FOR SUGAR SWEETENED BEVERAGES 

1558
01:08:24,850 --> 01:08:29,889
AND OTHER BEVERAGES THAT CONTAIN

1559
01:08:29,889 --> 01:08:34,493
SUGAR WITH NO ADDED NUTRIENTS 

1560
01:08:34,493 --> 01:08:37,830
THEY SHOULD STICK TO MODERATE 

1561
01:08:37,830 --> 01:08:41,233
INTAKES AND SUGARS ARE 

1562
01:08:41,233 --> 01:08:45,137
ASSOCIATED WITH BODY COMPOSITION

1563
01:08:45,137 --> 01:08:46,605
AND RISK OBESITY AND WITH 

1564
01:08:46,605 --> 01:08:50,576
UNFAVORABLE BODY POSITION AND 

1565
01:08:50,576 --> 01:08:52,945
HIGHER RISK OF OBESITY AND 

1566
01:08:52,945 --> 01:08:53,612
HIGHER RISK OF TYPE II DIABETES 

1567
01:08:53,612 --> 01:08:54,580
IN ADULTS.

1568
01:08:54,580 --> 01:08:58,417
THE DIETARY GUIDELINES OF 

1569
01:08:58,417 --> 01:08:59,919
2020-2025 ACKNOWLEDGE THEY'RE 

1570
01:08:59,919 --> 01:09:01,520
NOT NECESSARY IN THE DIETS OF 

1571
01:09:01,520 --> 01:09:03,222
CHILDREN AND ADOLESCENTS AND 

1572
01:09:03,222 --> 01:09:04,857
RECOMMENDS DECREASING 

1573
01:09:04,857 --> 01:09:05,157
CONSUMPTION.

1574
01:09:05,157 --> 01:09:06,892
THESE RECOMMENDATIONS SHOULD BE 

1575
01:09:06,892 --> 01:09:09,695
STRENGTHENED TO STATE CHILDREN 

1576
01:09:09,695 --> 01:09:13,666
AND ADOLESCENTS SHOULD LIMIT 

1577
01:09:13,666 --> 01:09:14,600
CONSUMPTION OF SUGAR SWEETENED 

1578
01:09:14,600 --> 01:09:17,069
BEVERAGES.

1579
01:09:17,069 --> 01:09:18,370
SIMILARLY, AMERICAN HEART 

1580
01:09:18,370 --> 01:09:19,572
ASSOCIATE STATEMENT RECOMMENDS 

1581
01:09:19,572 --> 01:09:20,372
CHILDREN AND ADOLESCENTS LIMIT 

1582
01:09:20,372 --> 01:09:22,575
SUGAR SWEETENED BEVERAGES TO ONE

1583
01:09:22,575 --> 01:09:25,878
OR FEWER EIGHT OUNCE BEVERAGES 

1584
01:09:25,878 --> 01:09:26,579
PER WEEK.

1585
01:09:26,579 --> 01:09:29,215
AND CONSENSUS STATEMENT FROM 

1586
01:09:29,215 --> 01:09:31,584
LEADING HEALTH ORGANIZATIONS 

1587
01:09:31,584 --> 01:09:32,151
RECOMMEND SUGAR SWEETENED 

1588
01:09:32,151 --> 01:09:34,587
BEVERAGES AND FAVORED MILK NOT 

1589
01:09:34,587 --> 01:09:37,156
IN BE CONSUMED BY CHILDREN 

1590
01:09:37,156 --> 01:09:40,526
YOUNGER THAN 5 YEARS AND FOR 

1591
01:09:40,526 --> 01:09:45,064
ADULTS THE RECOMMENDATION IS 

1592
01:09:45,064 --> 01:09:46,098
LIMITING CONSUMPTION OF SUGAR 

1593
01:09:46,098 --> 01:09:47,833
SWEETENED BEVERAGES AND GIVEN 

1594
01:09:47,833 --> 01:09:50,603
THE LONG-TERM EFFECTIVENESS OF 

1595
01:09:50,603 --> 01:09:53,806
LOW AND NO-CALORIE BEVERAGES 

1596
01:09:53,806 --> 01:09:56,876
CONSUMPTION SHOULD BE WATER AND 

1597
01:09:56,876 --> 01:09:58,577
NUTRIENT DENSE BEVERAGES.

1598
01:09:58,577 --> 01:10:03,482
THE 2020-2025 RECOMMENDATIONS 

1599
01:10:03,482 --> 01:10:14,126
SHOW THE REPLACEMENTS MAY AID IN

1600
01:10:14,326 --> 01:10:18,297
WEIGHT GAIN BUT THEY NOT NOT BE 

1601
01:10:18,297 --> 01:10:18,964
SORTED WITH BODY COMPOSITION AND

1602
01:10:18,964 --> 01:10:22,201
RISK OF OBESITY IN CHILDREN AND 

1603
01:10:22,201 --> 01:10:23,235
ADOLESCENTS SUPPORTED IN 

1604
01:10:23,235 --> 01:10:24,570
EVIDENCE GRADED AS LIMBED AND 

1605
01:10:24,570 --> 01:10:26,405
PAY NOT BE ASSOCIATED WITH 

1606
01:10:26,405 --> 01:10:30,609
CHANGE OF BODY COMPOSITION AND 

1607
01:10:30,609 --> 01:10:38,083
ADULTS WITH EVIDENCE GREAT  -- 

1608
01:10:38,083 --> 01:10:41,854
GRADED AS MODERATE.

1609
01:10:41,854 --> 01:10:46,292
GIVEN UNCERTAINTY ABOUT THE 

1610
01:10:46,292 --> 01:10:46,825
BEVERAGES FOR MANAGEMENT 

1611
01:10:46,825 --> 01:10:49,662
EMPHASIS SHOULD BE ON WATER AND 

1612
01:10:49,662 --> 01:10:50,429
NUTRIENT DENSE BEVERAGES.

1613
01:10:50,429 --> 01:10:53,599
THIS IS IMPORTANT FOR CHILDREN 

1614
01:10:53,599 --> 01:10:55,568
AND CONSENSUS STATEMENT 

1615
01:10:55,568 --> 01:10:57,670
RECOMMENDS CHILDREN YOUNGER THAN

1616
01:10:57,670 --> 01:11:01,507
5 YEARS NOT CONSUME LOW AND 

1617
01:11:01,507 --> 01:11:05,144
NO-CALORIE SWEETENED BEVERAGES 

1618
01:11:05,144 --> 01:11:08,214
AND THOUGH THERE WAS 

1619
01:11:08,214 --> 01:11:10,983
INSUFFICIENT EVIDENCE FOR 

1620
01:11:10,983 --> 01:11:14,353
POSTPARTUM CHANGE GENERAL 

1621
01:11:14,353 --> 01:11:15,354
BEVERAGE RECOMMENDATIONS SHOULD 

1622
01:11:15,354 --> 01:11:18,357
APPLY TO PREGNANT AND POSTPARTUM

1623
01:11:18,357 --> 01:11:18,657
POPULATIONS.

1624
01:11:18,657 --> 01:11:23,229
THE 2025 EDITION ONLY MENTIONS 

1625
01:11:23,229 --> 01:11:26,198
MODERATION OF CAFFEINE DURING 

1626
01:11:26,198 --> 01:11:28,801
PREGNANCY AND LACTATION BUT 

1627
01:11:28,801 --> 01:11:31,303
HYDRATION IS CRITICAL DURING 

1628
01:11:31,303 --> 01:11:33,205
THESE TIME PERIODS AND THE 

1629
01:11:33,205 --> 01:11:35,241
GUIDELINES SHOULD STATE WATER 

1630
01:11:35,241 --> 01:11:36,442
AND NUTRIENT DENSE BEVERAGES 

1631
01:11:36,442 --> 01:11:39,044
SHOULD BE THE PRIMARY BEVERAGES 

1632
01:11:39,044 --> 01:11:41,247
CONSUMED DURING PREGNANCY AND 

1633
01:11:41,247 --> 01:11:44,083
LACK TAKE.

1634
01:11:44,083 --> 01:11:46,619
OF -- LACTATION.

1635
01:11:46,619 --> 01:11:56,962
NOW FOR DISCUSSION.

1636
01:11:59,632 --> 01:12:01,567
>> THIS COMPLEMENTS WHAT
WE DID 

1637
01:12:01,567 --> 01:12:03,902
IN CHAPTER 2 AND DIETARY 

1638
01:12:03,902 --> 01:12:04,603
PATTERNS.

1639
01:12:04,603 --> 01:12:05,571
WE COULDN'T GET TO THE 

1640
01:12:05,571 --> 01:12:09,575
GRANULARITY Y'ALL GOT WHEN YOU 

1641
01:12:09,575 --> 01:12:12,645
LOOKED AT THE BEVERAGES BY 

1642
01:12:12,645 --> 01:12:14,480
THEMSELVES.

1643
01:12:14,480 --> 01:12:17,216
FOOD SOURCES OF SATURATED FAT.

1644
01:12:17,216 --> 01:12:21,287
REACHING OUT TO THE COMMITTEE, 

1645
01:12:21,287 --> 01:12:22,087
ANY QUESTIONS FOR HOLLIE AND 

1646
01:12:22,087 --> 01:12:32,231
ANDREA?

1647
01:12:41,307 --> 01:12:46,612
>> YOU SAID WE HAVE THE 

1648
01:12:46,612 --> 01:12:48,914
INFORMATION AND RESOURCE AND 

1649
01:12:48,914 --> 01:12:50,049
EMPHASIS SHOULD GO TO EDUCATION 

1650
01:12:50,049 --> 01:12:53,052
AND THAT'S AN IMPORTANT METHOD 

1651
01:12:53,052 --> 01:12:54,787
BECAUSE SOMETIMES WE KEEP DOING 

1652
01:12:54,787 --> 01:12:58,190
THE RESEARCH WHEN THE ANSWER IS 

1653
01:12:58,190 --> 01:13:00,559
CLEAR BUT THERE ISN'T THE 

1654
01:13:00,559 --> 01:13:01,827
PRIORITIZATION OF THE EDUCATION.

1655
01:13:01,827 --> 01:13:06,598
SO THAT REALLY, REALLY RESONATED

1656
01:13:06,598 --> 01:13:08,467
SO THANK YOU VERY MUCH.

1657
01:13:08,467 --> 01:13:12,905
GREAT PRESENTATION.

1658
01:13:12,905 --> 01:13:16,075
>> THANKS, SARAH.

1659
01:13:16,075 --> 01:13:17,976
>> WONDERFUL PRESENTATION,

1660
01:13:17,976 --> 01:13:18,310
Y'ALL.

1661
01:13:18,310 --> 01:13:22,348
I WAS STRUCK BY THE FINDING ON 

1662
01:13:22,348 --> 01:13:25,417
FAT CONTENT OF MILK AND IT'S 

1663
01:13:25,417 --> 01:13:29,254
FAVORABLE ASSOCIATION WITH 

1664
01:13:29,254 --> 01:13:31,757
OUTCOMES IN LITTLE KIDS.

1665
01:13:31,757 --> 01:13:37,596
I'M GLAD YOU NOTED THE IT WAS 

1666
01:13:37,596 --> 01:13:39,131
GRADED AT LIMITED AND DIDN'T 

1667
01:13:39,131 --> 01:13:42,101
HAVE EMPIRICAL EVIDENCE FOR 

1668
01:13:42,101 --> 01:13:43,936
CHANGING THE EVIDENCE BUT WONDER

1669
01:13:43,936 --> 01:13:44,770
WHAT YOUR DISCUSSION AND 

1670
01:13:44,770 --> 01:13:46,305
THOUGHTS ARE WHETHER IT RAISES 

1671
01:13:46,305 --> 01:13:47,940
FLAGS OR NEXT STEPS IN TERMS OF 

1672
01:13:47,940 --> 01:13:50,576
QUESTIONS THAT MIGHT BE ASKED.

1673
01:13:50,576 --> 01:13:54,580
I KNOW THERE'S BEEN SOME TALK IN

1674
01:13:54,580 --> 01:13:58,384
OUR SUBCOMMITTEE ON LITTLE KIDS 

1675
01:13:58,384 --> 01:14:02,588
THAT FAT IS IMPORTANT FOR 

1676
01:14:02,588 --> 01:14:03,655
COGNITIVE DEVELOP.  

1677
01:14:03,655 --> 01:14:06,425
IN EARLY CHILDHOOD AND WONDERING

1678
01:14:06,425 --> 01:14:10,396
IF THE FINDING -- OBVIOUSLY YOU 

1679
01:14:10,396 --> 01:14:14,433
WEREN'T LOOKING AT COGNITIVE 

1680
01:14:14,433 --> 01:14:17,236
DEVELOPMENT BUT GROWTH AND 

1681
01:14:17,236 --> 01:14:17,903
WONDERING WHAT THE SUBCOMMITTEE 

1682
01:14:17,903 --> 01:14:20,239
WAS THINKING IN TERMS OF WHERE 

1683
01:14:20,239 --> 01:14:22,174
TO GO NEXT.

1684
01:14:22,174 --> 01:14:24,309
DO YOU THINK IT'S A BLIP IN THE 

1685
01:14:24,309 --> 01:14:26,445
DATA OR IS THERE SOMETHING THERE

1686
01:14:26,445 --> 01:14:27,880
OR SOMETHING WORTH LOOKING AT IN

1687
01:14:27,880 --> 01:14:33,051
MORE DETAIL?

1688
01:14:33,051 --> 01:14:35,454
>> I WAS JUST GOING TO SAY
WE 

1689
01:14:35,454 --> 01:14:36,822
HAVE HAD DISCUSSIONS ABOUT THIS 

1690
01:14:36,822 --> 01:14:40,526
AND THIS DOES SEEM LIKE IT'S 

1691
01:14:40,526 --> 01:14:41,226
SOMETHING THAT SHOULD BE 

1692
01:14:41,226 --> 01:14:43,829
CONTINUED TO BE INVESTIGATED 

1693
01:14:43,829 --> 01:14:46,031
BECAUSE I THINK THIS IS DEBATED 

1694
01:14:46,031 --> 01:14:48,434
AND CLEARLY I THINK PART OF THE 

1695
01:14:48,434 --> 01:14:49,902
CONVERSATION WE HAD WAS WITH THE

1696
01:14:49,902 --> 01:14:51,670
LIMITED EVIDENCE IT WASN'T CLEAR

1697
01:14:51,670 --> 01:14:55,874
WE SHOULDN'T CHANGE THE EXISTING

1698
01:14:55,874 --> 01:14:58,577
GUIDANCE BUT GIVEN AS YOU 

1699
01:14:58,577 --> 01:14:59,878
MENTIONED FIRST OF ALL MILK HAS 

1700
01:14:59,878 --> 01:15:04,650
A LOT OF NUTRIENTS IN IT AS 

1701
01:15:04,650 --> 01:15:07,152
HOLLIE MENTIONED AND PROTEIN SO 

1702
01:15:07,152 --> 01:15:10,155
FOR THIS AGE GROUP MAY NOT BE AS

1703
01:15:10,155 --> 01:15:11,623
PROBLEMATIC AND FOR THE OTHER 

1704
01:15:11,623 --> 01:15:13,358
DEVELOPMENT NEURAL OUTCOMES -- I

1705
01:15:13,358 --> 01:15:16,128
WOULD AGREE PROBABLY THIS SHOULD

1706
01:15:16,128 --> 01:15:18,964
REMAIN AS SOMETHING THAT 

1707
01:15:18,964 --> 01:15:19,898
ESPECIALLY SINCE IT WOULD 

1708
01:15:19,898 --> 01:15:20,532
INFLUENCE FEDERAL GUIDANCE AND 

1709
01:15:20,532 --> 01:15:22,568
PROGRAMMING.

1710
01:15:22,568 --> 01:15:23,235
>> THANKS.

1711
01:15:23,235 --> 01:15:26,605
>> I JUST WANT TO ECHO
WHAT 

1712
01:15:26,605 --> 01:15:35,247
ANDREA WAS SAYING.

1713
01:15:35,247 --> 01:15:38,584
WHEN WE BEGAN TO ORGANIZE THE 

1714
01:15:38,584 --> 01:15:40,419
EVIDENCE THERE WAS A BREAK DOWN 

1715
01:15:40,419 --> 01:15:41,019
IN THE PATTERN.

1716
01:15:41,019 --> 01:15:44,656
IT WAS INTERESTING TO SEE THAT 

1717
01:15:44,656 --> 01:15:46,158
AND I THINK ESPECIALLY GIVEN 

1718
01:15:46,158 --> 01:15:48,694
WHAT YOU'RE TALKING ABOUT, AND 

1719
01:15:48,694 --> 01:15:52,764
THEN ALSO SEEING IT DOES NOT 

1720
01:15:52,764 --> 01:15:55,701
HAVE A DETRIMENTAL EFFECT PEOPLE

1721
01:15:55,701 --> 01:15:57,135
MAY THINK OF THE EXCESS ENERGY 

1722
01:15:57,135 --> 01:15:58,470
INTAKE THAT MAY BE CONSUMED WE 

1723
01:15:58,470 --> 01:16:01,440
DIDN'T SEE THAT OUTCOME I THINK 

1724
01:16:01,440 --> 01:16:02,374
IT WOULD BE A VERY IMPORTANT 

1725
01:16:02,374 --> 01:16:07,079
THING TO KEEP OUR EYES ON.

1726
01:16:07,079 --> 01:16:10,115
>> CAN I ASK A QUICK
FOLLOW-UP 

1727
01:16:10,115 --> 01:16:12,150
WHAT IS THE BASIS FOR GRADING 

1728
01:16:12,150 --> 01:16:12,417
EVIDENCE?

1729
01:16:12,417 --> 01:16:15,120
WAS A SMALL NUMBER OF STUDIES OR

1730
01:16:15,120 --> 01:16:16,655
WERE THERE OTHER ISSUES WITH THE

1731
01:16:16,655 --> 01:16:18,590
DATA THAT MADE IT DIFFICULT TO 

1732
01:16:18,590 --> 01:16:19,658
EVALUATE?

1733
01:16:19,658 --> 01:16:21,326
>> IT DEFINITELY WAS A
SMALL 

1734
01:16:21,326 --> 01:16:22,194
NUMBER OF STUDIES.

1735
01:16:22,194 --> 01:16:28,100
I DO REMEMBER THAT.

1736
01:16:28,100 --> 01:16:34,406
I MAY BE MISSPEAKING BUT I DON'T

1737
01:16:34,406 --> 01:16:36,708
THINK THERE WERE TRIALS, FOR 

1738
01:16:36,708 --> 01:16:36,942
EXAMPLE.

1739
01:16:36,942 --> 01:16:38,043
>> THANK YOU.

1740
01:16:38,043 --> 01:16:39,545
>> THIS POINTS TO THE
IMPORTANCE

1741
01:16:39,545 --> 01:16:43,615
OF LOOKING AT DIETARY INTAKE AND

1742
01:16:43,615 --> 01:16:46,385
OUTCOMES BY LIFE STAGES CAUSE IT

1743
01:16:46,385 --> 01:16:51,523
VARIES 5I89 DEPENDING ON -- A 

1744
01:16:51,523 --> 01:16:53,258
LOT DEPENDING ON WHAT'S 

1745
01:16:53,258 --> 01:16:55,627
HAPPENING.

1746
01:16:55,627 --> 01:16:55,827
ALINE.

1747
01:16:55,827 --> 01:16:56,395
>> THANK YOU WONDERFUL 

1748
01:16:56,395 --> 01:17:01,033
PRESENTATION HOLLIE AND ANDREA.

1749
01:17:01,033 --> 01:17:04,136
MY QUESTION TO TIE ON TO 

1750
01:17:04,136 --> 01:17:07,072
CHERYL'S QUESTION WHICH IS FOOD 

1751
01:17:07,072 --> 01:17:09,508
SYSTEMS AND AVAILABILITY OF THE 

1752
01:17:09,508 --> 01:17:10,909
BEVERAGES THAT ARE PUT ON THE 

1753
01:17:10,909 --> 01:17:13,879
MARKET FOR FAMILIES.

1754
01:17:13,879 --> 01:17:15,914
AND ESPECIALLY TODDLER MILKS.

1755
01:17:15,914 --> 01:17:19,017
SO WE'RE TALKING ABOUT THE 

1756
01:17:19,017 --> 01:17:22,354
PERIOD OF TIME WHERE THERE'S 

1757
01:17:22,354 --> 01:17:25,624
QUITE A BIT OF MARKETING FOR 

1758
01:17:25,624 --> 01:17:29,261
CERTAIN BEVERAGES THAT MAY NOT 

1759
01:17:29,261 --> 01:17:31,096
BE THE BEST FROM A HEALTH 

1760
01:17:31,096 --> 01:17:33,966
PERSPECTIVE SO WHAT WOULD BE THE

1761
01:17:33,966 --> 01:17:34,533
GUIDANCE FROM THE COMMITTEE 

1762
01:17:34,533 --> 01:17:44,843
CONSIDERING THOSE?

1763
01:17:45,644 --> 01:17:48,547
>> WE DID NOT REVIEW
TODDLER 

1764
01:17:48,547 --> 01:17:50,616
MILKS IN OUR REVIEWS BUT I 

1765
01:17:50,616 --> 01:17:52,618
BELIEVE THERE'S EXISTING 

1766
01:17:52,618 --> 01:17:54,319
GUIDANCE ON NOT PROVIDING 

1767
01:17:54,319 --> 01:17:56,521
CHILDREN WITH TODDLER MILKS.

1768
01:17:56,521 --> 01:17:59,257
I DON'T KNOW IF ANYBODY ELSE 

1769
01:17:59,257 --> 01:18:01,226
WANTS TO COMMENT ON THAT.

1770
01:18:01,226 --> 01:18:04,062
>> THE TODDLER MILKS WERE
AN 

1771
01:18:04,062 --> 01:18:05,263
EXAMPLE.

1772
01:18:05,263 --> 01:18:07,265
I THINK THERE ARE OTHER PRODUCTS

1773
01:18:07,265 --> 01:18:15,273
WHERE THEY MAY BE MARKETED AS 

1774
01:18:15,273 --> 01:18:16,742
ALTERNATIVES MAYBE NOT WHAT 

1775
01:18:16,742 --> 01:18:18,710
YOU'RE RECOMMENDING.

1776
01:18:18,710 --> 01:18:22,881
>> THIS FOCUSSED ON COW'S
MILK 

1777
01:18:22,881 --> 01:18:33,358
AND FORTIFIED SOY BEVERAGES.

1778
01:18:37,129 --> 01:18:39,331
THERE'S OTHER GUIDANCE REGARDING

1779
01:18:39,331 --> 01:18:40,265
TODDLER MILK BUT THANKS FOR 

1780
01:18:40,265 --> 01:18:43,001
ASKING THAT QUESTION.

1781
01:18:43,001 --> 01:18:48,640
IT GETS CONFUSING WHEN THINGS 

1782
01:18:48,640 --> 01:18:56,248
ARE MARKET ED  AND NOT TIED TO 

1783
01:18:56,248 --> 01:18:56,581
THE EVIDENCE.

1784
01:18:56,581 --> 01:18:58,083
ANY OTHER QUESTION OR COMMENTS?

1785
01:18:58,083 --> 01:19:01,153
I THINK IT WAS AMAZING WE HAD SO

1786
01:19:01,153 --> 01:19:02,587
MANY MORE CONCLUSION STATEMENTS 

1787
01:19:02,587 --> 01:19:04,456
AND LOOKED AT SO MANY OTHER 

1788
01:19:04,456 --> 01:19:06,324
BEVERAGES THIS TIME SO KUDOS TO 

1789
01:19:06,324 --> 01:19:08,860
THE GROUP FOR DOING THIS.

1790
01:19:08,860 --> 01:19:19,404
THANKS AGAIN FOR YOUR HARD WORK.

1791
01:19:21,673 --> 01:19:23,241
WE'LL TRANSITION TO CHAPTER 4, 

1792
01:19:23,241 --> 01:19:24,910
FOOD SOURCES OF SATURATED FAT 

1793
01:19:24,910 --> 01:19:26,578
AND CARDIOVASCULAR DISEASE 

1794
01:19:26,578 --> 01:19:31,116
OUTCOMES.

1795
01:19:31,116 --> 01:19:32,751
DIDI AND CHRISTOPHER WILL BE 

1796
01:19:32,751 --> 01:19:34,086
PRESENTING AND I'LL TURN IT OVER

1797
01:19:34,086 --> 01:19:35,721
TO DIDI.

1798
01:19:35,721 --> 01:19:46,164
>> THANK YOU, DEE AN FLA.

1799
01:20:01,213 --> 01:20:04,082
FUN FACT, WE FOUND OUT OVER THE 

1800
01:20:04,082 --> 01:20:10,589
PROCESS WE BOTH PLAYED LACROSSE 

1801
01:20:10,589 --> 01:20:13,759
FOR RIVAL D1 COLLEGES.

1802
01:20:13,759 --> 01:20:15,727
FOR AN INTRODUCTION TO SATURATED

1803
01:20:15,727 --> 01:20:19,498
FAT IN THE GUIDELINES THE PAST 

1804
01:20:19,498 --> 01:20:22,467
GUIDELINES HAD 10% AS THE LIMIT 

1805
01:20:22,467 --> 01:20:26,037
STARTING AT AGE 2 WITH SATURATED

1806
01:20:26,037 --> 01:20:36,581
FAT WITH A FOCUS ON SUBSTITUTION

1807
01:20:37,282 --> 01:20:38,583
AND WHERE CALORIES WOULD COME 

1808
01:20:38,583 --> 01:20:44,723
FROM IF SATURATED FAT IS REMOVED

1809
01:20:44,723 --> 01:20:46,625
OR REDUCED AND RECOGNIZING 

1810
01:20:46,625 --> 01:20:47,292
REFIND CARBOHYDRATES MAY NOT 

1811
01:20:47,292 --> 01:20:55,333
HAVE AN ADDITIONAL BENEFIT.

1812
01:20:55,333 --> 01:20:58,603
THERE WAS A LIMIT ON THE CON 

1813
01:20:58,603 --> 01:21:00,472
SUPPLEMENTS OF SATURATED FAT.

1814
01:21:00,472 --> 01:21:05,944
THIS IS ONE OF THE MOST LONG 

1815
01:21:05,944 --> 01:21:08,213
STANDING AND CONSISTENT 

1816
01:21:08,213 --> 01:21:10,148
RECOMMENDATION AND THE QUANTITY 

1817
01:21:10,148 --> 01:21:11,483
OF CALORIES WAS PUT IN PLACE.

1818
01:21:11,483 --> 01:21:14,586
THE GUIDANCE AROUND THIS HAS 

1819
01:21:14,586 --> 01:21:19,391
BEEN REVIEWED MANY TIMES SINCE 

1820
01:21:19,391 --> 01:21:20,759
AND HAS ONLY BECOME STRONGER IN 

1821
01:21:20,759 --> 01:21:24,396
ITS CONCLUSION FOR THE ROLE OF 

1822
01:21:24,396 --> 01:21:25,997
SATURATED FAT PARTICULARLY IN 

1823
01:21:25,997 --> 01:21:28,600
ITS RELATIONSHIP WITH HIGHER 

1824
01:21:28,600 --> 01:21:30,602
RISKS OF CARDIOVASCULAR DISEASE,

1825
01:21:30,602 --> 01:21:34,873
CORONARY HEART DISEASE IN 

1826
01:21:34,873 --> 01:21:45,083
PARTICULAR.

1827
01:21:49,187 --> 01:21:53,959
IN LOOKING THE INTAKES OF FOODS 

1828
01:21:53,959 --> 01:21:55,560
IN THE U.S. SATURATED FAT 

1829
01:21:55,560 --> 01:21:58,029
REMAINS A MAJOR NUTRIENT OF 

1830
01:21:58,029 --> 01:21:58,530
PUBLIC HEALTH CONCERN.

1831
01:21:58,530 --> 01:22:02,267
LESS THAN ONE-FIFTH OF THE 

1832
01:22:02,267 --> 01:22:04,269
U.S. POPULATION MEETS THE 

1833
01:22:04,269 --> 01:22:04,903
RECOMMENDATION.

1834
01:22:04,903 --> 01:22:06,838
SO MOST AMERICANS ARE CONSUMING 

1835
01:22:06,838 --> 01:22:11,343
ABOVE THE LIMIT OF 10% OF ENERGY

1836
01:22:11,343 --> 01:22:13,845
FROM SATURATED FAT IN FACT IN 

1837
01:22:13,845 --> 01:22:16,348
ADOLESCENTS 12-19 THE PERCENTAGE

1838
01:22:16,348 --> 01:22:18,583
OF ENERGY OF SATURATED FAT HAS 

1839
01:22:18,583 --> 01:22:20,418
INCREASED IN THE LAST DECADE AND

1840
01:22:20,418 --> 01:22:26,591
NOW 12% OF CALORIES FROM FAT AND

1841
01:22:26,591 --> 01:22:32,430
SATURATED FAT.

1842
01:22:32,430 --> 01:22:35,333
SO IN ORDER TO HELP FURTHER MEET

1843
01:22:35,333 --> 01:22:37,469
THIS GOAL WITH MANY AMERICANS 

1844
01:22:37,469 --> 01:22:39,938
ABOVE THE LIMIT, THERE WAS 

1845
01:22:39,938 --> 01:22:41,773
GUIDANCE FROM THE PUBLIC AS WELL

1846
01:22:41,773 --> 01:22:43,842
AS THE 2020 COMMITTEE.

1847
01:22:43,842 --> 01:22:47,212
SO OVER THE LAST DAY YOU HEARD 

1848
01:22:47,212 --> 01:22:50,115
US COME UP WITH POSSIBLE 

1849
01:22:50,115 --> 01:22:52,617
RECOMMENDATIONS FOR NEXT ROUND.

1850
01:22:52,617 --> 01:22:55,287
SO THE LAST ROUND HAD A 

1851
01:22:55,287 --> 01:22:58,924
RECOMMENDATION TO REVIEW FOOD 

1852
01:22:58,924 --> 01:22:59,991
SOURCES OF FAT.

1853
01:22:59,991 --> 01:23:02,594
THIS WAS ALSO MENTIONED IN A 

1854
01:23:02,594 --> 01:23:04,162
NUMBER OF PUBLIC COMMENTS AS 

1855
01:23:04,162 --> 01:23:04,663
WELL.

1856
01:23:04,663 --> 01:23:07,999
SO JUST TO ORIENT EVERYONE TO 

1857
01:23:07,999 --> 01:23:09,901
WHERE WE'RE OUR SATURATED FAT 

1858
01:23:09,901 --> 01:23:12,404
FROM IN THE U.S., THE TOP MAJOR 

1859
01:23:12,404 --> 01:23:16,041
CATEGORIES THAT CONTRIBUTE TO 

1860
01:23:16,041 --> 01:23:16,942
SATURATED FAT INCLUDE MIXED 

1861
01:23:16,942 --> 01:23:18,610
DISHES, SNACKS AND SWEETS AND 

1862
01:23:18,610 --> 01:23:21,746
PROTEIN FOOD GROUPS AND THE TOP 

1863
01:23:21,746 --> 01:23:23,281
CONTRIBUTORS OF FOODS WITHIN 

1864
01:23:23,281 --> 01:23:28,453
THOSE ARE BURGERS AND SANDWICHES

1865
01:23:28,453 --> 01:23:31,957
INCLUDING TACOS AND BURRITOS, 

1866
01:23:31,957 --> 01:23:37,429
RICE, PASTA AND GREEN BEAN 

1867
01:23:37,429 --> 01:23:40,465
DISHES AND THEY COME IN THE FORM

1868
01:23:40,465 --> 01:23:45,937
OF DAIRY S AND PLANT AND 

1869
01:23:45,937 --> 01:23:47,839
PROCESSED MEAT AND COCONUT AND 

1870
01:23:47,839 --> 01:23:49,274
PALM OIL.

1871
01:23:49,274 --> 01:23:50,709
THOSE ARE THE SATURATED FAT 

1872
01:23:50,709 --> 01:23:53,244
INGREDIENTS COME FROM IN THOSE 

1873
01:23:53,244 --> 01:24:01,853
PRODUCTS I MENTIONED.

1874
01:24:01,853 --> 01:24:04,789
AND A MOUNTING AGAINST SATURATED

1875
01:24:04,789 --> 01:24:06,524
FAT HAS BEEN ESTABLISHED FOR 

1876
01:24:06,524 --> 01:24:10,695
HEART DISEASE AND CHOLESTEROL 

1877
01:24:10,695 --> 01:24:13,732
LEVELS AND THE SHIFTING OF FOOD 

1878
01:24:13,732 --> 01:24:17,268
LEVEL TO OFFER MORE PRACTICAL OR

1879
01:24:17,268 --> 01:24:25,176
ACTIONABLE SUBSTITUTIONS IS THE 

1880
01:24:25,176 --> 01:24:28,346
ACTION THE IT COMMITTEE WAS NEXT

1881
01:24:28,346 --> 01:24:28,580
TAKING.

1882
01:24:28,580 --> 01:24:32,117
THE REPLACEMENT FOODS IS 

1883
01:24:32,117 --> 01:24:34,152
ACKNOWLEDGING THE FACT THAT NOT 

1884
01:24:34,152 --> 01:24:36,755
ONLY DO FOODS THAT HAVE 

1885
01:24:36,755 --> 01:24:38,590
SATURATED FAT OAR THOSE THAT 

1886
01:24:38,590 --> 01:24:41,026
HAVE SOMETHING LIKE POLY 

1887
01:24:41,026 --> 01:24:43,028
UNSATURATED FAT, NOT ONLY ARE 

1888
01:24:43,028 --> 01:24:46,464
THEY DIFFERENT IN THEIR FATTY 

1889
01:24:46,464 --> 01:24:47,999
ACID COMPOSITION AND OTHERS 

1890
01:24:47,999 --> 01:24:51,436
BESIDES SATURATED AND POLY 

1891
01:24:51,436 --> 01:24:52,871
UNSATURATED WITHIN THEM THERE'S 

1892
01:24:52,871 --> 01:25:01,112
OTHER CONSTITUENTS THAT MAY GO 

1893
01:25:01,112 --> 01:25:02,580
TO THE NET HARM OR BENEFIT OVER 

1894
01:25:02,580 --> 01:25:04,149
ONE FOOD OR ANOTHER.

1895
01:25:04,149 --> 01:25:08,720
WE OBVIOUSLY EAT FOODS NOT 

1896
01:25:08,720 --> 01:25:10,755
NUTRIENT AND LOOKING AT THE 

1897
01:25:10,755 --> 01:25:12,557
TOTALITY OF FOOD AND WHAT IT'S 

1898
01:25:12,557 --> 01:25:14,392
DELIVERING AS YOU A WHOLE IS 

1899
01:25:14,392 --> 01:25:15,026
WHAT ULTIMATELY WOULD BE MOST 

1900
01:25:15,026 --> 01:25:22,567
IMPORTANT.

1901
01:25:22,567 --> 01:25:26,571
WE'RE TASKED WITH FOCUSSING ON 

1902
01:25:26,571 --> 01:25:29,174
THE SUBSTITUTION AND LOOKING AT 

1903
01:25:29,174 --> 01:25:32,944
THE CARDIOVASCULAR DISEASE 

1904
01:25:32,944 --> 01:25:35,146
OUTCOME AND INCIDENTS AND HEART 

1905
01:25:35,146 --> 01:25:37,248
ATTACKS AND STROKES AND DEATH 

1906
01:25:37,248 --> 01:25:38,983
AND THE IMMEDIATE RISK FACTORS 

1907
01:25:38,983 --> 01:25:41,152
OF BLOOD CHOLESTEROL LEVELS AND 

1908
01:25:41,152 --> 01:25:42,587
LIPIDS AND BLOOD PRESSURE.

1909
01:25:42,587 --> 01:25:44,689
SO WE COMPARED DIRECTLY THE 

1910
01:25:44,689 --> 01:25:48,860
FOODS WITH DIFFERENT AMOUNTS OF 

1911
01:25:48,860 --> 01:25:49,928
SATURATED FAT, HIGHER OR LOWER 

1912
01:25:49,928 --> 01:25:52,564
FAT VERSIONS OF A GIVEN FOOD 

1913
01:25:52,564 --> 01:25:55,266
PRODUCT THAT WOULD BE HIGH IN 

1914
01:25:55,266 --> 01:25:57,035
SATURATED FAT AS WELL AS FOODS 

1915
01:25:57,035 --> 01:26:00,305
THAT DON'T NECESSARY CONTAIN 

1916
01:26:00,305 --> 01:26:05,009
SATURATED FOOD SUBSTITUTING FOR 

1917
01:26:05,009 --> 01:26:09,681
FOOD AND HIGHER IN MONO OR 

1918
01:26:09,681 --> 01:26:10,748
UNSATURATED FAT AND OIL AND NUTS

1919
01:26:10,748 --> 01:26:14,919
AND FISH.

1920
01:26:14,919 --> 01:26:17,455
SO THIS IS OUR OVERARCHING 

1921
01:26:17,455 --> 01:26:19,324
SCIENTIFIC QUESTION WHICH THE 

1922
01:26:19,324 --> 01:26:21,259
NEXT COUPLE OF SLIDES WHEN 

1923
01:26:21,259 --> 01:26:22,927
CHRISTOPHER TAKES OVER YOU'LL 

1924
01:26:22,927 --> 01:26:25,797
GAIN AN APPRECIATION FOR WAS NOT

1925
01:26:25,797 --> 01:26:26,898
SINGLE QUESTION BUT MANY SUB 

1926
01:26:26,898 --> 01:26:28,199
QUESTIONS, WHAT IS THE 

1927
01:26:28,199 --> 01:26:29,334
RELATIONSHIP BETWEEN THE FOOD 

1928
01:26:29,334 --> 01:26:33,271
LEVEL AND SOURCES OF SATURATED 

1929
01:26:33,271 --> 01:26:34,572
FAT AND CARDIOVASCULAR DISEASE 

1930
01:26:34,572 --> 01:26:35,273
OUTCOMES?

1931
01:26:35,273 --> 01:26:39,177
I WILL TURN IT OVER TO YOU NOW, 

1932
01:26:39,177 --> 01:26:45,717
CHRISTOPHER, OR OUR TAKEAWAYS.

1933
01:26:45,717 --> 01:26:48,887
>> GREAT, THANKS FOR
SETTING US 

1934
01:26:48,887 --> 01:26:50,588
UP, DIDI.

1935
01:26:50,588 --> 01:26:53,191
WHEN WE SWITCH FROM NUTRIENTS TO

1936
01:26:53,191 --> 01:26:56,027
FOODS IT BECOMES MORE 

1937
01:26:56,027 --> 01:26:56,327
COMPLICATED.

1938
01:26:56,327 --> 01:26:58,062
MORE GENERALIZABLE BUT LESS 

1939
01:26:58,062 --> 01:26:58,596
RIGOROUS.

1940
01:26:58,596 --> 01:27:02,066
WHAT WE'LL SEE IS THAT WE HAVE 

1941
01:27:02,066 --> 01:27:04,068
31 CONCLUSION STATEMENTS FROM 

1942
01:27:04,068 --> 01:27:06,004
THIS ONE ORIGINAL QUESTION AND 

1943
01:27:06,004 --> 01:27:08,339
KEEP IN MIND WE ALREADY NARROWED

1944
01:27:08,339 --> 01:27:09,174
THIS DOWN TO CARDIOVASCULAR 

1945
01:27:09,174 --> 01:27:14,579
DISEASE AS AN OUTCOME.

1946
01:27:14,579 --> 01:27:17,248
MOST STUDIES WERE PROSPECTIVE 

1947
01:27:17,248 --> 01:27:20,318
COHORT STUDIES LOOK BEING AT 

1948
01:27:20,318 --> 01:27:20,985
ASSOCIATIONS IN A SUBSTITUTION 

1949
01:27:20,985 --> 01:27:24,656
MODEL WHAT WOULD HAPPEN IF YOU 

1950
01:27:24,656 --> 01:27:26,224
SUBSTITUTED RED MEAT OR DAIRY OR

1951
01:27:26,224 --> 01:27:27,959
TROPICAL OILS FOR SOMETHING 

1952
01:27:27,959 --> 01:27:30,328
ELSE?

1953
01:27:30,328 --> 01:27:32,730
FEW WERE RANDOMIZED TRIALS BUT 

1954
01:27:32,730 --> 01:27:36,935
THEY TENDED TO BE FOCUSSED ON 

1955
01:27:36,935 --> 01:27:40,371
SHORT-TERM STUDIES WITH LIPIDS 

1956
01:27:40,371 --> 01:27:42,574
AND REDUCTIONIST MODEL WITH 

1957
01:27:42,574 --> 01:27:44,742
SATURATED FAT OIL STARTING POINT

1958
01:27:44,742 --> 01:27:46,611
MOVING TO AN UNSATURATED FATTED.

1959
01:27:46,611 --> 01:27:47,612
THAT'S WHAT YOU'LL SEE.

1960
01:27:47,612 --> 01:27:49,480
AND BECAUSE THERE WERE SO MANY 

1961
01:27:49,480 --> 01:27:51,816
CONCLUSIONS AS WE NOTED ABOUT A 

1962
01:27:51,816 --> 01:27:53,718
MONTH AGO IN THAT PUBLIC HEALTH 

1963
01:27:53,718 --> 01:27:54,752
MEETING WE TRIED TO ORGANIZE 

1964
01:27:54,752 --> 01:27:57,922
THESE TO BE EASIER TO FOLLOW IN 

1965
01:27:57,922 --> 01:27:59,891
TERMS OF DIRECTIONALITY.

1966
01:27:59,891 --> 01:28:02,260
WE HAVE QUITE A FEW AND EIGHT 

1967
01:28:02,260 --> 01:28:03,328
DIFFERENT CONCLUSION STATEMENTS 

1968
01:28:03,328 --> 01:28:05,029
THAT SUGGEST THE POTENTIAL 

1969
01:28:05,029 --> 01:28:06,397
BENEFIT FROM SWITCHING.

1970
01:28:06,397 --> 01:28:08,900
WE ALSO HAVE SIX CONCLUSIONS 

1971
01:28:08,900 --> 01:28:11,336
THAT SUGGEST THERE MAY NOT BE A 

1972
01:28:11,336 --> 01:28:13,605
BENEFIT FROM SWITCHING AND THOSE

1973
01:28:13,605 --> 01:28:15,240
WERE INTERESTING IN AND OF 

1974
01:28:15,240 --> 01:28:16,441
THEMSELVES.

1975
01:28:16,441 --> 01:28:18,977
THIS DEPENDED ON WHAT THE 

1976
01:28:18,977 --> 01:28:19,877
INTERVENTION EXPOSURE WAS AND 

1977
01:28:19,877 --> 01:28:23,314
YOU HAD CONCLUSIONS WITH NO 

1978
01:28:23,314 --> 01:28:26,150
GRADABLE -- NO GRADE ASSIGNED 

1979
01:28:26,150 --> 01:28:28,286
BECAUSE IT WAS TOO -- THE 

1980
01:28:28,286 --> 01:28:31,022
LITERATURE WAS TOO SPARSE OR THE

1981
01:28:31,022 --> 01:28:33,124
OUTCOMES AND THE EXPOSURES WERE 

1982
01:28:33,124 --> 01:28:38,563
TOO INCONSISTENT OR 

1983
01:28:38,563 --> 01:28:39,664
INAPPROPRIATELY DEFINED.

1984
01:28:39,664 --> 01:28:41,065
AND BY THE WAY THIS IS ONLY IN 

1985
01:28:41,065 --> 01:28:45,870
ADULTS AND OLDER ADULTS.

1986
01:28:45,870 --> 01:28:49,540
NOTHING FOR PREGNANCY AND 

1987
01:28:49,540 --> 01:28:52,377
LACTATION OR CHILDREN AND 

1988
01:28:52,377 --> 01:28:54,579
INFANTS AND ONLY OLDER ADULTS.

1989
01:28:54,579 --> 01:28:57,915
THE THREE MAIN CATEGORIES WERE 

1990
01:28:57,915 --> 01:29:02,053
DAIRY, MEAT AND PLANT SOURCES OF

1991
01:29:02,053 --> 01:29:03,154
SATURATED FAT.

1992
01:29:03,154 --> 01:29:09,694
EVEN WITHIN THESE CATEGORIES IT 

1993
01:29:09,694 --> 01:29:10,461
CAN BE CONFUSING.

1994
01:29:10,461 --> 01:29:13,798
DAIRY WAS MOSTLY MILK, EGG AND 

1995
01:29:13,798 --> 01:29:15,633
CHEESE AND ICE CREAM DIDN'T COME

1996
01:29:15,633 --> 01:29:19,604
UP SO CAN'T ANSWER THAT.

1997
01:29:19,604 --> 01:29:27,045
WE HAD HIGH FAT AND LOW-FAT AND 

1998
01:29:27,045 --> 01:29:29,280
SKIM VERSIONS THERE WAS RED 

1999
01:29:29,280 --> 01:29:31,683
MEAT, PROCESSED, RED MEAT, WHITE

2000
01:29:31,683 --> 01:29:35,320
MEAT AND DIFFERENT CATEGORIES 

2001
01:29:35,320 --> 01:29:37,822
AND THE COMPARATORS OFTEN 

2002
01:29:37,822 --> 01:29:38,089
DIFFERED.

2003
01:29:38,089 --> 01:29:41,025
SOME SAID LEGUMES, SOME SAID 

2004
01:29:41,025 --> 01:29:42,827
PEAS AND BEANS AND SOME SAID 

2005
01:29:42,827 --> 01:29:45,430
LEGUMES AND NUTS.

2006
01:29:45,430 --> 01:29:50,034
WE HAD TO PUT TOGETHER TO SEE 

2007
01:29:50,034 --> 01:30:00,578
WHAT THE CONCLUSIONS WILL YIELD.

2008
01:30:04,782 --> 01:30:08,786
AND THERE WAS DIFFERENT OILS AND

2009
01:30:08,786 --> 01:30:10,021
MOST PROSPECTIVE COHORT STUDIES 

2010
01:30:10,021 --> 01:30:11,789
LOOKED AT MORBIDITY AND 

2011
01:30:11,789 --> 01:30:12,056
MORTALITY.

2012
01:30:12,056 --> 01:30:13,958
OF THOSE MOST LISTED THE 

2013
01:30:13,958 --> 01:30:15,426
OUTCOMES AS BEING MORBIDITY.

2014
01:30:15,426 --> 01:30:18,563
IF YOU DIG DEEPER, YOU'LL FIND 

2015
01:30:18,563 --> 01:30:20,064
MORBIDITY OFTEN INCLUDES 

2016
01:30:20,064 --> 01:30:21,833
MORTALITY SO IT'S A LITTLE BIT 

2017
01:30:21,833 --> 01:30:22,734
OF INSIDE BASELINE.

2018
01:30:22,734 --> 01:30:24,235
MOST THE CONCLUSIONS ARE ONLY 

2019
01:30:24,235 --> 01:30:25,837
GOING TO REFER TO MORBIDITY BUT 

2020
01:30:25,837 --> 01:30:29,841
KEEP IN MIND THE BIG DIFFERENCE 

2021
01:30:29,841 --> 01:30:33,544
IS IN THE SHORTER RCTs WHERE THE

2022
01:30:33,544 --> 01:30:36,848
FOCUS IS IMMEDIATE OUTCOMES LIKE

2023
01:30:36,848 --> 01:30:38,249
LIPIDS IS DIFFERENT THAN 

2024
01:30:38,249 --> 01:30:41,586
LONG-TERM 30 OR 40 YEARS OF 

2025
01:30:41,586 --> 01:30:48,126
FOLLOW UP OF MORBIDITY AND/OR 

2026
01:30:48,126 --> 01:30:50,027
MORTALITY.

2027
01:30:50,027 --> 01:30:52,730
IT FOCUSSED ON LIPIDS AND BLOOD 

2028
01:30:52,730 --> 01:30:52,997
PRESSURE.

2029
01:30:52,997 --> 01:30:56,701
WE EXTRACTED DATA AND THANKS TO 

2030
01:30:56,701 --> 01:30:58,403
THE AMAZING TEAM THAT PULLED ALL

2031
01:30:58,403 --> 01:31:00,705
THIS DATA TOGETHER FOR US AND 

2032
01:31:00,705 --> 01:31:02,473
ALL THE COLLEAGUES ON OUR 

2033
01:31:02,473 --> 01:31:04,108
COMMITTEE, THERE WASN'T REALLY A

2034
01:31:04,108 --> 01:31:06,344
STRONG REASON FOR A LINK IN 

2035
01:31:06,344 --> 01:31:07,745
BLOOD PRESSURE BUT IT WAS OFTEN 

2036
01:31:07,745 --> 01:31:08,012
ASSESSED.

2037
01:31:08,012 --> 01:31:10,581
SO WHEN THEY DID RCTs THEY 

2038
01:31:10,581 --> 01:31:12,784
LOOKED AT BOTH LIPIDS AND BLOOD 

2039
01:31:12,784 --> 01:31:13,885
PRESSURE.

2040
01:31:13,885 --> 01:31:16,220
THAT'S A BIG DIFFERENCE BETWEEN 

2041
01:31:16,220 --> 01:31:19,891
PROSPECTIVE COHORT STUDIES AND 

2042
01:31:19,891 --> 01:31:22,193
OUTCOMES AND RCTs AND MORE RIGOR

2043
01:31:22,193 --> 01:31:25,830
WITH RCTs BUT FOR THE 

2044
01:31:25,830 --> 01:31:27,398
PERSPECTIVE COHORT STUDIES WE 

2045
01:31:27,398 --> 01:31:33,337
HAVE TO LOOK AT SUBSTITUTION 

2046
01:31:33,337 --> 01:31:33,604
ANALYSES.

2047
01:31:33,604 --> 01:31:36,674
SO HERE ARE EIGHT DIFFERENT 

2048
01:31:36,674 --> 01:31:37,775
FAVORABLE OUTCOMES.

2049
01:31:37,775 --> 01:31:39,243
THESE SUGGEST ONE STRONG 

2050
01:31:39,243 --> 01:31:41,279
CONCLUSION, FIVE MODERATES AND 

2051
01:31:41,279 --> 01:31:44,515
TWO LIMITED THERE WOULD BE A 

2052
01:31:44,515 --> 01:31:45,917
POTENTIAL BENEFIT FROM TAKING 

2053
01:31:45,917 --> 01:31:47,151
THIS KIND OF ACTION.

2054
01:31:47,151 --> 01:31:48,653
IF WE'RE TRYING TO GET AMERICANS

2055
01:31:48,653 --> 01:31:51,789
TO LOWER THEIR FAT INTAKE HERE 

2056
01:31:51,789 --> 01:31:53,291
ARE THINGS THAT COULD, MIGHT OR 

2057
01:31:53,291 --> 01:31:55,126
SHOULD WORK.

2058
01:31:55,126 --> 01:31:56,494
WE'LL START WITH STRONG AND THIS

2059
01:31:56,494 --> 01:32:01,132
IS OLD NEWS, BUTTER IS NOT BACK.

2060
01:32:01,132 --> 01:32:04,202
BUTTER IS WORSE FOR YOUR LDL 

2061
01:32:04,202 --> 01:32:06,404
CHOLESTEROL THAN ALL KINDS OF 

2062
01:32:06,404 --> 01:32:11,843
OILS AND SPREAD, HIGHER IN 

2063
01:32:11,843 --> 01:32:13,611
UNSATURATED FAT AND REINFORCING 

2064
01:32:13,611 --> 01:32:16,647
THERE'S A LARGE DATABASE.

2065
01:32:16,647 --> 01:32:18,616
IT'S NOT MORBIDITY OR MORTALITY 

2066
01:32:18,616 --> 01:32:21,619
BUT LOOK BEING AT BLOOD LIPIDS 

2067
01:32:21,619 --> 01:32:23,988
AND LDLC IN PARTICULAR SUGGESTS 

2068
01:32:23,988 --> 01:32:28,426
YOU WOULD DO BETTER SWAPPING OUT

2069
01:32:28,426 --> 01:32:31,963
BUTTER FOR THE UNSATURATED PLANT

2070
01:32:31,963 --> 01:32:32,697
OILS AND SPREADS.

2071
01:32:32,697 --> 01:32:34,532
FIVE CONCLUSIONS WERE MODERATE 

2072
01:32:34,532 --> 01:32:38,569
AND THE FIRST BULLET POINT IS A 

2073
01:32:38,569 --> 01:32:41,772
HEAD SCRATCHER BUT PRETTY 

2074
01:32:41,772 --> 01:32:45,810
STUNNING LOOKING AT HOW 

2075
01:32:45,810 --> 01:32:48,145
CONSISTENT IT WAS AND CVB 

2076
01:32:48,145 --> 01:32:49,947
MORBIDITY AND PROFESSIONED AND 

2077
01:32:49,947 --> 01:32:52,750
RED MEAT VERSUS DAIRY PRODUCTS, 

2078
01:32:52,750 --> 01:32:54,552
SWAPPING OUT THE RED MEAT WITH 

2079
01:32:54,552 --> 01:32:56,420
THE PRODUCTS WAS ASSOCIATED WITH

2080
01:32:56,420 --> 01:32:57,054
LOWER RISK.

2081
01:32:57,054 --> 01:32:58,456
SO WHAT'S THAT MEAN?

2082
01:32:58,456 --> 01:33:00,992
I'M TRYING TO DECIDE IF I SHOULD

2083
01:33:00,992 --> 01:33:04,195
HAVE A STEAK OR GLASS OF MILK 

2084
01:33:04,195 --> 01:33:04,462
TONIGHT.

2085
01:33:04,462 --> 01:33:06,097
THAT DOESN'T SEEM LIKE A 

2086
01:33:06,097 --> 01:33:08,232
PRACTICAL SUBSTITUTION BUT COULD

2087
01:33:08,232 --> 01:33:10,167
HAVE BEEN YOGURT OR CHEESE.

2088
01:33:10,167 --> 01:33:14,138
WHAT WAS MORE STUNNING IS HOW 

2089
01:33:14,138 --> 01:33:15,673
CONSISTENT AND MANY PROSPECTIVE 

2090
01:33:15,673 --> 01:33:17,141
COHORT STUDIES HAVE LOOKED AT 

2091
01:33:17,141 --> 01:33:19,176
THE QUESTION AND ENDED UP WITH A

2092
01:33:19,176 --> 01:33:20,077
MODERATE GRADE.

2093
01:33:20,077 --> 01:33:21,612
I THINK THAT MERITS LOOKING INTO

2094
01:33:21,612 --> 01:33:26,584
MORE OF THE DETAILS OF WHAT THAT

2095
01:33:26,584 --> 01:33:27,084
PRACTICAL SWAP WOULD BE.

2096
01:33:27,084 --> 01:33:33,524
IT ENDED UP IN OUR MODERATE 

2097
01:33:33,524 --> 01:33:36,360
FAVORABLE DIFFERENCE LIST THE 

2098
01:33:36,360 --> 01:33:43,868
NEXT IS PROCESSED OR UNPROCESSED

2099
01:33:43,868 --> 01:33:45,603
RED MEAT AND CONSISTENT FOR 

2100
01:33:45,603 --> 01:33:48,539
PLANT SOURCES OF PROTEIN, BEANS,

2101
01:33:48,539 --> 01:33:50,975
PEAS, LENTILS, LEGUMES OR NUTS 

2102
01:33:50,975 --> 01:33:53,711
OR WHOLE GRAINS OR VEGETABLES 

2103
01:33:53,711 --> 01:33:55,980
AND THERE WERE ENOUGH IN EACH OF

2104
01:33:55,980 --> 01:33:57,615
THOSE SEPARATE CATEGORIES THAT 

2105
01:33:57,615 --> 01:33:59,450
THEY GENERATED SEPARATE 

2106
01:33:59,450 --> 01:33:59,850
CONCLUSIONS.

2107
01:33:59,850 --> 01:34:01,419
AT ONE POINT IT WAS JUST GOING 

2108
01:34:01,419 --> 01:34:03,554
TO BE PLANT FOODS BUT THERE WERE

2109
01:34:03,554 --> 01:34:05,323
ENOUGH WE SEPARATED THEM OUT 

2110
01:34:05,323 --> 01:34:08,326
EACH ONE WARRANTED A MODERATE 

2111
01:34:08,326 --> 01:34:10,528
CONCLUSION AGAIN THE OUTCOME IS 

2112
01:34:10,528 --> 01:34:17,234
THESE ARE PROSPECTIVE COHORT 

2113
01:34:17,234 --> 01:34:19,503
STUDIES AND FOR THE DIFFERENCE 

2114
01:34:19,503 --> 01:34:21,105
YOU'RE GETTING NOT ONLY ARE THE 

2115
01:34:21,105 --> 01:34:23,674
PLANT SOURCES OF PROTEIN, WHOLE 

2116
01:34:23,674 --> 01:34:26,611
GRAINS AND VEGETABLES LOWER IN 

2117
01:34:26,611 --> 01:34:31,515
SATURATED FAT THAN PROCESSED OR 

2118
01:34:31,515 --> 01:34:34,518
UNPROCESSED RED MEAT OR FIBER 

2119
01:34:34,518 --> 01:34:40,358
BUT WE WEREN'T LOOK THE  -- 

2120
01:34:40,358 --> 01:34:42,493
LOOKING AT THE CONSTITUENTS AND 

2121
01:34:42,493 --> 01:34:45,696
I MAY HAVE MORE ANTIOXIDANTS OR 

2122
01:34:45,696 --> 01:34:47,765
OTHER DIFFERENCES, FIBER WOULD 

2123
01:34:47,765 --> 01:34:50,501
BE THE OBVIOUS ONE FOR A 

2124
01:34:50,501 --> 01:34:52,837
MECHANISM FOR LOWERING LDL 

2125
01:34:52,837 --> 01:34:54,105
CHOLESTEROL BUT THAT'S NOT WHAT 

2126
01:34:54,105 --> 01:34:55,039
WE'RE LOOKING AT.

2127
01:34:55,039 --> 01:34:56,741
WE'RE LOOKING AT THE 

2128
01:34:56,741 --> 01:34:59,343
ASSOCIATIONS OF FOOD SOURCES.

2129
01:34:59,343 --> 01:35:02,613
IF YOU WANTED TO TEASE APART 

2130
01:35:02,613 --> 01:35:04,815
WHAT IT WAS YOU HAVE TO GET INTO

2131
01:35:04,815 --> 01:35:10,488
A MORE GRANULAR ANALYSIS AND THE

2132
01:35:10,488 --> 01:35:13,491
LAST ONE ONE THE THREE TYPES OF 

2133
01:35:13,491 --> 01:35:15,726
TROPICAL OILS AND REPLACING THEM

2134
01:35:15,726 --> 01:35:19,597
WITH VEGETABLE OILS HIGHER IN 

2135
01:35:19,597 --> 01:35:21,032
UNSATURATED FAT AND NOW BACK TO 

2136
01:35:21,032 --> 01:35:23,634
RCTs MORE OF A RIGOROUS TRIAL 

2137
01:35:23,634 --> 01:35:24,802
SWAP OUT ONE KIND OF FAT FOR 

2138
01:35:24,802 --> 01:35:27,538
ANOTHER AND SEE WHAT HAPPENS.

2139
01:35:27,538 --> 01:35:30,474
IT LOWERS LDL CHOLESTEROL LIKE 

2140
01:35:30,474 --> 01:35:31,876
SUBSTITUTING BUTTER FOR THE SAME

2141
01:35:31,876 --> 01:35:34,779
OILS AND SPREAD WITH LOWER LDL 

2142
01:35:34,779 --> 01:35:35,079
CHOLESTEROL.

2143
01:35:35,079 --> 01:35:38,616
FOR THE FAVORABLE DIFFERENCES WE

2144
01:35:38,616 --> 01:35:40,751
FINISH OF WITH SUBSTITUTING 

2145
01:35:40,751 --> 01:35:42,787
DAIRY AS A WHOLE WITH FOOD 

2146
01:35:42,787 --> 01:35:47,058
SOURCES AS A WHOLE OF 

2147
01:35:47,058 --> 01:35:49,093
UNSATURATED FATTY ACIDS 

2148
01:35:49,093 --> 01:35:55,099
ASSOCIATED WITH A LOWER RISK OF 

2149
01:35:55,099 --> 01:35:58,169
CVD AND TAKING THE WHOLE 

2150
01:35:58,169 --> 01:35:59,970
CATEGORY THERE WAS LESS 

2151
01:35:59,970 --> 01:36:01,639
CONSISTENCY AND DOES NOT YET 

2152
01:36:01,639 --> 01:36:04,408
MERIT CONCLUSION OF MODERATE.

2153
01:36:04,408 --> 01:36:06,277
AND LOOPING BACK TO THE FIRST OF

2154
01:36:06,277 --> 01:36:07,511
THESE CONCLUSIONS, THE ONE THAT 

2155
01:36:07,511 --> 01:36:10,915
WAS STRONG, SO BUTTER UP TOP WAS

2156
01:36:10,915 --> 01:36:14,618
ASSOCIATED STRONGLY WITH LOWER 

2157
01:36:14,618 --> 01:36:16,353
LDL CHOLESTEROL BUT DIDN'T IT 

2158
01:36:16,353 --> 01:36:18,422
MATTER IF WE KEEP YOU OUT OF THE

2159
01:36:18,422 --> 01:36:19,924
HOSPITAL OR NOT?

2160
01:36:19,924 --> 01:36:22,593
LOOKING AT THE PROSPECTIVE 

2161
01:36:22,593 --> 01:36:26,597
COHORT STUDIES AND SUBSTITUTING 

2162
01:36:26,597 --> 01:36:28,532
BUTTER WITH OILS AND SPREAD PRE 

2163
01:36:28,532 --> 01:36:32,737
DOMINANTLY UNSATURATED WE SAW 

2164
01:36:32,737 --> 01:36:35,139
LOWER RISK OF CVD AND MORTALITY 

2165
01:36:35,139 --> 01:36:37,775
BUT THAT DETE WAS MORE LIMITED 

2166
01:36:37,775 --> 01:36:42,012
AND COULDN'T COME UP WITH A 

2167
01:36:42,012 --> 01:36:43,380
STRONGER GRADE THAN LIMITED.

2168
01:36:43,380 --> 01:36:48,886
WE FOUND A NUMBER OF OPTIONS FOR

2169
01:36:48,886 --> 01:36:50,020
TRYING TO LOWER SATURATED FAT 

2170
01:36:50,020 --> 01:36:53,357
CONTENT AND AN IMPACT ON BLOOD 

2171
01:36:53,357 --> 01:36:55,893
LIPIDS OR SWAPPING OUT FOR THE 

2172
01:36:55,893 --> 01:36:59,997
DIFFERENT FOOD SOURCES OF 

2173
01:36:59,997 --> 01:37:01,198
SATURATED FAT.

2174
01:37:01,198 --> 01:37:02,800
THEN ALMOST AS INTERESTING WERE 

2175
01:37:02,800 --> 01:37:05,503
SOME OF THE COMPARISONS WHERE 

2176
01:37:05,503 --> 01:37:07,671
THERE WAS NO DIFFERENCE.

2177
01:37:07,671 --> 01:37:09,707
SO FIVE CONCLUSION STATEMENTS 

2178
01:37:09,707 --> 01:37:11,742
WITH A MODERATE GRADE WHERE WE 

2179
01:37:11,742 --> 01:37:14,779
DIDN'T SEE A DIFFERENCE.

2180
01:37:14,779 --> 01:37:17,148
SO, LOOK AT THE BULLET POINTS.

2181
01:37:17,148 --> 01:37:18,983
SWAPPING ONE FORM OF DAIRY FOR 

2182
01:37:18,983 --> 01:37:21,852
ANOTHER FORM OF DAIRY AS A 

2183
01:37:21,852 --> 01:37:22,753
PROSPECTIVE COHORT STUDIES AND 

2184
01:37:22,753 --> 01:37:25,990
THOSE ARE BOTH SOURCES OF 

2185
01:37:25,990 --> 01:37:26,323
SATURATED FAT.

2186
01:37:26,323 --> 01:37:30,027
SO THE MAGNITUDE OF THE 

2187
01:37:30,027 --> 01:37:31,128
SATURATED FAT DIFFERENCE ISN'T 

2188
01:37:31,128 --> 01:37:32,396
GOING TO BE AS LARGE AS SWAPPING

2189
01:37:32,396 --> 01:37:34,899
OUT ANIMAL SOURCES FOR PLANT 

2190
01:37:34,899 --> 01:37:35,599
SOURCE FOR THE PLANT SOURCE 

2191
01:37:35,599 --> 01:37:41,305
WOULD BE MUCH LOWER.

2192
01:37:41,305 --> 01:37:43,941
NO ASSOCIATION BETWEEN PROCESSED

2193
01:37:43,941 --> 01:37:46,076
AN UNPROCESSED RED MEAT WITH 

2194
01:37:46,076 --> 01:37:47,011
WHITE MEAT OR EGGS.

2195
01:37:47,011 --> 01:37:48,579
LESS OF A DIFFERENCE THERE AND 

2196
01:37:48,579 --> 01:37:51,415
NO FIBER INCLUDED IN THE WHITE 

2197
01:37:51,415 --> 01:37:52,683
MEAT OR EGGS.

2198
01:37:52,683 --> 01:37:55,386
MAYBE LESS OF AN OPPORTUNITY FOR

2199
01:37:55,386 --> 01:37:57,288
THAT IN THE SHIFT.

2200
01:37:57,288 --> 01:38:03,160
THE LAST ONE WAS ODD.

2201
01:38:03,160 --> 01:38:03,794
LOOKING AT SUBSTITUTING WHITE 

2202
01:38:03,794 --> 01:38:05,362
MEAT FOR OTHER SOURCES AND WE 

2203
01:38:05,362 --> 01:38:07,298
WERE TALKING ABOUT DAIRY AND RED

2204
01:38:07,298 --> 01:38:08,132
MEAT AND TROPICAL OILS.

2205
01:38:08,132 --> 01:38:11,335
BECAUSE WE WERE LOOKING AT ALL 

2206
01:38:11,335 --> 01:38:12,870
THE COMPARISONS WHERE DATA WAS 

2207
01:38:12,870 --> 01:38:14,672
AVAILABLE WE LOOKED AT WHITE 

2208
01:38:14,672 --> 01:38:17,341
MEAT VERSUS PLANT-BASED FOODS OR

2209
01:38:17,341 --> 01:38:22,012
FISH SEAFOOD AND WASN'T ENOUGH 

2210
01:38:22,012 --> 01:38:23,314
OF A SHIFT IN SATURATED FAT TO 

2211
01:38:23,314 --> 01:38:24,849
SEE A DIFFERENCE.

2212
01:38:24,849 --> 01:38:27,818
THERE'S A MODERATE CONCLUSION 

2213
01:38:27,818 --> 01:38:29,053
FOR NO DIFFERENCE.

2214
01:38:29,053 --> 01:38:31,488
YES FOR RED MEAT AND SWAPPING 

2215
01:38:31,488 --> 01:38:32,857
OUT BUT NOT SO MUCH FOR WHITE 

2216
01:38:32,857 --> 01:38:36,427
MEAT AND TIME LIMITED CONCLUSION

2217
01:38:36,427 --> 01:38:41,899
WAS WITH A TYPE OF TROPICAL OIL,

2218
01:38:41,899 --> 01:38:45,202
IT'S NOT AS HIGH AS SATURATED 

2219
01:38:45,202 --> 01:38:48,739
FAT AS COCONUT OR COCOA BUTTER 

2220
01:38:48,739 --> 01:38:49,240
OR PALM.

2221
01:38:49,240 --> 01:38:55,346
IT SEEMS TO BE LOWER IN 

2222
01:38:55,346 --> 01:39:05,589
SATURATED FAT.

2223
01:39:07,825 --> 01:39:18,235
AND THIS ONE NO CONCLUSION 

2224
01:39:21,505 --> 01:39:22,172
125I789S

2225
01:39:22,172 --> 01:39:22,840
ADOLESCENTS FOR CARDIOVASCULAR.

2226
01:39:22,840 --> 01:39:25,376
WE HAVE FOUR BITS OF ADVICE.

2227
01:39:25,376 --> 01:39:31,382
I'LL FOCUS ON THE TEXT AND GREEN

2228
01:39:31,382 --> 01:39:41,926
BOX ON THE RIGHT LOOKING AT THIS

2229
01:39:53,604 --> 01:39:55,239
IN MORE DETAIL AND OUR 

2230
01:39:55,239 --> 01:39:58,208
ANALYSISES WAS ONLY IN ADULTS.

2231
01:39:58,208 --> 01:40:00,811
IT WASN'T IN KIDS.

2232
01:40:00,811 --> 01:40:02,613
THAT INTERESTING FINDING FROM 

2233
01:40:02,613 --> 01:40:11,689
BEVERAGES OF TOTAL FAT, SKIM AND

2234
01:40:11,689 --> 01:40:16,226
LOOK AT THE AGE GROUP.

2235
01:40:16,226 --> 01:40:18,228
CLEARLY THE DATA EMPHASIZED 

2236
01:40:18,228 --> 01:40:20,364
SWITCHING OUT PLANT FORWARD 

2237
01:40:20,364 --> 01:40:21,398
DIETS CONSISTENT WITH OUR 

2238
01:40:21,398 --> 01:40:23,334
CONVERSATION ABOUT PROTEIN 

2239
01:40:23,334 --> 01:40:25,436
SOURCES YESTERDAY.

2240
01:40:25,436 --> 01:40:26,603
THOSE FINDINGS WERE TWO OF THE 

2241
01:40:26,603 --> 01:40:31,375
BITS OF ADVICE WE WOULD LIKE TO 

2242
01:40:31,375 --> 01:40:32,710
OFFER THE DEPARTMENTS.

2243
01:40:32,710 --> 01:40:36,914
THOSE HAD A LOT OF TO DO WITH 

2244
01:40:36,914 --> 01:40:38,582
CARDIOVASCULAR MORBIDITY/MORE 

2245
01:40:38,582 --> 01:40:40,985
TRALT.

2246
01:40:40,985 --> 01:40:42,386
-- MORTALITY.

2247
01:40:42,386 --> 01:40:45,556
AND THESE WERE BOTH THE LDL 

2248
01:40:45,556 --> 01:40:46,857
CHOLESTEROL FINDINGS.

2249
01:40:46,857 --> 01:40:49,727
THESE ARE MORE RIGOROUS AND MORE

2250
01:40:49,727 --> 01:40:50,594
RANDOMIZED CONTROL TRIALS AND 

2251
01:40:50,594 --> 01:40:58,102
MORE CAUSE AND EFFECT PUT A 

2252
01:40:58,102 --> 01:41:02,606
NARROWER QUESTION TO REPLACE 

2253
01:41:02,606 --> 01:41:06,610
BUTTER WITH UNSATURATED FATS AND

2254
01:41:06,610 --> 01:41:13,250
REPLACING COCONUT BUT WITH 

2255
01:41:13,250 --> 01:41:16,720
VEGETABLE OILS LOWER IN 

2256
01:41:16,720 --> 01:41:17,955
UNSATURATED FAT.

2257
01:41:17,955 --> 01:41:21,158
THESE ARE STUDIES SHORTER IN 

2258
01:41:21,158 --> 01:41:22,726
DURATION AND STUDIES CAN BE MORE

2259
01:41:22,726 --> 01:41:23,027
COMPELLING.

2260
01:41:23,027 --> 01:41:24,161
THAT'S ABOUT WHAT WE WERE ABLE 

2261
01:41:24,161 --> 01:41:26,597
IT GENERATE LOOKING AT OUR ONE 

2262
01:41:26,597 --> 01:41:30,434
QUESTION OF FOOD SOURCES OF 

2263
01:41:30,434 --> 01:41:31,502
SATURATED FAT AND TRYING TO TAKE

2264
01:41:31,502 --> 01:41:34,004
A STEP BACK AND SEE WHAT WE 

2265
01:41:34,004 --> 01:41:35,172
SHOULD OFFER THE DEPARTMENTS AS 

2266
01:41:35,172 --> 01:41:35,406
ADVICE.

2267
01:41:35,406 --> 01:41:37,674
I THINK THAT'S IT.

2268
01:41:37,674 --> 01:41:44,681
WE'RE READY TO DISCUSS.

2269
01:41:44,681 --> 01:41:47,684
>> THANKS, CHRISTOPHER AND
DIDI.

2270
01:41:47,684 --> 01:41:50,220
I THINK YOU CAN SEE THIS IS 

2271
01:41:50,220 --> 01:41:51,221
ANOTHER PUZZLE PIECE THAT FITS 

2272
01:41:51,221 --> 01:41:53,357
INTO WHAT WE'VE BEEN TALKING 

2273
01:41:53,357 --> 01:41:56,794
ABOUT WITH DIETARY PATTERNS AND 

2274
01:41:56,794 --> 01:41:58,595
INTEGRATION CONVERSATIONS 

2275
01:41:58,595 --> 01:42:03,333
YESTERDAY.

2276
01:42:03,333 --> 01:42:10,941
ANY QUESTION FOR CHRISTOPHER OR 

2277
01:42:10,941 --> 01:42:11,642
DIDI.

2278
01:42:11,642 --> 01:42:11,875
ANGELA.

2279
01:42:11,875 --> 01:42:12,609
>> EXCELLENT PRESENTATION.

2280
01:42:12,609 --> 01:42:16,013
I THINK THIS IS EXCITE BEING 

2281
01:42:16,013 --> 01:42:21,085
BECAUSE WE HAVE A LOT OF 

2282
01:42:21,085 --> 01:42:31,628
EVIDENCE WHEN PROSPECTIVE COHORT

2283
01:42:32,796 --> 01:42:36,400
STUDIES IN ADULTS.

2284
01:42:36,400 --> 01:42:38,902
I WAS CURIOUS BECAUSE I WANT TO 

2285
01:42:38,902 --> 01:42:41,338
CLARIFY THE LANGUAGE OF SWAPPING

2286
01:42:41,338 --> 01:42:42,606
AND SUBSTITUTING.

2287
01:42:42,606 --> 01:42:53,083
WE TALKED ABOUT THAT BEFORE.

2288
01:43:05,262 --> 01:43:06,930
WHEN I THINK OF SWAPPING, I 

2289
01:43:06,930 --> 01:43:10,801
THINK OF A CHANGE IN AN 

2290
01:43:10,801 --> 01:43:14,471
INDIVIDUAL VERSUS A DIFFERENT 

2291
01:43:14,471 --> 01:43:17,007
PERSON EATING A DIFFERENT 

2292
01:43:17,007 --> 01:43:18,575
DIETARY PATTERN.

2293
01:43:18,575 --> 01:43:25,082
NOT EATING BUTTER BUT EATING A 

2294
01:43:25,082 --> 01:43:32,422
PLANT-BASED OILS OR NOT EATING 

2295
01:43:32,422 --> 01:43:34,057
BLANK BUT ANOTHER PERSON EATING 

2296
01:43:34,057 --> 01:43:34,391
B.

2297
01:43:34,391 --> 01:43:37,427
>> I'LL LET DIDI GO
BECAUSE 

2298
01:43:37,427 --> 01:43:40,430
SHE'S AMAZINGLY ARTICULATE.

2299
01:43:40,430 --> 01:43:42,733
YOU GET A MUFFIN MADE WITH 

2300
01:43:42,733 --> 01:43:47,771
BUTTER AND ONE MADE WITH 

2301
01:43:47,771 --> 01:43:50,107
SUNFLOWER OIL OR COCONUT OIL AND

2302
01:43:50,107 --> 01:43:52,509
LOOK AT LDL CHOLESTEROL AND THAT

2303
01:43:52,509 --> 01:43:54,611
PERSON SWITCHED AND ATE 

2304
01:43:54,611 --> 01:43:56,446
SOMETHING DIFFERENT.

2305
01:43:56,446 --> 01:44:01,919
IN A PROSPECTIVE COHORT STUDY 

2306
01:44:01,919 --> 01:44:03,554
IT'S MODELLING A SUBSTITUTION.

2307
01:44:03,554 --> 01:44:04,988
DIDI, WHY DON'T YOU TAKE IT.

2308
01:44:04,988 --> 01:44:06,590
>> IT'S AN IMPORTANT
QUESTION.

2309
01:44:06,590 --> 01:44:09,826
THE SUMMARY SLIDES I THINK 

2310
01:44:09,826 --> 01:44:11,361
CHRISTOPHER TRIED TO PUT IT 

2311
01:44:11,361 --> 01:44:12,296
TOGETHER IN TERMS OF 

2312
01:44:12,296 --> 01:44:15,766
RECOMMENDATIONS AND BEHAVIOR.

2313
01:44:15,766 --> 01:44:18,101
ANALYTICALLY WHAT'S HAPPENING IN

2314
01:44:18,101 --> 01:44:19,970
THE TRIALS YOU MIGHT HAVE OR 

2315
01:44:19,970 --> 01:44:22,372
STUDIES THAT ARE PARALLEL ARM, 

2316
01:44:22,372 --> 01:44:30,514
THE EPIDEMIOLOGY IS VARIABLE BUT

2317
01:44:30,514 --> 01:44:33,150
A LOT OF IS COMPARING CONSUMING 

2318
01:44:33,150 --> 01:44:34,585
HIGH AMOUNTS OF MEAT VERSUS 

2319
01:44:34,585 --> 01:44:37,354
PLANT SOURCES INSTEAD OR 

2320
01:44:37,354 --> 01:44:39,156
SOMETHING ALONG THOSE LINES.

2321
01:44:39,156 --> 01:44:42,859
THAT'S AN IMPROVEMENT UPON THE 

2322
01:44:42,859 --> 01:44:43,894
EPIDEMIOLOGY THAT MIGHT COMPARE 

2323
01:44:43,894 --> 01:44:47,764
HIGH VERSUS LOW AMOUNTS OF 

2324
01:44:47,764 --> 01:44:49,900
BUTTER OR THOSE IN THE LOW 

2325
01:44:49,900 --> 01:44:51,468
AMOUNT GROUPS BUT YOU DON'T KNOW

2326
01:44:51,468 --> 01:44:54,605
WHAT THIS CONTRAST IS.

2327
01:44:54,605 --> 01:45:02,946
IT ALSO GETS TO EXAMINE THE 

2328
01:45:02,946 --> 01:45:04,948
HETEROGENEITY OF THE PAIR WISE 

2329
01:45:04,948 --> 01:45:06,683
FOODS YOU CAN THINK OF, POULTRY 

2330
01:45:06,683 --> 01:45:10,887
OR EGGS OR RED MEAT OR PROCESSED

2331
01:45:10,887 --> 01:45:13,423
MEAT, YOU CAN PROCESS THE 

2332
01:45:13,423 --> 01:45:13,757
SUBSTITUTIONS.

2333
01:45:13,757 --> 01:45:17,928
THERE ARE NOW ANALYSES AT THE 

2334
01:45:17,928 --> 01:45:18,695
INDIVIDUAL STAGES BUT MOST 

2335
01:45:18,695 --> 01:45:20,964
COMPARE BETWEEN PEOPLE.

2336
01:45:20,964 --> 01:45:25,535
>> YEAH, THAT'S WHAT I WAS

2337
01:45:25,535 --> 01:45:28,739
THINKING OF THE TERMINOLOGIES 

2338
01:45:28,739 --> 01:45:31,408
THERE'S PROSPECTIVE COHORT 

2339
01:45:31,408 --> 01:45:32,576
STUDIES WITH THE TERMINOLOGY.

2340
01:45:32,576 --> 01:45:34,611
WE MAY BE IN THE ANALYSES 

2341
01:45:34,611 --> 01:45:41,351
LOOKING AT A VERSUS B BUT I WAS 

2342
01:45:41,351 --> 01:45:44,054
WONDERING CAN WE REALLY SAY 

2343
01:45:44,054 --> 01:45:50,594
SWAPPING OR CAN WE REALLY SAY 

2344
01:45:50,594 --> 01:45:50,927
SUBSTITUTIONS?

2345
01:45:50,927 --> 01:45:54,031
BECAUSE ARE THEY ACTUALLY 

2346
01:45:54,031 --> 01:45:54,631
SUBSTITUTIONS OR CONSUMPTION 

2347
01:45:54,631 --> 01:45:57,634
PATTERNS?

2348
01:45:57,634 --> 01:45:58,568
>> YEAH.

2349
01:45:58,568 --> 01:46:02,606
IT'S A LITTLE BIT BEYOND THE 

2350
01:46:02,606 --> 01:46:05,309
PATTERN BECAUSE YOU CAN ISOLATE 

2351
01:46:05,309 --> 01:46:11,882
A COMPONENT OF CALORIES BUT TO 

2352
01:46:11,882 --> 01:46:14,584
YOUR POINT, THE SUBSTITUTION IS 

2353
01:46:14,584 --> 01:46:17,354
THE LEGACY TERM THE MODELS THE 

2354
01:46:17,354 --> 01:46:18,288
RESEARCH APPROACH HAS ALWAYS 

2355
01:46:18,288 --> 01:46:26,997
CALLED IT.

2356
01:46:26,997 --> 01:46:28,899
IN TERMS OF NOMENCLATURE YOU 

2357
01:46:28,899 --> 01:46:30,934
THINK OF SUBSTITUTION AS A 

2358
01:46:30,934 --> 01:46:32,202
BEHAVIOR IT MAY SEEM DIFFERENT 

2359
01:46:32,202 --> 01:46:35,072
BUT THAT'S A POINT WELL TAKEN I 

2360
01:46:35,072 --> 01:46:37,708
KNOW WE DISCUSSED BEFORE HOW TO 

2361
01:46:37,708 --> 01:46:39,810
SORT OF DISTINGUISH.

2362
01:46:39,810 --> 01:46:41,345
SO ANY RECOMMENDATIONS, 

2363
01:46:41,345 --> 01:46:43,814
TERMINOLOGY WISE ARE CERTAINLY 

2364
01:46:43,814 --> 01:46:44,681
WELCOME.

2365
01:46:44,681 --> 01:46:46,216
CHRISTOPHER YOU HAD SOMETHING 

2366
01:46:46,216 --> 01:46:46,583
TOO.

2367
01:46:46,583 --> 01:46:50,587
>> I LIKE HOW YOU DESIGNED
IT 

2368
01:46:50,587 --> 01:46:52,422
DIDI ONE TIME.

2369
01:46:52,422 --> 01:46:56,460
YOU HAVE ONE SET OF PEOPLE 

2370
01:46:56,460 --> 01:46:58,028
REPLAC

2371
01:46:58,028 --> 01:47:02,966
REPLACING HAMBURGERS WITH FRENCH

2372
01:47:02,966 --> 01:47:04,634
FRIES OR REPLACING WITH LENTILS 

2373
01:47:04,634 --> 01:47:06,002
AND IF YOU'RE JUST LOOKING AT 

2374
01:47:06,002 --> 01:47:08,305
THE FEWER BURGERS THE COMPARISON

2375
01:47:08,305 --> 01:47:09,940
GROUP IS EVERYONE ELSE.

2376
01:47:09,940 --> 01:47:11,041
SOME MAY HAVE BEEN A BENEFICIAL 

2377
01:47:11,041 --> 01:47:14,611
CHANGE AND SOME A WORSE CHANGE 

2378
01:47:14,611 --> 01:47:20,717
AND YOU'RE GETTING NO CHANGE.

2379
01:47:20,717 --> 01:47:23,353
AND AS THE FOLKS SUBSTITUTING 

2380
01:47:23,353 --> 01:47:25,622
REFINED GRAINS FOR RED MEAT AND 

2381
01:47:25,622 --> 01:47:29,092
ONES DOING BEANS, PEAS AND 

2382
01:47:29,092 --> 01:47:29,359
LENTILS.

2383
01:47:29,359 --> 01:47:31,728
OH, MY GOSH, NOW THAT WE 

2384
01:47:31,728 --> 01:47:33,864
SEPARATED THOSE OUT YOU CAN DO 

2385
01:47:33,864 --> 01:47:38,468
STATISTICAL ANALYSES AND THERE'S

2386
01:47:38,468 --> 01:47:40,404
AN IMPACT TOGETHER BUT CAN'T 

2387
01:47:40,404 --> 01:47:43,039
LUMP THEM TOGETHER AS LOW RED 

2388
01:47:43,039 --> 01:47:46,309
MEAT EITHER.

2389
01:47:46,309 --> 01:47:48,879
IF YOU'RE EATING LESS RED MEAT 

2390
01:47:48,879 --> 01:47:49,646
YOU'RE EATING MORE OF SOMETHING 

2391
01:47:49,646 --> 01:47:51,448
AND THEY DON'T ALL HAVE THE SAME

2392
01:47:51,448 --> 01:47:53,016
EFFECT ON YOUR HEALTH.

2393
01:47:53,016 --> 01:47:55,051
>> I GET IT'S THE
TERMINOLOGY.

2394
01:47:55,051 --> 01:47:58,488
I THINK IT'S THE HOW VERSUS THE 

2395
01:47:58,488 --> 01:47:58,688
WHAT.

2396
01:47:58,688 --> 01:48:02,592
BECAUSE SUBSTITUTING IS A 

2397
01:48:02,592 --> 01:48:04,361
PRACTICE LIKE IT'S HOW I GUESS 

2398
01:48:04,361 --> 01:48:10,600
AND IT MAY BE VERSUS A BLANK 

2399
01:48:10,600 --> 01:48:13,937
THAT IS AN ACTION A PERSON MAY 

2400
01:48:13,937 --> 01:48:16,273
BE TAKING VERSUS THE CONSUMPTION

2401
01:48:16,273 --> 01:48:16,540
COMPONENT.

2402
01:48:16,540 --> 01:48:18,608
>> SO THE OTHER POINT I'LL

2403
01:48:18,608 --> 01:48:21,645
ADHERE IS YOU'LL NEVER GET A 

2404
01:48:21,645 --> 01:48:24,714
RANDOMIZED TRIAL WHERE YOU GET 

2405
01:48:24,714 --> 01:48:28,018
PEOPLE TO SWAMP OUT RED MEAT FOR

2406
01:48:28,018 --> 01:48:29,019
30, 40 YEARS TO SEE WHAT HAPPENS

2407
01:48:29,019 --> 01:48:31,121
IF YOU SWAP IT OUT SO A 

2408
01:48:31,121 --> 01:48:32,889
PROSPECTIVE COHORT STUDY IS THE 

2409
01:48:32,889 --> 01:48:35,592
ONLY WAY YOU'LL EVER BE ABLE TO 

2410
01:48:35,592 --> 01:48:37,928
SEE CARDIOVASCULAR MORBIDITY AND

2411
01:48:37,928 --> 01:48:38,295
MORTALITY.

2412
01:48:38,295 --> 01:48:41,431
ALL HAVE YOU IS CHANGES LDL FROM

2413
01:48:41,431 --> 01:48:46,036
A RANDOMIZED TRIAL AND IT'S A 

2414
01:48:46,036 --> 01:48:47,871
TRUE SUBSTITUTION AND MAYBE 

2415
01:48:47,871 --> 01:48:49,139
THEIR LDL WENT DOWN AND 

2416
01:48:49,139 --> 01:48:50,106
SOMETHING ELSE WENT UP.

2417
01:48:50,106 --> 01:48:52,609
I WOULD LIKE TO SEE WHAT THE 

2418
01:48:52,609 --> 01:48:57,380
DECADES LONG IMPLICATION OF THAT

2419
01:48:57,380 --> 01:48:58,582
IS.

2420
01:48:58,582 --> 01:49:00,417
THE PROSPECTIVE COHORT STUDIES 

2421
01:49:00,417 --> 01:49:02,519
IS THE ONLY WAY TO LOOK AT THAT 

2422
01:49:02,519 --> 01:49:05,355
AND WOULD LEAVE A HUGE GAP IN 

2423
01:49:05,355 --> 01:49:06,223
THE KNOWLEDGE BASE.

2424
01:49:06,223 --> 01:49:08,492
IT'S MODELLING THE SUBSTITUTION.

2425
01:49:08,492 --> 01:49:11,194
CAN'T GET AN INTERVENTION TO GO 

2426
01:49:11,194 --> 01:49:21,538
FOR 30 AND 40 YEARS.

2427
01:49:27,410 --> 01:49:29,045
>> TO UNDERSTAND OUR
CONCLUSION 

2428
01:49:29,045 --> 01:49:29,846
STATEMENTS YOU NEED TO 

2429
01:49:29,846 --> 01:49:31,314
UNDERSTAND THE METHODOLOGY 

2430
01:49:31,314 --> 01:49:32,582
BEHIND IT.

2431
01:49:32,582 --> 01:49:37,487
SO THEY DID A GREAT JOB 

2432
01:49:37,487 --> 01:49:39,122
EXPLAINING IT.

2433
01:49:39,122 --> 01:49:39,322
SARAH.

2434
01:49:39,322 --> 01:49:40,257
>> THANK YOU FOR THIS.

2435
01:49:40,257 --> 01:49:42,626
IT WAS A GREAT PRESENTATION AND 

2436
01:49:42,626 --> 01:49:45,395
YOU REALLY CLEARLY WENT THROUGH 

2437
01:49:45,395 --> 01:49:50,600
YOUR STEPS AND LOGIC OF YOUR 

2438
01:49:50,600 --> 01:49:52,536
DECISIONS WHICH WAS SO HELPFUL.

2439
01:49:52,536 --> 01:49:57,774
MY BRAIN'S EXPLODING BECAUSE I'M

2440
01:49:57,774 --> 01:50:04,714
THINKING OF JENNY AND ALINE'S 

2441
01:50:04,714 --> 01:50:06,249
PRESENTATION AND I GUESS I 

2442
01:50:06,249 --> 01:50:08,618
QUESTION IS HAS THERE BEEN 

2443
01:50:08,618 --> 01:50:14,457
STUDIES ABOUT THE BEHAVIOR?

2444
01:50:14,457 --> 01:50:16,226
IF YOU INTRODUCE OR EXPOSE 

2445
01:50:16,226 --> 01:50:19,062
CHILDREN TO SOME FOODS VERSUS 

2446
01:50:19,062 --> 01:50:22,599
OTHERS, HOW DOES THAT IMPACT 

2447
01:50:22,599 --> 01:50:33,043
DIETARY PATTERNS LATER ON?

2448
01:50:46,289 --> 01:50:49,459
WHAT ARE THE IMPLICATIONS LONG 

2449
01:50:49,459 --> 01:50:50,594
TERM?

2450
01:50:50,594 --> 01:50:54,598
>> STUDIES HAVE LOOKED AT 

2451
01:50:54,598 --> 01:50:57,767
CHILDREN AND THEIR EXPOSURES AND

2452
01:50:57,767 --> 01:50:58,969
LATER ON WHAT HAPPENS WITH MEAT 

2453
01:50:58,969 --> 01:51:01,471
AND BEAN CONSUMPTION.

2454
01:51:01,471 --> 01:51:03,740
I ASSUME EARLY EXPOSURE IS 

2455
01:51:03,740 --> 01:51:04,641
CRITICAL IN SCHOOL LUNCH AND 

2456
01:51:04,641 --> 01:51:13,750
SCHOOL BRING  -- BREAKFAST 

2457
01:51:13,750 --> 01:51:14,017
ETCETERA.

2458
01:51:14,017 --> 01:51:16,052
I DON'T KNOW OF THOSE STUDIES.

2459
01:51:16,052 --> 01:51:16,953
MAYBE OTHERS DO.

2460
01:51:16,953 --> 01:51:19,155
>> DIETARY BEHAVIORS TRACK
OVER 

2461
01:51:19,155 --> 01:51:24,828
TIME TO YOUNG ADULTHOOD.

2462
01:51:24,828 --> 01:51:35,271
THAT WOULD AND IT TRACKS TO 

2463
01:51:35,271 --> 01:51:37,707
EARLY ADULTHOOD IS WHAT WE KNOW.

2464
01:51:37,707 --> 01:51:39,876
>> IT'S THE MILLION DOLLAR

2465
01:51:39,876 --> 01:51:41,211
QUESTION AND MANY SCIENTISTS ARE

2466
01:51:41,211 --> 01:51:45,215
SKEPTICAL OF THE IDEA OF DOES IT

2467
01:51:45,215 --> 01:51:45,482
MATTER.

2468
01:51:45,482 --> 01:51:48,685
IF YOU FEED SOMEONE A CARROT HOW

2469
01:51:48,685 --> 01:51:50,320
DOES THIS IMPACT AND IT'S A GOOD

2470
01:51:50,320 --> 01:51:51,021
QUESTION.

2471
01:51:51,021 --> 01:51:52,822
YOU CAN LOOK AT THESE STUDIES 

2472
01:51:52,822 --> 01:51:55,558
THAT LOOK AT TRACKING OF INTAKE 

2473
01:51:55,558 --> 01:51:58,795
OVER TIME TO GET A SENSE OF 

2474
01:51:58,795 --> 01:52:00,196
THAT.

2475
01:52:00,196 --> 01:52:04,000
IF YOU THINK MORE BROADLY ABOUT 

2476
01:52:04,000 --> 01:52:04,968
CROSS CULTURAL DIFFERENCES IN 

2477
01:52:04,968 --> 01:52:06,069
FOOD CONSUMPTION AND 

2478
01:52:06,069 --> 01:52:08,204
PREFERENCES, IF YOU LOOK AT 

2479
01:52:08,204 --> 01:52:09,272
COMFORT FOODS ACROSS THE WORLD 

2480
01:52:09,272 --> 01:52:11,341
THEY LOOK VERY DIFFERENT.

2481
01:52:11,341 --> 01:52:17,347
WHAT REPRESENTS SOMETHING 

2482
01:52:17,347 --> 01:52:18,581
DELICIOUS AND EMOTIONALLY 

2483
01:52:18,581 --> 01:52:20,984
ATTRACTIVE TO OTHER CULTURE MAY 

2484
01:52:20,984 --> 01:52:23,353
DISGUST ANOTHER CULTURE.

2485
01:52:23,353 --> 01:52:25,689
ABOUT WHAT THE RESEARCH ON 

2486
01:52:25,689 --> 01:52:28,625
EXPOSURES SAYS IS IT IS NOT 

2487
01:52:28,625 --> 01:52:29,359
NECESSARY AN EXPOSURE THAT SETS 

2488
01:52:29,359 --> 01:52:32,796
THE COURSE FOR A LIFE TIME BUT 

2489
01:52:32,796 --> 01:52:35,665
HELPS CHILDREN TRANSITION FROM 

2490
01:52:35,665 --> 01:52:38,601
ONE DEVELOPMENTAL PERIOD TO 

2491
01:52:38,601 --> 01:52:39,235
ANOTHER.

2492
01:52:39,235 --> 01:52:43,707
FLAVORS OF THE MATERNAL DIET ARE

2493
01:52:43,707 --> 01:52:47,010
CARRIED IN UTERO AND GO TO 

2494
01:52:47,010 --> 01:52:48,278
ACCEPTANCE DURING COMPLIMENTARY 

2495
01:52:48,278 --> 01:52:49,979
FEEDING AND IF YOU EXPOSE THEM 

2496
01:52:49,979 --> 01:52:50,980
DURING THIS COMPLIMENTARY 

2497
01:52:50,980 --> 01:52:52,382
FEEDING PERIOD THEY'RE MORE 

2498
01:52:52,382 --> 01:52:54,217
LIKELY TO ACCEPT THE FOODS IN 

2499
01:52:54,217 --> 01:52:54,984
LATER PERIODS.

2500
01:52:54,984 --> 01:52:58,588
I THINK THERE'S A FAIR AMOUNT OF

2501
01:52:58,588 --> 01:53:02,625
EVERYDAY THAT WOULD SUGGEST 

2502
01:53:02,625 --> 01:53:04,961
THESE EARLIER EXPERIENCES ABOUT 

2503
01:53:04,961 --> 01:53:06,396
FOOD HELP CHILDREN LEARN ABOUT 

2504
01:53:06,396 --> 01:53:08,164
THEIR FOODS AND FAMILY AND 

2505
01:53:08,164 --> 01:53:10,600
CULTURE AND ENVIRONMENT AND SET 

2506
01:53:10,600 --> 01:53:13,970
THEN UP TO ENGAGE IN A WAY THAT 

2507
01:53:13,970 --> 01:53:16,005
INCREASES THE LIKELIHOOD OF 

2508
01:53:16,005 --> 01:53:17,273
SURVIVAL BY ACCEPTING THE FOODS 

2509
01:53:17,273 --> 01:53:19,342
THAT ARE THERE AND SO THE IDEA 

2510
01:53:19,342 --> 01:53:22,245
IS THAT THOSE THINGS REALLY ARE 

2511
01:53:22,245 --> 01:53:23,613
IMPORTANT BECAUSE THEY SERVE AS 

2512
01:53:23,613 --> 01:53:24,180
A BASIS FOR WHAT BECOMES 

2513
01:53:24,180 --> 01:53:27,617
FAMILIAR TO US.

2514
01:53:27,617 --> 01:53:29,352
THAT DRIVES A LOT OF OUR 

2515
01:53:29,352 --> 01:53:29,786
BEHAVIOR.

2516
01:53:29,786 --> 01:53:33,223
DO THE STUDIES EXIST OUT THERE 

2517
01:53:33,223 --> 01:53:35,291
TO SAY IF YOU PROVED THIS 

2518
01:53:35,291 --> 01:53:38,194
EXPOSURE YOU ARE GOING TO SEE 

2519
01:53:38,194 --> 01:53:39,496
THESE OUTCOMES?

2520
01:53:39,496 --> 01:53:41,831
I DON'T THINK WE HAVE THOSE 

2521
01:53:41,831 --> 01:53:42,065
ANSWERS.

2522
01:53:42,065 --> 01:53:52,542
IT'S AN IMPORTANT QUESTION.

2523
01:53:53,843 --> 01:53:55,078
>> NEW FOR THAT.

2524
01:53:55,078 --> 01:53:57,814
>> THE SAME THEME AS
YESTERDAY 

2525
01:53:57,814 --> 01:54:00,617
OF BEHAVIOR AND CHANGE AT THE 

2526
01:54:00,617 --> 01:54:02,952
INDIVIDUAL LEVEL VERSUS WHAT 

2527
01:54:02,952 --> 01:54:05,021
WE'RE SEEING MORE 

2528
01:54:05,021 --> 01:54:05,622
ENVIRONMENTALLY IS SOMETHING 

2529
01:54:05,622 --> 01:54:09,592
THAT WE REALLY NEED TO UNDER 

2530
01:54:09,592 --> 01:54:10,627
SCORE ACROSS ALL OF OUR 

2531
01:54:10,627 --> 01:54:15,331
CHAPTERS.

2532
01:54:15,331 --> 01:54:17,233
WE DON'T KNOW HOW TO CHANGE 

2533
01:54:17,233 --> 01:54:18,601
BEHAVIOR OR THE TOOLS WE HAVE 

2534
01:54:18,601 --> 01:54:22,472
WE'RE NOT CERTAIN ON ACROSS LIFE

2535
01:54:22,472 --> 01:54:24,607
STAGES AND THEIR DURABILITY.

2536
01:54:24,607 --> 01:54:29,379
AND IN ADDITION TO SODIUM, 

2537
01:54:29,379 --> 01:54:31,347
SATURATED FATS COME AS AN 

2538
01:54:31,347 --> 01:54:33,483
INGREDIENT FOR A LOT OF THE FOOD

2539
01:54:33,483 --> 01:54:35,819
SOURCES AND TEAMS IN PARTICULAR.

2540
01:54:35,819 --> 01:54:38,021
IT ISN'T THAT KIDS ARE CHOOSING 

2541
01:54:38,021 --> 01:54:39,522
STEAK BUT IT'S IN ALL THE 

2542
01:54:39,522 --> 01:54:42,592
PROCESSED FOODS AS SATURATED FAT

2543
01:54:42,592 --> 01:54:47,330
FROM DAIRY AND BUTTER AND LIKE 

2544
01:54:47,330 --> 01:54:48,531
MIXED DISHES.

2545
01:54:48,531 --> 01:54:51,000
SO IN THE ABSENCE OF REALLY 

2546
01:54:51,000 --> 01:54:56,105
SOLID BEHAVIOR CHANGE 

2547
01:54:56,105 --> 01:54:58,608
APPROACHES, WHICH IT'S GREAT 

2548
01:54:58,608 --> 01:55:03,313
WE'RE GETTING DIRECTION FOR KIDS

2549
01:55:03,313 --> 01:55:05,014
ACROSS ALL OF THIS IT'S STILL 

2550
01:55:05,014 --> 01:55:06,216
COMING BACK TO THE INGREDIENTS 

2551
01:55:06,216 --> 01:55:08,685
AND FOODS THEMSELVES AS A KEY 

2552
01:55:08,685 --> 01:55:10,553
PLAYER BUT ALSO SORT OF THE WAY 

2553
01:55:10,553 --> 01:55:14,591
TO MAKE IT MAKE THE BIGGEST, 

2554
01:55:14,591 --> 01:55:15,825
BROADEST CHANGES.

2555
01:55:15,825 --> 01:55:17,994
>> YEAH, AND TO FOLLOW UP
ON 

2556
01:55:17,994 --> 01:55:20,730
THAT, DIDI, I KNOW THE FOOD 

2557
01:55:20,730 --> 01:55:23,333
SUPPLY WENT FROM TRANS FATS TO 

2558
01:55:23,333 --> 01:55:28,004
SATURATED FATS IN MANY AREAS AND

2559
01:55:28,004 --> 01:55:29,339
SO THE CHANGE IN THE FOOD SUPPLY

2560
01:55:29,339 --> 01:55:39,649
EFFECTS ALL OF US.

2561
01:55:41,084 --> 01:55:43,620
WE NEED A COHESIVE ENVIRONMENTAL

2562
01:55:43,620 --> 01:55:46,256
CHANGE AND AFTER THE SCHOOL DAY 

2563
01:55:46,256 --> 01:55:47,991
IF IT'S NOT A COMMUNITY WIDE 

2564
01:55:47,991 --> 01:55:52,128
POLICY THEY'LL JUST GO ACROSS 

2565
01:55:52,128 --> 01:55:55,265
THE STREET AND BUY SODAS THERE.

2566
01:55:55,265 --> 01:55:56,933
WHATEVER WE WANT TO DO IT'S 

2567
01:55:56,933 --> 01:56:00,637
IMPORTANT THAT IT BE INTEGRATED 

2568
01:56:00,637 --> 01:56:01,271
AND CONSISTENT FOR THE BEHAVIOR 

2569
01:56:01,271 --> 01:56:11,414
CHANGE.

2570
01:56:18,554 --> 01:56:22,592
WE COULD DO IT JURISDICTION BY 

2571
01:56:22,592 --> 01:56:23,393
JURISDICTION BUT THE PLAYING 

2572
01:56:23,393 --> 01:56:24,961
FIELD WHEN LEVELED ALLOWS FOR 

2573
01:56:24,961 --> 01:56:25,728
GREATER IMPACT AND WE THINK 

2574
01:56:25,728 --> 01:56:34,003
ABOUT THIS FACT IF YOU START AN 

2575
01:56:34,003 --> 01:56:39,442
INITIATIVE IN ONE JURISDICTION 

2576
01:56:39,442 --> 01:56:44,347
AND NEW YORK CITY'S UNSATURATED 

2577
01:56:44,347 --> 01:56:47,350
FAT MOVEMENT HAD A DIFFERENCE 

2578
01:56:47,350 --> 01:56:49,819
FOR THE AREA AND THE REST OF THE

2579
01:56:49,819 --> 01:56:53,356
WORLD AND WHEN THE REDUCTION 

2580
01:56:53,356 --> 01:56:55,725
AROUND SODIUM IN THE EARLY 2010s

2581
01:56:55,725 --> 01:57:00,630
THAT STARTED TO TRICKLE OVER AND

2582
01:57:00,630 --> 01:57:03,666
BASED ON WHAT HAPPENED IN THE 

2583
01:57:03,666 --> 01:57:05,335
U.K. BECAUSE A LOT OF 

2584
01:57:05,335 --> 01:57:06,602
CORPORATIONS DON'T JUST MAKE 

2585
01:57:06,602 --> 01:57:12,709
FOOD FOR TEXAS, CALIFORNIA, NEW 

2586
01:57:12,709 --> 01:57:14,210
YORK BUT THE NATION AND HOPE 

2587
01:57:14,210 --> 01:57:15,411
WE'LL REMEMBER AS WE THINK 

2588
01:57:15,411 --> 01:57:21,451
THROUGH HOW TO LAY OUT 

2589
01:57:21,451 --> 01:57:23,720
RECOMMENDATIONS THAT INDUSTRIES 

2590
01:57:23,720 --> 01:57:26,589
TEND TO BE BIGGER THAN ANY ONE 

2591
01:57:26,589 --> 01:57:36,733
LOCALE.

2592
01:57:42,672 --> 01:57:45,308
ONE POINT THAT MAY NEED FOR 

2593
01:57:45,308 --> 01:57:49,145
CLARIFIED AND THIS IS A QUESTION

2594
01:57:49,145 --> 01:57:52,348
AIMED AT Y'ALL BUT YOU MAY WANT 

2595
01:57:52,348 --> 01:57:58,588
TO REITERATE THESE WERE 

2596
01:57:58,588 --> 01:58:09,132
COMPARISONS OF CVD AND LOOKING 

2597
01:58:11,701 --> 01:58:15,538
AT NO THE JUST DAIRY BUT THE 

2598
01:58:15,538 --> 01:58:17,340
REPLACEMENT.

2599
01:58:17,340 --> 01:58:18,608
>> WE'VE JUST THIS BEFORE.

2600
01:58:18,608 --> 01:58:20,777
AND I THINK WHAT YOU'RE SAYING 

2601
01:58:20,777 --> 01:58:25,815
IS WHERE WE HAVE LIMITED OR NO 

2602
01:58:25,815 --> 01:58:28,418
CONCLUSION AROUND CERTAIN FOOD 

2603
01:58:28,418 --> 01:58:30,386
COMPARISONS IT'S NOT SAYING WE 

2604
01:58:30,386 --> 01:58:32,355
HAVE LIMITED EVIDENCE FOR THE 

2605
01:58:32,355 --> 01:58:33,156
FOODS THEMSELVES.

2606
01:58:33,156 --> 01:58:38,594
IT'S THE SPECIFIC PAIR WISE 

2607
01:58:38,594 --> 01:58:48,771
CONTRASTS.

2608
01:58:53,409 --> 01:58:55,011
THE HEAD-TO-HEAD COMPARISON 

2609
01:58:55,011 --> 01:58:58,581
ITSELF OF PLANT VERSUS DAIRY OR 

2610
01:58:58,581 --> 01:59:01,150
WHATEVER IT MIGHT BE IS WHERE 

2611
01:59:01,150 --> 01:59:01,551
WE'RE THIN.

2612
01:59:01,551 --> 01:59:04,620
THANK YOU FOR REMINDING US TO 

2613
01:59:04,620 --> 01:59:05,088
EMPHASIZE THAT.

2614
01:59:05,088 --> 01:59:08,357
DOES THAT RING A BELL?

2615
01:59:08,357 --> 01:59:10,560
>> ABSOLUTELY, YEAH.

2616
01:59:10,560 --> 01:59:14,097
ALL THOSE WHERE SOMETHING WASN'T

2617
01:59:14,097 --> 01:59:15,331
GRADE ASSIGNABLE AND THE 

2618
01:59:15,331 --> 01:59:16,499
SUBSTITUTION AND COMPARISON NOT 

2619
01:59:16,499 --> 01:59:18,701
THE RED MEAT OR DAIRY OR THE 

2620
01:59:18,701 --> 01:59:28,945
TROPICAL OIL.

2621
01:59:57,440 --> 01:59:59,408
>> TO SAY A PAIR WISE
COMPARISON

2622
01:59:59,408 --> 02:00:01,043
IS HELPFUL OR COMPARISON 

2623
02:00:01,043 --> 02:00:02,078
THINKING VERSUS THE ACTION WAS 

2624
02:00:02,078 --> 02:00:07,850
HELPFUL.

2625
02:00:07,850 --> 02:00:08,851
>> THANKS.

2626
02:00:08,851 --> 02:00:09,051
DIDI.

2627
02:00:09,051 --> 02:00:12,421
>> CAN I KEEP GOING ON THE
SAME 

2628
02:00:12,421 --> 02:00:12,722
POINT?

2629
02:00:12,722 --> 02:00:14,590
>> SURE.

2630
02:00:14,590 --> 02:00:24,901
>> THANKS, ANGELA.

2631
02:00:32,642 --> 02:00:34,577
THE MONOUNSATURATED AND POLY 

2632
02:00:34,577 --> 02:00:36,612
SATURATED BEING CALLED OUT IN 

2633
02:00:36,612 --> 02:00:38,314
THE GUIDELINES WHAT TO BE 

2634
02:00:38,314 --> 02:00:41,350
REPLACED WITH LOOKING AT THE 

2635
02:00:41,350 --> 02:00:44,086
FOOD LEVEL AND WHAT IS 

2636
02:00:44,086 --> 02:00:47,356
INTERESTING IS SOME LANGUAGE 

2637
02:00:47,356 --> 02:00:50,593
THAT HAVE NOT LOOKED AT FOODS 

2638
02:00:50,593 --> 02:00:53,029
SPECIFICALLY HAD RECOMMENDATIONS

2639
02:00:53,029 --> 02:00:57,867
FOR SUBSTITUTIONS FOR LEANER 

2640
02:00:57,867 --> 02:00:58,901
VERSIONS OF MEAT OR PROCESSED 

2641
02:00:58,901 --> 02:01:02,572
MEAT AND WE SEE THE MEAT TO MEAT

2642
02:01:02,572 --> 02:01:03,506
SUBSTITUTIONS WITH THE PRODUCTS 

2643
02:01:03,506 --> 02:01:06,576
YOU DON'T GAIN THE BENEFIT.

2644
02:01:06,576 --> 02:01:08,411
IT'S POSSIBLE LIKE YOU'RE NOT 

2645
02:01:08,411 --> 02:01:09,712
REDUCING THE SATURATED FAT BY 

2646
02:01:09,712 --> 02:01:12,715
THAT MUCH IF YOU GO TO A LEANER 

2647
02:01:12,715 --> 02:01:13,883
VERSION BUT YOU'RE ALSO NOT 

2648
02:01:13,883 --> 02:01:15,651
GAINING THE BENEFIT OF SOMETHING

2649
02:01:15,651 --> 02:01:18,588
LIKE A PLANT-BASED OPTION OR 

2650
02:01:18,588 --> 02:01:19,222
WHOLE GRAINS IN THE SUBSTITUTION

2651
02:01:19,222 --> 02:01:20,823
EITHER.

2652
02:01:20,823 --> 02:01:23,993
SO THINKING ABOUT WHAT ADVICE WE

2653
02:01:23,993 --> 02:01:26,462
MIGHT PUT FORWARD WOULD BE CAN 

2654
02:01:26,462 --> 02:01:29,031
WE CLARIFY THE SUBSTITUTION 

2655
02:01:29,031 --> 02:01:34,604
WHICH RIGHT NOW IS POLY AND M

2656
02:01:34,604 --> 02:01:36,005
MONOUNSATURATED OR LEAN VERSIONS

2657
02:01:36,005 --> 02:01:36,939
OF AND MAKE IT MORE CONSISTENT 

2658
02:01:36,939 --> 02:01:39,575
WITH WHAT WE'RE DOING AND CALL 

2659
02:01:39,575 --> 02:01:42,445
OUT ACTUAL FOOD GROUPS AND SUB 

2660
02:01:42,445 --> 02:01:44,480
GROUP INCLUDING THOSE THAT ARE 

2661
02:01:44,480 --> 02:01:47,116
LIKE THE PLANT SOURCES OF THESE 

2662
02:01:47,116 --> 02:01:48,851
INSTEAD OF JUST LIKE A LEANER 

2663
02:01:48,851 --> 02:01:51,621
CUT OR LEANER VERSION OF MEAT OR

2664
02:01:51,621 --> 02:01:52,622
WHERE WE SAW NO DIFFERENCE IN 

2665
02:01:52,622 --> 02:01:58,561
CARDIOVASCULAR RISK THERE.

2666
02:01:58,561 --> 02:02:04,000
>> GREAT, THANKS, DIDI.

2667
02:02:04,000 --> 02:02:04,500
HEATHER.

2668
02:02:04,500 --> 02:02:06,602
>> I LIKE THE IDEA OF
BEING 

2669
02:02:06,602 --> 02:02:10,606
CAREFUL WITH THE WORD CHOICES 

2670
02:02:10,606 --> 02:02:12,008
ANGELA WAS RAISING BECAUSE I 

2671
02:02:12,008 --> 02:02:15,745
ALSO DO FIND IT CONFUSING WITH 

2672
02:02:15,745 --> 02:02:17,380
THE USE OF THAT TERM 

2673
02:02:17,380 --> 02:02:17,713
SUBSTITUTION.

2674
02:02:17,713 --> 02:02:21,717
LIKE IT MAKES ME THINK SO MUCH 

2675
02:02:21,717 --> 02:02:24,687
OF MODELLING AND DOING SOME 

2676
02:02:24,687 --> 02:02:31,027
DIRECT SWAPPING IN A MODELLING 

2677
02:02:31,027 --> 02:02:38,034
EXERCISE AND IT'S MORE CAREFUL 

2678
02:02:38,034 --> 02:02:40,670
HOW TO GET THE IDEA ACROSS THAT 

2679
02:02:40,670 --> 02:02:43,673
SEEMS MORE TRUE TO SAY THESE ARE

2680
02:02:43,673 --> 02:02:49,412
FOODS PART OF A PATTERN OR 

2681
02:02:49,412 --> 02:02:50,980
SOMETHING THAT ARE BEING 

2682
02:02:50,980 --> 02:02:53,382
COMPARED IN TWO GROUPS OVER TIME

2683
02:02:53,382 --> 02:02:57,787
THAN TO JUST SAY SUBSTITUTION.

2684
02:02:57,787 --> 02:02:59,355
SO I DON'T KNOW.

2685
02:02:59,355 --> 02:03:04,593
I WONDER IF THAT CAN -- I DON'T 

2686
02:03:04,593 --> 02:03:05,795
KNOW HOW THE ULTIMATE STATEMENT 

2687
02:03:05,795 --> 02:03:07,763
WILL BE MADE BUT I FEEL IT'S 

2688
02:03:07,763 --> 02:03:10,366
PROBABLY IMPORTANT TO REALLY GET

2689
02:03:10,366 --> 02:03:13,102
THE MEANING ACROSS OF THE 

2690
02:03:13,102 --> 02:03:19,041
EVIDENCE THAT WAS REVIEWED.

2691
02:03:19,041 --> 02:03:20,943
>> THANKS, HEATHER.

2692
02:03:20,943 --> 02:03:21,243
CHRISTOPHER.

2693
02:03:21,243 --> 02:03:23,946
>> LET ME BUILD ON THE
NUANCE OF

2694
02:03:23,946 --> 02:03:24,447
ALL THIS.

2695
02:03:24,447 --> 02:03:27,717
SO IN OUR WORLD OF FOOD SCIENCE,

2696
02:03:27,717 --> 02:03:29,385
THE MORE RIGOROUS STUDIES ARE 

2697
02:03:29,385 --> 02:03:31,687
THE EASIER ONES TO MAKE CLEAN.

2698
02:03:31,687 --> 02:03:35,458
SO IF IT'S JUST A SWAP OF 

2699
02:03:35,458 --> 02:03:38,761
SATURATED FAT FOR POLY 

2700
02:03:38,761 --> 02:03:40,763
UNSATURATED FAT IT'S CLEAN YOU 

2701
02:03:40,763 --> 02:03:42,231
DON'T HAVE TO CHANGE CARBS OR 

2702
02:03:42,231 --> 02:03:43,432
CALORIES OR ANYTHING ELSE.

2703
02:03:43,432 --> 02:03:45,768
WHAT WE'RE SEEING IS FOUR-FIFTHS

2704
02:03:45,768 --> 02:03:50,005
OF THE COUNTRY ISN'T MEETING THE

2705
02:03:50,005 --> 02:03:51,507
SATURATED FAT GUIDELINE SO HOW 

2706
02:03:51,507 --> 02:03:53,709
CAN YOU GET A BIGGER SHIFT AND 

2707
02:03:53,709 --> 02:03:55,611
HEALTH BENEFIT IF YOU'RE 

2708
02:03:55,611 --> 02:03:57,613
RESTRICTING YOURSELF TO 

2709
02:03:57,613 --> 02:04:01,317
SOMETHING WHERE IT COULD BE 

2710
02:04:01,317 --> 02:04:03,819
RIGOROUSLY COMPARED CAUGHT 

2711
02:04:03,819 --> 02:04:05,354
COMPARING OTHER VARIABLES YOU'RE

2712
02:04:05,354 --> 02:04:08,224
SELLING YOURSELF SHORT.

2713
02:04:08,224 --> 02:04:09,091
WHAT IF YOU'RE HAD SOMETHING 

2714
02:04:09,091 --> 02:04:10,593
WITH FEWER CALORIES AND 

2715
02:04:10,593 --> 02:04:13,696
SOMETHING ELSE AND FIBER.

2716
02:04:13,696 --> 02:04:17,400
IF YOU WANT TO SEE A HEALTH 

2717
02:04:17,400 --> 02:04:19,335
BENEFIT HAS BEEN PATTERNS AND 

2718
02:04:19,335 --> 02:04:20,736
OUR TALK HAS BEEN ON PATTERNS 

2719
02:04:20,736 --> 02:04:23,639
AND THIS IS A PORTION OF THE 

2720
02:04:23,639 --> 02:04:30,579
PATTERN THAT FULLY SUPPORTS THE 

2721
02:04:30,579 --> 02:04:32,181
HEALTHY PATTERN AND LESS SUGAR 

2722
02:04:32,181 --> 02:04:32,815
SWEETENED BEVERAGES AND MORE 

2723
02:04:32,815 --> 02:04:35,184
WHOLE FOODS, IT TIES IN.

2724
02:04:35,184 --> 02:04:40,022
WHEN YOU PUT IT TOGETHER IT'S 

2725
02:04:40,022 --> 02:04:43,392
THE BEAUTY OF THE PATTERNS AND 

2726
02:04:43,392 --> 02:04:44,927
IT'S BEEN IMPORTANT TO MOVE PAST

2727
02:04:44,927 --> 02:04:50,166
THE SWAP OF ONE TYPE OF FAT FOR 

2728
02:04:50,166 --> 02:04:51,867
ANOTHER TYPE OF FAT WITHOUT 

2729
02:04:51,867 --> 02:04:56,939
APPRECIATING THE LARGER CONTEXT 

2730
02:04:56,939 --> 02:05:01,477
OF FOOD CHOICES TO MAKE A 

2731
02:05:01,477 --> 02:05:02,111
MEANINGFUL DIFFERENCE AND OH, 

2732
02:05:02,111 --> 02:05:05,214
CHOOSE LEANER OR THE LOWER FAT 

2733
02:05:05,214 --> 02:05:08,017
VERSION ISN'T GOING TO GET US 

2734
02:05:08,017 --> 02:05:09,752
THERE IS WHAT I SUGGEST WE'RE 

2735
02:05:09,752 --> 02:05:10,586
SEEING FROM THE EVIDENCE BASE WE

2736
02:05:10,586 --> 02:05:15,391
REVIEWED.

2737
02:05:15,391 --> 02:05:18,394
>> THANKS, CHRISTOPHER.

2738
02:05:18,394 --> 02:05:21,530
DIDI DID YOU WANT TO FOLLOW UP 

2739
02:05:21,530 --> 02:05:22,598
WITH ANYTHING?

2740
02:05:22,598 --> 02:05:25,601
>> I APPRECIATE THE
FEEDBACK ON 

2741
02:05:25,601 --> 02:05:26,469
TERMINOLOGY.

2742
02:05:26,469 --> 02:05:29,038
AND IT'S THE SAME WITH PARALLEL 

2743
02:05:29,038 --> 02:05:29,738
RCTs AS WELL.

2744
02:05:29,738 --> 02:05:32,641
IT'S NOT NECESSARILY UNIQUE OR 

2745
02:05:32,641 --> 02:05:35,377
ANYTHING WHERE YOU DON'T HAVE A 

2746
02:05:35,377 --> 02:05:36,579
CROSSOVER DESIGN AND COMPARING 

2747
02:05:36,579 --> 02:05:37,313
TO INDEPENDENT GROUPS.

2748
02:05:37,313 --> 02:05:47,356
WE IN CA -- CAN THINK OF A KWON 

2749
02:05:47,356 --> 02:05:50,593
CONTRAST OR COMPARISON AND LOOK 

2750
02:05:50,593 --> 02:05:58,601
AT WHAT IS HAPPENING 

2751
02:05:58,601 --> 02:06:02,338
ANALYTICALLY.

2752
02:06:02,338 --> 02:06:03,839
YOU MADE ALL THE POINTS.

2753
02:06:03,839 --> 02:06:09,245
>> THANKS FOE -- TO BOTH
OF YOU.

2754
02:06:09,245 --> 02:06:11,814
ANY OTHER QUESTION OR COMMENTS?

2755
02:06:11,814 --> 02:06:12,114
ALL RIGHT.

2756
02:06:12,114 --> 02:06:14,884
I'D LIKE TO THANK Y'ALL AGAIN 

2757
02:06:14,884 --> 02:06:20,589
FOR A GREAT PRESENTATION AND 

2758
02:06:20,589 --> 02:06:22,525
CLARIFYING THAT SINCE IT WAS A 

2759
02:06:22,525 --> 02:06:24,360
NEW AREA FOR THE DIETARY 

2760
02:06:24,360 --> 02:06:25,160
GUIDELINE ADVISORY COMMITTEE.

2761
02:06:25,160 --> 02:06:27,596
WITH THAT I'LL HAND IT OVER TO 

2762
02:06:27,596 --> 02:06:29,365
SARAH.

2763
02:06:29,365 --> 02:06:32,935
>> DEANNA THANK YOU SO
VERY MUCH

2764
02:06:32,935 --> 02:06:36,071
FOR YOUR LEADERSHIP.

2765
02:06:36,071 --> 02:06:36,739
WE HEARD MULTIPLE PRESENTATIONS 

2766
02:06:36,739 --> 02:06:38,574
FROM THE WORKING GROUP AND 

2767
02:06:38,574 --> 02:06:41,043
YOU'VE DONE AN AMAZING JOB OF 

2768
02:06:41,043 --> 02:06:44,179
LEADING AND THANK YOU SO MUCH TO

2769
02:06:44,179 --> 02:06:46,715
ALL THE STAFF WITHOUT WHOM ALL 

2770
02:06:46,715 --> 02:06:48,884
THE GREAT COMPARISONS WOULD NOT 

2771
02:06:48,884 --> 02:06:49,251
HAVE BEEN MADE.

2772
02:06:49,251 --> 02:06:54,390
SO THANK YOU.

2773
02:06:54,390 --> 02:06:56,258
SO, WE'RE KIND OF AHEAD OF TIME.

2774
02:06:56,258 --> 02:07:00,296
WHAT I'M GOING TO SAY IS WE'RE 

2775
02:07:00,296 --> 02:07:04,934
GOING TO BREAK NOW TO 1:45 AND 

2776
02:07:04,934 --> 02:07:07,536
COMMITTEE MEMBERS, JUST TURN 

2777
02:07:07,536 --> 02:07:09,004
YOUR CAMERAS AND MICROPHONES OFF

2778
02:07:09,004 --> 02:07:10,573
AND TO THE PEOPLE IN THE 

2779
02:07:10,573 --> 02:07:13,542
AUDIENCE WE'LL BE BACK AT 1:45 

2780
02:07:13,542 --> 02:07:14,410
EASTERN TIME.

2781
02:07:14,410 --> 02:07:16,679
THANK YOU VERY MUCH AND EVERYONE

2782
02:07:16,679 --> 02:08:02,307
REHYDRATE.

2783
02:08:02,307 --> 02:08:14,605
WORKING GROUP AND THE RESULTS.

2784
02:08:14,605 --> 02:08:16,507
>> THIS IS A FUN COMMITTEE
TO 

2785
02:08:16,507 --> 02:08:17,441
WORK WITH.

2786
02:08:17,441 --> 02:08:18,542
THE FIRST PART OF OUR 

2787
02:08:18,542 --> 02:08:19,944
PRESENTATION WILL BE ON THE 

2788
02:08:19,944 --> 02:08:26,016
FREQUENCY OF MEALS AND/OR 

2789
02:08:26,016 --> 02:08:33,657
SNACKING AND DR. GIOVANUCCI WILL

2790
02:08:33,657 --> 02:08:33,891
PRESENT.

2791
02:08:33,891 --> 02:08:37,828
>> IT'S BEEN A PLEASURE
WORKING 

2792
02:08:37,828 --> 02:08:39,730
WITH THE SUBCOMMITTEE AND STAFF 

2793
02:08:39,730 --> 02:08:41,565
HAVE BEEN GREAT.

2794
02:08:41,565 --> 02:08:44,201
I'LL BEGIN THE PRESENTATION AND 

2795
02:08:44,201 --> 02:08:45,235
KRISTINA WILL TAKE OVER.

2796
02:08:45,235 --> 02:08:50,541
I'LL SUMMARIZE THE DRAFT REPORT.

2797
02:08:50,541 --> 02:08:53,277
SO EATING OCCASIONS INCLUDE 

2798
02:08:53,277 --> 02:08:54,712
MEALS AND SNACKS THOUGH NO 

2799
02:08:54,712 --> 02:08:58,349
CONSENSUS EXISTS ON THE 

2800
02:08:58,349 --> 02:09:00,818
DEFINITIONS OF EATING OCCASIONS.

2801
02:09:00,818 --> 02:09:02,686
DIETS IN MANY CONTEXTS INCLUDING

2802
02:09:02,686 --> 02:09:05,289
IN THE U.S. ARE ORGANIZED AROUND

2803
02:09:05,289 --> 02:09:07,758
DAILY MEALS, TYPICALLY 

2804
02:09:07,758 --> 02:09:15,599
BREAKFAST, LUNCH AND DINNER AND 

2805
02:09:15,599 --> 02:09:17,634
MEALS INCLUDE SET MEALS AT 

2806
02:09:17,634 --> 02:09:20,037
SPECIFIC TIMES AT THE DAY AND 

2807
02:09:20,037 --> 02:09:23,574
SNACKS ARE SMALLER AMOUNTS OF 

2808
02:09:23,574 --> 02:09:29,546
FOODS OUTSIDE TYPICAL MEAL TIMES

2809
02:09:29,546 --> 02:09:32,049
AND THOUGH THEY'RE IN TERMS OF 

2810
02:09:32,049 --> 02:09:32,850
PREFERENCES AND TYPES AND 

2811
02:09:32,850 --> 02:09:34,952
AMOUNTS OF FOODS INGESTED DURING

2812
02:09:34,952 --> 02:09:38,689
THE MEALS, FREQUENCY OF EATING, 

2813
02:09:38,689 --> 02:09:40,557
TIMING AND SIZE OF EATING 

2814
02:09:40,557 --> 02:09:43,260
OCCASIONS CAN ALSO BE CONSIDERED

2815
02:09:43,260 --> 02:09:46,830
AND EATING BEHAVIOR WHICH COULD 

2816
02:09:46,830 --> 02:09:50,701
AFFECT HEALTH STATUS.

2817
02:09:50,701 --> 02:09:54,705
THIS FOR EXAMPLE, COMMON DIETARY

2818
02:09:54,705 --> 02:09:57,074
PRACTICES SUCH AS BREAKFAST 

2819
02:09:57,074 --> 02:10:02,713
SKIPPING AND AFTER DINNER MEALS 

2820
02:10:02,713 --> 02:10:05,582
OR SNACKING MAY HAVE RISK OF 

2821
02:10:05,582 --> 02:10:09,653
OBESITY REPRESENTING PATTERNS OF

2822
02:10:09,653 --> 02:10:10,287
TIME-RESTRICTED EATING.

2823
02:10:10,287 --> 02:10:11,588
FREQUENCY OF MEALS AND/OR 

2824
02:10:11,588 --> 02:10:14,958
SNACKING HAS BEEN A TOPIC OF 

2825
02:10:14,958 --> 02:10:16,293
INTEREST FOR MULTIPLE ITERATIONS

2826
02:10:16,293 --> 02:10:20,164
OF THE DIETARY GUIDELINES FOR 

2827
02:10:20,164 --> 02:10:20,597
AMERICANS.

2828
02:10:20,597 --> 02:10:25,436
THE 2010 AND 2020 COMMITTEES 

2829
02:10:25,436 --> 02:10:26,236
COMPLETED SYSTEMATIC REVIEWS ON 

2830
02:10:26,236 --> 02:10:32,009
RELATED TOPICS.

2831
02:10:32,009 --> 02:10:35,412
HOWEVER, THE 2025 COMMITTEES 

2832
02:10:35,412 --> 02:10:37,214
FOCUS ON IDENTIFYING STRATEGIES 

2833
02:10:37,214 --> 02:10:38,482
FOR INDIVIDUALS AND FAMILIES 

2834
02:10:38,482 --> 02:10:41,585
RELATED TO DIET, QUALITIES AND 

2835
02:10:41,585 --> 02:10:42,453
WEIGHT MANAGEMENT LED TO 

2836
02:10:42,453 --> 02:10:44,922
APPROACH THE QUESTIONS PRESENTED

2837
02:10:44,922 --> 02:10:47,591
IN THIS CHAPTER AS NEW 

2838
02:10:47,591 --> 02:10:50,461
SYSTEMATIC REVIEWS.

2839
02:10:50,461 --> 02:10:52,963
THE COMMITTEE CONDUCTED 

2840
02:10:52,963 --> 02:10:54,031
SYSTEMATIC REVIEWS ACROSS LIFE 

2841
02:10:54,031 --> 02:10:57,101
STAGES FROM YOUNG CHILDREN TO 

2842
02:10:57,101 --> 02:10:59,336
OLDER ADULTS INCLUDING WOMEN 

2843
02:10:59,336 --> 02:11:02,706
DURING PREGNANCY AND POST PARTUM

2844
02:11:02,706 --> 02:11:04,374
PERIODS.

2845
02:11:04,374 --> 02:11:08,579
SO THE COMMITTEE'S WORK 

2846
02:11:08,579 --> 02:11:10,047
EVALUATED SCIENTIFIC LITERATURE 

2847
02:11:10,047 --> 02:11:12,616
ON EATING OCCASION-BASED 

2848
02:11:12,616 --> 02:11:16,053
MEASURES SUCH AS MEALS, SUCH AS 

2849
02:11:16,053 --> 02:11:17,187
FOR EXAMPLE BREAKFAST, SNACKING 

2850
02:11:17,187 --> 02:11:19,323
AND NUMBER OF EATING OCCASIONS 

2851
02:11:19,323 --> 02:11:23,227
AS DEFINED BY THE STUDIES.

2852
02:11:23,227 --> 02:11:26,597
THE OUTCOMES WE FOCUSSED ON 

2853
02:11:26,597 --> 02:11:30,934
INCLUDED DIET QUALITY, ENERGY 

2854
02:11:30,934 --> 02:11:34,705
INTAKE AND GROWTH BODY 

2855
02:11:34,705 --> 02:11:39,810
COMPOSITION AND RISK OF OBESITY.

2856
02:11:39,810 --> 02:11:42,279
THIS IS DATA ANALYSIS ON 

2857
02:11:42,279 --> 02:11:45,149
FREQUENCY OF MEALS AND SNACKING.

2858
02:11:45,149 --> 02:11:48,852
BRIEFLY THE COMMITTEE ALSO USED 

2859
02:11:48,852 --> 02:11:51,421
DATA ANALYSIS FROM SOME RECENT 

2860
02:11:51,421 --> 02:11:52,122
SURVEYS.

2861
02:11:52,122 --> 02:11:55,626
THESE INCLUDE WHAT WE EAT IN 

2862
02:11:55,626 --> 02:12:02,299
AMERICA, WWEIA AND NHANES, THE 

2863
02:12:02,299 --> 02:12:09,907
NATIONAL HEALTH AND NUTRITION 

2864
02:12:09,907 --> 02:12:11,141
EXAMINATION DATA AND LOOKED AT 

2865
02:12:11,141 --> 02:12:11,909
POPULATION LEVEL EATING 

2866
02:12:11,909 --> 02:12:13,143
BEHAVIORS.

2867
02:12:13,143 --> 02:12:14,711
THESE ARE THINGS SUCH AS MEALS 

2868
02:12:14,711 --> 02:12:23,187
AND SNACKING.

2869
02:12:23,187 --> 02:12:25,189
THIS ALSO SERVED AS A SYSTEMATIC

2870
02:12:25,189 --> 02:12:27,858
REVIEW ON THE TOPIC.

2871
02:12:27,858 --> 02:12:28,992
THIS HAS SOME OF THE FIND 

2872
02:12:28,992 --> 02:12:29,259
BEINGS.

2873
02:12:29,259 --> 02:12:29,826
I'LL GO OVER SOME OF THESE 

2874
02:12:29,826 --> 02:12:36,700
BRIEFLY.

2875
02:12:36,700 --> 02:12:38,001
THERE WAS A LOT OF INTERESTING 

2876
02:12:38,001 --> 02:12:39,136
DESCRIPTIVE DATA IN THE 

2877
02:12:39,136 --> 02:12:41,438
SYNTHESIS.

2878
02:12:41,438 --> 02:12:43,974
SO FOR BREAKFAST -- NOW MOST 

2879
02:12:43,974 --> 02:12:45,943
CHILDREN CONSUME BREAKFAST AND 

2880
02:12:45,943 --> 02:12:51,215
IT'S 96% AMONG CHILDREN AGES 2-5

2881
02:12:51,215 --> 02:12:58,722
AND 88% AGES 6-11.

2882
02:12:58,722 --> 02:13:01,091
CONSUMPTION DURING THESE AGES 

2883
02:13:01,091 --> 02:13:02,693
ARE PRETTY HIGH.

2884
02:13:02,693 --> 02:13:06,697
BREAKFAST CONSUMPTION IS 

2885
02:13:06,697 --> 02:13:08,365
SIGNIFICANTLY LOWER AMONG 

2886
02:13:08,365 --> 02:13:09,733
YOUNGER CHILDREN AND ADOLESCENTS

2887
02:13:09,733 --> 02:13:10,701
ABOUT 72%.

2888
02:13:10,701 --> 02:13:14,705
THIS IS FOR THE AGE RANGE 12-19.

2889
02:13:14,705 --> 02:13:17,574
NOW, BREAKFAST CONSUMPTION IS 

2890
02:13:17,574 --> 02:13:20,143
SIGNIFICANTLY HIGHER AMONG 

2891
02:13:20,143 --> 02:13:26,683
ADULTS AGES 60 AND OLDER ABOUT 

2892
02:13:26,683 --> 02:13:32,990
93% THEN GOES DOWN AND AMONG 

2893
02:13:32,990 --> 02:13:39,529
YOUNGER ADULTS, IT'S 77%.

2894
02:13:39,529 --> 02:13:46,637
YOU CAN SEE ALMOST A U-SHAPED 

2895
02:13:46,637 --> 02:13:47,271
DISTRIBUTION WHERE CONSUMPTION 

2896
02:13:47,271 --> 02:13:53,076
IS HIGHER AND THEN GOES TO 70% 

2897
02:13:53,076 --> 02:13:56,179
RANGE IN ADOLESCENTS AND YOUNGER

2898
02:13:56,179 --> 02:13:56,647
ADULTS.

2899
02:13:56,647 --> 02:13:59,449
DIFFERENCES IN BREAKFAST 

2900
02:13:59,449 --> 02:14:02,019
CONSUMPTION ALSO EXIST AMONG 

2901
02:14:02,019 --> 02:14:04,187
DIFFERENT RACE AND/OR ETHNICITY 

2902
02:14:04,187 --> 02:14:05,589
GROUP AS WELL AS AMONG FAMILY 

2903
02:14:05,589 --> 02:14:10,694
INCOME LEVELS WITH INDIVIDUALS 

2904
02:14:10,694 --> 02:14:15,732
OF HIGHER REPORTING MORE 

2905
02:14:15,732 --> 02:14:16,533
FREQUENT BREAKFAST CONSUMPTION 

2906
02:14:16,533 --> 02:14:18,001
COMPARED TO LOWER INCOME.

2907
02:14:18,001 --> 02:14:21,338
IN TERMS OF SNACKING, IT'S 

2908
02:14:21,338 --> 02:14:22,506
HIGHLY PREVALENT IN THE UNITED 

2909
02:14:22,506 --> 02:14:27,144
STATES WITH 93% OF CHILDREN IN 

2910
02:14:27,144 --> 02:14:30,514
ADOLESCENTS AGES 2-19 AND 86% OF

2911
02:14:30,514 --> 02:14:33,150
ADULTS AGES 20 YEARS AND OLDER 

2912
02:14:33,150 --> 02:14:34,685
REPORTING ONE OR MORE SNACKS IN 

2913
02:14:34,685 --> 02:14:44,895
A GIVEN DAY.

2914
02:14:47,597 --> 02:14:50,667
AND AMONG THOSE 2-9 YEARS SNACKS

2915
02:14:50,667 --> 02:14:53,837
CONTRIBUTE TO 27% OF TOTAL 

2916
02:14:53,837 --> 02:14:57,841
ANOTHER AND 42% OF ADDED SUGARS,

2917
02:14:57,841 --> 02:15:01,345
26% OF SATURATED FAT AND 17% OF 

2918
02:15:01,345 --> 02:15:06,750
SODIUM THEY CONSUME IN A DAY.

2919
02:15:06,750 --> 02:15:09,686
AMONGST SNACK CONSUMERS, 20 

2920
02:15:09,686 --> 02:15:11,421
YEARS AND OLDER SNACKS 

2921
02:15:11,421 --> 02:15:14,691
CONTRIBUTE 23% TOTAL ENERGY, 43%

2922
02:15:14,691 --> 02:15:18,695
OF ADDED SUGARS, 21% OF THE 

2923
02:15:18,695 --> 02:15:22,733
DAILY SATURATED FAT AND 14% OF 

2924
02:15:22,733 --> 02:15:23,600
DAILY SODIUM.

2925
02:15:23,600 --> 02:15:27,237
AMONG ADULTS AGES 20 AND OLDER, 

2926
02:15:27,237 --> 02:15:32,142
THOSE WHO REPORT SNACKS CONSUMED

2927
02:15:32,142 --> 02:15:34,611
304 MORE KILO CALORIES A DAY 

2928
02:15:34,611 --> 02:15:37,814
COMPARED TO ADULTS THAT DON'T 

2929
02:15:37,814 --> 02:15:39,216
REPORT SNACKS AND SNACKS 

2930
02:15:39,216 --> 02:15:49,760
CONTRIBUTE AN AVERAGE OF 520  K 

2931
02:15:50,160 --> 02:15:56,666
CALS A DAY AND SNACKS AND 

2932
02:15:56,666 --> 02:15:57,434
SNACKING CONTRIBUTESES TO THE 

2933
02:15:57,434 --> 02:16:00,604
OVER ALL INTAKE OF ENERGY AND 

2934
02:16:00,604 --> 02:16:03,373
SATURATED FAT, ESPECIALLY ADDED 

2935
02:16:03,373 --> 02:16:08,245
SUGARS AND SODIUM AND VARIATIONS

2936
02:16:08,245 --> 02:16:16,019
AMONG DEMOGRAPHIC GROUPS.

2937
02:16:16,019 --> 02:16:17,821
THE OTHER CATEGORY IS LATE 

2938
02:16:17,821 --> 02:16:19,222
EVENING CONSUMERS.

2939
02:16:19,222 --> 02:16:22,225
AND CONSUMPTION IS FAIRLY HIGH 

2940
02:16:22,225 --> 02:16:24,895
WITH MORE THAN HALF OF 

2941
02:16:24,895 --> 02:16:25,162
REPORTING.

2942
02:16:25,162 --> 02:16:28,031
IT'S ACTUALLY SIGNIFICANTLY 

2943
02:16:28,031 --> 02:16:32,903
LOWER AMONG ADULTS AGES 60 AND 

2944
02:16:32,903 --> 02:16:34,704
OLDER, 57% STILL HIGH COMPARED 

2945
02:16:34,704 --> 02:16:38,408
TO YOUNGER ADULTS, 20 TO 59 

2946
02:16:38,408 --> 02:16:42,679
YEARS AT 66%.

2947
02:16:42,679 --> 02:16:46,216
NOW, AMONG ADULTS SO THIS ADULTS

2948
02:16:46,216 --> 02:16:48,819
20 YEARS AND OLDER WHO ARE LATE 

2949
02:16:48,819 --> 02:16:51,922
EVENING CONSUMERS, THE LATE 

2950
02:16:51,922 --> 02:16:56,359
EVENING CONSUMERS HAVE ABOUT 300

2951
02:16:56,359 --> 02:16:58,128
CALORIES HIGHER TOTAL ENERGY 

2952
02:16:58,128 --> 02:17:01,164
INTAKE COMPARED TO THE NON-LATE 

2953
02:17:01,164 --> 02:17:03,867
EVENING CONSUMERS.

2954
02:17:03,867 --> 02:17:06,403
AND AMONG THE LATE EVENING 

2955
02:17:06,403 --> 02:17:08,705
CONSUMERS, THE MOST COMMONLY 

2956
02:17:08,705 --> 02:17:10,974
REPORTED FOOD CATEGORIES 

2957
02:17:10,974 --> 02:17:13,910
CONSUMED DURING THE LATE EVENING

2958
02:17:13,910 --> 02:17:17,481
PERIODS ARE SNACKS AND SWEETS.

2959
02:17:17,481 --> 02:17:22,419
THE AVERAGE INTAKE FROM FRUITS 

2960
02:17:22,419 --> 02:17:24,955
AND VEGETABLES IS 550 CALORIES 

2961
02:17:24,955 --> 02:17:28,325
IN THE LATE EVENING ABOUT 25% OF

2962
02:17:28,325 --> 02:17:31,962
TOTAL ENERGY INTAKE AND LATE 

2963
02:17:31,962 --> 02:17:34,698
EVENING CONSUMPTION PROVIDES 26%

2964
02:17:34,698 --> 02:17:37,934
OF THE TOTAL DAILY INTAKE OF 

2965
02:17:37,934 --> 02:17:40,904
ADDED SUGARS, 26% SATURATED FAT 

2966
02:17:40,904 --> 02:17:51,281
AND 22% SODIUM INTAKE.

2967
02:18:01,992 --> 02:18:03,927
THEY LOOKED AT THE RELATIONSHIP 

2968
02:18:03,927 --> 02:18:06,329
BETWEEN FREQUENCY OF MEALS AND 

2969
02:18:06,329 --> 02:18:10,166
SNACKING AND A DIETARY PATTERN 

2970
02:18:10,166 --> 02:18:11,935
IN LINE WITH THE DIETARY 

2971
02:18:11,935 --> 02:18:13,270
GUIDELINES FOR AMERICANS AND 

2972
02:18:13,270 --> 02:18:14,404
WHAT IS THE RELATIONSHIP BETWEEN

2973
02:18:14,404 --> 02:18:17,641
FREQUENCY OF MEALS AND/OR 

2974
02:18:17,641 --> 02:18:22,679
SNACKING IN ENERGY INTAKE?

2975
02:18:22,679 --> 02:18:24,281
WHAT IS THE RELATIONSHIP BETWEEN

2976
02:18:24,281 --> 02:18:25,682
FREQUENCY OF MEALS AND SNACKING 

2977
02:18:25,682 --> 02:18:26,883
AND BODY COMPOSITION AND RISK OF

2978
02:18:26,883 --> 02:18:34,324
OBESITY.

2979
02:18:34,324 --> 02:18:37,928
GIVEN THE FOCUS ON SPECIFIC LIFE

2980
02:18:37,928 --> 02:18:39,362
STAGES AND EVIDENCE FOR CHILDREN

2981
02:18:39,362 --> 02:18:42,699
AND ADOLESCENTS AND ADULTS AND 

2982
02:18:42,699 --> 02:18:43,800
OLDER ADULTS.

2983
02:18:43,800 --> 02:18:46,703
EVIDENCE FOR INDIVIDUALS DURING 

2984
02:18:46,703 --> 02:18:49,272
PREGNANCY AND POSTPARTUM WAS 

2985
02:18:49,272 --> 02:18:49,873
SYNTHESIZED IF AVAILABLE FOR 

2986
02:18:49,873 --> 02:18:52,175
EACH OUTCOME.

2987
02:18:52,175 --> 02:18:56,646
IN ADDITION THE OUTCOMES OF 

2988
02:18:56,646 --> 02:18:57,447
GESTATIONAL WITH A BIT GAIN AND 

2989
02:18:57,447 --> 02:19:03,820
POSTPARTUM GAIN WERE INCLUDED IN

2990
02:19:03,820 --> 02:19:05,622
THE BODY COMPOSITION AND RISK OF

2991
02:19:05,622 --> 02:19:11,895
OBESITY.

2992
02:19:11,895 --> 02:19:13,863
SO THIS SLIDE GIVES A BIG 

2993
02:19:13,863 --> 02:19:18,468
PICTURE IN HOW THE COMMITTEE 

2994
02:19:18,468 --> 02:19:20,670
LOOKED AT THE TOPIC AND THE 

2995
02:19:20,670 --> 02:19:22,672
SLIDE PROVIDES A ROAD MAP FOR 

2996
02:19:22,672 --> 02:19:25,775
THE NEXT FEW SLIDES.

2997
02:19:25,775 --> 02:19:26,676
BRIEFLY WHEN SUFFICIENT EVIDENCE

2998
02:19:26,676 --> 02:19:29,613
WAS AVAILABLE, THE EVIDENCE WAS 

2999
02:19:29,613 --> 02:19:33,350
ALSO SYNTHESIZED BY THE EXPOSURE

3000
02:19:33,350 --> 02:19:35,585
CATEGORIES WHICH AGAIN ARE 

3001
02:19:35,585 --> 02:19:37,187
BREAKFAST CONSUMPTION OR 

3002
02:19:37,187 --> 02:19:40,090
SKIPPING, SNACKING, NUMBER MUCH 

3003
02:19:40,090 --> 02:19:40,724
EATING OCCASIONS AND FREQUENCY 

3004
02:19:40,724 --> 02:19:42,325
OF MEALS.

3005
02:19:42,325 --> 02:19:45,228
NOW, EVIDENCE WAS NOT AVAILABLE 

3006
02:19:45,228 --> 02:19:48,665
FOR ALL OUTCOMES AGE GROUPS OR 

3007
02:19:48,665 --> 02:19:50,000
EXPOSURE CATEGORIES THEREFORE 

3008
02:19:50,000 --> 02:19:50,800
CONCLUSION STATEMENTS WERE 

3009
02:19:50,800 --> 02:19:52,369
DEVELOPED ONLY WHEN THERE WAS 

3010
02:19:52,369 --> 02:20:02,879
SUFFICIENT EVIDENCE AVAILABLE.

3011
02:20:03,246 --> 02:20:06,850
FOR THIS OUTCOME AS WHOLE THERE 

3012
02:20:06,850 --> 02:20:10,453
WERE POPULATIONS WE WEREN'T ABLE

3013
02:20:10,453 --> 02:20:13,957
TO DRAW CONCLUSIONS ON.

3014
02:20:13,957 --> 02:20:18,695
FOR THE SYSTEMIC REVIEW 

3015
02:20:18,695 --> 02:20:21,398
RELATIONSHIP BETWEEN FREQUENCY 

3016
02:20:21,398 --> 02:20:23,633
OF MEALS AND/OR SNACKING AND 

3017
02:20:23,633 --> 02:20:25,802
CONSUMING A DIETARY PATTERN 

3018
02:20:25,802 --> 02:20:27,504
BETTER ALIGNED WITH THE DIETARY 

3019
02:20:27,504 --> 02:20:28,471
GUIDELINES, NO CONCLUSION 

3020
02:20:28,471 --> 02:20:29,406
STATEMENTS WERE DEVELOPED 

3021
02:20:29,406 --> 02:20:34,711
BECAUSE NOT ENOUGH EVIDENCE WAS 

3022
02:20:34,711 --> 02:20:45,255
AVAILABLE AND NO CONCLUSION FOR 

3023
02:20:46,256 --> 02:20:47,257
CHILDREN AND ADOLESCENTS DUE TO 

3024
02:20:47,257 --> 02:20:48,925
THE BODY OF EVIDENCE.

3025
02:20:48,925 --> 02:20:50,126
FOR THE RELATIONSHIP BETWEEN 

3026
02:20:50,126 --> 02:20:52,462
FREQUENCY OF MEALS AND SNACKING 

3027
02:20:52,462 --> 02:20:55,131
AND GROWTH, BODY COMPOSITION AND

3028
02:20:55,131 --> 02:20:56,700
RISK OF OBESITY, CONCLUSION 

3029
02:20:56,700 --> 02:20:58,401
STATEMENTS COULD NOT BE 

3030
02:20:58,401 --> 02:21:00,103
DEVELOPED FOR WOMEN DURING 

3031
02:21:00,103 --> 02:21:02,038
PREGNANCY OR POSTPARTUM BECAUSE 

3032
02:21:02,038 --> 02:21:04,474
THERE WAS NOT ENOUGH EVIDENCE.

3033
02:21:04,474 --> 02:21:08,278
AT THIS POINT AND CHRISTINA WILL

3034
02:21:08,278 --> 02:21:11,481
REPORT ON THE FINDINGS OF THE 

3035
02:21:11,481 --> 02:21:21,658
COMMITTEE.

3036
02:21:22,158 --> 02:21:24,294
>> WE HAVE PRESENTED THIS
BEFORE

3037
02:21:24,294 --> 02:21:26,629
BUT TO REMIND EVERYONE, IN 

3038
02:21:26,629 --> 02:21:28,164
RELATION TO BREAKFAST WE FOUND 

3039
02:21:28,164 --> 02:21:31,468
IN CHILDREN AND ADOLESCENTS 

3040
02:21:31,468 --> 02:21:37,440
REGULAR BREAKFAST CONSUMPTION 

3041
02:21:37,440 --> 02:21:44,414
MAY BE RELATED TO FAVORABLE BODY

3042
02:21:44,414 --> 02:21:45,515
COMPOSITION AND RISK AND LACK OF

3043
02:21:45,515 --> 02:21:45,749
OBESITY.

3044
02:21:45,749 --> 02:21:48,852
IN ADULTS AND OLDER ADULTS WE 

3045
02:21:48,852 --> 02:21:49,953
LOOKED MOSTLY AT BREAKFAST 

3046
02:21:49,953 --> 02:21:51,387
SKIPPING AS THAT IS WHAT THE 

3047
02:21:51,387 --> 02:21:56,092
EVIDENCE WAS SHOWING AND WE 

3048
02:21:56,092 --> 02:21:57,660
DIDN'T SEE ANY ASSOCIATION -- IT

3049
02:21:57,660 --> 02:21:59,362
WAS NOT ASSOCIATED WITH 

3050
02:21:59,362 --> 02:22:02,699
FAVORABLE BODY WEIGHT, 

3051
02:22:02,699 --> 02:22:03,933
COMPOSITION OR RISK OF OBESITY.

3052
02:22:03,933 --> 02:22:06,202
THEY COULD NOT DRAW A CONCLUSION

3053
02:22:06,202 --> 02:22:07,437
STATEMENT BETWEEN BREAKFAST AND 

3054
02:22:07,437 --> 02:22:10,707
ENERGY INTAKE BECAUSE THE 

3055
02:22:10,707 --> 02:22:16,312
EVIDENCE WAS NOT AVAILABLE.

3056
02:22:16,312 --> 02:22:19,349
REGARDING SNACKING, SO IN 

3057
02:22:19,349 --> 02:22:20,884
ADULTS, OVER ALL SNACKING MAY 

3058
02:22:20,884 --> 02:22:23,653
NOT BE ASSOCIATED WITH BODY 

3059
02:22:23,653 --> 02:22:26,289
COMPOSITION AND RISK OF OBESITY.

3060
02:22:26,289 --> 02:22:32,962
HOWEVER, WE DID SEE AND WHY HE 

3061
02:22:32,962 --> 02:22:35,398
PRESENTED SOME ANALYSIS THAT 

3062
02:22:35,398 --> 02:22:38,701
AFTER DINNER AND EVENING 

3063
02:22:38,701 --> 02:22:43,173
SNACKING MAY BE RELATED TO LESS 

3064
02:22:43,173 --> 02:22:44,140
FAVORABLE BODY COMPOSITION AND 

3065
02:22:44,140 --> 02:22:47,377
RISK OF OBESITY AND DIDN'T SEE A

3066
02:22:47,377 --> 02:22:49,879
RELATIONSHIP BETWEEN CHILDREN 

3067
02:22:49,879 --> 02:22:50,413
AND SNACKING AND BODY 

3068
02:22:50,413 --> 02:22:51,414
COMPOSITION AND RISK OF OBESITY 

3069
02:22:51,414 --> 02:22:52,115
AND DIDN'T HAVE ENOUGH EVIDENCE 

3070
02:22:52,115 --> 02:22:54,584
TO LOOK AT THAT FOR OLDER ADULTS

3071
02:22:54,584 --> 02:22:57,020
AND AS MENTIONED BY ED, WE 

3072
02:22:57,020 --> 02:22:58,755
COULDN'T SEE THE RELATIONSHIP 

3073
02:22:58,755 --> 02:23:03,359
WITH ENERGY INTAKE AS WELL.

3074
02:23:03,359 --> 02:23:05,228
IN RELATION TO THE NUMBER OF 

3075
02:23:05,228 --> 02:23:08,031
EATING OCCASIONS, IN CHILDREN WE

3076
02:23:08,031 --> 02:23:10,700
SAW A HIGHER NUMBER OF EATING 

3077
02:23:10,700 --> 02:23:13,036
OCCASIONS MAY BE ASSOCIATED WITH

3078
02:23:13,036 --> 02:23:14,504
FAVORABLE GROWTH BODY 

3079
02:23:14,504 --> 02:23:16,372
COMPOSITION AND LOWER RISK OF 

3080
02:23:16,372 --> 02:23:16,606
OBESITY.

3081
02:23:16,606 --> 02:23:18,675
WHILE THERE WAS NO ASSOCIATION 

3082
02:23:18,675 --> 02:23:21,878
IN ADULTS WITH THIS OUTCOMES, 

3083
02:23:21,878 --> 02:23:23,713
AND WE CANNOT DRAW ANY 

3084
02:23:23,713 --> 02:23:28,384
CONCLUSION STATEMENTS WITH OLDER

3085
02:23:28,384 --> 02:23:29,652
ADULTS AND IN RELATION TO THIS 

3086
02:23:29,652 --> 02:23:36,860
EXPOSURE AND ENERGY INTAKE.

3087
02:23:36,860 --> 02:23:40,196
SO LASTLY, UP RELATION TO MEAL 

3088
02:23:40,196 --> 02:23:43,499
FREQUENCY IN CHILDREN AND 

3089
02:23:43,499 --> 02:23:44,467
ADOLESCENTS, MEAL FREQUENCY OR 

3090
02:23:44,467 --> 02:23:45,435
SKIPPING MAY NOT BE ASSOCIATED 

3091
02:23:45,435 --> 02:23:49,772
WITH OUTCOMES RELATED TO RISK OF

3092
02:23:49,772 --> 02:23:52,942
OV

3093
02:23:52,942 --> 02:23:54,677
OVERWEIGHT OR OBESITY AND 

3094
02:23:54,677 --> 02:23:57,513
COULDN'T DRAW CONCLUSIONS IN 

3095
02:23:57,513 --> 02:24:00,583
LUNCH AND DINNER WITH ADULTS AND

3096
02:24:00,583 --> 02:24:01,351
OLDER ADULTS.

3097
02:24:01,351 --> 02:24:02,485
PUTTING THIS TOGETHER WE HAVE 

3098
02:24:02,485 --> 02:24:03,152
FOUR RECOMMENDATIONS WE'D LIKE 

3099
02:24:03,152 --> 02:24:05,388
TO DISCUSS TODAY.

3100
02:24:05,388 --> 02:24:09,158
OUR FIRST RECOMMENDATION IS TO 

3101
02:24:09,158 --> 02:24:10,560
CONTINUE TO RECOMMEND REGULAR 

3102
02:24:10,560 --> 02:24:11,361
BREAKFAST CONSUMPTION AS PART OF

3103
02:24:11,361 --> 02:24:14,797
A DIETARY PATTERN THAT IS BETTER

3104
02:24:14,797 --> 02:24:17,634
ALIGNED WITH THE DIETARY 

3105
02:24:17,634 --> 02:24:18,368
GUIDELINES PARTICULARLY IN 

3106
02:24:18,368 --> 02:24:21,070
CHILDREN AND ADOLESCENTS.

3107
02:24:21,070 --> 02:24:23,706
WE JUST FOUND OR MENTIONED OUR 

3108
02:24:23,706 --> 02:24:25,642
REVIEW FOUND IN CHILDREN AND 

3109
02:24:25,642 --> 02:24:27,076
ADOLESCENTS REGULAR AND 

3110
02:24:27,076 --> 02:24:28,044
BREAKFAST CONSUMPTION MAY BE 

3111
02:24:28,044 --> 02:24:30,580
RELATED TO FAVORABLE OUTCOMES 

3112
02:24:30,580 --> 02:24:32,949
RELATED TO GROWTH, BODY 

3113
02:24:32,949 --> 02:24:34,584
COMPOSITION AND LACK OF OBESITY 

3114
02:24:34,584 --> 02:24:36,920
BUT IN OLDER ADULTS BREAKFAST 

3115
02:24:36,920 --> 02:24:41,291
SKIPPING WAS NOT ASSOCIATED BUT 

3116
02:24:41,291 --> 02:24:44,060
BREAKFAST PROVIDES AN IMPORTANT 

3117
02:24:44,060 --> 02:24:45,828
OPPORTUNITY TO IMPROVE 

3118
02:24:45,828 --> 02:24:49,098
STRATEGIES OF THE FOODS CONSUMED

3119
02:24:49,098 --> 02:24:52,535
TO MEET KEY NUTRIENT AND ALIGN 

3120
02:24:52,535 --> 02:24:54,404
WITH THE DIETARY GUIDELINES.

3121
02:24:54,404 --> 02:24:58,708
OFTEN INDIVIDUALS CHOOSE NOT TO 

3122
02:24:58,708 --> 02:25:02,679
CONSUME BREAKFAST FOR VARIOUS 

3123
02:25:02,679 --> 02:25:03,546
REASONS.

3124
02:25:03,546 --> 02:25:04,948
IN CHILDREN THEY COULD SKIP 

3125
02:25:04,948 --> 02:25:06,115
BREAKFAST BECAUSE THEY DON'T 

3126
02:25:06,115 --> 02:25:10,687
HAVE TIME, THEY'RE NOT HUNGRY IN

3127
02:25:10,687 --> 02:25:13,289
THE MORNING, FOOD PREFERENCES, 

3128
02:25:13,289 --> 02:25:16,125
NOT UNDERSTANDING THE BENEFITS 

3129
02:25:16,125 --> 02:25:18,695
OF BREAKFAST AND POSSIBLY STIGMA

3130
02:25:18,695 --> 02:25:20,697
FOR PARTICIPATING IN THE SCHOOL 

3131
02:25:20,697 --> 02:25:21,497
PROGRAM FOR BREAKFAST.

3132
02:25:21,497 --> 02:25:24,233
IN ADULTS THERE'S REASONS FOR 

3133
02:25:24,233 --> 02:25:25,835
SKIPPING AND A REASON COULD BE 

3134
02:25:25,835 --> 02:25:28,604
WEIGHT LOSS STRATEGY, LACK OF 

3135
02:25:28,604 --> 02:25:31,107
TIME OR LIMITED KNOWLEDGE OF THE

3136
02:25:31,107 --> 02:25:34,210
BENEFITS OF BREAKFAST.

3137
02:25:34,210 --> 02:25:35,678
SO WE RECOMMEND TO MAYBE THERE 

3138
02:25:35,678 --> 02:25:38,514
COULD BE SOME THINGS WE COULD DO

3139
02:25:38,514 --> 02:25:40,283
IN RELATION TO THE SCHOOL 

3140
02:25:40,283 --> 02:25:42,418
BREAKFAST PROGRAM SINCE THIS IS 

3141
02:25:42,418 --> 02:25:46,689
A KEY FACILITATOR OF BREAKFAST 

3142
02:25:46,689 --> 02:25:49,092
CONSUMPTION BUT MAY NEED TO WORK

3143
02:25:49,092 --> 02:25:50,626
AROUND THE STIGMA ASSOCIATED 

3144
02:25:50,626 --> 02:25:53,463
WITH THE STIGMA CONSUMPTION IN 

3145
02:25:53,463 --> 02:25:54,697
SCHOOLS.

3146
02:25:54,697 --> 02:25:58,634
STRATEGIES COULD MAKE BREAKFAST 

3147
02:25:58,634 --> 02:26:01,537
UNIVERSAL PROVIDING GRAB AND GO 

3148
02:26:01,537 --> 02:26:03,206
BREAKFAST AND BREAKFAST TO BE 

3149
02:26:03,206 --> 02:26:05,475
SERVED AFTER THE BELL OR 

3150
02:26:05,475 --> 02:26:06,409
IMPLEMENTING EDUCATION 

3151
02:26:06,409 --> 02:26:08,244
STRATEGIES ABOUT THE BENEFITS OF

3152
02:26:08,244 --> 02:26:11,447
BREAKFAST IN GENERAL.

3153
02:26:11,447 --> 02:26:15,284
OUR SECOND RECOMMENDATION IS TO 

3154
02:26:15,284 --> 02:26:16,419
CONTINUE TO RECOMMEND NUTRIENT 

3155
02:26:16,419 --> 02:26:18,388
DENSE SNACKS AS PART OF A 

3156
02:26:18,388 --> 02:26:20,390
DIETARY PATTERN BETTER ALIGNED 

3157
02:26:20,390 --> 02:26:22,692
WITH THE DIETARY GUIDELINE FOR 

3158
02:26:22,692 --> 02:26:24,027
CHILDREN AND ADOLESCENTS.

3159
02:26:24,027 --> 02:26:27,130
THOUGH OUR REVIEW DID NOT 

3160
02:26:27,130 --> 02:26:29,699
SPECIFICALLY FIND A RELATIONSHIP

3161
02:26:29,699 --> 02:26:34,837
BETWEEN SNACKING BODY 

3162
02:26:34,837 --> 02:26:39,242
COMPOSITION AND RISK OF OBESITY 

3163
02:26:39,242 --> 02:26:45,815
DATA ANALYSIS SHOWED SNACK 

3164
02:26:45,815 --> 02:26:47,316
OCCASIONS ARE RELATED TO FRUITS 

3165
02:26:47,316 --> 02:26:48,317
AND VEGETABLES HIGH IN CALORIES 

3166
02:26:48,317 --> 02:26:50,787
AND LOW IN NUTRIENT.

3167
02:26:50,787 --> 02:26:53,823
BECAUSE MUCH CHILDREN AND 

3168
02:26:53,823 --> 02:26:56,325
PARTICULARLY YOUNG CHILDREN IN 

3169
02:26:56,325 --> 02:27:01,597
RAPID PERIODS OF GROWTH, 

3170
02:27:01,597 --> 02:27:03,366
RECOMMENDING NUTRIENT DENSE 

3171
02:27:03,366 --> 02:27:04,467
SNACKS SUCH AS FRUITS AND 

3172
02:27:04,467 --> 02:27:06,669
VEGETABLES AND WHOLE GRAIN AND 

3173
02:27:06,669 --> 02:27:08,905
DAIRY PRODUCTS COULD BE 

3174
02:27:08,905 --> 02:27:09,972
IMPORTANT OCCASIONS TO MEET KEY 

3175
02:27:09,972 --> 02:27:10,706
NUTRIENT FOR GROWTH AND 

3176
02:27:10,706 --> 02:27:13,576
DEVELOPMENT.

3177
02:27:13,576 --> 02:27:16,112
AS MENTIONED EARLIER BY ALINE, 

3178
02:27:16,112 --> 02:27:17,713
YOUNG CHILDREN DO NOT HAVE ROOM 

3179
02:27:17,713 --> 02:27:20,917
IN THEIR DIETS FOR ENERGY DENSE 

3180
02:27:20,917 --> 02:27:21,951
FOODS PARTICULARLY YOUNGER 

3181
02:27:21,951 --> 02:27:24,854
CHILDREN AT THE LOWER CALORIE 

3182
02:27:24,854 --> 02:27:25,088
LEVELS.

3183
02:27:25,088 --> 02:27:26,689
THEREFORE THE COMMITTEE 

3184
02:27:26,689 --> 02:27:29,659
RECOMMENDS STRATEGIES IMPROVE 

3185
02:27:29,659 --> 02:27:30,726
THE NUTRITIONAL QUALITY OF THE 

3186
02:27:30,726 --> 02:27:32,328
FOODS AND BEVERAGES CONSUMED AS 

3187
02:27:32,328 --> 02:27:34,330
A SNACK.

3188
02:27:34,330 --> 02:27:39,569
FOR SCHOOLS IN THE PAST 10 YEARS

3189
02:27:39,569 --> 02:27:42,171
THERE'S BEEN CRITERIA SET FOR 

3190
02:27:42,171 --> 02:27:44,841
ALL THE FOODS SOLD INSIDE THE 

3191
02:27:44,841 --> 02:27:48,911
SCHOOLS BUT MAYBE WE NEED TO 

3192
02:27:48,911 --> 02:27:49,879
ENSURE THAT OTHER PROGRAMS, 

3193
02:27:49,879 --> 02:27:52,215
CAREGIVERS AND OUTSIDE THE 

3194
02:27:52,215 --> 02:27:53,683
SCHOOL THE BUILT ENVIRONMENT 

3195
02:27:53,683 --> 02:27:56,486
WHICH WE'VE BEEN DISCUSSING ALSO

3196
02:27:56,486 --> 02:27:58,821
FOLLOW SOME OF THESE TOOLS THAT 

3197
02:27:58,821 --> 02:28:06,195
WE HAVE AND ACTUALLY THE USDA 

3198
02:28:06,195 --> 02:28:10,299
HAS A SMART SNACK GUIDE IN TERMS

3199
02:28:10,299 --> 02:28:13,870
OF HEALTHY SNACKS AND ENCOURAGE 

3200
02:28:13,870 --> 02:28:14,537
OTHER PROGRAMS AND CAREGIVERS TO

3201
02:28:14,537 --> 02:28:22,512
USE THE TOOLS.

3202
02:28:22,512 --> 02:28:25,181
THE THIRD RECOMMENDATION IS 

3203
02:28:25,181 --> 02:28:26,682
AFTER DINNER AND EVENING SNACK 

3204
02:28:26,682 --> 02:28:26,983
GUIDELINES.

3205
02:28:26,983 --> 02:28:32,922
IN ADULTS AFTER DINNER AND 

3206
02:28:32,922 --> 02:28:35,291
EVENING SNACKING MAY BE RELATED 

3207
02:28:35,291 --> 02:28:41,164
TO LESS FAVORABLE OUTCOMES FOR 

3208
02:28:41,164 --> 02:28:44,066
RISK OF OBESITY AND THE TYPES OF

3209
02:28:44,066 --> 02:28:46,569
FOOD CONSUMED LATE ENERGY ARE 

3210
02:28:46,569 --> 02:28:49,539
HIGH IN ENERGY DENSITY AND LOW 

3211
02:28:49,539 --> 02:28:51,140
IN MANY NUTRIENT.

3212
02:28:51,140 --> 02:28:53,676
WE RECOMMEND INCLUDING STRATEGY 

3213
02:28:53,676 --> 02:28:56,012
TO IMPROVE THE QUALITY OF THE 

3214
02:28:56,012 --> 02:28:58,714
FOODS AND BEVERAGES AFTER DINNER

3215
02:28:58,714 --> 02:29:05,454
TO BE BETTER INLINE.

3216
02:29:05,454 --> 02:29:07,823
AND THE LAST IS THE HIGHER 

3217
02:29:07,823 --> 02:29:09,458
NUMBER OF EATING OCCASIONS IN 

3218
02:29:09,458 --> 02:29:10,993
CHILDREN MAY BE ASSOCIATED WITH 

3219
02:29:10,993 --> 02:29:17,567
FAVORABLE OUTCOMES RELATED TO 

3220
02:29:17,567 --> 02:29:20,436
BODY COMPOSITION AND OUR ADVICE 

3221
02:29:20,436 --> 02:29:22,238
IS TO DIVIDE NUTRIENT DENSE 

3222
02:29:22,238 --> 02:29:27,243
FOODS TO SMALLER MEALS AND 

3223
02:29:27,243 --> 02:29:32,281
SNACKS TO ALLOW CHILDREN TO MEET

3224
02:29:32,281 --> 02:29:34,684
KEY NUTRIENT FOR HEALTHY GROWTH 

3225
02:29:34,684 --> 02:29:44,961
AND DEVELOPMENT.

3226
02:29:47,463 --> 02:29:48,764
WE'RE NOW OPEN TO YOUR 

3227
02:29:48,764 --> 02:29:49,232
QUESTIONS, COMMENTS, 

3228
02:29:49,232 --> 02:29:59,442
SUGGESTIONS.

3229
02:30:05,514 --> 02:30:09,118
>> I'M CURIOUS ABOUT YOUR 

3230
02:30:09,118 --> 02:30:09,719
INTERPRETATION OF THE BRECK 

3231
02:30:09,719 --> 02:30:14,724
FACILITY IN  -- BREAKFAST IN 

3232
02:30:14,724 --> 02:30:16,659
ADULT IF I UNDERSTAND CORRECTLY 

3233
02:30:16,659 --> 02:30:20,596
YOUR DATA DIDN'T SHOW AN 

3234
02:30:20,596 --> 02:30:21,264
ASSOCIATION WITH BREAKFAST 

3235
02:30:21,264 --> 02:30:23,499
CONSUMPTION IN ADULTS AND THE 

3236
02:30:23,499 --> 02:30:24,967
OUTCOMES OF INTEREST.

3237
02:30:24,967 --> 02:30:26,602
SO DO YOU BELIEVE THIS IS AN 

3238
02:30:26,602 --> 02:30:27,770
IMPORTANT METHOD?

3239
02:30:27,770 --> 02:30:30,139
I MEAN THERE'S PART OF ME 

3240
02:30:30,139 --> 02:30:31,807
THINKING I'M STILL THINKING OF 

3241
02:30:31,807 --> 02:30:34,343
THIS MORNING'S SECTIONS WHERE WE

3242
02:30:34,343 --> 02:30:37,013
LEARNED THE ROUTINE AND THE 

3243
02:30:37,013 --> 02:30:41,817
WHOLE ENVIRONMENT AROUND YOUNG 

3244
02:30:41,817 --> 02:30:45,154
CHILDREN IS IMPORTANT BUT MOU 

3245
02:30:45,154 --> 02:30:45,721
IMPORTANT DO YOU THINK IS 

3246
02:30:45,721 --> 02:30:47,957
BREAKFAST FOR ADULTS AND DOES 

3247
02:30:47,957 --> 02:30:48,624
THAT NEED TO BE A STRONGER 

3248
02:30:48,624 --> 02:30:53,296
MESSAGE OR SUGGESTION?

3249
02:30:53,296 --> 02:30:54,563
>> I THINK THE DATA DID
NOT 

3250
02:30:54,563 --> 02:30:57,800
ALLOW US TO BE ABLE TO SEE THIS 

3251
02:30:57,800 --> 02:30:59,702
CLEARLY JUST BECAUSE MOST OF THE

3252
02:30:59,702 --> 02:31:02,305
QUESTIONERS IN THE STUDIES 

3253
02:31:02,305 --> 02:31:04,473
INCLUDED JUST ASK ABOUT 

3254
02:31:04,473 --> 02:31:06,609
BREAKFAST CONSUMPTION AND DID 

3255
02:31:06,609 --> 02:31:08,010
NOT INCLUDE THE QUALITY OF THE 

3256
02:31:08,010 --> 02:31:09,245
BREAKFAST OR THE TYPE OF FOODS 

3257
02:31:09,245 --> 02:31:19,789
CONSUMED SO I THINK WE NEED MORE

3258
02:31:29,532 --> 02:31:31,233
AND IF YOU ASSOCIATE WITH TYPES 

3259
02:31:31,233 --> 02:31:33,369
THEY DIDN'T SEE CLEAR 

3260
02:31:33,369 --> 02:31:35,705
RELATIONSHIPS OR SIGNIFICANT 

3261
02:31:35,705 --> 02:31:39,542
ASSOCIATIONS.

3262
02:31:39,542 --> 02:31:41,544
I THINK WE NEED MORE DETAILS IN 

3263
02:31:41,544 --> 02:31:42,878
THE STUDIES WE LOOKED AT BUT I 

3264
02:31:42,878 --> 02:31:45,147
KNOW DEANNA WAS A LEAD FOR THE 

3265
02:31:45,147 --> 02:31:45,414
BREAKFAST.

3266
02:31:45,414 --> 02:31:50,686
IF YOU WANT TO ADD SOMETHING, 

3267
02:31:50,686 --> 02:31:56,726
DEANNA, PLEASE.

3268
02:31:56,726 --> 02:31:58,894
>> SOMETIMES THEY'D SAY
YES OR 

3269
02:31:58,894 --> 02:32:01,430
NO, CHRISTINA TALKED ABOUT THAT 

3270
02:32:01,430 --> 02:32:03,232
OR SOMETIMES THEY'D SAY FROM THE

3271
02:32:03,232 --> 02:32:07,536
PAST WEEK HOW MANY TIMES HAVE 

3272
02:32:07,536 --> 02:32:08,904
YOU DONE IT AND SOMETIMES THE 

3273
02:32:08,904 --> 02:32:10,673
DATA WOULD BE DIVIDED AND THEY'D

3274
02:32:10,673 --> 02:32:18,481
PUT IT IN THREE CATEGORIES AND 

3275
02:32:18,481 --> 02:32:20,049
THE OUTCOMES COULD BE ONE DAY OR

3276
02:32:20,049 --> 02:32:23,719
SEVERAL DAYS.

3277
02:32:23,719 --> 02:32:29,125
THERE WAS A LOT OF HETEROGENEITY

3278
02:32:29,125 --> 02:32:30,693
IN THE STUDIES.

3279
02:32:30,693 --> 02:32:39,568
THE CHILD STUDIES WERE MORE 

3280
02:32:39,568 --> 02:32:40,035
CONSISTENT.

3281
02:32:40,035 --> 02:32:40,936
>> CLARIFY YOUR FOURTH 

3282
02:32:40,936 --> 02:32:44,974
RECOMMENDATION WHEN IT COMES TO 

3283
02:32:44,974 --> 02:32:47,209
INCREASING THE NUMBER OF 

3284
02:32:47,209 --> 02:32:47,710
PATIENTS.

3285
02:32:47,710 --> 02:32:53,249
DO YOU MEAN BEYOND EATING 

3286
02:32:53,249 --> 02:32:53,849
BREAKF

3287
02:32:53,849 --> 02:32:57,987
BREAKFAST, LUNCH AND DINNER OR 

3288
02:32:57,987 --> 02:32:59,722
JUST NOT EATING BREAKFAST?

3289
02:32:59,722 --> 02:33:02,191
>> GOOD QUESTION, TERESA.

3290
02:33:02,191 --> 02:33:06,996
WE DID NOT HAVE THAT CLEAR 

3291
02:33:06,996 --> 02:33:12,701
EVIDENCE HOW THEY DID THIS.

3292
02:33:12,701 --> 02:33:14,403
THEY DIVIDED LESS THAN THREE 

3293
02:33:14,403 --> 02:33:19,842
BETWEEN THREE AND FOUR MORE THAN

3294
02:33:19,842 --> 02:33:21,444
FIVE AND EATING OCCASIONS 

3295
02:33:21,444 --> 02:33:26,549
MEANING A SNACK.

3296
02:33:26,549 --> 02:33:31,887
THEY DID NOT SPECIFY BREAKFAST, 

3297
02:33:31,887 --> 02:33:33,322
LUNCH AND DINNER SO IT'S NOT 

3298
02:33:33,322 --> 02:33:38,661
CLEAR IF THEY WERE TALKING ABOUT

3299
02:33:38,661 --> 02:33:40,996
ALWAYS -- WE COULD ASSUME 

3300
02:33:40,996 --> 02:33:42,465
BECAUSE MOST CONSUME BREAKFAST, 

3301
02:33:42,465 --> 02:33:47,803
LUX AND DINNER PARTICULARLY 

3302
02:33:47,803 --> 02:33:49,071
CHILDREN THEY WERE SEVERAL 

3303
02:33:49,071 --> 02:33:50,906
SNACKS BUT THEY COULD HAVE BEEN 

3304
02:33:50,906 --> 02:33:53,742
SMALLER MEALS AND ALL TREAT THE 

3305
02:33:53,742 --> 02:34:03,919
SAME WAY.

3306
02:34:06,956 --> 02:34:17,299
IT SEEMS LIKE EONS AGO.

3307
02:34:29,044 --> 02:34:34,683
>> THE DATA IS PRETTY WEAK

3308
02:34:34,683 --> 02:34:37,052
BECAUSE A LOT OF THE STUDIES 

3309
02:34:37,052 --> 02:34:41,757
WERE FOOD FREQUENCY 

3310
02:34:41,757 --> 02:34:44,059
QUESTIONNAIRES HAVE LIMITATIONS 

3311
02:34:44,059 --> 02:34:49,265
AND PARTICULARLY FOR THIS TYPE 

3312
02:34:49,265 --> 02:34:52,268
OF QUESTION THEY'RE GEARED MORE 

3313
02:34:52,268 --> 02:34:56,605
TOWARD OVER ALL EATING AND WHAT 

3314
02:34:56,605 --> 02:34:58,173
PEOPLE ARE EATING BUT FEW 

3315
02:34:58,173 --> 02:35:01,510
QUESTIONS ON TIME OF DAY OR MAY 

3316
02:35:01,510 --> 02:35:10,052
HAVE A SIMPLE QUESTION SKIPPING 

3317
02:35:10,052 --> 02:35:13,989
BREAKFAST OR WHAT THEY'RE EATING

3318
02:35:13,989 --> 02:35:15,558
AT LUNCH, FOR EXAMPLE.

3319
02:35:15,558 --> 02:35:16,892
THE TRIALS AND PROBABLY SOMEONE 

3320
02:35:16,892 --> 02:35:18,193
ELSE CAN COMMENT BETTER ON THE 

3321
02:35:18,193 --> 02:35:26,335
TRIALS BUT THERE WERE ISSUES ON 

3322
02:35:26,335 --> 02:35:26,669
DURATION.

3323
02:35:26,669 --> 02:35:28,370
SO THE TRIALS WEREN'T AS 

3324
02:35:28,370 --> 02:35:29,738
INFORMATIVE AS YOU MIGHT HAVE 

3325
02:35:29,738 --> 02:35:31,907
HOPED.

3326
02:35:31,907 --> 02:35:34,043
IT REMAINS TO ME AN INTERESTING 

3327
02:35:34,043 --> 02:35:38,681
AREA BUT THE DATA ARE PRETTY 

3328
02:35:38,681 --> 02:35:45,487
WEAK AT THIS POINT.

3329
02:35:45,487 --> 02:35:47,623
>> MOST STUDIES ASK ALL
THESE 

3330
02:35:47,623 --> 02:35:52,728
THINGS LIKE DO YOU REGULARLY EAT

3331
02:35:52,728 --> 02:35:53,796
BREAKFAST, A RECOMMENDATION IS 

3332
02:35:53,796 --> 02:35:57,633
TO BE ABLE TO SEE THE ENTIRE 

3333
02:35:57,633 --> 02:36:01,670
DIET AND I THINK CHRISTOPHER YOU

3334
02:36:01,670 --> 02:36:02,838
WERE TALKING ABOUT OR YESTERDAY 

3335
02:36:02,838 --> 02:36:04,607
WE WERE TALKING ABOUT WELL, 

3336
02:36:04,607 --> 02:36:09,411
MAYBE WE DON'T EAT THIS BUT 

3337
02:36:09,411 --> 02:36:10,913
MAYBE EAT SOMETHING DIFFERENT.

3338
02:36:10,913 --> 02:36:15,851
CONSIDERING THE ENTIRE DAY AND 

3339
02:36:15,851 --> 02:36:18,087
MORE DETAILS AND TO BE ABLE TO 

3340
02:36:18,087 --> 02:36:20,322
LOOK AT ALL THESE DETAILS AND 

3341
02:36:20,322 --> 02:36:23,058
I'VE DONE THAT AND IT'S VERY 

3342
02:36:23,058 --> 02:36:23,292
TEDIOUS.

3343
02:36:23,292 --> 02:36:25,561
I KNOW THAT'S WHY MOST PEOPLE 

3344
02:36:25,561 --> 02:36:27,863
USE IT BECAUSE IT'S EASIER TO 

3345
02:36:27,863 --> 02:36:29,765
LOOK AT THAN GOING IN THE 

3346
02:36:29,765 --> 02:36:30,599
DETAILS OF 24 HOUR RECALLS TO 

3347
02:36:30,599 --> 02:36:33,035
LOOK AT THE TIME, HOUR, THE 

3348
02:36:33,035 --> 02:36:33,235
TYPE.

3349
02:36:33,235 --> 02:36:34,737
THESE ARE THE DETAILS WE 

3350
02:36:34,737 --> 02:36:43,912
PROBABLY NEED.

3351
02:36:43,912 --> 02:36:45,414
>> FOR THE HIGHER NUMBER
OF 

3352
02:36:45,414 --> 02:36:48,651
EATING OCCASIONS IN CHILDREN, IS

3353
02:36:48,651 --> 02:36:49,785
THERE A NUMBER THAT'S ASSOCIATED

3354
02:36:49,785 --> 02:36:52,354
WITH THAT AND IT SOUNDS LIKE 

3355
02:36:52,354 --> 02:36:55,491
FROM WHAT YOU'RE SAYING IT'S NOT

3356
02:36:55,491 --> 02:36:56,225
NECESSARILY.

3357
02:36:56,225 --> 02:37:01,930
>> WE DIDN'T HAVE A NUMBER
BUT 

3358
02:37:01,930 --> 02:37:04,667
WE KNOW FROM JUST SUBCOMMITTEE 2

3359
02:37:04,667 --> 02:37:05,734
WE HAVE DISCUSSED IN SMALL 

3360
02:37:05,734 --> 02:37:09,138
CHILDREN THEY MAY NOT BE ABLE TO

3361
02:37:09,138 --> 02:37:15,711
EAT BIG MEALS AND HAVING SMALLER

3362
02:37:15,711 --> 02:37:16,545
MEALS TO COMPLEMENT THE BIG 

3363
02:37:16,545 --> 02:37:23,285
MEALS PLAY BE A WAY TO -- MAY BE

3364
02:37:23,285 --> 02:37:33,662
A WAY TO ADD TO THAT.

3365
02:37:37,800 --> 02:37:40,469
>> I WONDER IF THE DATA
WAS ON A

3366
02:37:40,469 --> 02:37:42,705
CERTAIN AGE GROUP AND MAKE 

3367
02:37:42,705 --> 02:37:44,807
FOCUSSED MORE ON THE YOUNGER AGE

3368
02:37:44,807 --> 02:37:45,040
GROUPS.

3369
02:37:45,040 --> 02:37:48,143
HOW INCLUSIVE WAS IT, I GUESS?

3370
02:37:48,143 --> 02:37:50,312
>> OH, MY GOD.

3371
02:37:50,312 --> 02:37:51,313
I CAN'T REMEMBER.

3372
02:37:51,313 --> 02:37:52,414
MAYBE IF OTHERS CAN HELP OR I 

3373
02:37:52,414 --> 02:37:59,588
DON'T KNOW IF THE STUDY'S 

3374
02:37:59,588 --> 02:38:01,223
AVAILABLE -- UM -- LET'S SEE.

3375
02:38:01,223 --> 02:38:02,658
I CAN'T REMEMBER.

3376
02:38:02,658 --> 02:38:13,001
EMILY, YOU'RE HERE.

3377
02:38:15,437 --> 02:38:18,507
>> IT RANGES FROM 2 YEARS
TO 10 

3378
02:38:18,507 --> 02:38:19,541
YEARS.

3379
02:38:19,541 --> 02:38:23,746
>> THEY WERE THE SMALLER
AGE 

3380
02:38:23,746 --> 02:38:26,181
RANGE.

3381
02:38:26,181 --> 02:38:26,415
DEANNA.

3382
02:38:26,415 --> 02:38:29,752
>> PART OF IT TOO IF YOU
LOOK AT

3383
02:38:29,752 --> 02:38:31,453
THE BREAKFAST CONSUMPTION, 

3384
02:38:31,453 --> 02:38:32,354
THAT'S KIND OF CONSISTENT WITH 

3385
02:38:32,354 --> 02:38:35,758
NUMBER OF EATING OCCASIONS AND I

3386
02:38:35,758 --> 02:38:36,992
THINK IF YOU THINK ABOUT SNACKS 

3387
02:38:36,992 --> 02:38:38,927
THAT NEED TO BE PROVIDED FOR 

3388
02:38:38,927 --> 02:38:42,064
KIDS LIKE AN AFTERNOON SNACK OR 

3389
02:38:42,064 --> 02:38:44,032
MAYBE A MID MORNING SNACK, I 

3390
02:38:44,032 --> 02:38:46,702
THINK WHAT'S IMPORTANT THERE IS 

3391
02:38:46,702 --> 02:38:48,437
EMPHASIZING IT NEEDS TO BE 

3392
02:38:48,437 --> 02:38:49,404
HEALTHY FOOD AT THOSE MEALS AND 

3393
02:38:49,404 --> 02:38:52,841
YOU NEED TO PAY ATTENTION TO 

3394
02:38:52,841 --> 02:38:55,110
PORTION SIZES WHICH WE'LL TALK 

3395
02:38:55,110 --> 02:38:57,746
ABOUT IN JUST A SECOND.

3396
02:38:57,746 --> 02:38:58,380
>> JEN.

3397
02:38:58,380 --> 02:39:01,984
>> I JUST WANTED TO ADD
THIS IS 

3398
02:39:01,984 --> 02:39:05,954
AN AREA EESPECIALLY -- 

3399
02:39:05,954 --> 02:39:08,590
ESPECIALLY IN KIDS THAT LENDS 

3400
02:39:08,590 --> 02:39:09,591
ITSELF WELL TO CLINICAL TRIALS 

3401
02:39:09,591 --> 02:39:14,730
BECAUSE IN AT LEAST IN THE SHORT

3402
02:39:14,730 --> 02:39:16,965
TERM YOU CAN SYSTEMICALLY 

3403
02:39:16,965 --> 02:39:18,567
MANIPULATE THE AND IT'S PROBABLY

3404
02:39:18,567 --> 02:39:21,236
VERY PRUDENT TO ENCOURAGE 

3405
02:39:21,236 --> 02:39:23,071
SCIENCE THAT DOES THAT BECAUSE I

3406
02:39:23,071 --> 02:39:26,742
THINK THIS HAS BIG IMPLICATIONS 

3407
02:39:26,742 --> 02:39:28,911
FOR THINGS LIKE FEDERAL PROGRAMS

3408
02:39:28,911 --> 02:39:31,480
AND HOW OFTEN CHILDREN ARE FED, 

3409
02:39:31,480 --> 02:39:33,782
HOW MUCH THEY'RE FED IN THE 

3410
02:39:33,782 --> 02:39:34,049
PROGRAMS.

3411
02:39:34,049 --> 02:39:35,417
TO ME IT STRIKES ME AS AN AREA 

3412
02:39:35,417 --> 02:39:37,753
WHERE THERE'S A NEED FOR SCIENCE

3413
02:39:37,753 --> 02:39:41,490
THAT WOULD HELP TEASE OUT THESE 

3414
02:39:41,490 --> 02:39:42,691
ISSUES BECAUSE THEY ARE 

3415
02:39:42,691 --> 02:39:45,194
INTERESTING AND IT'S QUITE 

3416
02:39:45,194 --> 02:39:45,494
COMPLICATED.

3417
02:39:45,494 --> 02:39:46,461
ARE THESE MEALS?

3418
02:39:46,461 --> 02:39:49,131
ARE THEY SNACKS?

3419
02:39:49,131 --> 02:39:52,000
WHAT IS THIS?

3420
02:39:52,000 --> 02:39:53,635
I DON'T THINK WE REALLY KNOW 

3421
02:39:53,635 --> 02:39:56,705
BASED ON THIS TYPE OF DATA.

3422
02:39:56,705 --> 02:39:58,040
IT'S AN IMPORTANT QUALIFICATION 

3423
02:39:58,040 --> 02:39:59,842
OF WHAT WE'RE RECOMMENDING.

3424
02:39:59,842 --> 02:40:04,079
>> YEAH, AND FOLLOWING UP
ON 

3425
02:40:04,079 --> 02:40:07,983
WHAT JEN SAID, THERE MAY BE 

3426
02:40:07,983 --> 02:40:11,253
DIFFERENT PERCEPTIONS OF WHAT A 

3427
02:40:11,253 --> 02:40:13,255
MEAL AND SNACK IS DEPENDING ON 

3428
02:40:13,255 --> 02:40:14,456
THE CULTURE.

3429
02:40:14,456 --> 02:40:15,791
THAT'S SOMETHING THAT WE MAY 

3430
02:40:15,791 --> 02:40:18,927
NEED ALSO QUALITATIVE WORK TO BE

3431
02:40:18,927 --> 02:40:20,429
ABLE TO UNDERSTAND THIS.

3432
02:40:20,429 --> 02:40:25,234
MOST OF US DO CONSUME OUR THREE 

3433
02:40:25,234 --> 02:40:26,635
MAIN MEALS AND SNACKS BUT IT MAY

3434
02:40:26,635 --> 02:40:30,606
BE DIFFERENT IN OTHER CULTURES.

3435
02:40:30,606 --> 02:40:34,309
>> I JUST WANTED TO
REITERATE 

3436
02:40:34,309 --> 02:40:35,344
WHAT JENNY SAID.

3437
02:40:35,344 --> 02:40:36,612
WE NEED MORE STUDIES IN THIS 

3438
02:40:36,612 --> 02:40:38,680
AREA AND I CAN THINK FROM A 

3439
02:40:38,680 --> 02:40:40,549
PRACTICAL IMPLICATION I KNOW 

3440
02:40:40,549 --> 02:40:43,986
FROM OUR WORK IN SCHOOL MEALS 

3441
02:40:43,986 --> 02:40:45,354
THAT SOMETIMES IF THE SCHOOL 

3442
02:40:45,354 --> 02:40:47,589
LUNCH WAS LATE BECAUSE THERE 

3443
02:40:47,589 --> 02:40:49,057
WERE A LOT OF KIDS IN THE 

3444
02:40:49,057 --> 02:40:51,627
SCHOOL, THE KID WOULD START ACT 

3445
02:40:51,627 --> 02:40:53,896
BEING UP IF THEY COULDN'T GO TO 

3446
02:40:53,896 --> 02:40:57,633
LUNCH UNTIL ABOUT 1:00.

3447
02:40:57,633 --> 02:41:00,469
IN SOME SCHOOLS THAT'S HOW YOU 

3448
02:41:00,469 --> 02:41:01,904
HAVE TO MANAGE THE SCHOOL FOOD 

3449
02:41:01,904 --> 02:41:02,137
SERVICE.

3450
02:41:02,137 --> 02:41:04,673
SO GOING BACK TO WHERE IT WOULD 

3451
02:41:04,673 --> 02:41:06,074
BENEFIT IN FEDERAL PROGRAMS, I 

3452
02:41:06,074 --> 02:41:10,913
THINK THAT'S A REALLY GOOD 

3453
02:41:10,913 --> 02:41:11,880
RECOMMENDATION.

3454
02:41:11,880 --> 02:41:13,282
>> THANK YOU.

3455
02:41:13,282 --> 02:41:13,548
ALL RIGHT.

3456
02:41:13,548 --> 02:41:17,886
I THINK THIS IS A GREAT WAY TO 

3457
02:41:17,886 --> 02:41:22,724
GET US TO THE NEXT PRESENTATION 

3458
02:41:22,724 --> 02:41:28,130
ON FOOD PORTION SIZE AND THAT 

3459
02:41:28,130 --> 02:41:31,133
WILL BE ALINE AND HOLLIE 

3460
02:41:31,133 --> 02:41:31,733
PRESENTING.

3461
02:41:31,733 --> 02:41:33,502
SO PLEASE.

3462
02:41:33,502 --> 02:41:36,104
>> THANKS, CRISTINA, I'LL
GET 

3463
02:41:36,104 --> 02:41:37,406
OUT START AND ALINE WILL TAKE 

3464
02:41:37,406 --> 02:41:38,040
OVER.

3465
02:41:38,040 --> 02:41:40,175
I WANT TO ACKNOWLEDGE THE WORK 

3466
02:41:40,175 --> 02:41:41,743
OF THE COMMITTEE AS WELL AS THE 

3467
02:41:41,743 --> 02:41:50,452
STAFF IN THIS AREA.

3468
02:41:50,452 --> 02:41:52,387
THE COMMITTEE DEFINED PORTION 

3469
02:41:52,387 --> 02:41:53,889
SIZE AS THE AMOUNT OF FOOD OR 

3470
02:41:53,889 --> 02:41:58,327
BEVERAGE SERVED OR CONSUMED AT 

3471
02:41:58,327 --> 02:42:00,595
ONE TIME IN ONE EATING OCCASION 

3472
02:42:00,595 --> 02:42:03,732
AND THIS INCLUDES PREPORTIONED 

3473
02:42:03,732 --> 02:42:06,301
FOODS SELF-SERVED AND PACKAGED 

3474
02:42:06,301 --> 02:42:07,903
FOODS AND BEVERAGES.

3475
02:42:07,903 --> 02:42:10,038
THE COMMITTEE PRIORITIZED ITS 

3476
02:42:10,038 --> 02:42:11,573
QUESTIONS ON PORTION SIZE IN 

3477
02:42:11,573 --> 02:42:12,674
ORDER TO UNDERSTAND HOW PORTION 

3478
02:42:12,674 --> 02:42:14,576
SIZE INFLUENCES SELECTION AND 

3479
02:42:14,576 --> 02:42:16,111
CONSUMPTION OF FOOD.

3480
02:42:16,111 --> 02:42:18,313
WE BELIEVE THIS WAS CRITICAL FOR

3481
02:42:18,313 --> 02:42:20,782
IDENTIFYING STRATEGIES TO HELP 

3482
02:42:20,782 --> 02:42:23,318
INDIVIDUALS FOLLOW A HEALTHY 

3483
02:42:23,318 --> 02:42:24,619
DIETARY PATTERN WITH APPROPRIATE

3484
02:42:24,619 --> 02:42:26,488
CALORIES TO ACHIEVE OR MAINTAIN 

3485
02:42:26,488 --> 02:42:26,888
HEALTHY WEIGHT.

3486
02:42:26,888 --> 02:42:29,891
THE QUESTIONS RELATED TO PORTION

3487
02:42:29,891 --> 02:42:34,696
SIZE PRIORITIZED BY THE 

3488
02:42:34,696 --> 02:42:36,398
COMMITTEE EXPAND UPON PREVIOUS 

3489
02:42:36,398 --> 02:42:37,966
REVIEW IN THE LITERATURE AND A 

3490
02:42:37,966 --> 02:42:39,401
SYSTEMATIC REVIEW HAD NOT BEEN 

3491
02:42:39,401 --> 02:42:44,573
DONE BY THE DIETARY GUIDELINES 

3492
02:42:44,573 --> 02:42:44,840
COMMITTEE.

3493
02:42:44,840 --> 02:42:49,111
WE INCORPORATED FOOD SIZE AND 

3494
02:42:49,111 --> 02:42:51,246
DENSITY AND PORTION SIZE TO 

3495
02:42:51,246 --> 02:42:53,882
ACHIEVE GUIDELINE 

3496
02:42:53,882 --> 02:42:59,388
RECOMMENDATIONS.

3497
02:42:59,388 --> 02:43:01,857
 WE HAD TWO SYSTEMATIC REVIEWS 

3498
02:43:01,857 --> 02:43:02,124
CONDUCTED.

3499
02:43:02,124 --> 02:43:05,894
THE FIRST WAS ON THE 

3500
02:43:05,894 --> 02:43:07,262
RELATIONSHIP BETWEEN PORTION 

3501
02:43:07,262 --> 02:43:07,863
SIZE AND BODY COMPOSITION AND 

3502
02:43:07,863 --> 02:43:09,731
RISK OF OBESITY AND THE SECOND 

3503
02:43:09,731 --> 02:43:10,899
WAS ON THE RELATIONSHIP BETWEEN 

3504
02:43:10,899 --> 02:43:18,673
PORTION SIZE AND ENERGY INTAKE.

3505
02:43:18,673 --> 02:43:22,477
THIS IS OUR HIGH-LEVEL VIEW OF 

3506
02:43:22,477 --> 02:43:25,180
WHAT WE WILL REVIEW BUT FOR OUR 

3507
02:43:25,180 --> 02:43:26,681
FIRST QUESTION THE COMMITTEE WAS

3508
02:43:26,681 --> 02:43:30,452
UNABLE TO DRAW CONCLUSIONS 

3509
02:43:30,452 --> 02:43:31,987
ACROSS LIFE STAGES FROM 

3510
02:43:31,987 --> 02:43:33,722
CHILDHOOD TO ADULTHOOD INCLUDING

3511
02:43:33,722 --> 02:43:36,024
PREGNANCY AND POSTPARTUM FOR THE

3512
02:43:36,024 --> 02:43:38,093
QUESTION ON PORTION SIZE AND 

3513
02:43:38,093 --> 02:43:40,262
GROWTH BODY COMPOSITION AND RISK

3514
02:43:40,262 --> 02:43:41,229
OF OBESITY.

3515
02:43:41,229 --> 02:43:42,664
HOWEVER, THERE WAS A MUCH LARGER

3516
02:43:42,664 --> 02:43:43,765
BODY OF EVIDENCE FOR THE 

3517
02:43:43,765 --> 02:43:45,767
COMMITTEE QUESTION ON THE 

3518
02:43:45,767 --> 02:43:46,368
RELATIONSHIP BETWEEN PORTION 

3519
02:43:46,368 --> 02:43:48,670
SIZE AND ENERGY INTAKE.

3520
02:43:48,670 --> 02:43:51,673
SUCH THAT CONCLUSION STATEMENTS 

3521
02:43:51,673 --> 02:43:52,674
WERE DRAWN FOR CHILDREN AND 

3522
02:43:52,674 --> 02:43:56,144
ADULT AND OLDER ADULTS BUT DUE 

3523
02:43:56,144 --> 02:43:58,380
TO LACK OF EVIDENCE AMONG YOUNG 

3524
02:43:58,380 --> 02:43:59,247
CHILDREN, ADOLESCENTS AND 

3525
02:43:59,247 --> 02:44:02,684
INDIVIDUALS DURING POST 

3526
02:44:02,684 --> 02:44:05,554
PREGNANCY CONCLUSIONS COULD NOT 

3527
02:44:05,554 --> 02:44:09,524
BE DRAWN AMONG THE GROUPS.

3528
02:44:09,524 --> 02:44:13,595
AND AS I MENTIONED, WE WERE NOT 

3529
02:44:13,595 --> 02:44:15,931
ABLE TO DRAW CONCLUSION 

3530
02:44:15,931 --> 02:44:17,899
STATEMENT BETWEEN PORTION SIZE 

3531
02:44:17,899 --> 02:44:19,401
AND BODY COMPOSITION AND RISK OF

3532
02:44:19,401 --> 02:44:19,801
OBESITY.

3533
02:44:19,801 --> 02:44:22,504
THE RATIONALE WAS FOR YOUNG 

3534
02:44:22,504 --> 02:44:24,206
CHILDREN, CHILDREN AND 

3535
02:44:24,206 --> 02:44:27,142
ADOLESCENTS THERE WAS JUST ONE 

3536
02:44:27,142 --> 02:44:28,710
RANDOMIZED TRIAL WHICH HAD 

3537
02:44:28,710 --> 02:44:29,277
METHODOLOGICAL LIMITATIONS.

3538
02:44:29,277 --> 02:44:31,980
FOR ADULTS AND OLDER ADULTS 

3539
02:44:31,980 --> 02:44:37,986
THERE WERE 11 STUDIES HOUR 

3540
02:44:37,986 --> 02:44:38,687
INCONSISTENCIES WITH THE 

3541
02:44:38,687 --> 02:44:41,256
COMPARATORS AND OUTCOME TO DRAW 

3542
02:44:41,256 --> 02:44:41,957
CONCLUSION.

3543
02:44:41,957 --> 02:44:43,492
THESE 11 STUDIES WERE PART OF 

3544
02:44:43,492 --> 02:44:45,260
LOSS TRIALS.

3545
02:44:45,260 --> 02:44:46,428
FOR INDIVIDUALS DURING PREGNANCY

3546
02:44:46,428 --> 02:44:50,699
THIS WAS ONE PROSPECTIVE COHORT 

3547
02:44:50,699 --> 02:44:53,602
STUDIES AND FOR INDIVIDUALS NO 

3548
02:44:53,602 --> 02:44:54,569
EVIDENCE AVAILABLE HIGHLIGHTING 

3549
02:44:54,569 --> 02:44:55,570
THE NEED FOR MORE RESEARCH IN 

3550
02:44:55,570 --> 02:44:56,371
THIS AREA.

3551
02:44:56,371 --> 02:45:04,446
I'LL TURN IT OVER TO ALINE.

3552
02:45:04,446 --> 02:45:06,581
>> THANK YOU.

3553
02:45:06,581 --> 02:45:08,150
SO, RELATED TO THE QUESTION WHAT

3554
02:45:08,150 --> 02:45:09,718
IS THE RELATIONSHIP BETWEEN 

3555
02:45:09,718 --> 02:45:11,887
PORTION SIZE AND ENERGY INTAKE.

3556
02:45:11,887 --> 02:45:12,921
THE COMMITTEE WAS ABLE TO 

3557
02:45:12,921 --> 02:45:14,689
DEVELOP SEVERAL CONCLUSION 

3558
02:45:14,689 --> 02:45:16,591
STATEMENTS AND CONSISTENT WITH 

3559
02:45:16,591 --> 02:45:21,496
OTHER COMMITTEES, REVIEWS THE 

3560
02:45:21,496 --> 02:45:22,931
DISTINCTION WAS MADE BETWEEN 

3561
02:45:22,931 --> 02:45:24,866
FAVORABLE AND UNFAVORABLE 

3562
02:45:24,866 --> 02:45:25,467
RELATIONSHIP BETWEEN PORTION 

3563
02:45:25,467 --> 02:45:26,668
SIZE AND ENERGY INTAKE.

3564
02:45:26,668 --> 02:45:29,337
SO FOR THE PURPOSE OF THIS 

3565
02:45:29,337 --> 02:45:31,606
REVIEW, THE FAVORABLE 

3566
02:45:31,606 --> 02:45:32,574
RELATIONSHIP MEANS THAT THERE 

3567
02:45:32,574 --> 02:45:36,778
WAS A REDUCTION IN ENERGY INTAKE

3568
02:45:36,778 --> 02:45:39,514
AND UNFAVORABLE RELATIONSHIP 

3569
02:45:39,514 --> 02:45:41,316
MEANS AN INCREASE IN ENERGY 

3570
02:45:41,316 --> 02:45:41,983
INTAKE.

3571
02:45:41,983 --> 02:45:44,186
AND FINALLY BECAUSE THE EVIDENCE

3572
02:45:44,186 --> 02:45:47,122
FOR PORTION SIZE AND ENERGY 

3573
02:45:47,122 --> 02:45:48,823
INTAKE WAS LARGE ENOUGH, THE 

3574
02:45:48,823 --> 02:45:52,994
COMMITTEE WAS ABLE TO 

3575
02:45:52,994 --> 02:45:54,663
STRATEGICALLY ORGANIZE THE 

3576
02:45:54,663 --> 02:45:55,764
EVIDENCE AND SEPARATE CONCLUSION

3577
02:45:55,764 --> 02:45:57,732
STATEMENT COULD BE DEVELOPED FOR

3578
02:45:57,732 --> 02:46:01,570
PORTION SIZE AND TYPE OF FOODS.

3579
02:46:01,570 --> 02:46:04,706
SO LOOK ENERGY DENSE FOOD, 

3580
02:46:04,706 --> 02:46:06,408
FRUITS AND VEGETABLES AND PER 

3581
02:46:06,408 --> 02:46:07,809
PRE-PORTIONED FOODS.

3582
02:46:07,809 --> 02:46:10,545
WE WERE ABLE TO DRAW TO 

3583
02:46:10,545 --> 02:46:11,913
CONCLUSION STATEMENT THAT 

3584
02:46:11,913 --> 02:46:13,481
DEMONSTRATED FAVORABLE 

3585
02:46:13,481 --> 02:46:15,450
RELATIONSHIP BETWEEN PORTION 

3586
02:46:15,450 --> 02:46:17,886
SIZE AND ENERGY INTAKE.

3587
02:46:17,886 --> 02:46:19,054
AMONG CHILDREN, LARGER PORTIONS 

3588
02:46:19,054 --> 02:46:21,122
OF FRUITS AND VEGETABLES WAS NOT

3589
02:46:21,122 --> 02:46:22,657
RELATED TO GREATER ENERGY INTAKE

3590
02:46:22,657 --> 02:46:26,228
DUE TO THE LOW DENSITY OF THESE 

3591
02:46:26,228 --> 02:46:26,661
FOODS.

3592
02:46:26,661 --> 02:46:29,331
AMONG ADULTS AND OLDER ADULTS, 

3593
02:46:29,331 --> 02:46:34,569
THE USE OF PRE-PORTION FOODS 

3594
02:46:34,569 --> 02:46:37,105
DECREASES ENERGY INTAKE AND WE 

3595
02:46:37,105 --> 02:46:38,974
WERE ABLE TO DRAW THREE 

3596
02:46:38,974 --> 02:46:41,543
CONCLUSION STATEMENT THAT 

3597
02:46:41,543 --> 02:46:42,877
DEMONSTRATED UNFAVORABLE 

3598
02:46:42,877 --> 02:46:43,712
RELATIONSHIP BETWEEN PORTION 

3599
02:46:43,712 --> 02:46:46,014
SIZE AND ENERGY INTAKE.

3600
02:46:46,014 --> 02:46:47,916
AMONG CHILDREN, LARGER PORTION 

3601
02:46:47,916 --> 02:46:50,118
OF ENERGY-DENSE FOODS WERE 

3602
02:46:50,118 --> 02:46:54,089
RELATED TO GREATER ENERGY 

3603
02:46:54,089 --> 02:46:54,322
INTAKE.

3604
02:46:54,322 --> 02:46:56,458
AMONG ADULTS AND ADULTS, LARGER 

3605
02:46:56,458 --> 02:46:58,426
PORTIONS OF FOOD WERE RELATED TO

3606
02:46:58,426 --> 02:47:00,095
GREATER ENERGY INTAKE AND FOR 

3607
02:47:00,095 --> 02:47:03,198
THOSE ADULTS AND OLDER ADULTS, 

3608
02:47:03,198 --> 02:47:07,602
PORTION SIZE AND ENERGY DENSITY 

3609
02:47:07,602 --> 02:47:09,070
WERE INDEPENDENT AND ADDITIVE IN

3610
02:47:09,070 --> 02:47:12,073
THEIR EFFECT ON ENERGY INTAKE.

3611
02:47:12,073 --> 02:47:15,844
SO THIS CONCLUSION WERE GRADES 

3612
02:47:15,844 --> 02:47:18,680
AS MODERATE AND STRONG.

3613
02:47:18,680 --> 02:47:19,981
POINTING TO THE THIS POTENTIAL 

3614
02:47:19,981 --> 02:47:23,785
PORTION SIZE TO BE USED AS A 

3615
02:47:23,785 --> 02:47:24,386
FAVORABLE STRATEGY TO MANAGE 

3616
02:47:24,386 --> 02:47:30,058
ENERGY INTAKE.

3617
02:47:30,058 --> 02:47:31,459
SO, THE BODY OF EVIDENCE 

3618
02:47:31,459 --> 02:47:36,097
CONSIDERED ON ENERGY INTAKE 

3619
02:47:36,097 --> 02:47:40,335
DEMONSTRATED INFERENCES OF FRUIT

3620
02:47:40,335 --> 02:47:41,503
AND BEVERAGE SIZE AMONG CHILDREN

3621
02:47:41,503 --> 02:47:44,072
AND ADULTS AND THE RELATIONSHIP 

3622
02:47:44,072 --> 02:47:46,675
BETWEEN PORTION SIZE AND ENERGY 

3623
02:47:46,675 --> 02:47:50,278
INTAKE IN YOUNG CHILDREN, OLDER 

3624
02:47:50,278 --> 02:47:53,882
ADULTS AND INDIVIDUALS DURING 

3625
02:47:53,882 --> 02:47:54,416
PREGNANCY AND POSTPARTUM.

3626
02:47:54,416 --> 02:47:56,418
SO NO CONCLUSION STATEMENT COULD

3627
02:47:56,418 --> 02:47:58,687
BE DRAWN FOR PORTION SIZE AND 

3628
02:47:58,687 --> 02:47:59,854
ENERGY INTAKE AMONG YOUNG 

3629
02:47:59,854 --> 02:48:00,955
CHILDREN AND ADULTS BECAUSE 

3630
02:48:00,955 --> 02:48:03,992
THERE WAS NO EVIDENCE AVAILABLE.

3631
02:48:03,992 --> 02:48:07,128
SO IN OUR PROTOCOL THE INCLUSION

3632
02:48:07,128 --> 02:48:11,266
AGE WAS  1 UP TO 19 YEARS OF AGE

3633
02:48:11,266 --> 02:48:14,469
HOWEVER, OUR BODY OF EVIDENCE 

3634
02:48:14,469 --> 02:48:19,207
RANGED FROM 2-9 YEARS WITH THE 

3635
02:48:19,207 --> 02:48:22,677
MOST STUDIES EXAMINING CHILDREN 

3636
02:48:22,677 --> 02:48:26,681
BETWEEN AGE 4-5.

3637
02:48:26,681 --> 02:48:29,951
NO CONCLUSION STATEMENT COULD BE

3638
02:48:29,951 --> 02:48:33,888
DRAWN FROM PRE-PORTIONED FOODS 

3639
02:48:33,888 --> 02:48:37,525
AND ENERGY INTAKE AMONG YOUNG 

3640
02:48:37,525 --> 02:48:38,660
CHILDREN AND PORTION SIZE AND 

3641
02:48:38,660 --> 02:48:43,064
ENERGY DURING PREGNANCY AND 

3642
02:48:43,064 --> 02:48:45,567
PARTUM AND PRE-PORTIONED FOOD 

3643
02:48:45,567 --> 02:48:48,069
DURING PREGNANCY AND POSTPARTUM 

3644
02:48:48,069 --> 02:48:49,270
COULD NOT BE EVALUATED BECAUSE 

3645
02:48:49,270 --> 02:48:58,913
THERE WAS NO EVIDENCE.

3646
02:48:58,913 --> 02:49:02,684
SO, AMONG FOOD AND BEVERAGE 

3647
02:49:02,684 --> 02:49:06,388
INTAKE DEPENDS ON THE ENERGY 

3648
02:49:06,388 --> 02:49:10,425
DENSITY OF THE FOOD OR BEVERAGE 

3649
02:49:10,425 --> 02:49:10,692
CONSUMED.

3650
02:49:10,692 --> 02:49:14,629
FOR GENERAL AND ADULTS PORTION 

3651
02:49:14,629 --> 02:49:16,498
SIZE REFERS TO THE VOLUME OF THE

3652
02:49:16,498 --> 02:49:19,634
FOOD CONSUMED AND IF THE LARGER 

3653
02:49:19,634 --> 02:49:21,536
PORTION IS OF ENERGY DENSE FOOD,

3654
02:49:21,536 --> 02:49:23,772
THEN ENERGY INTAKE INCREASES.

3655
02:49:23,772 --> 02:49:27,208
IF THE LARGER PORTION IS OF 

3656
02:49:27,208 --> 02:49:28,943
LOWER ENERGY DENSE FOOD OR 

3657
02:49:28,943 --> 02:49:31,579
BEVERAGES, ENERGY INTAKE MAY NOT

3658
02:49:31,579 --> 02:49:34,482
CHANGE THOUGH THE FOOD INTAKE 

3659
02:49:34,482 --> 02:49:37,318
INCREASES PARTICULARLY AMONG 

3660
02:49:37,318 --> 02:49:37,585
CHILDREN.

3661
02:49:37,585 --> 02:49:39,454
THE EVIDENCE WAS CONSISTENT 

3662
02:49:39,454 --> 02:49:41,156
ACROSS PARTICIPANT 

3663
02:49:41,156 --> 02:49:44,225
CHARACTERISTICS, SUCH AS AGE AND

3664
02:49:44,225 --> 02:49:46,094
BODY MASS INDEX AND AMONG MANY 

3665
02:49:46,094 --> 02:49:52,033
TYPE OF FOOD SUCH AS UNIQUE FOOD

3666
02:49:52,033 --> 02:49:56,271
OR MACARONI AND CHEESE.

3667
02:49:56,271 --> 02:49:57,639
AND OUR ADVICE AS A DEPARTMENT 

3668
02:49:57,639 --> 02:50:01,509
IS FOR CHILDREN AND ADULTS TO 

3669
02:50:01,509 --> 02:50:02,477
CONSUME SMALLER PORTION OF 

3670
02:50:02,477 --> 02:50:05,647
ENERGY DENSE FOODS TO STAY 

3671
02:50:05,647 --> 02:50:08,950
WITHIN ENERGY REQUIREMENT AND 

3672
02:50:08,950 --> 02:50:14,889
FOR CHILDREN, USE PORTION SIZE 

3673
02:50:14,889 --> 02:50:18,259
STRATEGICALLY TO PROMOTE FRUITS 

3674
02:50:18,259 --> 02:50:19,894
AND VEGETABLES WHICH ARE 

3675
02:50:19,894 --> 02:50:22,363
NUTRIENT OF PUBLIC HEALTH 

3676
02:50:22,363 --> 02:50:24,432
CONCERN SUCH AS POTASSIUM, 

3677
02:50:24,432 --> 02:50:27,368
CALCIUM AND FIBER.

3678
02:50:27,368 --> 02:50:29,871
SO PRE-PORTIONED FOODS WHICH 

3679
02:50:29,871 --> 02:50:34,309
GENERALLY ARE FOODS THAT ARE 

3680
02:50:34,309 --> 02:50:37,679
BEEN PORTIONED AS A RECOMMENDED 

3681
02:50:37,679 --> 02:50:41,816
STANDARD SERVING SIZE REDUCES 

3682
02:50:41,816 --> 02:50:46,688
ENERGY INTAKE IN ADULTS AND 

3683
02:50:46,688 --> 02:50:56,598
OLDER ADULTS AND CONSUMING 

3684
02:50:56,598 --> 02:50:57,265
PRE-PORTIONED FOODS MAY RESULT 

3685
02:50:57,265 --> 02:50:59,868
IN LOWER ENERGY INTAKE AND FOR 

3686
02:50:59,868 --> 02:51:01,135
ADULTS TO USE PRE-PORTIONED 

3687
02:51:01,135 --> 02:51:06,307
FOODS TO REDUCE INTAKE OF ENERGY

3688
02:51:06,307 --> 02:51:09,477
DENSE FOOD AND WE MADE TWO 

3689
02:51:09,477 --> 02:51:10,678
SPECIFIC RECOMMENDATIONS.

3690
02:51:10,678 --> 02:51:14,682
ONE FOCUSSED ON FOOD PREPARED IN

3691
02:51:14,682 --> 02:51:16,518
THE HOME MORE MEAL PLANNING 

3692
02:51:16,518 --> 02:51:18,319
COULD BE CONSIDERED OR PREPARING

3693
02:51:18,319 --> 02:51:22,557
FOOD FOR MULTIPLE MEALS IN THE 

3694
02:51:22,557 --> 02:51:26,661
HOME STARRING ENERGY DENSE FOOD 

3695
02:51:26,661 --> 02:51:28,162
AND PRE-PORTIONED FOODS 

3696
02:51:28,162 --> 02:51:28,463
BENEFICIAL.

3697
02:51:28,463 --> 02:51:30,331
FOR FOODS CONSUMED AWAY FROM 

3698
02:51:30,331 --> 02:51:33,768
HOME, SUCH AS IN COMMERCIAL, 

3699
02:51:33,768 --> 02:51:36,337
NON-COMMERCIAL FOOD SERVICES 

3700
02:51:36,337 --> 02:51:39,374
ESTABLISHMENT, CHOOSING ENERGY 

3701
02:51:39,374 --> 02:51:41,876
DENSE FOOD IN SMALLER 

3702
02:51:41,876 --> 02:51:42,510
PRE-PORTIONED FOODS IN PACKAGES 

3703
02:51:42,510 --> 02:51:52,854
WILL BE BENEFICIAL.

3704
02:51:54,389 --> 02:52:04,465
YOU US 

3705
02:52:12,440 --> 02:52:16,678
>> THANK YOU.

3706
02:52:16,678 --> 02:52:20,515
DO YOU WE HAVE QUESTION OR 

3707
02:52:20,515 --> 02:52:20,915
COMMENTS.

3708
02:52:20,915 --> 02:52:22,850
>> FRUITS AND VEGETABLES
TO BE 

3709
02:52:22,850 --> 02:52:31,993
USED STRATEGICALLY FOR NEWT 

3710
02:52:31,993 --> 02:52:32,927
ROE -- 

3711
02:52:32,927 --> 02:52:34,662
NUTRIENTS THAT MAY BE UNDER 

3712
02:52:34,662 --> 02:52:36,331
CONSUMED AND CHILDREN HAVE 

3713
02:52:36,331 --> 02:52:38,566
SMALLER STOMACHS AND WAS THERE 

3714
02:52:38,566 --> 02:52:39,500
DISCUSSION OF THE BULK OF THE 

3715
02:52:39,500 --> 02:52:42,337
FOODS AND THE ABILITY OF 

3716
02:52:42,337 --> 02:52:43,871
CHILDREN TO EAT THE OTHER FOODS 

3717
02:52:43,871 --> 02:52:46,874
OFFERED AT THE MEAL IF YOU'RE 

3718
02:52:46,874 --> 02:52:49,210
GOING TO OFFER LARGER SERVINGS 

3719
02:52:49,210 --> 02:52:50,411
OF THESE FOODS?

3720
02:52:50,411 --> 02:53:00,355
>> THAT'S A GREAT
QUESTION.

3721
02:53:00,355 --> 02:53:02,657
>> I CAN TAKE THAT.

3722
02:53:02,657 --> 02:53:05,360
THE EVIDENCE WE SAW WAS ACROSS 

3723
02:53:05,360 --> 02:53:06,361
EXPERIMENTS WHERE THE CHILDREN 

3724
02:53:06,361 --> 02:53:12,367
WERE OFFERED DIFFERENT TYPES OF 

3725
02:53:12,367 --> 02:53:16,104
FOOD AND SO THE RESEARCH 

3726
02:53:16,104 --> 02:53:17,772
SPECIFICALLY DID NOT TALK ABOUT 

3727
02:53:17,772 --> 02:53:21,576
THE VOLUME NECESSARILY, WHICH I 

3728
02:53:21,576 --> 02:53:22,944
THINK WHAT YOU'RE REFERRING TO 

3729
02:53:22,944 --> 02:53:26,414
OF THE FRUITS AND VEGETABLES 

3730
02:53:26,414 --> 02:53:28,916
VERSUS MORE OF SERVING OR LARGER

3731
02:53:28,916 --> 02:53:32,086
PORTION SIZE INCREASE THEIR 

3732
02:53:32,086 --> 02:53:34,656
INTAKE WITHOUT NECESSARILY 

3733
02:53:34,656 --> 02:53:44,265
AFFECTING OTHER FOODS.

3734
02:53:44,265 --> 02:53:45,166
>> THERE ARE SOME STUDIES
THAT 

3735
02:53:45,166 --> 02:53:48,903
LOOK AT AS YOU CHANGE THE 

3736
02:53:48,903 --> 02:53:50,838
PORTION SIZE WITHIN AN EATING 

3737
02:53:50,838 --> 02:53:52,774
OCCASION HOW DOES IT INFLUENCE 

3738
02:53:52,774 --> 02:53:54,609
OTHER FOODS WITHIN THE EATING 

3739
02:53:54,609 --> 02:53:55,209
OCCASION.

3740
02:53:55,209 --> 02:53:56,411
THERE WASN'T ENOUGH LITERATURE, 

3741
02:53:56,411 --> 02:54:02,684
BODY OF EVIDENCE TO PULL THAT 

3742
02:54:02,684 --> 02:54:09,390
TOGETHER.

3743
02:54:09,390 --> 02:54:12,427
THINGS WERE DESCRIBED IN TERMS 

3744
02:54:12,427 --> 02:54:14,328
OF VOLUME BUT EVERYTHING WAS 

3745
02:54:14,328 --> 02:54:15,263
PRESENTED AS A GRAM WEIGHT 

3746
02:54:15,263 --> 02:54:17,765
PORTION AND CHANGES IN THAT GRAM

3747
02:54:17,765 --> 02:54:18,266
WEIGHT PORTION.

3748
02:54:18,266 --> 02:54:20,601
SO THAT'S HOW IT'S PRESENTED IN 

3749
02:54:20,601 --> 02:54:23,771
THE LITERATURE.

3750
02:54:23,771 --> 02:54:25,139
YOU BRING UP AN IMPORTANT POINT 

3751
02:54:25,139 --> 02:54:28,109
YOU ANTICIPATE AS YOU ALTER 

3752
02:54:28,109 --> 02:54:29,677
PORTION SIZES OF DIFFERENT FOODS

3753
02:54:29,677 --> 02:54:30,311
WITHIN AN EATING OCCASION IT 

3754
02:54:30,311 --> 02:54:32,280
WILL HAVE EFFECTS ON DIFFERENT 

3755
02:54:32,280 --> 02:54:32,480
FOODS.

3756
02:54:32,480 --> 02:54:34,682
>> DID THEY TRAP THE
AMOUNT OF 

3757
02:54:34,682 --> 02:54:38,052
OTHER FOODS CONSUMED AT THE SAME

3758
02:54:38,052 --> 02:54:48,396
MEAL OR UP OR DOWN?

3759
02:55:02,744 --> 02:55:03,745
>> THERE WASN'T ENOUGH 

3760
02:55:03,745 --> 02:55:05,747
LITERATURE TO LOOK AT IT THAT 

3761
02:55:05,747 --> 02:55:06,414
WAY.

3762
02:55:06,414 --> 02:55:14,088
>> THERE ARE WERE COOKED
CARROTS

3763
02:55:14,088 --> 02:55:15,289
AND BROCCOLI AND DO YOU 

3764
02:55:15,289 --> 02:55:15,790
REMEMBER?

3765
02:55:15,790 --> 02:55:16,924
>> I THINK IN THE
LITERATURE 

3766
02:55:16,924 --> 02:55:18,426
IT'S FAIRLY MIXED IN TERMS OF 

3767
02:55:18,426 --> 02:55:20,194
HOW IT'S PRESENTED.

3768
02:55:20,194 --> 02:55:22,230
SO I DON'T THINK EVERYTHING IS 

3769
02:55:22,230 --> 02:55:32,640
JUST A COOKED VEGETABLE.

3770
02:55:35,643 --> 02:55:37,178
>> THERE'S NOT ENOUGH
DEPTH IN 

3771
02:55:37,178 --> 02:55:40,281
THE LITERATURE TO SORT THAT OUT.

3772
02:55:40,281 --> 02:55:45,853
>> THERE WAS A CONCLUSION 

3773
02:55:45,853 --> 02:55:47,288
STATEMENT RELATED TO THE 

3774
02:55:47,288 --> 02:55:48,422
PRE-PORTIONED FOODS.

3775
02:55:48,422 --> 02:55:53,060
WAS THERE INFORMATION IN THE 

3776
02:55:53,060 --> 02:55:54,529
TYPE OF THE PRE-PORTIONED FOODS 

3777
02:55:54,529 --> 02:55:56,397
BECAUSE FOR CHILDREN THERE'S A 

3778
02:55:56,397 --> 02:55:57,598
SPECIFIC NOTE ON FRUITS AND 

3779
02:55:57,598 --> 02:55:57,899
VEGETABLES.

3780
02:55:57,899 --> 02:55:59,901
WAS THERE NOT ENOUGH EVIDENCE OR

3781
02:55:59,901 --> 02:56:10,411
WAS THAT A QUESTION NOT ASKED?

3782
02:56:11,679 --> 02:56:12,947
>> I DON'T THINK WE HAD 

3783
02:56:12,947 --> 02:56:14,515
QUESTIONS ON THE TYPES OF FOODS.

3784
02:56:14,515 --> 02:56:17,819
WHAT WE DID WAS WHEN THE 

3785
02:56:17,819 --> 02:56:21,088
EVIDENCE BASE WAS PRESENTED WE 

3786
02:56:21,088 --> 02:56:25,393
ORGANIZED IT IN A WAY TO LOOK AT

3787
02:56:25,393 --> 02:56:28,162
THINGS AND THE QUESTIONS ARE 

3788
02:56:28,162 --> 02:56:29,497
SPECIFIC ABOUT FRUITS AND 

3789
02:56:29,497 --> 02:56:31,132
VEGETABLES WHICH DOESN'T OCCUR 

3790
02:56:31,132 --> 02:56:32,033
AS MUCH IN THE ADULT LITERATURE 

3791
02:56:32,033 --> 02:56:32,900
PER SE.

3792
02:56:32,900 --> 02:56:37,305
SO I THINK IN THE ADULT 

3793
02:56:37,305 --> 02:56:38,673
LITERATURE THERE'S MORE VARIETY 

3794
02:56:38,673 --> 02:56:40,474
IN TERMS OF THE DIFFERENT TYPES 

3795
02:56:40,474 --> 02:56:47,915
OF FOODS BEING LOOKED AT AND 

3796
02:56:47,915 --> 02:56:49,083
GENERALLY OFTEN TIMES AND JENNY 

3797
02:56:49,083 --> 02:56:54,422
CHIME IN FOR THE ADULT STUDIES 

3798
02:56:54,422 --> 02:56:58,826
IN THE PRE-PORTIONED STUDIES 

3799
02:56:58,826 --> 02:56:59,927
IT'S MORE THE MAIN TYPE OR 

3800
02:56:59,927 --> 02:57:10,271
ENTREE OF THE MEAL.

3801
02:57:13,241 --> 02:57:16,244
>> I'M WONDERING ABOUT THE

3802
02:57:16,244 --> 02:57:18,412
PORTION SIZE IN RELATINGTION TO 

3803
02:57:18,412 --> 02:57:19,747
THE TIMING.

3804
02:57:19,747 --> 02:57:25,052
WITHIN THE MEAL ARE THE EATING 

3805
02:57:25,052 --> 02:57:30,391
MORE CALORIES OR ALSO WITHIN 24 

3806
02:57:30,391 --> 02:57:36,898
HOURS WITH COMPENSATORY EFFECTS.

3807
02:57:36,898 --> 02:57:38,332
>> I BELIEVE AND OTHER
COMMITTEE

3808
02:57:38,332 --> 02:57:42,136
MEMBERS JUMP IN, I BELIEVE FOR 

3809
02:57:42,136 --> 02:57:44,805
THE ENERGY QUESTIONS WE LOOKED 

3810
02:57:44,805 --> 02:57:46,674
AT THINGS IN RELATION TO A MEAL 

3811
02:57:46,674 --> 02:57:47,742
BECAUSE THAT'S WHERE A LOT OF 

3812
02:57:47,742 --> 02:57:52,013
THE LITERATURE WAS COMPARED TO 

3813
02:57:52,013 --> 02:57:53,848
WHEN WE LOOKED AT THE FREQUENCY 

3814
02:57:53,848 --> 02:57:54,749
OF EATING OCCASION QUESTIONS WAS

3815
02:57:54,749 --> 02:58:00,454
MORE OVER A DAY.

3816
02:58:00,454 --> 02:58:05,993
AND SO THERE WAS NOT A LOOK AT 

3817
02:58:05,993 --> 02:58:16,537
COMPENSATION OVER TIME I THINK.

3818
02:58:16,804 --> 02:58:18,773
>> IF YOU SERVE A LARGE
PORTION 

3819
02:58:18,773 --> 02:58:20,374
OF X WHAT HAPPENS TO ENERGY AT 

3820
02:58:20,374 --> 02:58:23,244
THE MEAL AND FOOD INTAKE AT THE 

3821
02:58:23,244 --> 02:58:23,678
MEAL.

3822
02:58:23,678 --> 02:58:28,649
SUBSEQUENT STUDIES AND THERE'S A

3823
02:58:28,649 --> 02:58:34,655
NUMBER OF THEM AND LOOKING AT 

3824
02:58:34,655 --> 02:58:37,258
PORTION SIZES OF ALL FOODS 

3825
02:58:37,258 --> 02:58:39,694
SERVES ACROSS THE DAY, MULTIPLE 

3826
02:58:39,694 --> 02:58:41,963
DAYS, DO PEOPLE START TO 

3827
02:58:41,963 --> 02:58:47,568
COMPENSATE, DO YOU SEE EFFECTS 

3828
02:58:47,568 --> 02:58:50,638
AND WE SAW WHERE PORTION SIZES 

3829
02:58:50,638 --> 02:58:53,307
WERE INCREASED OVER LONGER 

3830
02:58:53,307 --> 02:58:56,043
PERIODS, STUDIES WERE PRETTY 

3831
02:58:56,043 --> 02:58:57,244
CONSISTENT IN REPORTING 

3832
02:58:57,244 --> 02:59:05,019
INCREASES IN DAILY ENERGY INTAKE

3833
02:59:05,019 --> 02:59:09,056
THOUGH THESE WERE RCT STUDIES SO

3834
02:59:09,056 --> 02:59:12,460
FAIRLY SHORT TERM IN DURATION 

3835
02:59:12,460 --> 02:59:17,398
AND STAFF PROBABLY HAS AS BETTER

3836
02:59:17,398 --> 02:59:18,432
RECOLLECTION AND OVER DAYS AND 

3837
02:59:18,432 --> 02:59:28,843
WEEKS WERE MOST STUDIES.

3838
02:59:31,746 --> 02:59:34,882
>> I'M CURIOUS ABOUT THE 

3839
02:59:34,882 --> 02:59:36,684
PREPORTIONED SNACKS?

3840
02:59:36,684 --> 02:59:40,721
MORE COMMERCIAL OR TEACHING 

3841
02:59:40,721 --> 02:59:43,691
FAMILIES HOW TO PREPORTION AND 

3842
02:59:43,691 --> 02:59:45,393
THINKING OF COST OF MEASURING 

3843
02:59:45,393 --> 02:59:46,660
CUPS AND THINKING OF WAYS FOR 

3844
02:59:46,660 --> 02:59:50,398
PEOPLE TO DO THIS AT HOME AND 

3845
02:59:50,398 --> 02:59:50,965
SAVE MONEY WITH THE LARGER 

3846
02:59:50,965 --> 02:59:52,967
PACKAGES.

3847
02:59:52,967 --> 02:59:58,672
>> YOU BRING UP A GREAT
POINT.

3848
02:59:58,672 --> 03:00:00,441
AGAIN, THAT MAY GO TO THE 

3849
03:00:00,441 --> 03:00:01,108
IMPLEMENTATION STRATEGY WITHIN 

3850
03:00:01,108 --> 03:00:01,709
THE STUDIES.

3851
03:00:01,709 --> 03:00:12,353
THE STUDIES WE LOOKED AT THEY 

3852
03:00:12,353 --> 03:00:15,356
WERE NOT PROVIDED WITH TOOLS.

3853
03:00:15,356 --> 03:00:19,093
THAT'S A LITTLE BIT OF WHY WE 

3854
03:00:19,093 --> 03:00:22,930
HAVE PROBLEMS COMING THE 

3855
03:00:22,930 --> 03:00:23,597
CONCLUSION WITH BODY COMPOSITION

3856
03:00:23,597 --> 03:00:26,634
AND RISK OF OBESITY.

3857
03:00:26,634 --> 03:00:28,369
WE SAW A VARIETY OF STRATEGIES 

3858
03:00:28,369 --> 03:00:33,707
AND NO ONE YOU COULD PULL 

3859
03:00:33,707 --> 03:00:38,145
TOGETHER.

3860
03:00:38,145 --> 03:00:42,450
IN THE CHILD LITERATURE IT WAS 

3861
03:00:42,450 --> 03:00:47,121
USUALLY PRE-PORTIONED BY THE 

3862
03:00:47,121 --> 03:00:47,555
INVESTIGATIVE TEAM.

3863
03:00:47,555 --> 03:00:58,032
>> GREAT COMMENTS,
EVERYONE.

3864
03:01:05,406 --> 03:01:09,110
THREW FOR EVERYONE WORKING ON 

3865
03:01:09,110 --> 03:01:16,117
THIS TO GET THIS DONE IN GREAT 

3866
03:01:16,117 --> 03:01:20,721
EXAMPLES OF STRATEGYIES FOR THE 

3867
03:01:20,721 --> 03:01:22,323
NEXT DIETARY GUIDELINES.

3868
03:01:22,323 --> 03:01:25,893
WE'LL TALK ABOUT THE LAST 

3869
03:01:25,893 --> 03:01:29,597
CHAPTER OF OUR SUBCOMMITTEE ON 

3870
03:01:29,597 --> 03:01:30,097
CULT

3871
03:01:30,097 --> 03:01:33,901
CULTURALLY TAILORED DIET 

3872
03:01:33,901 --> 03:01:34,235
INTERVENTIONS.

3873
03:01:34,235 --> 03:01:35,870
WE'LL FIRST PRESENT THE 

3874
03:01:35,870 --> 03:01:36,704
BACKGROUND AND FRAME WORKS USED 

3875
03:01:36,704 --> 03:01:38,606
AND THEN TALK ABOUT THE FINDINGS

3876
03:01:38,606 --> 03:01:39,206
IN OUR RECOMMENDATIONS AND 

3877
03:01:39,206 --> 03:01:46,647
GUIDANCE.

3878
03:01:46,647 --> 03:01:48,449
>> THANK YOU TO THE
SUBCOMMITTEE

3879
03:01:48,449 --> 03:01:50,284
AND THE STAFF WHICH HAVE BEEN 

3880
03:01:50,284 --> 03:01:50,584
PHENOM FLAL.

3881
03:01:50,584 --> 03:01:54,455
THIS OF COURSE IS A NEW ENDEAVOR

3882
03:01:54,455 --> 03:01:58,726
WHEN IT COMES TO THE DIETARY 

3883
03:01:58,726 --> 03:02:00,694
GUIDELINES AND WE'LL TALK ABOUT 

3884
03:02:00,694 --> 03:02:06,433
THE EVIDENCE AND KUDOS TO THE 

3885
03:02:06,433 --> 03:02:09,403
SUPPORT AND TALKING ABOUT THE 

3886
03:02:09,403 --> 03:02:09,770
NEXT QUESTION.

3887
03:02:09,770 --> 03:02:12,006
SO CULTURE PLAYS AN IMPORTANT 

3888
03:02:12,006 --> 03:02:16,277
ROLE IN INDIVIDUALS EXPERIENCES 

3889
03:02:16,277 --> 03:02:17,811
WITH FOODS AND BEVERAGES AND 

3890
03:02:17,811 --> 03:02:20,581
INFORMS THE SIGNIFICANCE AND 

3891
03:02:20,581 --> 03:02:23,517
SYMBOLIC MEANING ATTACHED AND 

3892
03:02:23,517 --> 03:02:26,053
GUIDES BELIEFS ABOUT 

3893
03:02:26,053 --> 03:02:27,855
RELATIONSHIPS WITH DIET AND 

3894
03:02:27,855 --> 03:02:30,191
HEALTH AND DIETARY BEHAVIOR COME

3895
03:02:30,191 --> 03:02:33,027
FROM THE COMPLEX INTERPLAY OF 

3896
03:02:33,027 --> 03:02:35,162
PSYCHOLOGICAL AND SOCIO LOGIC 

3897
03:02:35,162 --> 03:02:36,830
AND ECONOMIC AND SENSORY FACTORS

3898
03:02:36,830 --> 03:02:38,165
ALL OF WHICH ARE INFLUENCED BY 

3899
03:02:38,165 --> 03:02:41,802
CULTURE.

3900
03:02:41,802 --> 03:02:44,071
WHAT WE THINK ABOUT CULTURE IN 

3901
03:02:44,071 --> 03:02:46,106
THE WORK IT'S DEFINED AS THE 

3902
03:02:46,106 --> 03:02:49,777
SHARED VALUES, NORMS AND BELIEF 

3903
03:02:49,777 --> 03:02:53,414
SYMPTOMS THAT COLLECTIVELY SHAPE

3904
03:02:53,414 --> 03:02:56,951
ATTITUDES AND PERCEPTIONS 

3905
03:02:56,951 --> 03:02:57,751
THROUGH WHICH THEY ARE INTERACT 

3906
03:02:57,751 --> 03:02:58,953
WITH EACH OTHER AND THEIR 

3907
03:02:58,953 --> 03:02:59,253
ENVIRONMENT.

3908
03:02:59,253 --> 03:03:03,490
IT PLAYS AN IMPORTANT ROLE IN 

3909
03:03:03,490 --> 03:03:07,828
INDIVIDUALS' EXPERIENCES WITH 

3910
03:03:07,828 --> 03:03:08,028
FOOD.

3911
03:03:08,028 --> 03:03:10,598
IT INFORMS THE SYMBOLIC MEANING 

3912
03:03:10,598 --> 03:03:12,032
THEY ATTACH TO CERTAIN FOODS AND

3913
03:03:12,032 --> 03:03:15,069
GUIDES THEIR BELIEFS ABOUT THE 

3914
03:03:15,069 --> 03:03:16,537
RELATIONSHIP BETWEEN FOOD AND 

3915
03:03:16,537 --> 03:03:16,837
HEALTH.

3916
03:03:16,837 --> 03:03:19,340
DESPITE MODEST IMPROVEMENTS IN 

3917
03:03:19,340 --> 03:03:26,080
DIETARY QUALITY, WE STILL SEE 

3918
03:03:26,080 --> 03:03:26,647
THE RACIAL, ETHNIC, SOCIO 

3919
03:03:26,647 --> 03:03:30,451
ECONOMIC AND IN SOME CASES 

3920
03:03:30,451 --> 03:03:32,486
GEOGRAPHIC DISPARITIES INDICT 

3921
03:03:32,486 --> 03:03:35,556
AND CHRONIC DISEASE RELATED 

3922
03:03:35,556 --> 03:03:35,789
OUTCOME.

3923
03:03:35,789 --> 03:03:37,891
THESE OUTCOMES UNDER SCORE THE 

3924
03:03:37,891 --> 03:03:41,362
NEED FOR CULTURALLY TAILORED 

3925
03:03:41,362 --> 03:03:43,264
DIETARY INTERVENTIONS THAT 

3926
03:03:43,264 --> 03:03:47,601
ADDRESS SPECIFIC HEALTH OUTCOMES

3927
03:03:47,901 --> 03:03:49,503
THAT HAVE A HIGH PREVALENCE IN 

3928
03:03:49,503 --> 03:03:51,438
GROUPS AND INTERVENTIONS ARE 

3929
03:03:51,438 --> 03:03:54,608
DESIGN TO ALIGN WITH SPECIFIC 

3930
03:03:54,608 --> 03:03:58,579
CULTURAL PRACTICES, BELIEFS AND 

3931
03:03:58,579 --> 03:03:59,546
PREFERENCES OF THE TARGET 

3932
03:03:59,546 --> 03:04:00,848
POPULATION WITH THE AIM OF 

3933
03:04:00,848 --> 03:04:02,616
INCREASING THEIR EFFECTIVENESS 

3934
03:04:02,616 --> 03:04:05,252
AND ACCEPTANCE.

3935
03:04:05,252 --> 03:04:07,388
IT REALLY HELPS US DEEPEN OUR 

3936
03:04:07,388 --> 03:04:08,055
UNDERSTANDING ABOUT THE 

3937
03:04:08,055 --> 03:04:09,757
SIGNIFICANCE OF CULTURE AND HOW 

3938
03:04:09,757 --> 03:04:14,061
IT CAN REALLY PLAY A ROLE IN 

3939
03:04:14,061 --> 03:04:15,963
HELPING US LEVERAGE AND CHANGE 

3940
03:04:15,963 --> 03:04:17,798
AND SUPPORT PEOPLE IN CHANGING 

3941
03:04:17,798 --> 03:04:21,568
THEIR DIETARY PATTERNS.

3942
03:04:21,568 --> 03:04:28,008
AND IN 2025, WE PRIORITIZED THIS

3943
03:04:28,008 --> 03:04:30,244
IN CONTRAST TO OTHER COMMITTEE'S

3944
03:04:30,244 --> 03:04:36,483
IDEA OF INCORPORATING CULTURE, 

3945
03:04:36,483 --> 03:04:39,987
EMPHASIZES THIS ABILITY TO APPLY

3946
03:04:39,987 --> 03:04:43,223
A HEALTH EQUITY LENS AND LOOKING

3947
03:04:43,223 --> 03:04:44,725
AT INTERVENTIONS AND STRATEGIES 

3948
03:04:44,725 --> 03:04:46,660
THAT HELP PEOPLE MODIFY THEIR 

3949
03:04:46,660 --> 03:04:46,927
BEHAVIORS.

3950
03:04:46,927 --> 03:04:49,263
THIS IS IMPORTANT AND LOOKING AT

3951
03:04:49,263 --> 03:04:51,165
CULTURALLY RESPONSIVE DIETS.

3952
03:04:51,165 --> 03:04:55,069
WE HAVE A VERY RACIALLY AND 

3953
03:04:55,069 --> 03:04:56,503
ETHNICALLY DIVERSE POPULATION IN

3954
03:04:56,503 --> 03:04:58,305
THE U.S. AND IT CONTINUES TO 

3955
03:04:58,305 --> 03:05:00,774
GROW AND THEN WE GOT A LOT OF 

3956
03:05:00,774 --> 03:05:03,444
PUBLIC COMMENTS ABOUT THE 

3957
03:05:03,444 --> 03:05:04,345
CONCERN FOR REPRESENTATIVENESS 

3958
03:05:04,345 --> 03:05:07,348
OF THE GUIDELINES AND HOW THEY 

3959
03:05:07,348 --> 03:05:08,315
CAN BE APPLIED ACROSS DIVERSE 

3960
03:05:08,315 --> 03:05:13,387
POPULATIONS.

3961
03:05:13,387 --> 03:05:17,391
SO WHAT WE EAT IN AMERICA IN 

3962
03:05:17,391 --> 03:05:20,127
NHANES SHOWS REGARDLESS OF RACE,

3963
03:05:20,127 --> 03:05:21,328
ETHNICITY AND SOCIO DEMOGRAPHIC 

3964
03:05:21,328 --> 03:05:24,164
FACTORS, FEW INDIVIDUALS REALLY 

3965
03:05:24,164 --> 03:05:27,434
MEET THE GUIDELINES OR CONSUME 

3966
03:05:27,434 --> 03:05:29,603
FOOD GROUPS AND SUB GROUPS IN 

3967
03:05:29,603 --> 03:05:31,138
ALIGNMENT WITH RECOMMENDATIONS.

3968
03:05:31,138 --> 03:05:34,641
BUT WE DO SEE SOME DIFFERENCES 

3969
03:05:34,641 --> 03:05:37,044
AND VARIATIONS BY RACE AND 

3970
03:05:37,044 --> 03:05:38,946
ETHNICITY AND IT EMPHASIZES THE 

3971
03:05:38,946 --> 03:05:41,148
IMPORTANCE AGAIN OF HAVING THE 

3972
03:05:41,148 --> 03:05:44,418
CULTURALLY RESPONSIVE DIETARY 

3973
03:05:44,418 --> 03:05:44,718
APPROACHES.

3974
03:05:44,718 --> 03:05:47,988
SO FOR EXAMPLE A RELATIVELY HIGH

3975
03:05:47,988 --> 03:05:50,891
PERCENTAGE OF HISPANIC OR LATINO

3976
03:05:50,891 --> 03:05:56,397
POPULATIONS ARE AT OR ABOVE THE 

3977
03:05:56,397 --> 03:05:58,599
RECOMMENDATIONS FOR BEANS, PEAS 

3978
03:05:58,599 --> 03:05:59,933
COMPARED TO NON-HISPANIC WHITES.

3979
03:05:59,933 --> 03:06:02,636
YOU SEE A PERCENTAGE OF 

3980
03:06:02,636 --> 03:06:05,339
NON-HISPANIC ASIAN POPULATIONS 

3981
03:06:05,339 --> 03:06:07,207
ABOVE RECOMMENDATIONS FOR FRUITS

3982
03:06:07,207 --> 03:06:08,642
AND VEGETABLES, DARK GREEN 

3983
03:06:08,642 --> 03:06:12,446
VEGETABLES AND OTHER VEGETABLES,

3984
03:06:12,446 --> 03:06:14,314
WHOLE GRAIN, NUTS, SEED AND SOY.

3985
03:06:14,314 --> 03:06:19,787
WE SEE THE AVAILABILITY AND THIS

3986
03:06:19,787 --> 03:06:22,055
EVIDENCE SCAN WAS CONDUCTED TO 

3987
03:06:22,055 --> 03:06:23,056
UNDERSTAND THE BREADTH AND DEPTH

3988
03:06:23,056 --> 03:06:25,692
OF THE BODY OF EVIDENCE ON 

3989
03:06:25,692 --> 03:06:27,294
CULTURALLY RESPONSIVE DIETARY 

3990
03:06:27,294 --> 03:06:30,464
INTERVENTIONS AND IDENTIFY THOSE

3991
03:06:30,464 --> 03:06:32,599
STRENGTHS AND GAPS WITHIN 

3992
03:06:32,599 --> 03:06:34,401
EXISTING LITERATURE TO GATHER 

3993
03:06:34,401 --> 03:06:37,871
INSIGHT TO BE IMPLEMENTED IN A 

3994
03:06:37,871 --> 03:06:39,673
SYSTEMATIC REVIEW IN THE FUTURE 

3995
03:06:39,673 --> 03:06:43,911
AND HELP DEVELOP THAT PROTOCOL.

3996
03:06:43,911 --> 03:06:44,978
THE COMMITTEE OR SCAN OVER 

3997
03:06:44,978 --> 03:06:46,246
SYSTEMATIC REVIEW BECAUSE THERE 

3998
03:06:46,246 --> 03:06:49,283
WAS A NEED TO FURTHER DEFINE THE

3999
03:06:49,283 --> 03:06:52,252
SCOPE OF THIS WORK BEFORE MOVING

4000
03:06:52,252 --> 03:06:55,222
FORWARD INTO A SYSTEMATIC REVIEW

4001
03:06:55,222 --> 03:07:02,663
AND TAKE THE LESSONS LEARNED.

4002
03:07:02,663 --> 03:07:06,433
THE OTHER SCAN IS TO LOOK AT 

4003
03:07:06,433 --> 03:07:09,002
EXPLORATORY EVIDENCE IS A 

4004
03:07:09,002 --> 03:07:13,240
PROJECT TO DESCRIBE IN WHICH 

4005
03:07:13,240 --> 03:07:14,308
SYSTEMATIC METHODS ARE USED TO 

4006
03:07:14,308 --> 03:07:16,176
SEARCH FOR AND DESCRIBE THE 

4007
03:07:16,176 --> 03:07:17,778
VOLUME AND CHARACTERISTICS OF 

4008
03:07:17,778 --> 03:07:19,546
EVIDENCE ON THE NUTRITION 

4009
03:07:19,546 --> 03:07:20,981
QUESTION OR TOPIC OF PUBLIC 

4010
03:07:20,981 --> 03:07:22,649
HEALTH IMPORTANCE.

4011
03:07:22,649 --> 03:07:27,888
THE COMMITTEE CONDUCTED WITH 

4012
03:07:27,888 --> 03:07:32,759
SUPPORT OF THE STAFF AND LOOK AT

4013
03:07:32,759 --> 03:07:34,561
THE QUESTION, WHAT EVIDENCE HAS 

4014
03:07:34,561 --> 03:07:36,997
BEEN PUBLISHED ON THE 

4015
03:07:36,997 --> 03:07:39,700
RELATIONSHIP BETWEEN CULTURALLY 

4016
03:07:39,700 --> 03:07:41,335
TAILORED, DIETARY INTERVENTIONS 

4017
03:07:41,335 --> 03:07:43,003
AND DIET RELATED PSYCHOSOCIAL 

4018
03:07:43,003 --> 03:07:44,404
FACTORS AND DIETARY INTAKE AND 

4019
03:07:44,404 --> 03:07:52,012
QUALITY AND HEALTH OUTCOMES.

4020
03:07:52,012 --> 03:07:55,616
SO FOR THIS SCAN WE USED SOME 

4021
03:07:55,616 --> 03:07:58,318
EXISTING APPROACHES AND 

4022
03:07:58,318 --> 03:07:59,953
CONCEPTUALIZATION THAT APPEARS 

4023
03:07:59,953 --> 03:08:05,659
IN THE LITERATURE TO CATEGORIZE 

4024
03:08:05,659 --> 03:08:06,393
CULTURALLY RESPONSIVE STRATEGIES

4025
03:08:06,393 --> 03:08:08,195
INTO THESE CATEGORIES.

4026
03:08:08,195 --> 03:08:10,397
WE USE TWO LAYERS OF THIS 

4027
03:08:10,397 --> 03:08:14,434
CLASSIFICATION SYSTEM.

4028
03:08:14,434 --> 03:08:15,836
THE FIRST WAS DEVELOPED TO 

4029
03:08:15,836 --> 03:08:18,505
PROVIDE A COMPREHENSIVE OVERVIEW

4030
03:08:18,505 --> 03:08:22,376
OF FIVE COMMON STRATEGIES WHICH 

4031
03:08:22,376 --> 03:08:23,310
WE PRESENTED BEFORE.

4032
03:08:23,310 --> 03:08:26,680
EIGHT OF IT IS USED IN PUBLIC 

4033
03:08:26,680 --> 03:08:30,984
HEALTH PROMOTION PROGRAMS AND 

4034
03:08:30,984 --> 03:08:31,318
COMMUNICATION.

4035
03:08:31,318 --> 03:08:34,688
AND THE FIRST IS PERIPHERAL.

4036
03:08:34,688 --> 03:08:37,758
IT SEEKS TO GIVE PROGRAMS OR 

4037
03:08:37,758 --> 03:08:39,493
APPEARANCE OF RELEVANCE TO A 

4038
03:08:39,493 --> 03:08:42,162
PARTICULAR CULTURAL GROUP.

4039
03:08:42,162 --> 03:08:47,267
IT'S THE PACKAGING IN WHICH IT'S

4040
03:08:47,267 --> 03:08:53,340
GIVE EN TO A GROUP AND SEEKS TO 

4041
03:08:53,340 --> 03:08:54,508
HIGHLIGHT THE PERFORM RATES OR 

4042
03:08:54,508 --> 03:08:59,646
THE PREVALENCE OF A CERTAIN 

4043
03:08:59,646 --> 03:09:00,213
HEALTH CONDITION AND WHEN 

4044
03:09:00,213 --> 03:09:01,748
PRESENTING THE EVIDENCE AND HOW 

4045
03:09:01,748 --> 03:09:04,985
IT IMPACTS THE GROUP.

4046
03:09:04,985 --> 03:09:06,153
LINGUISTIC SEEKS TO MAKE HEALTH 

4047
03:09:06,153 --> 03:09:08,589
EDUCATION PROGRAMS AND MATERIALS

4048
03:09:08,589 --> 03:09:09,856
MORE ACCESSIBLE BY PROVIDING 

4049
03:09:09,856 --> 03:09:13,327
THEM IN THE DOMINANT OR NATIVE 

4050
03:09:13,327 --> 03:09:16,897
LANGUAGE OF THE TARGET GROUP.

4051
03:09:16,897 --> 03:09:19,399
CONSTITUENT INVOLVING IS WHERE 

4052
03:09:19,399 --> 03:09:21,468
YOU HAVE DIRECT EXPERIENCE OF 

4053
03:09:21,468 --> 03:09:24,504
MEMBERS FROM THE CULTURAL GROUP 

4054
03:09:24,504 --> 03:09:25,839
BOTH FROM THE COMMUNITY AS WELL 

4055
03:09:25,839 --> 03:09:29,076
AS REFLECTING THE CULTURAL 

4056
03:09:29,076 --> 03:09:31,912
BELIEFS AND ATTITUDES OF THE 

4057
03:09:31,912 --> 03:09:37,050
GROUP AND SOCIO-CULTURAL.

4058
03:09:37,050 --> 03:09:37,951
CONTEXT OF THE BROADER SOCIAL 

4059
03:09:37,951 --> 03:09:40,120
AND CULTURAL VALUES AND 

4060
03:09:40,120 --> 03:09:41,922
CHARACTERISTICS OF INTENDED AUD 

4061
03:09:41,922 --> 03:09:42,155
HYANNIS.

4062
03:09:42,155 --> 03:09:46,126
-- AUDIENCE.UD 

4063
03:09:46,126 --> 03:09:46,360
HYANNIS.

4064
03:09:46,360 --> 03:09:46,693
-- AUDIENCE.D 

4065
03:09:46,693 --> 03:09:46,927
HYANNIS.

4066
03:09:46,927 --> 03:09:47,260
-- AUDIENCE. 

4067
03:09:47,260 --> 03:09:47,494
HYANNIS.

4068
03:09:47,494 --> 03:09:47,928
-- AUDIENCE.YANNIS.

4069
03:09:47,928 --> 03:09:48,328
-- AUDIENCE.ANNIS.

4070
03:09:48,328 --> 03:09:48,729
-- AUDIENCE.NNIS.

4071
03:09:48,729 --> 03:09:49,096
-- AUDIENCE.NIS.

4072
03:09:49,096 --> 03:09:49,463
-- AUDIENCE.IS.

4073
03:09:49,463 --> 03:09:49,796
-- AUDIENCE.S.

4074
03:09:49,796 --> 03:09:50,130
-- AUDIENCE..

4075
03:09:50,130 --> 03:09:50,931
-- AUDIE-- 

4076
03:09:50,931 --> 03:09:51,231
AUDIENCE. 

4077
03:09:51,231 --> 03:09:51,498
AUDIENCE. 

4078
03:09:51,498 --> 03:09:51,765
AUDIENCE.

4079
03:09:51,765 --> 03:09:54,334
SOME MAY BE IN BOTH AND I'LL 

4080
03:09:54,334 --> 03:09:55,102
TALK ABOUT THE SECOND 

4081
03:09:55,102 --> 03:09:59,373
CONCEPTUALIZATION WE'LL USE AND 

4082
03:09:59,373 --> 03:10:01,274
COOKING METHODS OR ACTIVITIES 

4083
03:10:01,274 --> 03:10:02,676
WITHIN AN INTERVENTION.

4084
03:10:02,676 --> 03:10:05,178
HIRING PEOPLE FROM THE TARGET 

4085
03:10:05,178 --> 03:10:08,248
GROUP AND SO THOSE ARE SOME 

4086
03:10:08,248 --> 03:10:09,650
STRATEGIES AND THEY APPEAR IN 

4087
03:10:09,650 --> 03:10:11,051
THE LITERATURE WHEN WE START 

4088
03:10:11,051 --> 03:10:17,691
TALKING ABOUT THE RESULTS OF THE

4089
03:10:17,691 --> 03:10:18,291
SCAN.

4090
03:10:18,291 --> 03:10:20,460
THE SECOND BUILDS ON THE LONG 

4091
03:10:20,460 --> 03:10:26,667
HISTORY OF DEEP STRUCTURE AND 

4092
03:10:26,667 --> 03:10:29,636
CULTURAL CONCEPTS THAT COME OUT 

4093
03:10:29,636 --> 03:10:33,874
OF ETHNIC STUDIES SORT OF ETHNIC

4094
03:10:33,874 --> 03:10:37,778
FOCUS ON LOOKING AT BIPOC 

4095
03:10:37,778 --> 03:10:38,445
POPULATION OR BLACK AND 

4096
03:10:38,445 --> 03:10:40,814
INDIGENOUS TRADITIONS AS IT 

4097
03:10:40,814 --> 03:10:44,818
RELATES TO CULTURAL PSYCHOLOGY 

4098
03:10:44,818 --> 03:10:50,223
AND SO THESE WERE USED IN THE 

4099
03:10:50,223 --> 03:10:50,857
CONTEXT OF PUBLIC HEALTH TO 

4100
03:10:50,857 --> 03:10:54,528
THINK ABOUT INTERVENTIONS AT A 

4101
03:10:54,528 --> 03:10:56,596
SURFACE STRUCTURE.

4102
03:10:56,596 --> 03:10:59,099
SIMILAR TO THE PERIPHERAL 

4103
03:10:59,099 --> 03:11:03,336
CLASSIFICATION THE IDEA YOU HAVE

4104
03:11:03,336 --> 03:11:06,173
OBSERVABLE AND SUPERFICIAL 

4105
03:11:06,173 --> 03:11:06,973
CHARACTERISTIC OF A POPULATION 

4106
03:11:06,973 --> 03:11:10,143
INCLUDED IN THE INTERVENTIONS 

4107
03:11:10,143 --> 03:11:11,745
LIKE AUDIO/VISUAL MATERIALS, 

4108
03:11:11,745 --> 03:11:13,046
CHANNELS, THE SETTING FOR WHICH 

4109
03:11:13,046 --> 03:11:15,148
AN INTERVENTION IS DELIVERED AND

4110
03:11:15,148 --> 03:11:17,284
THEN THOSE DEEP STRUCTURE 

4111
03:11:17,284 --> 03:11:19,352
FACTORS WHICH ARE UNDERSTANDING 

4112
03:11:19,352 --> 03:11:21,354
THE CULTURAL SOCIAL HISTORICAL, 

4113
03:11:21,354 --> 03:11:23,623
ENVIRONMENTAL AND PSYCHOLOGICAL 

4114
03:11:23,623 --> 03:11:25,726
FORCES THAT INFLUENCE TARGET 

4115
03:11:25,726 --> 03:11:26,760
HEALTH BEHAVIOR IN THE 

4116
03:11:26,760 --> 03:11:27,060
POPULATION.

4117
03:11:27,060 --> 03:11:32,599
SO PERCEPTIONS OF RELIGION, A 

4118
03:11:32,599 --> 03:11:35,135
COLLECTIVE IDENTITY, FAMILY AND 

4119
03:11:35,135 --> 03:11:40,841
SOCIETY, ALL OF THESE MAY BE 

4120
03:11:40,841 --> 03:11:42,342
TARGETED IN AN INTERVENTION ON A

4121
03:11:42,342 --> 03:11:43,410
DEEP STRUCTURE.

4122
03:11:43,410 --> 03:11:46,680
THE CORE VALUES THAT MAY BE IN 

4123
03:11:46,680 --> 03:11:48,515
VERBAL COMMUNICATION OR BELIEFS 

4124
03:11:48,515 --> 03:11:49,850
ABOUT ANCESTORS.

4125
03:11:49,850 --> 03:11:54,521
THOSE FACTORS CAN BE 

4126
03:11:54,521 --> 03:11:57,891
INCORPORATED INTO AN 

4127
03:11:57,891 --> 03:12:00,227
INTERVENTION THAT HAVE DEEPER 

4128
03:12:00,227 --> 03:12:01,094
CULTURAL MEANING VERSUS THE 

4129
03:12:01,094 --> 03:12:02,929
SURFACE STRUCTURE.

4130
03:12:02,929 --> 03:12:07,601
SO I'M GOING TO TURN IT OVER TO 

4131
03:12:07,601 --> 03:12:09,469
CRISTINA TO TALK ABOUT FEE 

4132
03:12:09,469 --> 03:12:11,138
FINDINGS AND THEN OUR 

4133
03:12:11,138 --> 03:12:11,638
RECOMMENDATIONS TO THE 

4134
03:12:11,638 --> 03:12:15,776
DEPARTMENT.

4135
03:12:15,776 --> 03:12:20,714
>> WE PRESENTED THIS LAST
MONTH 

4136
03:12:20,714 --> 03:12:22,215
WHEN FATIMA PRESENTED THIS TO 

4137
03:12:22,215 --> 03:12:23,550
THE TEAM.

4138
03:12:23,550 --> 03:12:25,318
SO I'M GOING TO BRIEFLY 

4139
03:12:25,318 --> 03:12:28,789
SUMMARIZE THE MAIN FINDINGS.

4140
03:12:28,789 --> 03:12:32,492
SO THE EVIDENCE INCLUDED 178 

4141
03:12:32,492 --> 03:12:33,927
ARTICLES, 139 CAME FROM 

4142
03:12:33,927 --> 03:12:36,630
RANDOMIZED CLINICAL TRIALS AND 

4143
03:12:36,630 --> 03:12:40,500
39 FROM NON-RANDOMIZED CLINICAL 

4144
03:12:40,500 --> 03:12:40,834
TRIAL.

4145
03:12:40,834 --> 03:12:42,235
MOST PUBLISHED AFTER 2011.

4146
03:12:42,235 --> 03:12:44,671
MOST ARTICLES WERE IN ADULTS AND

4147
03:12:44,671 --> 03:12:46,673
INCLUDED MALE OR FEMALE THOUGH 

4148
03:12:46,673 --> 03:12:49,676
MOST STUDIES WERE PROMINENTLY IN

4149
03:12:49,676 --> 03:12:50,677
FEMALE.

4150
03:12:50,677 --> 03:12:52,312
MOST ARTICLES REPORTED EITHER 

4151
03:12:52,312 --> 03:12:53,914
HIGH LEVEL OF COMMUNITY 

4152
03:12:53,914 --> 03:12:56,750
INVOLVEMENT OR AT LEAST SOME 

4153
03:12:56,750 --> 03:12:58,518
COMMUNITY INVOLVEMENT IN THE 

4154
03:12:58,518 --> 03:13:00,420
DESIGNING THE INTERVENTION AND 

4155
03:13:00,420 --> 03:13:02,689
THE PROPORTION OF ARTICLES 

4156
03:13:02,689 --> 03:13:04,858
REPORTING A HIGH DEGREE OF 

4157
03:13:04,858 --> 03:13:06,126
COMMUNITY INVOLVEMENT GREW OVER 

4158
03:13:06,126 --> 03:13:12,532
TIME THE STUDY WERE PUBLISHED.

4159
03:13:12,532 --> 03:13:16,636
THE MOST COMMON WERE BODY 

4160
03:13:16,636 --> 03:13:17,571
COMPOSITION AND RISK OF OBESITY 

4161
03:13:17,571 --> 03:13:20,273
AND MOST FUNDED BY THE U.S. OR 

4162
03:13:20,273 --> 03:13:21,808
CANADIAN GOVERNMENT.

4163
03:13:21,808 --> 03:13:25,812
AMONG THE STRATEGIES USED, MOST 

4164
03:13:25,812 --> 03:13:28,782
FREQUENTLY USED WERE THE 

4165
03:13:28,782 --> 03:13:29,416
CONSTITUENT INVOLVING STRATEGIES

4166
03:13:29,416 --> 03:13:31,585
AND THESE ARE THIS STRATEGIES 

4167
03:13:31,585 --> 03:13:32,352
THAT DRAW ON THE EXPERIENCE OF 

4168
03:13:32,352 --> 03:13:36,156
THE MEMBERS OF THE TARGET GROUP.

4169
03:13:36,156 --> 03:13:38,625
AND WE THINK THE INVOLVEMENT 

4170
03:13:38,625 --> 03:13:42,062
STRATEGIES INCLUDED A RANGE OF 

4171
03:13:42,062 --> 03:13:43,864
SURFACE AND DEEP STRUCTURAL 

4172
03:13:43,864 --> 03:13:46,399
LEVELS OF CULTURAL SENSITIVITY.

4173
03:13:46,399 --> 03:13:50,971
THE NEXT STRATEGY WAS THE SOCIO 

4174
03:13:50,971 --> 03:13:52,205
CULTURAL STRATEGY AND THESE WERE

4175
03:13:52,205 --> 03:13:53,573
STRUCTURE FOLLOWED BY THE OTHER 

4176
03:13:53,573 --> 03:13:56,443
THREE, THE PERIPHERAL, 

4177
03:13:56,443 --> 03:13:59,713
EVIDENTIAL AND LINGUISTIC 

4178
03:13:59,713 --> 03:14:01,047
STRATEGIES WHICH WERE ALL NEARLY

4179
03:14:01,047 --> 03:14:07,187
SURFACE STRUCTURE.

4180
03:14:07,187 --> 03:14:08,221
SO, BECAUSE THE EVIDENCE DID NOT

4181
03:14:08,221 --> 03:14:10,690
ASSESS THE EFFECTIVENESS OF THE 

4182
03:14:10,690 --> 03:14:13,493
INTERVENTIONS ON THE OUTCOMES OF

4183
03:14:13,493 --> 03:14:16,963
INTEREST, THE PRIMARY OUTPUT OF 

4184
03:14:16,963 --> 03:14:18,732
THIS EFFORT WAS TO PROVIDE 

4185
03:14:18,732 --> 03:14:20,333
FUTURE DIRECTIONS.

4186
03:14:20,333 --> 03:14:25,272
WE'LL FIRST HIGHLIGHT THE FUTURE

4187
03:14:25,272 --> 03:14:27,841
DIRECTIONS FOR FEDERAL PROGRAMS 

4188
03:14:27,841 --> 03:14:29,542
AND CULTURALLY TAILORING MAY 

4189
03:14:29,542 --> 03:14:32,445
HELP PROMOTE BETTER NUTRITION 

4190
03:14:32,445 --> 03:14:34,147
AND FOOD SECURITY BY PROVIDING 

4191
03:14:34,147 --> 03:14:37,017
INDIVIDUALS WITH FOOD THAT ARE 

4192
03:14:37,017 --> 03:14:39,786
FAMILIAR AND ALIGN WITH THEIR 

4193
03:14:39,786 --> 03:14:44,024
CULTURAL PRACTICES AND 

4194
03:14:44,024 --> 03:14:44,324
PREFERENCES.

4195
03:14:44,324 --> 03:14:46,660
OUR TWO CONSIDERATIONS ARE 

4196
03:14:46,660 --> 03:14:47,193
FLEXIBILITY FOR FEDERAL 

4197
03:14:47,193 --> 03:14:50,697
ASSISTANCE PROGRAMS TO TAILOR TO

4198
03:14:50,697 --> 03:14:54,067
THEIR COMMUNITIES WHICH MAY HELP

4199
03:14:54,067 --> 03:14:54,901
IN THEIR IMPLEMENTATION, 

4200
03:14:54,901 --> 03:14:57,671
DELIVERY AND ACCEPTANCE.

4201
03:14:57,671 --> 03:15:02,676
AND PROVIDING MORE FUNDING TO 

4202
03:15:02,676 --> 03:15:04,678
CONDUCT MORE RESEARCH IN THIS 

4203
03:15:04,678 --> 03:15:04,878
AREA.

4204
03:15:04,878 --> 03:15:06,680
THE NEXT SLIDE IS CONSIDERATIONS

4205
03:15:06,680 --> 03:15:08,882
FOR FUTURE RESEARCH AND WE HAVE 

4206
03:15:08,882 --> 03:15:11,017
A FEW ONES WE HAVE BEEN 

4207
03:15:11,017 --> 03:15:11,318
DISCUSSING.

4208
03:15:11,318 --> 03:15:13,453
SO BECAUSE WE THINK IT'S 

4209
03:15:13,453 --> 03:15:15,755
IMPORTANT TO APPLY THE 

4210
03:15:15,755 --> 03:15:17,357
CULTURALLY RESPONSIVE APPROACH 

4211
03:15:17,357 --> 03:15:20,093
ACROSS ALL LEVELS OF RESEARCH, 

4212
03:15:20,093 --> 03:15:21,094
ENSURING THE LIVED EXPERIENCE OF

4213
03:15:21,094 --> 03:15:23,630
LEADERSHIP AND STAFF ARE REFLECT

4214
03:15:23,630 --> 03:15:25,699
THE IN THE COMMUNITY IS 

4215
03:15:25,699 --> 03:15:27,634
INTEGRATED AT EVERY STAGE OF THE

4216
03:15:27,634 --> 03:15:28,301
WORK WE HAVE THE FOLLOWING FOUR 

4217
03:15:28,301 --> 03:15:31,304
CONSIDERATIONS.

4218
03:15:31,304 --> 03:15:33,139
FIRST, TO PLAN FOR COMMUNITY 

4219
03:15:33,139 --> 03:15:35,542
INVOLVEMENT AND INTERVENTION 

4220
03:15:35,542 --> 03:15:38,678
SUSTAINABILITY SHOULD BE 

4221
03:15:38,678 --> 03:15:41,815
COMMUNICATED WITH MORE DETAILS 

4222
03:15:41,815 --> 03:15:42,582
IN PUBLICATIONS.

4223
03:15:42,582 --> 03:15:48,388
THE MAJOR CHALLENGE THAT WE SAW 

4224
03:15:48,388 --> 03:15:49,723
WHEN THE STAFF WAS EXTRACTING 

4225
03:15:49,723 --> 03:15:51,358
THE DATA WAS IT WAS NOT REALLY 

4226
03:15:51,358 --> 03:15:52,659
STATED IN THE METHODS HOW THEY 

4227
03:15:52,659 --> 03:15:56,262
DID THINGS AND THIS IS PROBABLY 

4228
03:15:56,262 --> 03:15:58,064
RELATED TO LIMITS OF NUMBER OF 

4229
03:15:58,064 --> 03:16:03,370
WORDS THAT CAN BE ADDED AND SO 

4230
03:16:03,370 --> 03:16:05,305
OFTEN INFORMATION WAS MISSING.

4231
03:16:05,305 --> 03:16:08,375
SO TO BE MORE SPECIFIC ABOUT 

4232
03:16:08,375 --> 03:16:12,212
WHEN -- HOW THEY USE THE 

4233
03:16:12,212 --> 03:16:12,846
COMMUNITY-BASED PARTICIPATORY 

4234
03:16:12,846 --> 03:16:15,181
RESEARCH APPROACH AT DIFFERENT 

4235
03:16:15,181 --> 03:16:16,249
STAGES.

4236
03:16:16,249 --> 03:16:21,054
THE SECOND ONE, WHICH KIND OF 

4237
03:16:21,054 --> 03:16:23,156
FLOWS INTO THE PREVIOUS ONE IS 

4238
03:16:23,156 --> 03:16:25,291
TO DEVELOP SOME SORT OF 

4239
03:16:25,291 --> 03:16:28,161
CLASSIFICATION SYSTEM AND 

4240
03:16:28,161 --> 03:16:30,530
CHECKLIST SIMILAR TO THE CONSORT

4241
03:16:30,530 --> 03:16:31,898
SO COMMON AUTHORS ARE PUBLISHING

4242
03:16:31,898 --> 03:16:35,268
IN THIS TYPE OF WORK, THEY 

4243
03:16:35,268 --> 03:16:37,237
SPECIFICALLY NOTE ALL THESE 

4244
03:16:37,237 --> 03:16:41,374
THINGS THAT ARE IMPORTANT AND 

4245
03:16:41,374 --> 03:16:44,277
BECAUSE OF THE LIMITED NUMBER OF

4246
03:16:44,277 --> 03:16:46,913
SPACE THEY DID NOT 

4247
03:16:46,913 --> 03:16:47,547
COMPREHENSIVELY DESCRIBE WHAT 

4248
03:16:47,547 --> 03:16:53,353
WAS DONE AND HOW IT WAS DONE.

4249
03:16:53,353 --> 03:16:55,889
THIRD, AND I SAID THAT FOR THE 

4250
03:16:55,889 --> 03:16:57,757
PREVIOUS SLIDE, WE NEED MORE 

4251
03:16:57,757 --> 03:17:00,093
FUNDING IN THIS TYPE OF RESEARCH

4252
03:17:00,093 --> 03:17:03,830
BECAUSE THIS TYPE OF RESEARCH 

4253
03:17:03,830 --> 03:17:05,799
TAKES TIME, PERSONAL RESOURCES 

4254
03:17:05,799 --> 03:17:09,536
AND ENERGY FROM EVERYONE.

4255
03:17:09,536 --> 03:17:10,737
AND ANOTHER CONSIDERATION IS 

4256
03:17:10,737 --> 03:17:14,674
FUTURE RESEARCH SHOULD ADDRESS 

4257
03:17:14,674 --> 03:17:18,178
NON-MEDICAL DRIVERS OF HEALTH 

4258
03:17:18,178 --> 03:17:18,878
LOOKING AT THEIR EFFECTIVENESS 

4259
03:17:18,878 --> 03:17:29,089
AND EQUITY.

4260
03:17:35,695 --> 03:17:36,996
WE HAVE CONSIDERATIONS FOR THE 

4261
03:17:36,996 --> 03:17:39,666
FUTURE COMMITTEE AND BE ABLE TO 

4262
03:17:39,666 --> 03:17:44,871
CONDUCT AND LOOK AT THE EFFECTS 

4263
03:17:44,871 --> 03:17:47,373
OF THE CULTURAL TAILORED 

4264
03:17:47,373 --> 03:17:48,541
INTERVENTIONS ON HEALTH 

4265
03:17:48,541 --> 03:17:48,808
OUTCOMES.

4266
03:17:48,808 --> 03:17:50,009
WE ENCOURAGE THE COMMITTEE TO 

4267
03:17:50,009 --> 03:17:52,912
LOOK AT FACTORS BEYOND RACE, 

4268
03:17:52,912 --> 03:17:54,614
ETHNICITY AND CONSIDERING THE 

4269
03:17:54,614 --> 03:17:58,585
TIME SPENT IN THE U.S., COUNTRY 

4270
03:17:58,585 --> 03:18:00,787
OF ORIGIN, DIRECT LOCATION WHEN 

4271
03:18:00,787 --> 03:18:03,156
THEY'RE DEVELOPING THEIR 

4272
03:18:03,156 --> 03:18:05,525
PROTOCOL.

4273
03:18:05,525 --> 03:18:07,527
EXPANDING THE EVIDENCE TO 

4274
03:18:07,527 --> 03:18:09,896
INCLUDE QUALITATIVE STUDIES AND 

4275
03:18:09,896 --> 03:18:12,699
WE DISCUSSED A BIT IN DIFFERENT 

4276
03:18:12,699 --> 03:18:15,401
MEETINGS WE HAD ABOUT 

4277
03:18:15,401 --> 03:18:16,936
CONSIDERING THE QUALITATIVE WORK

4278
03:18:16,936 --> 03:18:18,738
TO BE ABLE TO CAPTURE ALL THE 

4279
03:18:18,738 --> 03:18:19,772
THINGS NOT CAPTURED BY 

4280
03:18:19,772 --> 03:18:30,049
QUESTIONNAIRES.

4281
03:18:55,375 --> 03:18:56,376
THANK YOU FOR EVERYONE INVOLVED 

4282
03:18:56,376 --> 03:18:58,645
AND WE WERE STARTING TO FIND A 

4283
03:18:58,645 --> 03:19:00,480
WAY OF DEVELOPING THE PROTOCOL 

4284
03:19:00,480 --> 03:19:02,682
WITH THE STAFF RECOMMENDED THE 

4285
03:19:02,682 --> 03:19:03,082
EVIDENCE SCAN.

4286
03:19:03,082 --> 03:19:04,450
IT MADE TOTAL SENSE.

4287
03:19:04,450 --> 03:19:06,686
I THANK THE STAFF FOR COMING UP 

4288
03:19:06,686 --> 03:19:11,858
WITH THE IDEA AND BEING ABLE TO 

4289
03:19:11,858 --> 03:19:12,358
CONTINUE WITH THE WORK.

4290
03:19:12,358 --> 03:19:14,694
THANK YOU.

4291
03:19:14,694 --> 03:19:21,134
HEATHER.

4292
03:19:21,134 --> 03:19:22,669
>> THANK YOU FOR ALL THE
WORK 

4293
03:19:22,669 --> 03:19:24,571
THEY DID TO THINK ABOUT THE 

4294
03:19:24,571 --> 03:19:28,841
FRAMEWORK AND EVERYTHING WAS SO 

4295
03:19:28,841 --> 03:19:29,375
HELPFUL.

4296
03:19:29,375 --> 03:19:30,577
ONE THING I WONDERED ABOUT IN 

4297
03:19:30,577 --> 03:19:35,949
THE RECOMMENDATIONS WAS YOU MADE

4298
03:19:35,949 --> 03:19:38,451
ABOUT TAILORING MORE TAILORING 

4299
03:19:38,451 --> 03:19:41,387
TO THE DIFFERENT GROUPS THAT 

4300
03:19:41,387 --> 03:19:44,691
THESE INTERVENTIONS WOULD BE 

4301
03:19:44,691 --> 03:19:47,527
MADE FOR WHICH I SUPPORT AND 

4302
03:19:47,527 --> 03:19:49,762
AGREE WITH BUT WHENEVER WE DO 

4303
03:19:49,762 --> 03:19:54,968
THAT AND I'M JUST THINKING ABOUT

4304
03:19:54,968 --> 03:19:57,570
THIS IN RELATIONSHIP TO A 

4305
03:19:57,570 --> 03:19:59,505
PROGRAM LIKE THE SNAP ED PROGRAM

4306
03:19:59,505 --> 03:20:05,245
THAT DOES ALLOW TAILORING FOR 

4307
03:20:05,245 --> 03:20:07,814
THE DIFFERENT STATES AND GROUPS 

4308
03:20:07,814 --> 03:20:08,948
WHERE IT'S USED.

4309
03:20:08,948 --> 03:20:14,187
WHENEVER THERE'S MORE TAILORING,

4310
03:20:14,187 --> 03:20:16,189
IT CAN MAKE IT MORE DIFFICULT TO

4311
03:20:16,189 --> 03:20:19,859
DRAW MEANING OUT OF EVALUATING 

4312
03:20:19,859 --> 03:20:23,863
THOSE PROGRAMS OR INTERVENTIONS 

4313
03:20:23,863 --> 03:20:26,332
BECAUSE THEY'RE SO DIFFERENT.

4314
03:20:26,332 --> 03:20:29,936
SO WITH THAT ABILITY TO MEET THE

4315
03:20:29,936 --> 03:20:31,804
GROUPS WHERE THEY ARE MORE 

4316
03:20:31,804 --> 03:20:36,209
DIRECTLY, IT JUST MAKES THE 

4317
03:20:36,209 --> 03:20:37,710
INTERVENTIONS MORE DIFFICULT 

4318
03:20:37,710 --> 03:20:42,749
MAYBE TO SYNTHESIZE TOGETHER AND

4319
03:20:42,749 --> 03:20:48,388
TO UNDERSTAND IF THEY'RE 

4320
03:20:48,388 --> 03:20:48,655
EFFECTIVE.

4321
03:20:48,655 --> 03:20:50,690
I WONDER IF YOU HAVE 

4322
03:20:50,690 --> 03:20:54,894
RECOMMENDATIONS FOR HOW TO DO 

4323
03:20:54,894 --> 03:20:56,296
BOTH, WHICH JUST MAYBE A PUSH 

4324
03:20:56,296 --> 03:20:56,929
AND PULL.

4325
03:20:56,929 --> 03:20:58,131
MAYBE IT'S DIFFICULT.

4326
03:20:58,131 --> 03:20:59,098
I WONDER IF YOU HAD DISCUSSIONS 

4327
03:20:59,098 --> 03:21:09,208
ABOUT THAT.

4328
03:21:09,208 --> 03:21:11,411
>> I DON'T THINK WE GOT
THERE 

4329
03:21:11,411 --> 03:21:13,579
BECAUSE I DON'T THINK WE HAD 

4330
03:21:13,579 --> 03:21:18,451
THAT TIME BUT JUST DRAWING ON MY

4331
03:21:18,451 --> 03:21:22,689
EXPERIENCE, THE WIC PUERTO RICO 

4332
03:21:22,689 --> 03:21:28,594
IN THE LUNCH PROGRAM IN PUERTO 

4333
03:21:28,594 --> 03:21:38,705
RICO 

4334
03:21:40,106 --> 03:21:42,508
>> CRISTINA, DO YOU MIND
MUTING 

4335
03:21:42,508 --> 03:21:42,809
YOUR PHONE.

4336
03:21:42,809 --> 03:21:45,178
WE'RE GETTING AN ECHO.

4337
03:21:45,178 --> 03:21:45,445
THANK YOU.

4338
03:21:45,445 --> 03:21:52,518
CONTINUING PLEASE.

4339
03:21:52,518 --> 03:21:55,388
>> DRAWING ON MY
EXPERIENCE IN 

4340
03:21:55,388 --> 03:21:57,490
PUERTO RICO, THE LUNCH PROGRAM 

4341
03:21:57,490 --> 03:22:00,593
DID TAILOR A LITTLE BIT THE FOOD

4342
03:22:00,593 --> 03:22:04,697
SPACE ON WHAT IS AVAILABLE.

4343
03:22:04,697 --> 03:22:06,599
I THINK NOT TO LOWER THE 

4344
03:22:06,599 --> 03:22:08,101
STANDARDS BECAUSE THAT'S WHAT 

4345
03:22:08,101 --> 03:22:10,203
THE KIDS WILL CONSUME BUT TO USE

4346
03:22:10,203 --> 03:22:14,540
WHAT'S AVAILABLE AMONG THE 

4347
03:22:14,540 --> 03:22:15,608
VEGGIES THERE ARE WITHIN THE 

4348
03:22:15,608 --> 03:22:18,544
STANDARDS AND USE THE ONES MORE 

4349
03:22:18,544 --> 03:22:20,513
AVAILABLE, MORE CULTURALLY 

4350
03:22:20,513 --> 03:22:24,050
ACCEPTED SO I THINK THERE ARE 

4351
03:22:24,050 --> 03:22:26,486
SMALL THINGS THAT CAN BE DONE 

4352
03:22:26,486 --> 03:22:28,321
WITHOUT COMPROMISING THE 

4353
03:22:28,321 --> 03:22:31,391
STANDARDS BUT I DON'T KNOW IF 

4354
03:22:31,391 --> 03:22:38,664
OTHERS CAN -- ARRANGE   -- 

4355
03:22:38,664 --> 03:22:40,433
ANGELA I DON'T KNOW IF YOU HAVE 

4356
03:22:40,433 --> 03:22:41,768
EXPERIENCE IN THIS.

4357
03:22:41,768 --> 03:22:45,738
>> I THINK WITH THE
EVALUATION 

4358
03:22:45,738 --> 03:22:48,574
OF PREVIOUS EXPERIENCE OF USING 

4359
03:22:48,574 --> 03:22:50,610
CORE STRATEGIES AND I KNOW WE 

4360
03:22:50,610 --> 03:22:51,878
DIDN'T LOOK AS MUCH AT THAT AND 

4361
03:22:51,878 --> 03:22:54,580
THAT'S A GOOD QUESTION.

4362
03:22:54,580 --> 03:22:56,516
I DIDN'T THINK ABOUT THAT 

4363
03:22:56,516 --> 03:22:58,718
BEFORE.

4364
03:22:58,718 --> 03:23:00,586
I KNOW IN OUR EXPERIENCE OF 

4365
03:23:00,586 --> 03:23:06,592
WORKING ON INTERVENTIONS, YOU 

4366
03:23:06,592 --> 03:23:09,762
USE THE SAME THING EXCEPT 

4367
03:23:09,762 --> 03:23:11,864
MODIFYING IT TO BE MORE 

4368
03:23:11,864 --> 03:23:12,565
MEANINGFUL.

4369
03:23:12,565 --> 03:23:15,501
I THINK IN WEIGHT LOSS 

4370
03:23:15,501 --> 03:23:17,236
INTERVENTION, GOAL SETTING OR 

4371
03:23:17,236 --> 03:23:18,571
SELF-MONITORING.

4372
03:23:18,571 --> 03:23:22,341
THOSE CONCEPTS ARE STILL 

4373
03:23:22,341 --> 03:23:24,644
IMPORTANT BUT WHY AND HOW YOU 

4374
03:23:24,644 --> 03:23:26,612
INCORPORATE THEM AND SO IN 

4375
03:23:26,612 --> 03:23:30,283
THINKING ABOUT EVEN THE 

4376
03:23:30,283 --> 03:23:31,250
NUTRITION EDUCATION PROGRAM, 

4377
03:23:31,250 --> 03:23:34,687
SOME ARE MORE TARGETED VERSUS 

4378
03:23:34,687 --> 03:23:39,826
BEING TRAILE TAILORED VERSUS TH 

4379
03:23:39,826 --> 03:23:44,464
COMMUNITY LEVEL AND SO I THINK 

4380
03:23:44,464 --> 03:23:51,003
THERE'S A PREVIOUS REVIEW THAT 

4381
03:23:51,003 --> 03:23:53,406
NONE OF OUR TEAM LED USING 

4382
03:23:53,406 --> 03:23:54,574
RECRUITER IN WEIGHT LOSS 

4383
03:23:54,574 --> 03:23:56,642
STRATEGIES AND INTERVENTIONS.

4384
03:23:56,642 --> 03:23:58,544
PART IS THOSE STRATEGIES AND 

4385
03:23:58,544 --> 03:24:01,080
CONCEPTS CAN BE VERY SIMILAR 

4386
03:24:01,080 --> 03:24:06,586
EXCEPT YOU MODIFY HOW THEY'RE 

4387
03:24:06,586 --> 03:24:08,421
DONE IN THE DIFFERENT 

4388
03:24:08,421 --> 03:24:09,689
POPULATIONS WHERE IT OCCURS.

4389
03:24:09,689 --> 03:24:12,325
THINGS ARE STILL MEANINGFUL TO 

4390
03:24:12,325 --> 03:24:13,693
ALL POPULATIONS AROUND THAT'S 

4391
03:24:13,693 --> 03:24:16,696
ONE OF THE THINGS WE PROBABLY 

4392
03:24:16,696 --> 03:24:20,466
NEED TO LOOK AT.

4393
03:24:20,466 --> 03:24:22,702
ONE OF THE THINGS THAT CAME OUT 

4394
03:24:22,702 --> 03:24:25,705
WE DIDN'T PRESENT THIS TIME BUT 

4395
03:24:25,705 --> 03:24:29,141
LAST TIME IS THE RESPONSIVE 

4396
03:24:29,141 --> 03:24:29,876
INTERVENTIONS INCLUDING WHITE 

4397
03:24:29,876 --> 03:24:32,345
POPULATIONS AND SO PART OF THIS 

4398
03:24:32,345 --> 03:24:35,248
IDEA WAS YOU ALWAYS THINK, OKAY,

4399
03:24:35,248 --> 03:24:37,884
IT'S GOING TO BE A CERTAIN TYPE 

4400
03:24:37,884 --> 03:24:38,918
OF POPULATION THAT YOU INCLUDE 

4401
03:24:38,918 --> 03:24:41,654
THESE STRATEGIES BUT I THINK 

4402
03:24:41,654 --> 03:24:42,655
THEY'RE RELEVANT ACROSS THE 

4403
03:24:42,655 --> 03:24:43,089
BOARD.

4404
03:24:43,089 --> 03:24:45,358
WE HAVE TO FIGURE OUT HOW 

4405
03:24:45,358 --> 03:24:47,627
THEY'RE RELEVANT AND TO WHO BUT 

4406
03:24:47,627 --> 03:24:50,530
I THINK THE THEORY -- I KNOW IN 

4407
03:24:50,530 --> 03:24:51,564
THE LITERATURE IT'S LIKE 

4408
03:24:51,564 --> 03:24:54,600
CULTURALLY TARGETED OR TAILORED 

4409
03:24:54,600 --> 03:24:56,769
INTERVENTION ONLY HAPPENS WITH 

4410
03:24:56,769 --> 03:24:58,337
PEOPLE THAT ARE MINORITIZED IN 

4411
03:24:58,337 --> 03:24:59,872
THE LITERATURE NOT LIKE THIS 

4412
03:24:59,872 --> 03:25:01,841
BROADER IDEA THAT WE HAVE 

4413
03:25:01,841 --> 03:25:05,144
SPECIFIC CULTURAL VALUES OR 

4414
03:25:05,144 --> 03:25:06,579
THINGS THAT CAN BE IMPORTANT 

4415
03:25:06,579 --> 03:25:10,383
ACROSS GROUPS AND CAN WE STUDY 

4416
03:25:10,383 --> 03:25:11,651
THAT LIKE THE ADAPTATION ITSELF 

4417
03:25:11,651 --> 03:25:14,687
AND I KNOW IN OTHER AREAS LIKE 

4418
03:25:14,687 --> 03:25:16,956
HIV, THEY'VE DONE A LOT OF THAT.

4419
03:25:16,956 --> 03:25:18,491
LIKE THAT THING VERSUS THE IDEA 

4420
03:25:18,491 --> 03:25:20,359
OF THINKING THESE INTERVENTIONS 

4421
03:25:20,359 --> 03:25:22,662
ARE SO DIFFERENT.

4422
03:25:22,662 --> 03:25:26,098
SO THAT I THINK IS A GOOD 

4423
03:25:26,098 --> 03:25:27,400
QUESTION I DIDN'T THINK ABOUT 

4424
03:25:27,400 --> 03:25:27,633
BEFORE.

4425
03:25:27,633 --> 03:25:28,100
>> THANKS, ANGELA.

4426
03:25:28,100 --> 03:25:30,202
CHERYL.

4427
03:25:30,202 --> 03:25:32,104
>> YEAH, MY COMMENT IS
DIFFERENT

4428
03:25:32,104 --> 03:25:33,706
FROM WHAT I'M ABOUT TO SAY WHICH

4429
03:25:33,706 --> 03:25:38,678
IS A RESPONSE TO ANGELA WHICH IS

4430
03:25:38,678 --> 03:25:40,746
THE CVD WORLD NOW THERE'S A 

4431
03:25:40,746 --> 03:25:42,281
GROWING MOVEMENT AROUND STUDYING

4432
03:25:42,281 --> 03:25:44,684
THE ACTUAL PROCESS AS WELL.

4433
03:25:44,684 --> 03:25:47,987
IT'S A COMMUNITY-DRIVEN METHODS 

4434
03:25:47,987 --> 03:25:50,556
LIKE REALLY TRYING TO ADVANCE 

4435
03:25:50,556 --> 03:25:52,325
HOW THOSE THINGS GET DONE FOR 

4436
03:25:52,325 --> 03:25:53,993
CARDIOVASCULAR HEALTH OUTCOMES.

4437
03:25:53,993 --> 03:25:55,528
SO THERE'S PROBABLY SOMETHING TO

4438
03:25:55,528 --> 03:25:58,064
BE LEARNED THERE.

4439
03:25:58,064 --> 03:26:02,335
ONE OF THE PROJECTS IS IN FOOD 

4440
03:26:02,335 --> 03:26:04,070
JUSTICE.

4441
03:26:04,070 --> 03:26:06,272
THAT'S GOING TO HOPEFULLY BE 

4442
03:26:06,272 --> 03:26:07,840
INSTRUCTIVE FOR THE NEXT 

4443
03:26:07,840 --> 03:26:08,374
COMMITTEE.

4444
03:26:08,374 --> 03:26:09,709
THE THING THAT WE DISCUSSED IN 

4445
03:26:09,709 --> 03:26:12,244
OUR COMMITTEE DELIBERATIONS IS 

4446
03:26:12,244 --> 03:26:17,249
MAYBE WE HAVEN'T WORDED THE 

4447
03:26:17,249 --> 03:26:18,584
RECOMMENDATION AROUND FUTURE 

4448
03:26:18,584 --> 03:26:25,391
RESEARCH AS OPTIMALLY AS WE 

4449
03:26:25,391 --> 03:26:27,793
COULD ON CULTURALLY TAILORED 

4450
03:26:27,793 --> 03:26:29,195
INTERVENTION TAKE TIME AND 

4451
03:26:29,195 --> 03:26:34,333
PERSONNEL AND RESOURCES.

4452
03:26:34,333 --> 03:26:44,810
WE ADDRESS FUNDING AND THIS 

4453
03:26:53,853 --> 03:26:55,454
AMOUNT OF TIME WE HAVE.

4454
03:26:55,454 --> 03:26:57,790
I LOVED CHRISTOPHER'S EXAMPLE 

4455
03:26:57,790 --> 03:26:59,992
AROUND YOU'RE NEVER GOING TO GET

4456
03:26:59,992 --> 03:27:01,227
THE CLASSIC INTERVENTION 40 

4457
03:27:01,227 --> 03:27:03,896
YEARS OF STUDY OF SOMEONE TO DO 

4458
03:27:03,896 --> 03:27:13,739
THE KINDS OF MANIPULATIONS OF 

4459
03:27:13,739 --> 03:27:16,142
EXPOSURE AND WHEN WE THINK OF 

4460
03:27:16,142 --> 03:27:17,777
CULTURALLY TAILORED 

4461
03:27:17,777 --> 03:27:21,781
INTERVENTIONS I WONDER OFTEN IF 

4462
03:27:21,781 --> 03:27:23,282
THE CURRENT PARADIGM WITHIN MOST

4463
03:27:23,282 --> 03:27:25,685
OF NUTRITION RESEARCH IN THIS 

4464
03:27:25,685 --> 03:27:27,186
SPACE BEING FUNDED MAKES ANY 

4465
03:27:27,186 --> 03:27:27,920
SENSE AT ALL?

4466
03:27:27,920 --> 03:27:30,723
THE TIME IT'S GOING TO TAKE TO 

4467
03:27:30,723 --> 03:27:33,793
BUILD RELATIONSHIPS TO HAVE 

4468
03:27:33,793 --> 03:27:35,594
THOSE RELATIONSHIPS TURN INTO 

4469
03:27:35,594 --> 03:27:36,162
TRUSTING RELATIONSHIPS.

4470
03:27:36,162 --> 03:27:38,764
TO HAVE THE TRUSTING 

4471
03:27:38,764 --> 03:27:40,399
RELATIONSHIPS TURN INTO 

4472
03:27:40,399 --> 03:27:41,000
BI-DIRECTIONAL COMMUNICATION 

4473
03:27:41,000 --> 03:27:42,234
AROUND THE CULTURAL ISSUES WE 

4474
03:27:42,234 --> 03:27:44,336
SHOULD BE TAILORED.

4475
03:27:44,336 --> 03:27:45,938
TO HAVE THOSE BI-DIRECTIONAL 

4476
03:27:45,938 --> 03:27:48,307
QUESTIONS THAT GET TURNED INTO 

4477
03:27:48,307 --> 03:27:49,642
FULLY DEVELOPED PROJECTS THAT 

4478
03:27:49,642 --> 03:27:50,910
THEN GET TURNED INTO POTENTIAL 

4479
03:27:50,910 --> 03:27:55,881
ANSWERS THAT ARE SUSTAINABLE.

4480
03:27:55,881 --> 03:27:58,184
AND SO PERHAPS IT IS WRITTEN A 

4481
03:27:58,184 --> 03:28:02,555
LITTLE TOO NARROWLY TO ALLOW FOR

4482
03:28:02,555 --> 03:28:04,623
ALL THOSE THINGS TO HAPPEN IN 

4483
03:28:04,623 --> 03:28:06,592
ITS MOST OPTIMAL FORM AND PLAY 

4484
03:28:06,592 --> 03:28:08,761
WANT TO GO BACK AND REVISIT THE 

4485
03:28:08,761 --> 03:28:09,695
TEXT.

4486
03:28:09,695 --> 03:28:11,897
I'D LOVE TO HEAR WHAT OTHERS 

4487
03:28:11,897 --> 03:28:13,065
THINK ABOUT THAT.

4488
03:28:13,065 --> 03:28:14,467
>> GREAT RECOMMENDATION,
CHERYL 

4489
03:28:14,467 --> 03:28:15,968
AND PLEASE DO SO.

4490
03:28:15,968 --> 03:28:19,739
ALWAYS HAVING A DIFFERENT SET OF

4491
03:28:19,739 --> 03:28:21,040
EYES AND WE NEED SOME TIME ALSO 

4492
03:28:21,040 --> 03:28:24,810
TO THINK ABOUT SOME OF THESE 

4493
03:28:24,810 --> 03:28:26,779
THINGS AND LIKE HEATHER'S 

4494
03:28:26,779 --> 03:28:30,583
QUESTION GOT US TO LIKE, OH, WE 

4495
03:28:30,583 --> 03:28:34,687
HAVEN'T HAD TIME.

4496
03:28:34,687 --> 03:28:36,589
TAKING MORE TIME AND THOUGHT 

4497
03:28:36,589 --> 03:28:39,759
THAT'S NEEDED.

4498
03:28:39,759 --> 03:28:40,793
PLEASE, WE STILL HAVE TIME.

4499
03:28:40,793 --> 03:28:42,394
WE STILL HAVE A FEW DAYS BEFORE 

4500
03:28:42,394 --> 03:28:45,798
WE HAVE TO SUBMIT THIS.

4501
03:28:45,798 --> 03:28:49,034
LET'S IMPROVE AND MAKE SURE IT 

4502
03:28:49,034 --> 03:28:51,203
IS COMPLETE AND CAPTURING ALL 

4503
03:28:51,203 --> 03:28:52,905
IT'S NEEDING TO CAPTURE.

4504
03:28:52,905 --> 03:28:55,107
>> I THINK THE OTHER THING
AND 

4505
03:28:55,107 --> 03:28:58,210
GOING BACK ON THE COMMENT ABOUT 

4506
03:28:58,210 --> 03:28:59,512
THE RACIAL CATEGORIZATION, 

4507
03:28:59,512 --> 03:29:04,850
BECAUSE SOME INTERSECTED WITH 

4508
03:29:04,850 --> 03:29:06,452
HOW PEOPLE CLASSIFY THEIR RACE 

4509
03:29:06,452 --> 03:29:08,721
AS COMPARED TO HOW THEY CLASSIFY

4510
03:29:08,721 --> 03:29:10,222
THEIR ETHNICITY.

4511
03:29:10,222 --> 03:29:15,828
I THINK YOU MENTIONED BECAUSE WE

4512
03:29:15,828 --> 03:29:22,601
KNOW VERY LITTLE ABOUT HOW AND 

4513
03:29:22,601 --> 03:29:24,937
WHY THEY CHANGE AND WE COULD 

4514
03:29:24,937 --> 03:29:26,172
HAVE MORE EXTENSIVE EVIDENCE AND

4515
03:29:26,172 --> 03:29:28,040
WHAT YOU'RE TALKING ABOUT 

4516
03:29:28,040 --> 03:29:30,442
FUNDING NOT ONLY TAKES TIME TO 

4517
03:29:30,442 --> 03:29:32,545
BUILD TRUST, IT TAKES TIME TO DO

4518
03:29:32,545 --> 03:29:36,081
THE FORMATIVE WORK TO UNDERSTAND

4519
03:29:36,081 --> 03:29:37,082
WHY PEOPLE MAKE DECISIONS 

4520
03:29:37,082 --> 03:29:41,554
OUTSIDE OF THOSE THAT MAY BE 

4521
03:29:41,554 --> 03:29:44,757
ABLE -- EVEN SOME OF THE PEOPLE 

4522
03:29:44,757 --> 03:29:50,429
THAT ARE IN THESE EIGHT WEEK 

4523
03:29:50,429 --> 03:29:54,967
TRIALS ARE VERY DIFFERENT THAT 

4524
03:29:54,967 --> 03:29:58,304
MAY BE HIGH RISK WE NEED TO 

4525
03:29:58,304 --> 03:30:04,643
LEARN MORE ABOUT BUT WE MIGHT 

4526
03:30:04,643 --> 03:30:06,612
ONLY BE GETTING A CUT OF THE 

4527
03:30:06,612 --> 03:30:08,447
POPULATION AS FAR AS 

4528
03:30:08,447 --> 03:30:09,949
CHARACTERISTICS WE MIGHT WANT TO

4529
03:30:09,949 --> 03:30:16,856
DEVELOP INTERVENTIONS FOR.

4530
03:30:16,856 --> 03:30:18,624
>> GREAT, THANK YOU.

4531
03:30:18,624 --> 03:30:27,299
COMMENCE AND THOUGHTS?

4532
03:30:27,299 --> 03:30:28,133
SARAH.

4533
03:30:28,133 --> 03:30:30,369
>> I'M SPELL BOUND BY THE
WORK 

4534
03:30:30,369 --> 03:30:33,172
OF THE ENTIRE WORKING GROUP.

4535
03:30:33,172 --> 03:30:36,609
YOU'VE DONE GROUNDBREAKING WORK 

4536
03:30:36,609 --> 03:30:38,677
AND I THINK IT'S ASKING ALL OF 

4537
03:30:38,677 --> 03:30:39,879
US TO THINK ABOUT OUR ACTIVITIES

4538
03:30:39,879 --> 03:30:46,685
DIFFERENTLY.

4539
03:30:46,685 --> 03:30:50,522
I'M TO RECONCILE THE WORK AND 

4540
03:30:50,522 --> 03:30:52,157
THOUGHT UNDER THE CULTURALLY 

4541
03:30:52,157 --> 03:30:54,159
TAILORED DIETS AND OUR 

4542
03:30:54,159 --> 03:30:55,294
DISCUSSION YESTERDAY ABOUT 

4543
03:30:55,294 --> 03:30:57,263
BUILDING IN FLEXIBILITIES AND 

4544
03:30:57,263 --> 03:31:01,834
THERE WAS A LOT OF DISCUSSION 

4545
03:31:01,834 --> 03:31:04,803
ABOUT GUARDRAILS AND HOW 

4546
03:31:04,803 --> 03:31:06,605
FLEXIBLE CAN WE GO.

4547
03:31:06,605 --> 03:31:08,540
I'D LOVE TO THROW IT TO YOU AS A

4548
03:31:08,540 --> 03:31:10,676
COMMITTEE THAT UNDERSTANDS THIS.

4549
03:31:10,676 --> 03:31:12,978
ARE THERE RECOMMENDATIONS WE CAN

4550
03:31:12,978 --> 03:31:18,517
OR ARE THERE FUTURE DIRECTIONS 

4551
03:31:18,517 --> 03:31:22,021
WHERE WE CAN TAKE WHAT YOU'RE 

4552
03:31:22,021 --> 03:31:23,322
TALKING ABOUT AND SOMEHOW 

4553
03:31:23,322 --> 03:31:26,725
COMPLEMENT AND DOVETAIL WITH THE

4554
03:31:26,725 --> 03:31:29,828
FLEXIBILITIES OF THE DIETARY 

4555
03:31:29,828 --> 03:31:30,462
PATTERNS?

4556
03:31:30,462 --> 03:31:32,331
SO THEY'RE NOT MUTUALLY 

4557
03:31:32,331 --> 03:31:32,765
EXCLUSIVE.

4558
03:31:32,765 --> 03:31:34,133
I THINK THAT'S WHAT I'M TRYING 

4559
03:31:34,133 --> 03:31:34,533
TO SAY.

4560
03:31:34,533 --> 03:31:36,602
RIGHT NOW IT FEELS LIKE THEY'RE 

4561
03:31:36,602 --> 03:31:40,606
NOT HARMONIZED AND WONDER IF 

4562
03:31:40,606 --> 03:31:41,173
THERE WAS DISCUSSION AROUND 

4563
03:31:41,173 --> 03:31:51,283
THAT.

4564
03:31:51,884 --> 03:31:58,590
SORRY OR ASKING SUCH VAGUE -- 

4565
03:31:58,590 --> 03:32:00,159
>> MAYBE I'LL TAKE A STAB
AT 

4566
03:32:00,159 --> 03:32:01,527
THIS IF IT'S OKAY.

4567
03:32:01,527 --> 03:32:04,296
WHEN CHRISTOPHER MENTIONED THE 

4568
03:32:04,296 --> 03:32:09,134
MY PLATE I THINK HE CALLED IT 20

4569
03:32:09,134 --> 03:32:10,669
PLATES, SO I THINK THAT WAS 

4570
03:32:10,669 --> 03:32:12,938
BRIDGING TO THE POINT YOU JUST 

4571
03:32:12,938 --> 03:32:14,707
ASKED SARAH AROUND WHAT DO WE 

4572
03:32:14,707 --> 03:32:17,443
MAKE OF A LANDSCAPE REVIEW 

4573
03:32:17,443 --> 03:32:19,545
AROUND CULTURALLY TAILORED 

4574
03:32:19,545 --> 03:32:21,613
DIETARY INTERVENTIONS IN LIGHT 

4575
03:32:21,613 --> 03:32:24,616
OF ALL THAT WE SEE WITH REGARDS 

4576
03:32:24,616 --> 03:32:26,085
TO WHERE PEOPLE CURRENTLY ARE, 

4577
03:32:26,085 --> 03:32:27,720
HOW DO WE MEET PEOPLE ARE THEY 

4578
03:32:27,720 --> 03:32:29,922
ARE ARE AND HOW DO WE MAKE 

4579
03:32:29,922 --> 03:32:31,657
RECOMMENDATIONS THAT STAND A 

4580
03:32:31,657 --> 03:32:34,393
CHANCE OF HOPEFULLY I THINK IN 

4581
03:32:34,393 --> 03:32:36,161
FIVE YEARS IS TOO SHORT BUT 

4582
03:32:36,161 --> 03:32:38,831
MAYBE 10 OR 15 YEARS STARTING TO

4583
03:32:38,831 --> 03:32:42,034
GET THE UPTICK IN THE ADHERENCE 

4584
03:32:42,034 --> 03:32:43,202
AND CONSUMPTION I THINK WE'RE 

4585
03:32:43,202 --> 03:32:49,441
ALL DOING THIS WORK IN HOPE OF.

4586
03:32:49,441 --> 03:32:51,643
SO, THE ACKNOWLEDGEMENT 

4587
03:32:51,643 --> 03:32:52,544
THROUGHOUT I HEARD YESTERDAY 

4588
03:32:52,544 --> 03:32:55,214
THROUGHOUT ALL THE VARIOUS 

4589
03:32:55,214 --> 03:32:56,815
CHAPTERS AROUND AND WE STEP BACK

4590
03:32:56,815 --> 03:32:58,650
AND LOOK AT WHAT MAKES IT 

4591
03:32:58,650 --> 03:33:01,253
POSSIBLE FOR PEOPLE REGARDLESS 

4592
03:33:01,253 --> 03:33:03,956
OF WHAT THEIR BACKGROUNDS ARE, 

4593
03:33:03,956 --> 03:33:08,060
WHERE THEIR FAMILIES LIVE, HOW 

4594
03:33:08,060 --> 03:33:18,637
ACULTERATED  -- ACCULURATED THEY

4595
03:33:18,637 --> 03:33:22,674
ARE AND WE DON'T WANT TO 

4596
03:33:22,674 --> 03:33:25,077
OVERSTATE WHAT ANYONE CAN MAKE 

4597
03:33:25,077 --> 03:33:27,312
BUT WHEN WE LOOK AT THE 

4598
03:33:27,312 --> 03:33:29,481
STRATIFIED ANALYSES PRESENTED 

4599
03:33:29,481 --> 03:33:33,152
AROUND AGE, RACE AND SEX GROUPS 

4600
03:33:33,152 --> 03:33:35,154
AND WHAT IT MEANS FOR WHERE 

4601
03:33:35,154 --> 03:33:37,689
PEOPLE CURRENTLY ARE IN INTAKES 

4602
03:33:37,689 --> 03:33:39,725
AROUND THE VARIOUS NUTRIENTS, I 

4603
03:33:39,725 --> 03:33:42,561
THINK IT WOULD BE VERY HARD TO 

4604
03:33:42,561 --> 03:33:46,065
NOT CONSIDER THE OPPORTUNITY TO 

4605
03:33:46,065 --> 03:33:47,599
BRING THESE INTO THE DIETARY 

4606
03:33:47,599 --> 03:33:58,010
PATTERNS CONVERSATIONS.

4607
03:34:02,448 --> 03:34:04,550
>> WE HAVE THE HOW AND
WE'RE 

4608
03:34:04,550 --> 03:34:05,684
THINKING ABOUT THE WHAT AND WE 

4609
03:34:05,684 --> 03:34:06,618
WE SHOULD BE THINKING ABOUT THE 

4610
03:34:06,618 --> 03:34:08,020
WHY.

4611
03:34:08,020 --> 03:34:13,358
SORT OF GOING AND PUTTING THESE 

4612
03:34:13,358 --> 03:34:16,695
PIECES TOGETHER AND THE 

4613
03:34:16,695 --> 03:34:17,996
FLEXIBILITIES ALLOWS US TO LOOK 

4614
03:34:17,996 --> 03:34:20,365
AT THE WHAT OF THE CULTURAL DIET

4615
03:34:20,365 --> 03:34:26,672
AND THE SCAN IS LOOKING AT THE 

4616
03:34:26,672 --> 03:34:30,609
HOW AND PORTION SIZE AND THEN 

4617
03:34:30,609 --> 03:34:33,512
THE CULTURALLY TAILORED INSTEAD 

4618
03:34:33,512 --> 03:34:36,215
OF LOOKING AT THE HOW AND WHAT.

4619
03:34:36,215 --> 03:34:40,219
I DON'T THINK WE SPENT AS MUCH 

4620
03:34:40,219 --> 03:34:42,554
TIME AS MUCH THINKING ABOUT THE 

4621
03:34:42,554 --> 03:34:42,754
WHAT.

4622
03:34:42,754 --> 03:34:46,358
I KNOW WE TALKED ABOUT THE 

4623
03:34:46,358 --> 03:34:48,393
SYSTEMS RECOMMENDATIONS BUT 

4624
03:34:48,393 --> 03:34:49,328
THERE ARE PROBABLY SOME 

4625
03:34:49,328 --> 03:34:50,395
INDIVIDUAL LEVEL RECOMMENDATIONS

4626
03:34:50,395 --> 03:34:54,733
OR GROUP LEVEL AT THE FAMILY 

4627
03:34:54,733 --> 03:34:57,569
LEVEL THAT MAY BE OUTSIDE OF 

4628
03:34:57,569 --> 03:34:59,204
INFANTS OR TODDLERS THAT PLAY 

4629
03:34:59,204 --> 03:35:00,739
PLAY A ROLE WITHIN THAT AND I 

4630
03:35:00,739 --> 03:35:03,642
KNOW WE HAD TO DEPRIORITIZE SOME

4631
03:35:03,642 --> 03:35:04,910
OF THOSE QUESTIONS LIKE HOME 

4632
03:35:04,910 --> 03:35:15,454
FOOD AVAILABILITY, FOR EXAMPLE, 

4633
03:35:17,623 --> 03:35:23,128
AND LOOKING AT THE HOW AND HOW 

4634
03:35:23,128 --> 03:35:33,472
TO CONSIDER THE WHY.

4635
03:35:35,340 --> 03:35:38,644
>> ANY OTHER QUESTIONS ON
THE 

4636
03:35:38,644 --> 03:35:38,844
TOPIC?

4637
03:35:38,844 --> 03:35:40,546
THIS IS PROBABLY A GOOD SEGUE TO

4638
03:35:40,546 --> 03:35:41,480
OUR NEXT SECTION.

4639
03:35:41,480 --> 03:35:43,949
KUDOS TO THE WORKING GROUP.

4640
03:35:43,949 --> 03:35:44,550
DID A GREAT GREAT JOB.

4641
03:35:44,550 --> 03:35:50,756
THANK YOU.

4642
03:35:50,756 --> 03:35:57,229
SO WE'RE COMING TO AN END.

4643
03:35:57,229 --> 03:36:04,503
AND WE'RE GOING TO TALK ABOUT 

4644
03:36:04,503 --> 03:36:05,070
FUTURE DIRECTION AND MORE 

4645
03:36:05,070 --> 03:36:06,605
INFORMATION FOR THE COMMITTEE 

4646
03:36:06,605 --> 03:36:09,608
AND/OR OUR AUDIENCE AND THEN 

4647
03:36:09,608 --> 03:36:11,877
WE'LL HAVE A DISCUSSION ON 

4648
03:36:11,877 --> 03:36:14,680
CROSS-CUTTING THEMES WHICH IS 

4649
03:36:14,680 --> 03:36:16,381
PROBABLY SIMPLY PULLING ALL THE 

4650
03:36:16,381 --> 03:36:22,154
PIECES TOGETHER FROM THE LAST 

4651
03:36:22,154 --> 03:36:27,893
TWO DAYS.

4652
03:36:27,893 --> 03:36:30,062
SO UP TO NOW WE'VE BEEN TALKING 

4653
03:36:30,062 --> 03:36:31,129
ABOUT CHAPTER 10.

4654
03:36:31,129 --> 03:36:36,602
THAT'S ALL THE EVIDENCE WE'VE 

4655
03:36:36,602 --> 03:36:41,974
BEEN LARGER FOR THE DURATION OF 

4656
03:36:41,974 --> 03:36:43,675
THE MEETING AND NOW TALK ABOUT 

4657
03:36:43,675 --> 03:36:46,144
FUTURE DIRECTIONS CHAPTER.

4658
03:36:46,144 --> 03:36:52,884
SO THE PURPOSE OF  CHAPTER E, 

4659
03:36:52,884 --> 03:36:53,619
FUTURE DIRECTION IS TO HIGHLIGHT

4660
03:36:53,619 --> 03:36:55,187
RESEARCH RECOMMENDATIONS.

4661
03:36:55,187 --> 03:36:57,856
THE PREVIOUS CONVERSATION WAS 

4662
03:36:57,856 --> 03:36:59,625
VERY RELEVANT AND IT'S A 

4663
03:36:59,625 --> 03:37:04,329
BEAUTIFUL SEGUE TO THIS.

4664
03:37:04,329 --> 03:37:05,163
WE'RE GOING TO HIGHLIGHT THE 

4665
03:37:05,163 --> 03:37:06,698
RESEARCH RECOMMENDATIONS 

4666
03:37:06,698 --> 03:37:08,900
IDENTIFIED DURING DATA ANALYSIS,

4667
03:37:08,900 --> 03:37:11,436
THE SYSTEMATIC REVIEWS WE 

4668
03:37:11,436 --> 03:37:15,040
LEARNED ABOUT TODAY AND THE FOOD

4669
03:37:15,040 --> 03:37:16,842
PATTERN MODELLING WE LEARNED 

4670
03:37:16,842 --> 03:37:18,343
ABOUT YESTERDAY AND GOING TO 

4671
03:37:18,343 --> 03:37:20,579
EMPHASIZE THE SUPPORT NEEDED FOR

4672
03:37:20,579 --> 03:37:21,913
FEDERAL DATA AND OTHER 

4673
03:37:21,913 --> 03:37:23,548
ACTIVITIES RELATED TO THE 

4674
03:37:23,548 --> 03:37:28,820
DIETARY GUIDELINES AND AS WE 

4675
03:37:28,820 --> 03:37:34,693
HAVE JUST DISCUSSED SUGGEST 

4676
03:37:34,693 --> 03:37:39,364
CONSIDERATIONS FOR FUTURE JOU

4677
03:37:39,364 --> 03:37:40,565
JOURNEYS AND OUR TIME IS COMING 

4678
03:37:40,565 --> 03:37:43,335
TO AN END AND SO NOW WE'RE 

4679
03:37:43,335 --> 03:37:44,703
THINKING ABOUT PASSING IT ON TO 

4680
03:37:44,703 --> 03:37:50,442
THE NEXT GENERATION OF DIETARY 

4681
03:37:50,442 --> 03:37:54,413
ADVISORY COMMITTEES BUT ALSO 

4682
03:37:54,413 --> 03:37:56,481
CONCRETE ADVICE TO THE PROCESS 

4683
03:37:56,481 --> 03:38:01,286
OF DIETARY GUIDELINES.

4684
03:38:01,286 --> 03:38:07,059
YOU HEARD IN PRIOR PRESENTATIONS

4685
03:38:07,059 --> 03:38:09,261
YESTERDAY AND TODAY EACH 

4686
03:38:09,261 --> 03:38:11,296
COMMITTEE DEVELOPED FUTURE 

4687
03:38:11,296 --> 03:38:13,131
DIRECTION AND THE RATIONALE IN 

4688
03:38:13,131 --> 03:38:20,205
THEIR RESPECTIVE CHAPTERS.

4689
03:38:20,205 --> 03:38:24,176
THIGHS ARE BEING COLLATED BY 

4690
03:38:24,176 --> 03:38:25,744
STAFF AND PULLED TOGETHER IN ONE

4691
03:38:25,744 --> 03:38:28,413
CHAPTER CALLED FUTURE DIRECTION.

4692
03:38:28,413 --> 03:38:30,782
WE AS A FULL COMMITTEE WILL BE 

4693
03:38:30,782 --> 03:38:33,585
REVIEWING THEM AS WE FINALIZE 

4694
03:38:33,585 --> 03:38:35,220
OUR SCIENTIFIC REPORT.

4695
03:38:35,220 --> 03:38:37,356
SO THIS WILL BE THE TIME TO 

4696
03:38:37,356 --> 03:38:40,859
REFINE AND WE CAN PROBABLY 

4697
03:38:40,859 --> 03:38:47,799
HARMONIZE QUITE A FEW.

4698
03:38:47,799 --> 03:38:53,338
JUST AS AN EXAMPLE, WE ALREADY 

4699
03:38:53,338 --> 03:38:59,244
PULLED SOME FROM THE INDIVIDUAL 

4700
03:38:59,244 --> 03:38:59,644
CHAPTERS.

4701
03:38:59,644 --> 03:39:01,747
WE HEARD A LOT ABOUT THE 

4702
03:39:01,747 --> 03:39:02,681
IMPORTANCE OF HAVING 

4703
03:39:02,681 --> 03:39:06,184
SURVEILLANCE DATA AND WE REALLY 

4704
03:39:06,184 --> 03:39:08,186
EMPHASIZED THE VALUE OF NHANES 

4705
03:39:08,186 --> 03:39:11,156
BUT WE HAVE ALSO IDENTIFIED 

4706
03:39:11,156 --> 03:39:12,924
WHERE NHANES WOULD BENEFIT FROM 

4707
03:39:12,924 --> 03:39:16,728
EXPANSION PARTICULARLY WHEN WE 

4708
03:39:16,728 --> 03:39:19,431
WERE TALKING ABOUT POPULATION 

4709
03:39:19,431 --> 03:39:21,266
GROUPS NOT REPRESENTED IN 

4710
03:39:21,266 --> 03:39:21,500
NHANES.

4711
03:39:21,500 --> 03:39:23,735
AND WHEN WE ERROR TALKING ABOUT 

4712
03:39:23,735 --> 03:39:26,805
FOOD PATTERN MODELLING, PERHAPS 

4713
03:39:26,805 --> 03:39:30,776
LESS IN THE PUBLIC MEETINGS 7 

4714
03:39:30,776 --> 03:39:35,947
BUT MAYBE MORE IN PUBLIC 

4715
03:39:35,947 --> 03:39:36,882
MEETIMEET

4716
03:39:36,882 --> 03:39:40,886
MEETINGS 5 AND 6 WE NEEDED FOOD 

4717
03:39:40,886 --> 03:39:42,087
COMPOSITION DATA AND THEY NEED 

4718
03:39:42,087 --> 03:39:46,792
TO BE NIMBLE TO REFLECT A VERY 

4719
03:39:46,792 --> 03:39:49,628
RAPIDLY EVOLVING FOOD MARKET.

4720
03:39:49,628 --> 03:39:53,131
NORTH OF THE FUTURE DIRECTIONS 

4721
03:39:53,131 --> 03:39:54,633
AND RECOMMENDATIONS IS THE 

4722
03:39:54,633 --> 03:39:57,202
PRIORITIZING UPDATES TO AN 

4723
03:39:57,202 --> 03:40:00,639
EXPANSION OF THE FOOD NUTRITION 

4724
03:40:00,639 --> 03:40:05,210
DATABASE FOR DIET STUDIES TO 

4725
03:40:05,210 --> 03:40:06,011
KEEP IT INTERSTATE WITH THE 

4726
03:40:06,011 --> 03:40:10,215
CURRENT MARKET AND UPDATED FOOD 

4727
03:40:10,215 --> 03:40:11,983
COMPOSITION DATA IN THE USDA 

4728
03:40:11,983 --> 03:40:14,286
NUTRIENT DATABASES WHICH FALLS 

4729
03:40:14,286 --> 03:40:15,554
UNDER THE UMBRELLA OF FOOD DATA 

4730
03:40:15,554 --> 03:40:16,988
CENTRAL IN A TIMELY MANNER.

4731
03:40:16,988 --> 03:40:18,824
I THINK TIMELY IS REALLY 

4732
03:40:18,824 --> 03:40:21,326
CRITICAL AND I THINK THIS CAME 

4733
03:40:21,326 --> 03:40:24,563
UP A LOT WHEN WE HAD THE 

4734
03:40:24,563 --> 03:40:26,264
DISCUSSIONS AND MEETINGS ON 

4735
03:40:26,264 --> 03:40:30,769
PLANT MILK ALTERNATIVE.

4736
03:40:30,769 --> 03:40:32,737
WE HAVE TALKED A LOT ABOUT 

4737
03:40:32,737 --> 03:40:34,072
REPRESENTATION OF POPULATION IN 

4738
03:40:34,072 --> 03:40:35,907
WHICH EVIDENCE IS LACKING.

4739
03:40:35,907 --> 03:40:38,276
I THINK TODAY'S DISCUSSION WAS 

4740
03:40:38,276 --> 03:40:43,882
VERY RICH AND SUPPORTED THAT AND

4741
03:40:43,882 --> 03:40:45,050
WE CONTINUE FOR CONSIDERATION 

4742
03:40:45,050 --> 03:40:46,685
FUTURE COMMITTEES.

4743
03:40:46,685 --> 03:40:49,187
WE'RE CONTINUING TO -- WE WANT 

4744
03:40:49,187 --> 03:40:52,290
TO CONTINUE TO CONSIDER HEALTH 

4745
03:40:52,290 --> 03:40:53,158
EQUITY IN DATA ANALYSIS OF 

4746
03:40:53,158 --> 03:40:55,293
FUTURE DIETARY GUIDELINES 

4747
03:40:55,293 --> 03:40:58,096
ADVISORY COMMITTEES.

4748
03:40:58,096 --> 03:41:01,099
THESE ARE SIMPLE EXAMPLES.

4749
03:41:01,099 --> 03:41:05,270
THEY'RE BY NO MEANS AN 

4750
03:41:05,270 --> 03:41:08,607
EXHAUSTIVE LIST AND AS I SAID, 

4751
03:41:08,607 --> 03:41:10,675
THESE WILL BE COMPLIED AND IN 

4752
03:41:10,675 --> 03:41:16,848
THE FINAL REPORT.

4753
03:41:16,848 --> 03:41:22,454
NOW, WE TALKED ABOUT SECTION D, 

4754
03:41:22,454 --> 03:41:24,623
WE TALKED ABOUT SECTION E.

4755
03:41:24,623 --> 03:41:26,558
PART B OF OUR REPORT IS REALLY 

4756
03:41:26,558 --> 03:41:29,928
SETTING THE STAGE FOR THE ENTIRE

4757
03:41:29,928 --> 03:41:35,033
REPORT AND IT'S CROSS CUTTING 

4758
03:41:35,033 --> 03:41:37,235
THEMES -- ITS CROSS-CUTTING 

4759
03:41:37,235 --> 03:41:37,469
THEMES.

4760
03:41:37,469 --> 03:41:38,904
SO WE'VE BEEN LISTENING AND 

4761
03:41:38,904 --> 03:41:40,939
TALKING WITH ALL OF YOU IN THE 

4762
03:41:40,939 --> 03:41:43,074
WORKING GROUPS ABOUT WHAT ARE 

4763
03:41:43,074 --> 03:41:45,243
THE CROSS CUTTING THEMES ACROSS 

4764
03:41:45,243 --> 03:41:46,077
OUR REPORT.

4765
03:41:46,077 --> 03:41:53,118
AND THIS IS WHERE WE ARE NOW.

4766
03:41:53,118 --> 03:41:54,653
WE IDENTIFIED FIVE CROSS-CUTTING

4767
03:41:54,653 --> 03:41:55,086
THEMES.

4768
03:41:55,086 --> 03:41:56,488
HEALTH EQUITY IS ONE.

4769
03:41:56,488 --> 03:42:00,091
FLEXIBILITY AND INCLUSION IS 

4770
03:42:00,091 --> 03:42:03,061
TWO, UNDERSTANDING NOT JUST WHAT

4771
03:42:03,061 --> 03:42:07,599
BUT ALSO HOW TO EAT TO ACHIEVE 

4772
03:42:07,599 --> 03:42:09,401
HEALTHY EATING, THEME NUMBER 

4773
03:42:09,401 --> 03:42:12,370
FOUR IS FOOD SYSTEMS.

4774
03:42:12,370 --> 03:42:13,838
WE HAD A LOT OF DISCUSSION 

4775
03:42:13,838 --> 03:42:14,673
AROUND THAT YESTERDAY AND THEME 

4776
03:42:14,673 --> 03:42:17,275
FIVE IS THE LIMITATIONS OF AND 

4777
03:42:17,275 --> 03:42:24,115
THE NEED FOR MORE EVIDENCE.

4778
03:42:24,115 --> 03:42:25,684
NOW THE NEXT ONE IS DISCUSSION.

4779
03:42:25,684 --> 03:42:27,485
I'LL ASK THE PERSON CONTROLLING 

4780
03:42:27,485 --> 03:42:29,087
THE SLIDES TO LEAVE THEM HERE.

4781
03:42:29,087 --> 03:42:31,890
WE CAN GET SOME REACTION FROM 

4782
03:42:31,890 --> 03:42:32,524
THE ENTIRE COMMITTEE.

4783
03:42:32,524 --> 03:42:33,959
I'M HOPING EVERYONE CAN TURN ON 

4784
03:42:33,959 --> 03:42:37,395
THEIR CAMERAS AND WE JUST WOULD 

4785
03:42:37,395 --> 03:42:40,165
LOVE REACTION TO THIS.

4786
03:42:40,165 --> 03:42:43,702
IT DEFINITELY NEEDS WORDSMITHING

4787
03:42:43,702 --> 03:42:45,570
BUT WE MORE IMPORTANTLY WANT TO 

4788
03:42:45,570 --> 03:42:49,841
KNOW ARE WE CAPTURING OUR FULL 

4789
03:42:49,841 --> 03:42:50,842
COMMITTEE'S REPORT?

4790
03:42:50,842 --> 03:42:51,710
ARE THINGS MISSING OR THINGS 

4791
03:42:51,710 --> 03:42:55,647
THAT CAN BE TAKEN OFF?

4792
03:42:55,647 --> 03:43:00,986
AND WITH THAT, ANGELA, I WOULD 

4793
03:43:00,986 --> 03:43:02,153
LOVE YOU TO MAKE COMMENTS AND 

4794
03:43:02,153 --> 03:43:07,726
THEN OPEN IT UP FOR DISCUSSION.

4795
03:43:07,726 --> 03:43:08,994
>> I WOULD LOVE TO HEAR
WHAT 

4796
03:43:08,994 --> 03:43:10,662
PEOPLE HAVE TO SAY.

4797
03:43:10,662 --> 03:43:15,200
LOOKING FOR FEEDBACK.

4798
03:43:15,200 --> 03:43:16,101
>> GREAT.

4799
03:43:16,101 --> 03:43:18,036
WITH THAT, BRING IT ON.

4800
03:43:18,036 --> 03:43:19,671
WE WANT TO HEAR YOUR REACTIONS.

4801
03:43:19,671 --> 03:43:21,439
WE WANT TO HEAR YOUR 

4802
03:43:21,439 --> 03:43:22,173
RECOMMENDATIONS.

4803
03:43:22,173 --> 03:43:24,609
WE WANT TO HEAR YOUR CRITICISM.

4804
03:43:24,609 --> 03:43:27,245
THIS IS OUR REPORT.

4805
03:43:27,245 --> 03:43:33,518
AND THESE ARE THE THEMES OF OUR 

4806
03:43:33,518 --> 03:43:43,862
REPORT AS DGAC 2025.

4807
03:43:56,007 --> 03:43:58,143
>> I FEEL THE THEME IS 

4808
03:43:58,143 --> 03:44:03,214
ENCOMPASSING ALL THE OTHERS 

4809
03:44:03,214 --> 03:44:04,649
RATHER THAN BE ONE.

4810
03:44:04,649 --> 03:44:08,386
I WONDER IF THERE'S A WAY FOR 

4811
03:44:08,386 --> 03:44:10,855
FLEXIBILITY AND INCLUSION IS THE

4812
03:44:10,855 --> 03:44:12,323
NEED FOR MORE EVIDENCE OF 

4813
03:44:12,323 --> 03:44:15,960
HEALTHY QUITTING AND HOW DO WE 

4814
03:44:15,960 --> 03:44:17,228
COMBINE THOSE WOULD BE IMPORTANT

4815
03:44:17,228 --> 03:44:17,762
EVEN FOR THE FOOD SYSTEMS.

4816
03:44:17,762 --> 03:44:21,433
THANK YOU.

4817
03:44:21,433 --> 03:44:24,002
>> THANK YOU, ALINE, WE'RE

4818
03:44:24,002 --> 03:44:24,936
STRUGGLING WITH THAT.

4819
03:44:24,936 --> 03:44:31,409
THANK YOU FOR POINTING IT OUT.

4820
03:44:31,409 --> 03:44:34,345
POINT TAKEN.

4821
03:44:34,345 --> 03:44:34,579
DEANNA.

4822
03:44:34,579 --> 03:44:38,683
>> THEME THREE IS THAT THE

4823
03:44:38,683 --> 03:44:41,820
IMPLEMENTATION SCIENCE AND 

4824
03:44:41,820 --> 03:44:42,387
BEHAVIORAL SCIENCE KIND OF 

4825
03:44:42,387 --> 03:44:45,023
THEME?

4826
03:44:45,023 --> 03:44:46,658
I FEEL LIKE THAT'S A DIRECTION 

4827
03:44:46,658 --> 03:44:48,727
THE GUIDELINES NEED TO GO IN 

4828
03:44:48,727 --> 03:44:54,999
WHAT IS THE SCIENCE FOR GETTING 

4829
03:44:54,999 --> 03:44:58,303
THESE IMPLEMENTED AND 

4830
03:44:58,303 --> 03:44:58,603
STRATEGIES.

4831
03:44:58,603 --> 03:44:59,571
WE DID SOME HERE BUT WOULD BE 

4832
03:44:59,571 --> 03:45:00,672
GOOD TO EXPAND ON THAT.

4833
03:45:00,672 --> 03:45:01,473
I THINK THAT'S WHAT THAT IS, 

4834
03:45:01,473 --> 03:45:11,583
RIGHT?

4835
03:45:21,793 --> 03:45:23,762
IT'S A CLUNKY WAY TO SAY THAT 

4836
03:45:23,762 --> 03:45:26,898
AND A WAY TO SAY IT AND THE 

4837
03:45:26,898 --> 03:45:28,767
BEHAVIOR WORK.

4838
03:45:28,767 --> 03:45:31,569
SO ANY SUGGESTIONS AND DON'T 

4839
03:45:31,569 --> 03:45:36,407
FEEL WE HAVE TO WORDSMITH IT 

4840
03:45:36,407 --> 03:45:36,608
HERE.

4841
03:45:36,608 --> 03:45:38,042
I DON'T THINK THAT WOULD BE A 

4842
03:45:38,042 --> 03:45:40,278
GOOD USE OF OUR TIME BUT MORE 

4843
03:45:40,278 --> 03:45:41,679
CONCEPTS AND IF PEOPLE HAVE 

4844
03:45:41,679 --> 03:45:44,783
CREATIVE IDEAS, LET US KNOW.

4845
03:45:44,783 --> 03:45:46,551
THIS IS STILL DRAFT.

4846
03:45:46,551 --> 03:45:47,185
BUT YES, IMPLEMENTATION SCIENCE,

4847
03:45:47,185 --> 03:45:51,523
THANK YOU.

4848
03:45:51,523 --> 03:45:52,056
CHERYL.

4849
03:45:52,056 --> 03:45:55,193
>> SO MY OVER ALL REACTION
IS 

4850
03:45:55,193 --> 03:45:58,696
THANK YOU FOR JUST TRYING TO PUT

4851
03:45:58,696 --> 03:46:09,240
IT INTO THESE FIVE CLEAR SPACES.

4852
03:46:11,743 --> 03:46:17,615
I AGREE WITH HEALTH EQUITY AND 

4853
03:46:17,615 --> 03:46:24,255
INSTEAD PERHAPS THE THING THAT 

4854
03:46:24,255 --> 03:46:25,757
STRUCK ME THE DEEPEST IS 

4855
03:46:25,757 --> 03:46:26,357
ADHERENCE.

4856
03:46:26,357 --> 03:46:28,026
JUST THE LAST 10, 15 YEARS WHEN 

4857
03:46:28,026 --> 03:46:30,662
WE LOOK AT THE TREND LINES,ING 

4858
03:46:30,662 --> 03:46:35,567
IN THE '50s, MIDDLE '60s ON THE 

4859
03:46:35,567 --> 03:46:37,869
HEI IS NOT WHERE WE NEED TO BE 

4860
03:46:37,869 --> 03:46:40,205
AND TALK ABOUT IN EVERY PORTION 

4861
03:46:40,205 --> 03:46:42,674
OF THIS REPORT INDIRECTLY AND 

4862
03:46:42,674 --> 03:46:44,909
SOMETIMES DIRECTLY.

4863
03:46:44,909 --> 03:46:46,211
I THROW THAT OUT FOR 

4864
03:46:46,211 --> 03:46:46,544
CONSIDERATION.

4865
03:46:46,544 --> 03:46:47,345
IN ADDITION TO TALKING ABOUT 

4866
03:46:47,345 --> 03:46:53,184
WHAT AND HOW, I THINK IT'S 

4867
03:46:53,184 --> 03:46:53,785
CRITICALLY IMPORTANT PEOPLE 

4868
03:46:53,785 --> 03:46:55,220
UNDERSTAND THE WHY.

4869
03:46:55,220 --> 03:46:55,720
WE TALK ABOUT EDUCATION.

4870
03:46:55,720 --> 03:47:05,897
EDUCATION.

4871
03:47:11,936 --> 03:47:17,075
I'M A LITTLE TORN ON THE FOOD 

4872
03:47:17,075 --> 03:47:18,676
SYSTEM AND FOOD SUPPLY AND 

4873
03:47:18,676 --> 03:47:20,144
INDUSTRY PARTNERS.

4874
03:47:20,144 --> 03:47:21,713
UNTIL PEOPLE UNDERSTAND WHY THE 

4875
03:47:21,713 --> 03:47:25,116
SHIFTS ARE BEING ASKED TO BE 

4876
03:47:25,116 --> 03:47:26,851
MADE, IT MAY BE DIFFICULT TO GET

4877
03:47:26,851 --> 03:47:28,453
TO THE LEVEL PLAYING FIELD AND 

4878
03:47:28,453 --> 03:47:31,122
GET INDUSTRY EXCITED AND 

4879
03:47:31,122 --> 03:47:32,891
MOTIVATED TO SHIFT AND OFFER 

4880
03:47:32,891 --> 03:47:43,368
PRODUCTS THAT ARE HEALTHFUL.

4881
03:47:45,503 --> 03:47:47,005
MAYBE THAT'S WHAT DEANNA MEANT 

4882
03:47:47,005 --> 03:47:48,239
ON THE SCIENCE PART.

4883
03:47:48,239 --> 03:47:49,207
IT'S A DIFFERENT WHY WHEN IT 

4884
03:47:49,207 --> 03:47:54,579
COMES TO INDUSTRY.

4885
03:47:54,579 --> 03:47:57,248
I DO SENSE INDUSTRY PARTNERS 

4886
03:47:57,248 --> 03:47:59,684
HAVE SOCIALLY CONSCIENCE AND 

4887
03:47:59,684 --> 03:48:01,753
WANT TO DO GOOD THINGS IN THE 

4888
03:48:01,753 --> 03:48:03,321
FOOD SUPPLY AND SHOULD BRIDGE TO

4889
03:48:03,321 --> 03:48:08,893
THEM AS EFFECTIVELY AS POSSIBLE.

4890
03:48:08,893 --> 03:48:14,332
>> LET ME ASK A POINT OF 

4891
03:48:14,332 --> 03:48:18,436
CLARIFICATION BECAUSE WITH THEME

4892
03:48:18,436 --> 03:48:20,905
THREE THERE'S THE ADHERENCE 

4893
03:48:20,905 --> 03:48:22,674
PIECE OR LACK THERE OF.

4894
03:48:22,674 --> 03:48:28,746
IS THIS SOMETHING MUCH BROADER?

4895
03:48:28,746 --> 03:48:30,682
>> IT DIDN'T OCCUR TO ME
WHEN I 

4896
03:48:30,682 --> 03:48:32,517
READ THEME THREE SO I THINK IT'S

4897
03:48:32,517 --> 03:48:34,352
PROBABLY A DISCUSSION FOR THE 

4898
03:48:34,352 --> 03:48:36,454
OTHER COMMITTEE MEMBERS AS WELL 

4899
03:48:36,454 --> 03:48:38,523
BECAUSE IF IT'S RESONATING WITH 

4900
03:48:38,523 --> 03:48:40,858
PEOPLE THAT'S FINE BUT I 

4901
03:48:40,858 --> 03:48:42,060
CERTAINLY DIDN'T JUMP OUT TO ME.

4902
03:48:42,060 --> 03:48:45,296
>> THANK YOU.

4903
03:48:45,296 --> 03:48:47,265
>> I WAS WONDERING THEME
TWO 

4904
03:48:47,265 --> 03:48:48,599
FLEXIBILITY AND INCLUSION.

4905
03:48:48,599 --> 03:48:50,134
IS THAT SPECIFICALLY TALKING 

4906
03:48:50,134 --> 03:48:52,203
ABOUT OUR DRAFT DIETARY PATTERNS

4907
03:48:52,203 --> 03:48:53,838
THEY ARE ARE FLEXIBLE IN GENERAL

4908
03:48:53,838 --> 03:48:56,040
WITH RESPECT TO THE FOODS AND WE

4909
03:48:56,040 --> 03:48:58,609
ARE TRYING OUR BEST TO INCLUDE 

4910
03:48:58,609 --> 03:49:01,779
OR MAKE SURE THEY'RE INCLUSIVE 

4911
03:49:01,779 --> 03:49:05,316
OF MOST INDIVIDUALS IN THE U.S.

4912
03:49:05,316 --> 03:49:07,352
THAT'S A VERY DIETARY PATTERN 

4913
03:49:07,352 --> 03:49:09,921
SPECIFIC THEME.

4914
03:49:09,921 --> 03:49:14,292
I DON'T KNOW, IS THAT A THEME?

4915
03:49:14,292 --> 03:49:20,431
THE OTHERS ARE MORE HIGHER LEVEL

4916
03:49:20,431 --> 03:49:22,667
AND THIS ONE IS SPECIFIC.

4917
03:49:22,667 --> 03:49:24,035
I WAS WONDERING ABOUT THAT.

4918
03:49:24,035 --> 03:49:27,372
I WAS THINKING ABOUT THAT.

4919
03:49:27,372 --> 03:49:31,275
>> NOW YOU'RE SAYING IT
AND I 

4920
03:49:31,275 --> 03:49:34,679
THINK ONE OF THE CHALLENGES FOR 

4921
03:49:34,679 --> 03:49:37,682
ANY OF YOU ON SUBCOMMITTEE 3 

4922
03:49:37,682 --> 03:49:40,385
KNOWS, WE REALLY STRUGGLED WITH 

4923
03:49:40,385 --> 03:49:43,388
SOME OF OUR TERMINOLOGY BECAUSE 

4924
03:49:43,388 --> 03:49:49,327
WE VIEW MODIFICATION MUCH 

4925
03:49:49,327 --> 03:49:51,796
FLEXIBILITY BOTH AS TERMS FOR 

4926
03:49:51,796 --> 03:49:54,365
METHODOLOGY BUT ALSO IN OUR 

4927
03:49:54,365 --> 03:49:56,634
GENERAL LANGUAGE.

4928
03:49:56,634 --> 03:49:58,302
SAMEERA, THIS IS RESONATING.

4929
03:49:58,302 --> 03:50:00,204
WE CAN'T USE LANGUAGE THAT 

4930
03:50:00,204 --> 03:50:01,472
OVERLAPS WITH METHODOLOGY FOR 

4931
03:50:01,472 --> 03:50:06,110
THIS VERY REASON.

4932
03:50:06,110 --> 03:50:08,079
DO I WANT TO COMMENT ON THAT?

4933
03:50:08,079 --> 03:50:10,681
I KNOW YOU HAD SOME -- YOU LAD 

4934
03:50:10,681 --> 03:50:12,450
SOME IDEAS ABOUT THAT ONE.

4935
03:50:12,450 --> 03:50:14,552
>> YEAH, I DON'T KNOW IF
WE 

4936
03:50:14,552 --> 03:50:18,222
SHOULD USE THE SAME LANGUAGE, 

4937
03:50:18,222 --> 03:50:20,491
THANKS, SAMEERA FOR THAT.

4938
03:50:20,491 --> 03:50:22,693
IT'S SORT OF A PROCESS TOO WE 

4939
03:50:22,693 --> 03:50:33,237
HAD THERE WAS A LOT OF INCLUSION

4940
03:50:34,739 --> 03:50:37,275
AND THEY OVERLAP WITH HEALTH 

4941
03:50:37,275 --> 03:50:41,145
EQUITY THE IDEA OF LOOKING AT 

4942
03:50:41,145 --> 03:50:42,680
HAVING SOME FLEXIBILITY WHICH 

4943
03:50:42,680 --> 03:50:48,686
MIGHT ONLY APPLY TO THE DIETARY 

4944
03:50:48,686 --> 03:50:50,321
PATTERN BUT ALSO IS ALL THESE 

4945
03:50:50,321 --> 03:50:51,722
RELATE TO EACH OTHER WHEN YOU 

4946
03:50:51,722 --> 03:50:53,191
THINK ABOUT IT.

4947
03:50:53,191 --> 03:50:56,861
IT MAKES IT HARD.

4948
03:50:56,861 --> 03:50:58,429
THE CULTURAL EVIDENCE SCAN IS 

4949
03:50:58,429 --> 03:50:59,897
REALLY NOT LIKE LOOKING AT 

4950
03:50:59,897 --> 03:51:03,234
THINGS AND ONLY ONE WAY.

4951
03:51:03,234 --> 03:51:06,704
MAYBE FLEXIBILITY IS NOT THE 

4952
03:51:06,704 --> 03:51:09,006
RIGHT TERM TO LOOK AT THINGS IN 

4953
03:51:09,006 --> 03:51:14,679
DIFFERENT WAYS TO MAKE SURE THAT

4954
03:51:14,679 --> 03:51:19,150
THE IDEA OF INCLUSION WAS 

4955
03:51:19,150 --> 03:51:29,293
REACHED.

4956
03:51:42,373 --> 03:51:44,642
>> ALINE.

4957
03:51:44,642 --> 03:51:46,544
>> THERE WAS DISCUSSION IN

4958
03:51:46,544 --> 03:51:49,046
PREGNANCY AND POSTPARTUM IS MORE

4959
03:51:49,046 --> 03:51:50,648
OF AN OPTIMIZATION OF HEALTH AND

4960
03:51:50,648 --> 03:51:54,652
IN OLDER ADULTS.

4961
03:51:54,652 --> 03:51:58,623
YOU WANT TO MAYBE AVOID 

4962
03:51:58,623 --> 03:52:00,591
SARCOPENIA AND THOSE DISEASES 

4963
03:52:00,591 --> 03:52:02,960
BUT ALSO ELEVATE QUALITY OF LIFE

4964
03:52:02,960 --> 03:52:05,630
WHICH I'M NOT SURE IS LEADING TO

4965
03:52:05,630 --> 03:52:06,364
CHRONIC DISEASE PER SE AND MORE 

4966
03:52:06,364 --> 03:52:08,766
ON THE PREVENTION SIDE.

4967
03:52:08,766 --> 03:52:12,203
SO I FEEL LIKE WE TALKED QUITE A

4968
03:52:12,203 --> 03:52:14,438
BIT ON THAT ACROSS THE GROUPS 

4969
03:52:14,438 --> 03:52:17,975
BUT I DON'T SEE IT HERE.

4970
03:52:17,975 --> 03:52:20,011
I DON'T KNOW WHAT TO NAME IT BUT

4971
03:52:20,011 --> 03:52:22,180
THE CONCEPT WE NEED TO BE 

4972
03:52:22,180 --> 03:52:22,780
CAREFUL WHEN WE CONSIDER THE 

4973
03:52:22,780 --> 03:52:26,484
LIFE STAGES.

4974
03:52:26,484 --> 03:52:32,190
>> I'LL BE HONEST, WE DID
HAVE 

4975
03:52:32,190 --> 03:52:33,391
CHRONIC DISEASE REDUCTION THERE 

4976
03:52:33,391 --> 03:52:38,496
THINKING BEYOND IT AND THEN WE 

4977
03:52:38,496 --> 03:52:40,731
HAD THE DISCUSSION YESTERDAY SO 

4978
03:52:40,731 --> 03:52:43,201
IN MY SLEEP-DEPRIVED STATE THIS 

4979
03:52:43,201 --> 03:52:46,037
MORNING I TOOK IT OUT BUT YOU'RE

4980
03:52:46,037 --> 03:52:48,806
RIGHT, I PROBABLY SHOULDN'T OF.

4981
03:52:48,806 --> 03:52:51,342
I THINK PART OF THAT WAS I 

4982
03:52:51,342 --> 03:52:53,177
COULDN'T THINK OF SOMETHING 

4983
03:52:53,177 --> 03:52:53,444
CREATIVE.

4984
03:52:53,444 --> 03:52:55,213
I THINK WHAT I HEARD YESTERDAY 

4985
03:52:55,213 --> 03:52:57,081
AND THOSE PEOPLE WHO COMMENTED 

4986
03:52:57,081 --> 03:53:00,251
ON THIS, I'D LOVE TO HAVE YOUR 

4987
03:53:00,251 --> 03:53:00,651
INPUT.

4988
03:53:00,651 --> 03:53:04,322
IT'S NOT JUST -- IT'S NOT GOING 

4989
03:53:04,322 --> 03:53:06,490
AWAY FROM CHRONIC DISEASE 

4990
03:53:06,490 --> 03:53:09,160
REDUCTION MODEL.

4991
03:53:09,160 --> 03:53:10,695
IT'S THE CHRONIC DISEASE 

4992
03:53:10,695 --> 03:53:12,730
REDUCTION MODEL PLUS I LIKE THIS

4993
03:53:12,730 --> 03:53:17,668
DEVELOPMENT FRAMEWORK.

4994
03:53:17,668 --> 03:53:19,904
I THINK I DID A CLASS AT 

4995
03:53:19,904 --> 03:53:21,272
THROWING OUT SOMETHING WHEN IT 

4996
03:53:21,272 --> 03:53:23,975
WAS BUILDING.

4997
03:53:23,975 --> 03:53:26,377
THANK YOU.

4998
03:53:26,377 --> 03:53:27,545
I'M GETTING EIGHT OF NODS.

4999
03:53:27,545 --> 03:53:30,748
DIDI, DID YOU HAVE A COMMENT.

5000
03:53:30,748 --> 03:53:32,883
>> HOLLIE, I SAW YOURS
BEFORE ME

5001
03:53:32,883 --> 03:53:34,652
BUT MINE IS DIRECTLY ON THIS.

5002
03:53:34,652 --> 03:53:36,921
>> YOU GO FIRST.

5003
03:53:36,921 --> 03:53:38,623
>> OKAY.

5004
03:53:38,623 --> 03:53:40,658
SO, YESTERDAY'S SLIDE AND I LOST

5005
03:53:40,658 --> 03:53:44,762
SLEEP OVER THIS REDUCING FOCUS 

5006
03:53:44,762 --> 03:53:47,465
ON THE DIETARY GUIDELINES ON 

5007
03:53:47,465 --> 03:53:48,633
CHRONIC DISEASE RISK REDUCTION 

5008
03:53:48,633 --> 03:53:51,235
WHICH SEEMS COMPLETELY AGAINST 

5009
03:53:51,235 --> 03:53:53,204
THE ENTIRE OBJECTIVE OF WHY WE 

5010
03:53:53,204 --> 03:53:57,608
PUT FORTH A HEALTHY PATTERN.

5011
03:53:57,608 --> 03:54:00,111
AND I ACTUALLY DID WANT TO 

5012
03:54:00,111 --> 03:54:01,112
ADDRESS THIS JUST TO UNDERSTAND 

5013
03:54:01,112 --> 03:54:03,514
AND FOR PUBLIC TO UNDERSTAND 

5014
03:54:03,514 --> 03:54:04,582
WHERE THAT COMMENT OR POINT PLAY

5015
03:54:04,582 --> 03:54:07,585
HAVE COME FROM BECAUSE I KNOW WE

5016
03:54:07,585 --> 03:54:10,655
ALL HAVE GOOD INTENTIONS BEHIND 

5017
03:54:10,655 --> 03:54:13,224
EVERYTHING WE'RE PUTTING OUT SO 

5018
03:54:13,224 --> 03:54:14,659
MAYBE THERE WAS SOMETHING I'M 

5019
03:54:14,659 --> 03:54:22,667
MISSING THAT HAPPENED IN A SUB 

5020
03:54:22,667 --> 03:54:25,970
GROUP BECAUSE THESE ARE NOT 

5021
03:54:25,970 --> 03:54:27,238
ENTIRE COMMITTEE ENDORSED BUT 

5022
03:54:27,238 --> 03:54:30,641
DRAFT AND PROPOSALS.

5023
03:54:30,641 --> 03:54:31,909
I PERSONALLY WOULD RECOMMEND 

5024
03:54:31,909 --> 03:54:34,178
COMPLETELY STRIKING THAT 

5025
03:54:34,178 --> 03:54:36,447
SENTENCE FROM OUR REPORT.

5026
03:54:36,447 --> 03:54:38,649
HAVING AN ADDITIONAL FOCUS ON 

5027
03:54:38,649 --> 03:54:40,618
OTHER IMPORTANT HEALTH METRICS, 

5028
03:54:40,618 --> 03:54:42,653
QUALITY OF LIFE I AGREE WITH BUT

5029
03:54:42,653 --> 03:54:46,557
THE REDUCTION OF THE ROLE OF 

5030
03:54:46,557 --> 03:54:50,661
DIETARY GUIDELINES ON CHRONIC 

5031
03:54:50,661 --> 03:54:57,335
DISEASE PREVENTION IS NOT AND 

5032
03:54:57,335 --> 03:54:58,469
SOME THEMES HAVE GONE VIRAL.

5033
03:54:58,469 --> 03:55:00,638
I THINK IT WOULD BE HELPFUL TO 

5034
03:55:00,638 --> 03:55:04,208
UNDERSTAND WHERE THAT COMMENT 

5035
03:55:04,208 --> 03:55:06,677
ORIGINATED FROM TO MAKE IT CLEAR

5036
03:55:06,677 --> 03:55:09,246
WHAT THE INTENT WAS.

5037
03:55:09,246 --> 03:55:12,717
I'M CURIOUS WHAT MOTIVATED THAT.

5038
03:55:12,717 --> 03:55:14,652
BUT I WOULD BE AGAINST 

5039
03:55:14,652 --> 03:55:16,554
RESURRECTING THAT FOR A THEME.

5040
03:55:16,554 --> 03:55:19,890
>> I THINK IT WAS IN THE 

5041
03:55:19,890 --> 03:55:20,124
WORDING.

5042
03:55:20,124 --> 03:55:22,026
I THINK IT SHOULD HAVE ADDED NOT

5043
03:55:22,026 --> 03:55:23,494
WAS A TAKEAWAY.

5044
03:55:23,494 --> 03:55:25,396
I THINK IT WAS IN THE WORDING 

5045
03:55:25,396 --> 03:55:28,432
THAT IT SHOULD HAVE BEEN LOOKING

5046
03:55:28,432 --> 03:55:30,668
AT BECAUSE THE LIFE STAGE LIKE 

5047
03:55:30,668 --> 03:55:34,472
IN INFANCY PLAY HAVE OTHER 

5048
03:55:34,472 --> 03:55:36,707
OUTCOMES OR IN PREGNANCY OR IN 

5049
03:55:36,707 --> 03:55:42,480
THE OLDEST LIKE OLDER ADULTS MAY

5050
03:55:42,480 --> 03:55:44,615
HAVE OTHER OUTCOMES AND AND I 

5051
03:55:44,615 --> 03:55:47,685
THINK IT HAPPENED IN THE WORDING

5052
03:55:47,685 --> 03:55:48,919
TO SAY REDUCE WHEN REALLY I 

5053
03:55:48,919 --> 03:55:52,423
THINK WHAT WAS TALKED ABOUT 

5054
03:55:52,423 --> 03:55:56,227
ORIGINALLY WAS THE ADDITIVE.

5055
03:55:56,227 --> 03:56:02,600
IT WAS IN THE WORDING AND GONE 

5056
03:56:02,600 --> 03:56:06,270
CONSOLIDATED TO SHIFT WHEN ET IT

5057
03:56:06,270 --> 03:56:07,872
WAS ADDITIVE.

5058
03:56:07,872 --> 03:56:12,476
>> THIS WAS A WHOLE
CONCEPTS OF 

5059
03:56:12,476 --> 03:56:15,713
THE CURRENT STRUCTURE OF CHRONIC

5060
03:56:15,713 --> 03:56:17,381
DISEASE MODEL AND COULD WE 

5061
03:56:17,381 --> 03:56:18,149
EXPAND IT.

5062
03:56:18,149 --> 03:56:19,483
I WAS DISCUSSED AS THE FULL 

5063
03:56:19,483 --> 03:56:21,919
COMMITTEE IN MEETING NUMBER 5.

5064
03:56:21,919 --> 03:56:28,292
BUT I AGREE WITH ANGELA.

5065
03:56:28,292 --> 03:56:30,661
I THINK IN THE EFFORTS TO BE THE

5066
03:56:30,661 --> 03:56:33,130
WORDING WAS PROBABLY UNFORTUNATE

5067
03:56:33,130 --> 03:56:34,598
BUT PROBABLY WHY WE'RE HAVING 

5068
03:56:34,598 --> 03:56:35,366
THE DISCUSSION NOW.

5069
03:56:35,366 --> 03:56:38,669
>> I APPRECIATE THE 

5070
03:56:38,669 --> 03:56:39,703
CLARIFICATION.

5071
03:56:39,703 --> 03:56:44,842
AND I ASSUMED IT WASN'T THAT WE 

5072
03:56:44,842 --> 03:56:46,577
DIDN'T WANT TO FOCUS ON CHRONIC 

5073
03:56:46,577 --> 03:56:46,811
DISEASE.

5074
03:56:46,811 --> 03:56:48,779
THAT'S HELPFUL AND FOR THE 

5075
03:56:48,779 --> 03:56:50,714
RECORD THE DIETARY GUIDELINES IS

5076
03:56:50,714 --> 03:56:51,816
VERY MUCH FOCUSSED ON CHRONIC 

5077
03:56:51,816 --> 03:56:52,116
DISEASE.

5078
03:56:52,116 --> 03:56:52,750
>> THANK YOU FOR BRINGING
THAT 

5079
03:56:52,750 --> 03:57:01,559
UP.

5080
03:57:01,559 --> 03:57:04,161
>> I'M GOING BACK TO SOME 

5081
03:57:04,161 --> 03:57:06,197
COMMENTS I BELIEVE BUILDING ON 

5082
03:57:06,197 --> 03:57:08,732
SOMETHING CHERYL SAID.

5083
03:57:08,732 --> 03:57:10,668
ANYWAY, IN REGARDS TO THEME 3, 

5084
03:57:10,668 --> 03:57:15,473
I'M WONDERING IF THE WORDING 

5085
03:57:15,473 --> 03:57:18,642
COULD BE SUCH THAT IT COULD BE 

5086
03:57:18,642 --> 03:57:21,812
FOCUSSED A BIT ON MULTI-LEVELS.

5087
03:57:21,812 --> 03:57:23,914
IT'S NOT THAT WE'RE SAYING WE 

5088
03:57:23,914 --> 03:57:25,683
DON'T WANT TO INCLUDE ANY 

5089
03:57:25,683 --> 03:57:26,650
INDIVIDUAL LEVEL APPROACHES.

5090
03:57:26,650 --> 03:57:28,219
CERTAINLY SOME OF THE THINGS WE 

5091
03:57:28,219 --> 03:57:30,554
TALKED ABOUT IN OUR 

5092
03:57:30,554 --> 03:57:31,188
SUBCOMMITTEES ARE A LITTLE BIT 

5093
03:57:31,188 --> 03:57:32,089
MORE FOCUSSED THAT WAY AND OF 

5094
03:57:32,089 --> 03:57:34,291
COURSE WE HAVE FAMILIES.

5095
03:57:34,291 --> 03:57:37,828
BUT WE'RE ALSO RECOGNIZING WE 

5096
03:57:37,828 --> 03:57:39,630
NEED TO GO BEYOND THAT.

5097
03:57:39,630 --> 03:57:42,166
THE WAY IT'S WORDED TO ME COMES 

5098
03:57:42,166 --> 03:57:43,100
ACROSS VERY INDIVIDUAL LEVEL.

5099
03:57:43,100 --> 03:57:46,670
HOW CAN IT BE WORDED TO CAPTURE 

5100
03:57:46,670 --> 03:57:55,679
THIS NEEDS TO BE MULTI-LEVEL AND

5101
03:57:55,679 --> 03:57:57,081
I UNDERSTAND WHAT CHERYL WAS 

5102
03:57:57,081 --> 03:57:59,617
SAYING ABOUT ADHERENCE AND I 

5103
03:57:59,617 --> 03:58:01,552
THINK OF THAT AT THE INDIVIDUAL 

5104
03:58:01,552 --> 03:58:01,752
LEVEL.

5105
03:58:01,752 --> 03:58:04,622
AGAIN, HOW CAN WE BROADEN OUR 

5106
03:58:04,622 --> 03:58:06,857
LANGUAGE TO CAPTURE ALL THOSE 

5107
03:58:06,857 --> 03:58:11,495
DIFFERENT LEVELS.

5108
03:58:11,495 --> 03:58:21,872
>> THANK YOU, HOLLIE.

5109
03:58:22,439 --> 03:58:24,575
>> IN RESPONDING TO
HOLLIE'S 

5110
03:58:24,575 --> 03:58:26,677
COMMENT, I UNDERSTAND WHAT YOU 

5111
03:58:26,677 --> 03:58:28,345
MEANT BY THE DIFFERENT LEVELS 

5112
03:58:28,345 --> 03:58:35,219
AND TO ENABLE THE PERSON TO 

5113
03:58:35,219 --> 03:58:36,754
ADHERE TO WHATEVER 

5114
03:58:36,754 --> 03:58:41,091
RECOMMENDATION IT IS AND MAKING 

5115
03:58:41,091 --> 03:58:46,564
IT MORE AFFORDABLE SO IN THE 

5116
03:58:46,564 --> 03:58:48,732
SOCIAL ECOLOGICAL MODEL IN TERMS

5117
03:58:48,732 --> 03:58:51,368
OF THAT.

5118
03:58:51,368 --> 03:58:53,037
SO GOING BACK TO THE CHRONIC 

5119
03:58:53,037 --> 03:58:54,872
DISEASE, MY THINKING IS WE CAN 

5120
03:58:54,872 --> 03:59:05,382
CLARIFY THE LANGUAGE IN A WAY 

5121
03:59:06,817 --> 03:59:17,261
AND THERE'S VERY LIFE STAGES.

5122
03:59:36,447 --> 03:59:38,148
AND MAYBE WE DID SPEND A LOT 

5123
03:59:38,148 --> 03:59:40,985
TIME ON THE FOOD PATTERN 

5124
03:59:40,985 --> 03:59:48,425
MODELLING AND DID MORE IN THAT 

5125
03:59:48,425 --> 03:59:54,965
APPROACH AND ALSO WE DID SO MUCH

5126
03:59:54,965 --> 03:59:58,335
WITH TESTING AND WAYS OF MEETING

5127
03:59:58,335 --> 03:59:59,903
THE PATTERNS.

5128
03:59:59,903 --> 04:00:03,774
SO I FEEL LIKE THAT THEME SHOULD

5129
04:00:03,774 --> 04:00:07,378
MAYBE BE MORE ABOUT KIND OF 

5130
04:00:07,378 --> 04:00:08,278
ADDRESSING THAT.

5131
04:00:08,278 --> 04:00:10,414
AND I FEEL LIKE THE INCLUSION 

5132
04:00:10,414 --> 04:00:16,053
KIND OF GOES MORE ALONG WITH THE

5133
04:00:16,053 --> 04:00:22,660
THEME ONE.

5134
04:00:22,660 --> 04:00:26,163
AND IT WOULDN'T HAVE TO BE ABOUT

5135
04:00:26,163 --> 04:00:28,198
PATTERN MODELLING BUT OTHER 

5136
04:00:28,198 --> 04:00:32,736
FINDINGS FROM THE SYSTEMATIC 

5137
04:00:32,736 --> 04:00:34,104
REVIEWS ABOUT HEALTHY PATTERNS 

5138
04:00:34,104 --> 04:00:36,740
AND SOME OF THE WORK WE SAW 

5139
04:00:36,740 --> 04:00:39,009
PRESENTED TODAY AS WELL.

5140
04:00:39,009 --> 04:00:41,879
AND MY SECOND COMMENT WAS WITH 

5141
04:00:41,879 --> 04:00:42,479
THE THEME FIVE.

5142
04:00:42,479 --> 04:00:44,281
I ALSO MAYBE THIS IS MORE OF A 

5143
04:00:44,281 --> 04:00:47,751
MINOR COMMENT BUT I FEEL LIKE 

5144
04:00:47,751 --> 04:00:49,420
THAT'S ALWAYS A NEED AND 

5145
04:00:49,420 --> 04:00:50,654
LIMITATION SO MAYBE WE REALLY 

5146
04:00:50,654 --> 04:00:57,261
DON'T NEED THAT ONE AS A THEME.

5147
04:00:57,261 --> 04:01:02,399
>> THANK YOU.

5148
04:01:02,399 --> 04:01:05,569
DEANNA.

5149
04:01:05,569 --> 04:01:08,338
>> MY COMMENT IS AND THEME
FOUR 

5150
04:01:08,338 --> 04:01:10,674
TALKING ABOUT FOOD SYSTEMS BUT 

5151
04:01:10,674 --> 04:01:12,009
DON'T KNOW IF WE CAN EXPAND THAT

5152
04:01:12,009 --> 04:01:14,311
TO THE FOOD ENVIRONMENT.

5153
04:01:14,311 --> 04:01:17,281
THERE'S A MARKETING ENVIRONMENT,

5154
04:01:17,281 --> 04:01:19,450
FOODS AVAILABLE LIKE IN THE 

5155
04:01:19,450 --> 04:01:22,953
SCHOOL LUNCH PROGRAM OR SO IT'S 

5156
04:01:22,953 --> 04:01:32,129
BROADER THAN JUST FOOD SYSTEMS.

5157
04:01:32,129 --> 04:01:34,798
AND WORDS IN THERE.

5158
04:01:34,798 --> 04:01:38,001
>> THANK YOU.

5159
04:01:38,001 --> 04:01:38,202
CAROL.

5160
04:01:38,202 --> 04:01:40,170
>> I VOICE WE NEED TO GET
THE 

5161
04:01:40,170 --> 04:01:41,338
FOOD ENVIRONMENT AT ALL LEVELS 

5162
04:01:41,338 --> 04:01:43,574
IN THERE BUT I WANTED TO RESPOND

5163
04:01:43,574 --> 04:01:45,943
TO HEATHER'S COMMENT ABOUT THEME

5164
04:01:45,943 --> 04:01:46,643
FIVE.

5165
04:01:46,643 --> 04:01:47,878
I THINK IT'S AN INTERESTING YOU 

5166
04:01:47,878 --> 04:01:49,613
THOUGHT YOU HAVE, HEATHER, 

5167
04:01:49,613 --> 04:01:52,349
THAT'S TRUE, DO WE ALWAYS HAVE 

5168
04:01:52,349 --> 04:01:56,620
LIMITATIONS BUT HONESTLY, WE 

5169
04:01:56,620 --> 04:02:01,992
WERE REALLY STYMIED IN SO MANY 

5170
04:02:01,992 --> 04:02:05,028
OF OUR SYSTEMATIC REVIEWS, NOT 

5171
04:02:05,028 --> 04:02:08,999
ONLY THE LIMITATION OF DATA BUT 

5172
04:02:08,999 --> 04:02:10,667
THE REPORTING OR THE MIGHT THE 

5173
04:02:10,667 --> 04:02:12,903
LACK OF SPECIFICITY IN A LOT OF 

5174
04:02:12,903 --> 04:02:14,671
THE REPORTING.

5175
04:02:14,671 --> 04:02:16,507
WHAT WERE THOSE FOODS PEOPLE 

5176
04:02:16,507 --> 04:02:18,509
WERE EATING IN THE GROUPS THAT 

5177
04:02:18,509 --> 04:02:21,945
WERE WE THERE ARE TRYING TO 

5178
04:02:21,945 --> 04:02:23,447
BREAK A PART FOR EXAMPLE.

5179
04:02:23,447 --> 04:02:28,519
AT WHAT TIME OF THE DAY WERE 

5180
04:02:28,519 --> 04:02:38,796
THEY ARE EATING.

5181
04:02:45,736 --> 04:02:47,538
WE CAN MOVE THE WORK OF FUTURE 

5182
04:02:47,538 --> 04:02:47,905
COMMITTEES.

5183
04:02:47,905 --> 04:02:49,840
WE JUST NEED THE DATA.

5184
04:02:49,840 --> 04:02:50,340
>> THANK YOU, CAROL.

5185
04:02:50,340 --> 04:02:51,074
THANK YOU FOR THINKING OF THE 

5186
04:02:51,074 --> 04:03:00,551
NEXT GENERATION.

5187
04:03:00,551 --> 04:03:04,922
THAT'S A NICE POINT.

5188
04:03:04,922 --> 04:03:05,122
ALINE.

5189
04:03:05,122 --> 04:03:11,161
>> WE IDENTIFIED SOME
OTHER GAPS

5190
04:03:11,161 --> 04:03:14,798
I THINK WE'LL BE ABLE TO TALK 

5191
04:03:14,798 --> 04:03:17,768
ABOUT THOSE AND THE QUALITATIVE 

5192
04:03:17,768 --> 04:03:28,312
DATA THAT HAS BEEN TALKED ABOUT 

5193
04:03:30,714 --> 04:03:33,483
AND ACKNOWLEDGING THE LIMITATION

5194
04:03:33,483 --> 04:03:37,521
IS ALSO IDENTIFYING OTHER TYPES 

5195
04:03:37,521 --> 04:03:40,757
OF POTENTIALLY EVIDENT AND WHAT 

5196
04:03:40,757 --> 04:03:43,527
WE NEED ACROSS THE DIFFERENT 

5197
04:03:43,527 --> 04:03:46,663
THEMES WHETHER DATA ANALYSIS OR 

5198
04:03:46,663 --> 04:03:49,433
SYSTEMATIC REVIEWS.

5199
04:03:49,433 --> 04:03:49,766
>> THANK YOU.

5200
04:03:49,766 --> 04:03:59,910
DEANNA.

5201
04:04:01,778 --> 04:04:04,214
AND LOOKING AT DIETARY PATTERNS 

5202
04:04:04,214 --> 04:04:06,450
AND A LOT OF TIMES WE COULDN'T 

5203
04:04:06,450 --> 04:04:07,751
GET THE EVIDENCE BECAUSE WE 

5204
04:04:07,751 --> 04:04:15,125
DON'T HAVE SIMILAR COHORTS IN 

5205
04:04:15,125 --> 04:04:17,728
THE U.S. AND WE NEED OTHER TERMS

5206
04:04:17,728 --> 04:04:21,398
IN TERMS OF BETTER DEFINITIONS 

5207
04:04:21,398 --> 04:04:23,734
OF CERTAIN TERMS AND WE TALKED A

5208
04:04:23,734 --> 04:04:24,735
LOT ABOUT THAT.

5209
04:04:24,735 --> 04:04:25,269
IT DEFINITELY SHOULD BE 

5210
04:04:25,269 --> 04:04:25,535
INCLUDED.

5211
04:04:25,535 --> 04:04:29,806
>> THANK YOU.

5212
04:04:29,806 --> 04:04:30,073
DIDI.

5213
04:04:30,073 --> 04:04:33,710
>> JUST ONE OTHER THOUGHT
ON THE

5214
04:04:33,710 --> 04:04:35,779
SAME THEME, MAYBE NOT 

5215
04:04:35,779 --> 04:04:36,413
HIGHLIGHTING LIMITATIONS 

5216
04:04:36,413 --> 04:04:39,783
NECESSARILY BUT THE FACT THAT WE

5217
04:04:39,783 --> 04:04:42,152
NEED MORE RIGOROUS EVIDENCE OR 

5218
04:04:42,152 --> 04:04:47,057
RIGOROUS RESEARCH AND RESEARCH 

5219
04:04:47,057 --> 04:04:47,291
FUNDING.

5220
04:04:47,291 --> 04:04:49,693
SO TO BE ABLE FOR THE WISH LISTS

5221
04:04:49,693 --> 04:04:54,064
RESEARCH WE PUT OUT THERE IS 

5222
04:04:54,064 --> 04:04:55,866
REALLY JUST STRETCHING THE 

5223
04:04:55,866 --> 04:04:57,935
LIMITS OF ANY RESEARCH FUNDING 

5224
04:04:57,935 --> 04:04:59,269
THE U.S. WOULD BE ABLE TO 

5225
04:04:59,269 --> 04:05:01,238
ACCOMMODATE AND IF WE HAVE THESE

5226
04:05:01,238 --> 04:05:02,439
BURNING QUESTIONS THAT NEED TO 

5227
04:05:02,439 --> 04:05:03,440
BE ADDRESSED IN THE WAY WE WANT 

5228
04:05:03,440 --> 04:05:06,343
TO ASK THE QUESTIONS NOW INSTEAD

5229
04:05:06,343 --> 04:05:08,178
OF LEVERAGING THE INTERNATIONAL 

5230
04:05:08,178 --> 04:05:13,817
DATA WE HAVE FROM DECADES AGO WE

5231
04:05:13,817 --> 04:05:17,321
NEED RESEARCH FUNDING TO SUPPORT

5232
04:05:17,321 --> 04:05:18,989
THE IMPORTANT AGENDAS AS THEY'RE

5233
04:05:18,989 --> 04:05:22,492
DESIGN NOW THAT WE WOULD WANT 

5234
04:05:22,492 --> 04:05:28,699
FOR THE QUESTIONS.

5235
04:05:28,699 --> 04:05:30,167
I THINK RESEARCH FUNDING AND 

5236
04:05:30,167 --> 04:05:31,868
MAYBE NOT SO MUCH LIMITATIONS 

5237
04:05:31,868 --> 04:05:35,539
BUT JUST OUR FUTURE DIRECTIONS.

5238
04:05:35,539 --> 04:05:37,674
>> GREAT, I APPRECIATE THE

5239
04:05:37,674 --> 04:05:38,642
EMPHASIS ON THE POSITIVE SO 

5240
04:05:38,642 --> 04:05:40,644
THANK YOU.

5241
04:05:40,644 --> 04:05:40,844
CAROL.

5242
04:05:40,844 --> 04:05:43,814
>> I WANTED TO BUILD ON TO
WHAT 

5243
04:05:43,814 --> 04:05:46,216
DIDI JUST SAID ABOUT RIGOR.

5244
04:05:46,216 --> 04:05:48,085
OF COURSE WE WANT RIGOROUS 

5245
04:05:48,085 --> 04:05:49,786
RESEARCH BUT ONE OF THE THINGS 

5246
04:05:49,786 --> 04:05:51,989
THAT WOULD HAVE HELPED US IF 

5247
04:05:51,989 --> 04:05:53,790
THERE HAD BEEN BETTER MORE 

5248
04:05:53,790 --> 04:05:56,293
DETAIL, MORE CONSISTENT REPORT 

5249
04:05:56,293 --> 04:05:58,762
BEING OF RESULTS BECAUSE SOME OF

5250
04:05:58,762 --> 04:06:01,264
THE DAY MAY EXIST AND I BET IT 

5251
04:06:01,264 --> 04:06:06,069
DOES BUT WE DON'T KNOW BECAUSE 

5252
04:06:06,069 --> 04:06:09,239
OF SPACE LIMITATIONS AND PAGES 

5253
04:06:09,239 --> 04:06:10,574
AND WHATEVER IT MIGHT HAPPEN TO 

5254
04:06:10,574 --> 04:06:11,141
BE.

5255
04:06:11,141 --> 04:06:13,643
THE IDEA THAT SOMEONE PUT OUT ON

5256
04:06:13,643 --> 04:06:17,247
A SLIDE TODAY ABOUT HAVING A 

5257
04:06:17,247 --> 04:06:20,150
CONCERT TYPE CHECKLIST FOR 

5258
04:06:20,150 --> 04:06:22,119
METHODOLOGY FOR THE CULTURAL 

5259
04:06:22,119 --> 04:06:24,021
ASPECTS, WE NEED TO DO THAT 

5260
04:06:24,021 --> 04:06:24,755
ACROSS EVERYTHING.

5261
04:06:24,755 --> 04:06:26,390
WHAT ARE THE DEFINITIONS YOU'RE 

5262
04:06:26,390 --> 04:06:32,229
USING FOR BREAKFAST, FOR 

5263
04:06:32,229 --> 04:06:33,063
EXAMPLE?

5264
04:06:33,063 --> 04:06:35,232
SO WE UNDERSTAND WHAT IS BEING 

5265
04:06:35,232 --> 04:06:36,700
MEASURED.

5266
04:06:36,700 --> 04:06:40,670
WE NEED MORE DETAIL ON METHODS 

5267
04:06:40,670 --> 04:06:41,972
TO MAKE RESULTS OF WHAT IS 

5268
04:06:41,972 --> 04:06:42,239
REPORTED.

5269
04:06:42,239 --> 04:06:43,340
>> THANK YOU, CAROL.

5270
04:06:43,340 --> 04:06:45,776
I THINK WE PROBABLY TO YOUR 

5271
04:06:45,776 --> 04:06:50,047
POINT THAT WAS A REALLY NICE 

5272
04:06:50,047 --> 04:06:51,782
SLIDE ON FUTURE DIRECTIONS IN 

5273
04:06:51,782 --> 04:06:56,453
THE LAST WORKING GROUP ABOUT 

5274
04:06:56,453 --> 04:06:58,422
SOMETHING VERY CONCRETE ABOUT 

5275
04:06:58,422 --> 04:07:02,225
WHAT THE PEER REVIEWED JOURNALS 

5276
04:07:02,225 --> 04:07:03,493
MAY WANT TO CONSIDER SO SOME OF 

5277
04:07:03,493 --> 04:07:07,831
THE DATA YOU'RE TALKING ABOUT IS

5278
04:07:07,831 --> 04:07:08,865
ACCESSIBLE TO ALL RESEARCHERS.

5279
04:07:08,865 --> 04:07:10,667
SO THAT'S A REALLY GOOD POINT.

5280
04:07:10,667 --> 04:07:16,440
THANK YOU.

5281
04:07:16,440 --> 04:07:24,748
OTHER REACTIONS TO THESE THEMES?

5282
04:07:24,748 --> 04:07:29,186
WELL, WE HAVE COPIOUS NOTES AND 

5283
04:07:29,186 --> 04:07:34,458
WE'LL GET BACK TO PULLING THIS 

5284
04:07:34,458 --> 04:07:40,964
TOGETHER AND WITH THAT IF 

5285
04:07:40,964 --> 04:07:42,666
THERE'S NO MORE COMMENTS ON THE 

5286
04:07:42,666 --> 04:07:43,834
CROSS CUTTING THEMES WE'LL SKIP 

5287
04:07:43,834 --> 04:07:48,638
TO THE NEXT SLIDE AND GO TO THE 

5288
04:07:48,638 --> 04:07:49,239
NEXT FINAL COMMENTS.

5289
04:07:49,239 --> 04:07:51,408
TO REMIND US AS A COMMITTEE AND 

5290
04:07:51,408 --> 04:07:53,977
OUR AUDIENCE, THE PURPOSE OF 

5291
04:07:53,977 --> 04:07:56,580
THIS MEETING WAS FOR THE 

5292
04:07:56,580 --> 04:07:59,749
COMMITTEE TO DISCUSS OUR DRAFT 

5293
04:07:59,749 --> 04:08:00,584
SCIENTIFIC REPORT AND 

5294
04:08:00,584 --> 04:08:01,985
PARTICULARLY OUR ADVICE TO THE 

5295
04:08:01,985 --> 04:08:03,019
DEPARTMENTS FOR THE NEXT 

5296
04:08:03,019 --> 04:08:06,123
ADDITION OF THE DIETARY 

5297
04:08:06,123 --> 04:08:09,192
GUIDELINES BASED ON OUR REVIEWS 

5298
04:08:09,192 --> 04:08:10,961
FROM THE DATA ANALYSIS, 

5299
04:08:10,961 --> 04:08:12,696
SYSTEMATIC REVIEWS AND FOOD 

5300
04:08:12,696 --> 04:08:13,363
PATTERN MODELLING.

5301
04:08:13,363 --> 04:08:15,799
AND I JUST WANTED TO EMPHASIZE 

5302
04:08:15,799 --> 04:08:18,735
THAT THIS WAS WHAT WE PRESENTED 

5303
04:08:18,735 --> 04:08:20,637
TODAY THE DRAFT.

5304
04:08:20,637 --> 04:08:22,639
AND IT WILL BE REVISED TO 

5305
04:08:22,639 --> 04:08:26,643
REFLECT THE DISCUSSION AT THE 

5306
04:08:26,643 --> 04:08:27,544
MEETING.

5307
04:08:27,544 --> 04:08:30,647
AND THE REPORT THAT WE ARE 

5308
04:08:30,647 --> 04:08:32,482
DISCUSSING IS STILL CONSIDERED A

5309
04:08:32,482 --> 04:08:37,954
DRAFT UNTIL IT IS IN THE ED -- 

5310
04:08:37,954 --> 04:08:38,922
SUBMITTED TO THE HEALTH AND 

5311
04:08:38,922 --> 04:08:40,991
HUMAN SERVICES AND THE 

5312
04:08:40,991 --> 04:08:41,625
U.S. DEPARTMENT OF AGRICULTURE 

5313
04:08:41,625 --> 04:08:42,559
AND WITH THAT I'LL HAND IT OVER 

5314
04:08:42,559 --> 04:08:48,765
TO ANGELA.

5315
04:08:48,765 --> 04:08:55,872
>> THANK YOU SO MUCH FOR
ALL OF 

5316
04:08:55,872 --> 04:09:00,243
YOUR WORK AND AS SARAH 

5317
04:09:00,243 --> 04:09:04,080
MENTIONED, THIS IS FOR THE 

5318
04:09:04,080 --> 04:09:06,583
PUBLIC THIS IS A DRAFT.

5319
04:09:06,583 --> 04:09:10,320
IT'S NOT THE FINAL -- WE HAD AN 

5320
04:09:10,320 --> 04:09:12,122
OPPORTUNITY A GREAT OPPORTUNITY 

5321
04:09:12,122 --> 04:09:14,257
TO REALLY COME TOGETHER OVER 

5322
04:09:14,257 --> 04:09:17,694
THIS TWO YEARS OF WORK AND WE 

5323
04:09:17,694 --> 04:09:20,897
STILL HAVE STILL MORE WORK TO DO

5324
04:09:20,897 --> 04:09:23,333
BUT IT'S IMPORTANT THAT YOU JUST

5325
04:09:23,333 --> 04:09:26,002
REALLY PAT YOURSELVES ON THE 

5326
04:09:26,002 --> 04:09:27,637
BACK BECAUSE OF ALL OF THE 

5327
04:09:27,637 --> 04:09:30,907
STRONG WORK AND REALLY GIVE 

5328
04:09:30,907 --> 04:09:38,715
YOURSELF A HAND OF WHAT'S LAND 

5329
04:09:38,715 --> 04:09:41,151
SO FAR.

5330
04:09:41,151 --> 04:09:42,886
SO, I'M GOING TO TURN IT OVER TO

5331
04:09:42,886 --> 04:09:46,656
EVE AND JANET TO TALK ABOUT NEXT

5332
04:09:46,656 --> 04:09:49,926
STEPS AND DO A WRAP-UP.

5333
04:09:49,926 --> 04:09:52,963
>> THANKS SO MUCH, SARAH
AND 

5334
04:09:52,963 --> 04:09:53,196
ANGELA.

5335
04:09:53,196 --> 04:09:57,367
AND TO START OFF IF THE MEMBERS 

5336
04:09:57,367 --> 04:09:59,636
FOR THOSE WHO CAN, KEEP YOUR 

5337
04:09:59,636 --> 04:10:00,303
CAMERA ON.

5338
04:10:00,303 --> 04:10:02,639
WE JUST WANTED TO GIVE A 

5339
04:10:02,639 --> 04:10:04,507
HIGH-LEVEL WRAP UP OF THE WORK 

5340
04:10:04,507 --> 04:10:05,809
THAT'S BEEN DONE AND TALK A 

5341
04:10:05,809 --> 04:10:07,077
LITTLE BIT ABOUT NEXT STEPS AND 

5342
04:10:07,077 --> 04:10:09,746
PROVIDE ACKNOWLEDGEMENTS AND 

5343
04:10:09,746 --> 04:10:11,214
THEN WE'LL ADJOURN THE FINAL 

5344
04:10:11,214 --> 04:10:14,284
MEETING OF THE 2025 DIETARY 

5345
04:10:14,284 --> 04:10:15,051
GUIDELINES ADVISORY COMMITTEE.

5346
04:10:15,051 --> 04:10:20,590
SO FIRST, I WANT TO START OFF BY

5347
04:10:20,590 --> 04:10:23,293
ACKNOWLEDGING SARAH AND ANGELA.

5348
04:10:23,293 --> 04:10:25,929
THANK YOU VERY MUCH FOR AGREEING

5349
04:10:25,929 --> 04:10:28,965
TO SERVE AS CLAIR AND VICE CHAIR

5350
04:10:28,965 --> 04:10:29,799
OF OUR COMMITTEE.

5351
04:10:29,799 --> 04:10:32,135
AND THANK YOU FOR YOUR 

5352
04:10:32,135 --> 04:10:33,570
LEADERSHIP ACROSS THIS ENTIRE 

5353
04:10:33,570 --> 04:10:34,004
PROCESS.

5354
04:10:34,004 --> 04:10:40,710
SO I WANTED TO START OFF THERE.

5355
04:10:40,710 --> 04:10:42,746
WHAT WE WANTED TO DO IS START BY

5356
04:10:42,746 --> 04:10:44,147
TAKING A MINUTE TO ACKNOWLEDGE 

5357
04:10:44,147 --> 04:10:46,650
ALL THE WORK THAT'S BEEN DONE 

5358
04:10:46,650 --> 04:10:48,118
SINCE THE COMMITTEE'S FIRST 

5359
04:10:48,118 --> 04:10:51,154
MEETING IN FEBRUARY OF 2023.

5360
04:10:51,154 --> 04:10:52,589
SO AT THE FIRST MEETING YOU 

5361
04:10:52,589 --> 04:10:55,558
BEGAN BY REFINING AND 

5362
04:10:55,558 --> 04:10:57,694
PRIORITIZING THE SCIENTIFIC 

5363
04:10:57,694 --> 04:11:01,231
QUESTIONS THAT YOU OUTLINED AND 

5364
04:11:01,231 --> 04:11:02,365
DESCRIBED HERE IN FULL DURING 

5365
04:11:02,365 --> 04:11:02,966
THE MEETING OVER THE LAST TWO 

5366
04:11:02,966 --> 04:11:05,168
DAYS.

5367
04:11:05,168 --> 04:11:08,204
AND THAT QUICKLY EVOLVED INTO 

5368
04:11:08,204 --> 04:11:10,407
DEVELOPING PROTOCOLS OR PLANS 

5369
04:11:10,407 --> 04:11:12,609
FOR REVIEWING THE SCIENTIFIC 

5370
04:11:12,609 --> 04:11:15,679
EVIDENCE AND THEN MOVED INTO 

5371
04:11:15,679 --> 04:11:18,014
CONDUCTING THOSE SCIENTIFIC 

5372
04:11:18,014 --> 04:11:19,949
REVIEWS AND DEVELOPING 

5373
04:11:19,949 --> 04:11:22,652
EVIDENCE-BASED ADVICE BASED ON 

5374
04:11:22,652 --> 04:11:23,153
THE SCIENTIFIC REVIEWS.

5375
04:11:23,153 --> 04:11:26,690
THROUGHOUT THIS PROCESS, YOU 

5376
04:11:26,690 --> 04:11:30,627
REVIEWED AND CONSIDERED PUBLIC 

5377
04:11:30,627 --> 04:11:35,865
COMMENT AND THE COMMITTEE 

5378
04:11:35,865 --> 04:11:37,467
RECEIVED MORE COMMENTS THAN ANY 

5379
04:11:37,467 --> 04:11:42,439
OTHER TIME AND PARTICIPATED IN 

5380
04:11:42,439 --> 04:11:43,106
SUBCOMMITTEE MEETINGS AND THE 

5381
04:11:43,106 --> 04:11:45,709
FULL COMMITTEE MEETINGS AND THE 

5382
04:11:45,709 --> 04:11:48,478
FULL COMMITTEE MEETINGS OF WHICH

5383
04:11:48,478 --> 04:11:51,781
THERE WERE SEVEN WERE OPEN TO 

5384
04:11:51,781 --> 04:11:54,017
THE PUBLIC AND CULMINATED IN THE

5385
04:11:54,017 --> 04:11:55,085
SCIENTIFIC REPORT WHICH WAS THE 

5386
04:11:55,085 --> 04:11:56,052
FOCUS OF THE DISCUSS OVER THE 

5387
04:11:56,052 --> 04:11:58,321
LAST TWO DAYS.

5388
04:11:58,321 --> 04:12:00,724
SO ON THE NEXT SLIDE WE WANTED 

5389
04:12:00,724 --> 04:12:03,259
TO JUST GIVE A LITTLE BIT OF A 

5390
04:12:03,259 --> 04:12:05,061
SNAPSHOT OF THE COMMITTEE'S 

5391
04:12:05,061 --> 04:12:07,063
REVIEW OF THE EVIDENCE.

5392
04:12:07,063 --> 04:12:10,066
AS ANGELA REMINDED EVERYONE 

5393
04:12:10,066 --> 04:12:11,835
YESTERDAY AND OVER THE LAST TWO 

5394
04:12:11,835 --> 04:12:13,636
DAYS, THE COMMITTEE REVIEWED THE

5395
04:12:13,636 --> 04:12:18,641
EVIDENCE USING THREE DIFFERENT 

5396
04:12:18,641 --> 04:12:26,783
APPROA

5397
04:12:26,783 --> 04:12:27,417
APPROACHES, SYSTEMATIC REVIEWS 

5398
04:12:27,417 --> 04:12:28,051
AND DATA ANALYSIS AND REVIEWED 

5399
04:12:28,051 --> 04:12:29,786
EVIDENCE OVER 1,000 ARTICLES TO 

5400
04:12:29,786 --> 04:12:32,589
DEVELOP DOZENS OF CONCLUSION 

5401
04:12:32,589 --> 04:12:34,557
STATEMENTS ANSWERING 28 

5402
04:12:34,557 --> 04:12:35,125
SYSTEMATIC REVIEW QUESTIONS 

5403
04:12:35,125 --> 04:12:41,364
INCLUDING 11 NEW QUESTIONS.

5404
04:12:41,364 --> 04:12:44,367
THE COMMITTEE CONDUCTED A SCAN 

5405
04:12:44,367 --> 04:12:46,436
ON CULTURALLY TAILORED DIETARY 

5406
04:12:46,436 --> 04:12:47,704
INTERVENTIONS.

5407
04:12:47,704 --> 04:12:50,240
REGARDING DATA ANALYSIS, THE 

5408
04:12:50,240 --> 04:12:52,242
COMMITTEE REVIEWED AND 

5409
04:12:52,242 --> 04:12:53,276
EMPHASIZED RESULTS FROM 45 

5410
04:12:53,276 --> 04:12:55,145
EXISTING DATA PUBLICATION AND 

5411
04:12:55,145 --> 04:13:00,583
MORE THAN 4,700 PAGES OF DATA 

5412
04:13:00,583 --> 04:13:02,652
ANALYSIS SUPPLEMENTS INCLUDING 

5413
04:13:02,652 --> 04:13:05,388
NOVEL EXAMINATION OF DATA FOR 

5414
04:13:05,388 --> 04:13:06,489
SOCIO ECONOMIC GROUPS AND A SCAN

5415
04:13:06,489 --> 04:13:07,557
ON DIETARY INTAKES DURING 

5416
04:13:07,557 --> 04:13:10,960
COVID-19.

5417
04:13:10,960 --> 04:13:12,796
ALL THIS WORK AND DATA ANALYSIS 

5418
04:13:12,796 --> 04:13:14,864
RESULTED IN DRAFTING CONCLUSION 

5419
04:13:14,864 --> 04:13:17,133
STATEMENTS BEFORE DATA ANALYSIS 

5420
04:13:17,133 --> 04:13:17,734
QUESTIONS.

5421
04:13:17,734 --> 04:13:20,703
REGARDING FOOD PATTERN 

5422
04:13:20,703 --> 04:13:21,237
MODELLING, THE COMMITTEE 

5423
04:13:21,237 --> 04:13:24,574
ANALYZED MORE THAN 350,000 DATA 

5424
04:13:24,574 --> 04:13:27,544
POINTS TO EXAMINE OBJECTIVES FOR

5425
04:13:27,544 --> 04:13:29,078
11 PROTOCOLS AND EVALUATES USING

5426
04:13:29,078 --> 04:13:31,314
A NOVEL APPROACH AS NOTED 

5427
04:13:31,314 --> 04:13:33,183
YESTERDAY, THE FIRST TIME WE 

5428
04:13:33,183 --> 04:13:35,585
USED DIET SIMULATIONS WHICH IS A

5429
04:13:35,585 --> 04:13:38,054
SYSTEMS SCIENCE APPROACH TO 

5430
04:13:38,054 --> 04:13:39,956
EVALUATE THE NUTRITIONAL 

5431
04:13:39,956 --> 04:13:45,195
ADEQUACY OF OVER 35,000 DIETS TO

5432
04:13:45,195 --> 04:13:50,099
MEET DIETARY PATTERNS USING A 

5433
04:13:50,099 --> 04:13:52,402
BROAD RANGE OF FOODS AND 

5434
04:13:52,402 --> 04:13:57,140
BEVERAGES AND FOODS SELECTED IN 

5435
04:13:57,140 --> 04:14:04,447
AMERICAN INDIAN AND ALASKAN 

5436
04:14:04,447 --> 04:14:06,683
NATIVE DIETS AND THEY ARE USED 

5437
04:14:06,683 --> 04:14:10,019
AN EQUITY LENS AND WAS A THEME 

5438
04:14:10,019 --> 04:14:10,687
ACROSS AND THROUGH ALL THE 

5439
04:14:10,687 --> 04:14:13,289
DIFFERENT WORK.

5440
04:14:13,289 --> 04:14:15,024
SO THANK YOU FOR YOUR DEDICATION

5441
04:14:15,024 --> 04:14:17,126
TO THIS WORK AND FOR 

5442
04:14:17,126 --> 04:14:18,695
VOLUNTEERING YOUR TIME AND 

5443
04:14:18,695 --> 04:14:28,171
EXPERTISE TO THIS PROCESS.

5444
04:14:28,171 --> 04:14:30,673
AS MENTIONED OVER EVERY PUBLIC 

5445
04:14:30,673 --> 04:14:34,444
MEETING INCLUDING TODAY, HHS AND

5446
04:14:34,444 --> 04:14:35,979
USDA PROVIDED STAFF SUPPORT TO 

5447
04:14:35,979 --> 04:14:37,847
THE COMMITTEE FOR A NUMBER OF 

5448
04:14:37,847 --> 04:14:39,115
ACTIVITIES ACROSS THE 

5449
04:14:39,115 --> 04:14:40,617
COMMITTEE'S WORK THAT INCLUDES 

5450
04:14:40,617 --> 04:14:42,785
REVIEWING THE EVIDENCE, 

5451
04:14:42,785 --> 04:14:43,887
COORDINATING MEETINGS, 

5452
04:14:43,887 --> 04:14:45,255
DOCUMENTING DECISIONS, 

5453
04:14:45,255 --> 04:14:46,756
SUPPORTING TRANSPARENCY AND 

5454
04:14:46,756 --> 04:14:47,457
MORE.

5455
04:14:47,457 --> 04:14:49,692
WE DO WANT TO NOTE FEDERAL STAFF

5456
04:14:49,692 --> 04:14:51,861
SUPPORT THE COMMITTEE BUT THE 

5457
04:14:51,861 --> 04:14:53,396
PROTOCOLS AND FINDINGS AND 

5458
04:14:53,396 --> 04:14:55,164
CONCLUSION STATEMENTS AND 

5459
04:14:55,164 --> 04:14:56,699
INTEGRATION OF THE EVIDENCE AND 

5460
04:14:56,699 --> 04:14:57,667
ULTIMATE ADVICE TO THE 

5461
04:14:57,667 --> 04:14:58,935
DEPARTMENTS ARE THAT OF THE 

5462
04:14:58,935 --> 04:15:00,670
COMMITTEE.

5463
04:15:00,670 --> 04:15:02,672
AND WE WANT TO JUST SAY THANK 

5464
04:15:02,672 --> 04:15:05,508
YOU TO THE HHS AND USDA TEAM FOR

5465
04:15:05,508 --> 04:15:06,910
ALL THIS WORK AND JANET WILL DO 

5466
04:15:06,910 --> 04:15:11,748
A FEW ACKNOWLEDGEMENTS IN HER 

5467
04:15:11,748 --> 04:15:16,886
REMARKS AND I WANT TO 

5468
04:15:16,886 --> 04:15:21,291
ACKNOWLEDGE THE LEADERSHIP.

5469
04:15:21,291 --> 04:15:22,659
JUST HIGH LEVEL NEXT STEPS.

5470
04:15:22,659 --> 04:15:25,628
JANET TALKED ABOUT THIS AT THE 

5471
04:15:25,628 --> 04:15:27,630
LAST PUBLIC MEETING BUT IN TERMS

5472
04:15:27,630 --> 04:15:30,667
OF NEXT STEPS THE COMMITTEE WILL

5473
04:15:30,667 --> 04:15:33,970
WORK TO FINAL I'D ITS REPORT ON 

5474
04:15:33,970 --> 04:15:35,538
THE DISCUSSION AT THIS MEETING.

5475
04:15:35,538 --> 04:15:37,740
THE COMMITTEE WILL THEN SUBMIT 

5476
04:15:37,740 --> 04:15:41,311
ITS REPORT TO HHS AND USDA.

5477
04:15:41,311 --> 04:15:43,379
ONCE HHS AND USDA RECEIVES IT IT

5478
04:15:43,379 --> 04:15:44,781
TAKES TIME TO PREPARE IT FOR 

5479
04:15:44,781 --> 04:15:46,382
POSTING TO OUR WEBSITE.

5480
04:15:46,382 --> 04:15:50,253
AND SO WE'LL BE PREPARING THE 

5481
04:15:50,253 --> 04:15:52,722
REPORT AND POSTING IT TO DIETARY

5482
04:15:52,722 --> 04:15:53,356
GUIDELINES.gov.

5483
04:15:53,356 --> 04:15:55,825
WE WANT TO NOTE WHEN WE POST THE

5484
04:15:55,825 --> 04:15:58,695
REPORT WE'LL BE POSTING ALL THE 

5485
04:15:58,695 --> 04:16:00,630
SYSTEMATIC REVIEWS, ALL THE FOOD

5486
04:16:00,630 --> 04:16:02,332
PATTERN MODELLING REPORT AND 

5487
04:16:02,332 --> 04:16:04,434
DATA ANALYSIS REPORTS AND 

5488
04:16:04,434 --> 04:16:05,535
SUPPLEMENTS.

5489
04:16:05,535 --> 04:16:07,637
SO THE COMMITTEE'S REPORT ALONG 

5490
04:16:07,637 --> 04:16:10,173
WITH THE SUPPLEMENTARY 

5491
04:16:10,173 --> 04:16:10,440
MATERIALS.

5492
04:16:10,440 --> 04:16:12,875
WHEN HHS AND USDA POSE THE 

5493
04:16:12,875 --> 04:16:18,114
REPORT AT DIETARY GUIDELINES.gov

5494
04:16:18,114 --> 04:16:19,515
WE'LL OPEN A PUBLIC COMMENT 

5495
04:16:19,515 --> 04:16:22,685
PERIOD ON THE ADVISORY 

5496
04:16:22,685 --> 04:16:23,453
COMMITTEE.

5497
04:16:23,453 --> 04:16:25,788
UNLIKE THE PUBLIC COMMENT PERIOD

5498
04:16:25,788 --> 04:16:27,824
THAT JUST CLOSED, THE PERIOD THE

5499
04:16:27,824 --> 04:16:28,925
COMMITTEE HAD OPENED THROUGH 

5500
04:16:28,925 --> 04:16:32,595
THEIR PROCESS WAS TO MEMBERS OF 

5501
04:16:32,595 --> 04:16:35,431
THE COMMITTEE OR COMMITTEE AS A 

5502
04:16:35,431 --> 04:16:35,632
WHOLE.

5503
04:16:35,632 --> 04:16:38,668
IT WILL INCLUDE COMMENTS TO USDA

5504
04:16:38,668 --> 04:16:39,802
AND HHS ABOUT THE COMMITTEE'S 

5505
04:16:39,802 --> 04:16:41,738
REPORT FOR CONTRIBUTION AS WE 

5506
04:16:41,738 --> 04:16:44,240
USE THE COMMITTEE'S REPORT IN 

5507
04:16:44,240 --> 04:16:45,375
INFORMING THE DEVELOPMENT OF THE

5508
04:16:45,375 --> 04:16:47,176
NEXT EDITION OF THE DIETARY 

5509
04:16:47,176 --> 04:16:47,477
GUIDELINES.

5510
04:16:47,477 --> 04:16:49,812
WE WILL ANNOUNCE THE PUBLIC 

5511
04:16:49,812 --> 04:16:50,480
COMMENT PERIOD THROUGH THE 

5512
04:16:50,480 --> 04:16:53,816
FEDERAL REGISTER FOR THOSE WHO 

5513
04:16:53,816 --> 04:16:55,585
DON'T FOLLOW THE FEDERAL 

5514
04:16:55,585 --> 04:16:56,452
REGISTER, WE'LL SHARE 

5515
04:16:56,452 --> 04:16:59,555
INFORMATION ON OUR WEBSITE AND 

5516
04:16:59,555 --> 04:17:01,290
ALSO SEND MESSAGES TO THE LIST 

5517
04:17:01,290 --> 04:17:03,760
SERVES AND SOCIAL MEDIA.

5518
04:17:03,760 --> 04:17:06,863
IF YOU'D LIKE TO MAKE YOU ARE 

5519
04:17:06,863 --> 04:17:10,500
SURE TO RECEIVE THE NOTIFICATION

5520
04:17:10,500 --> 04:17:13,569
SIGN UP AT DIETARY 

5521
04:17:13,569 --> 04:17:15,371
GUIDELINES.gov.

5522
04:17:15,371 --> 04:17:17,674
THREW FOR THE TEAM AND THE WORK 

5523
04:17:17,674 --> 04:17:19,976
AND NOW TO JANET FOR THE FINAL 

5524
04:17:19,976 --> 04:17:20,810
WRAP UP.

5525
04:17:20,810 --> 04:17:21,477
THANK YOU.

5526
04:17:21,477 --> 04:17:26,683
>> THANKS SO MUCH, EVE.

5527
04:17:26,683 --> 04:17:27,984
NOW I'LL PROVIDE HIGH LEVEL 

5528
04:17:27,984 --> 04:17:30,687
OVERVIEW OF THE PROCESS SO FAR.

5529
04:17:30,687 --> 04:17:32,388
I NOW WE HAVE NEW PEOPLE JOIN 

5530
04:17:32,388 --> 04:17:35,024
MEETING FOR EACH PUBLIC MEETING.

5531
04:17:35,024 --> 04:17:38,094
SO STARTING IN 2021, NOT SHOWN 

5532
04:17:38,094 --> 04:17:43,599
ON THE SLIDE, HHS AND USDA BEGAN

5533
04:17:43,599 --> 04:17:45,601
THE PROCESS TO DETERMINE 

5534
04:17:45,601 --> 04:17:47,503
SCIENTIFIC SCOPE YOUR COMMITTEE 

5535
04:17:47,503 --> 04:17:48,838
HAS BEEN REVIEWING.

5536
04:17:48,838 --> 04:17:50,406
WE CONDUCTED A YEAR-LONG PROCESS

5537
04:17:50,406 --> 04:17:52,508
TO DETERMINE THE SCOPE.

5538
04:17:52,508 --> 04:17:56,112
IN 2022, WE POSTED THE 

5539
04:17:56,112 --> 04:17:56,746
SCIENTIFIC QUESTION FOR PUBLIC 

5540
04:17:56,746 --> 04:17:58,414
COMMENT FOR 30 DAYS.

5541
04:17:58,414 --> 04:18:01,250
IN JUNE OF THE SAME YEAR IN 

5542
04:18:01,250 --> 04:18:02,685
2022, WE SOUGHT NOMINATIONS FOR 

5543
04:18:02,685 --> 04:18:10,693
COMMITTEE MEMBERS.

5544
04:18:10,693 --> 04:18:14,764
WE  REVIEWED NOMINATION AND IN 

5545
04:18:14,764 --> 04:18:18,668
EARLY 2023, YOUR COMMITTEE WAS 

5546
04:18:18,668 --> 04:18:21,237
APPOINTED IN JANUARY.

5547
04:18:21,237 --> 04:18:23,239
YOUR COMMITTEE CONDUCTED ITS 

5548
04:18:23,239 --> 04:18:24,874
FIRST MEETING IN FEBRUARY 2023 

5549
04:18:24,874 --> 04:18:26,342
AND HELD TWO ADDITIONAL MEETINGS

5550
04:18:26,342 --> 04:18:26,943
IN MAY AND SEPTEMBER OF THAT 

5551
04:18:26,943 --> 04:18:28,811
YEAR.

5552
04:18:28,811 --> 04:18:32,815
AND IN THE SEPTEMBER MEETING THE

5553
04:18:32,815 --> 04:18:33,850
PUBLIC PROVIDED AN OPPORTUNITY 

5554
04:18:33,850 --> 04:18:34,684
TO PRESENT ORAL COMMENTS TO THE 

5555
04:18:34,684 --> 04:18:37,386
COMMITTEE.

5556
04:18:37,386 --> 04:18:41,023
MOVING INTO 2024, YOU MET IN 

5557
04:18:41,023 --> 04:18:43,493
JANUARY, MAY AND SEPTEMBER AND 

5558
04:18:43,493 --> 04:18:45,895
HERE WE ARE TODAY YOU'RE 

5559
04:18:45,895 --> 04:18:48,765
CONDUCTING YOUR FINAL MEETING OR

5560
04:18:48,765 --> 04:18:50,666
CONCLUDING YOUR FINAL REPORT 

5561
04:18:50,666 --> 04:18:51,067
MEETING.

5562
04:18:51,067 --> 04:18:53,770
EVE JUST TALKED ABOUT THE STEPS 

5563
04:18:53,770 --> 04:18:55,638
OF RECEIVING THE COMMITTEE'S 

5564
04:18:55,638 --> 04:18:57,039
REPORT WHICH WILL BE POSTED 

5565
04:18:57,039 --> 04:18:59,075
ONLINE AND INVITE PUBLIC 

5566
04:18:59,075 --> 04:19:02,512
COMMENCE TO HHS AND USDA.

5567
04:19:02,512 --> 04:19:04,847
IN 2025 IN HHS AND USDA TEAM 

5568
04:19:04,847 --> 04:19:06,516
WILL WORK ON UPDATING THE 

5569
04:19:06,516 --> 04:19:09,552
DIETARY GUIDELINES FOR AMERICANS

5570
04:19:09,552 --> 04:19:10,686
INFORMED BY YOUR COMMITTEE 

5571
04:19:10,686 --> 04:19:11,254
REPORT AND OTHER SCIENTIFIC 

5572
04:19:11,254 --> 04:19:18,828
INPUTS.

5573
04:19:18,828 --> 04:19:21,030
AS I MENTIONED WE PUT OUT OUR 

5574
04:19:21,030 --> 04:19:25,868
CALL FOR NOMINATIONS IN 2022.

5575
04:19:25,868 --> 04:19:32,074
WE BROUGHT TOGETHER A COMMITTEE 

5576
04:19:32,074 --> 04:19:38,414
FOR THE TASKS WE PRIORITIZED AND

5577
04:19:38,414 --> 04:19:41,651
SUPPORTING THE DEPARTMENT FOR 

5578
04:19:41,651 --> 04:19:42,185
INCLUSIVE GUIDELINES AND 

5579
04:19:42,185 --> 04:19:42,819
REPRESENTATIVE OF THE S IN THE 

5580
04:19:42,819 --> 04:19:44,453
UNITED STATES.

5581
04:19:44,453 --> 04:19:45,555
BEING -- OPTIONS IN THE UNITED 

5582
04:19:45,555 --> 04:19:46,189
STATES.

5583
04:19:46,189 --> 04:19:48,324
THE SCOPE ON DIET AND LEATH 

5584
04:19:48,324 --> 04:19:51,093
OUTCOMES ACROSS THE LIFE SPAN 

5585
04:19:51,093 --> 04:19:52,495
FROM PREGNANT INDIVIDUALS AN 

5586
04:19:52,495 --> 04:19:53,996
INFANT TO OLDER ADULT.

5587
04:19:53,996 --> 04:19:57,733
WE INCLUDED HEALTH OUTCOMES SUCH

5588
04:19:57,733 --> 04:20:01,737
AS CVD, CANCER, DIABETES, 

5589
04:20:01,737 --> 04:20:04,607
GROWTH/SIZE BODY COMPOSITION AND

5590
04:20:04,607 --> 04:20:08,878
RISK OF OVERWEIGHT AND RISK OF 

5591
04:20:08,878 --> 04:20:10,112
OBESITY AND COGNITIVE DECLINE.

5592
04:20:10,112 --> 04:20:11,647
THE TASK WAS ENORMOUS.

5593
04:20:11,647 --> 04:20:14,684
WE ALSO PROPOSED A NEW QUESTION 

5594
04:20:14,684 --> 04:20:17,620
ON ULTRA PROCESSED FOODS AND 

5595
04:20:17,620 --> 04:20:18,287
FOOD-BASED STRATEGIES TO SUPPORT

5596
04:20:18,287 --> 04:20:21,457
IMPLEMENTATION OF THE DIETARY 

5597
04:20:21,457 --> 04:20:25,761
GUIDELINES AND ALSO PREVENT 

5598
04:20:25,761 --> 04:20:26,662
OVERWEIGHT AND OBESITY.

5599
04:20:26,662 --> 04:20:28,831
IN ADDITION TOE FOCUS ON DIETARY

5600
04:20:28,831 --> 04:20:32,568
PATTERNS WE ASKED FOR A REVIEW 

5601
04:20:32,568 --> 04:20:36,239
ON BEVERAGES AND SOURCES OF 

5602
04:20:36,239 --> 04:20:36,572
SATURATED FAT.

5603
04:20:36,572 --> 04:20:39,842
AS IMPORTANT AS THESE TOPICS OF 

5604
04:20:39,842 --> 04:20:41,377
REVIEW ARE WE LOOKED FOR 

5605
04:20:41,377 --> 04:20:46,015
EXPERTISE IN THE SCIENTIFIC 

5606
04:20:46,015 --> 04:20:46,282
APPROACH.

5607
04:20:46,282 --> 04:20:47,283
SYSTEMATIC REVIEW, FOOD PATTERN 

5608
04:20:47,283 --> 04:20:48,417
MODELLING AND DATA ANALYSIS.

5609
04:20:48,417 --> 04:20:50,686
IT WAS A TALL ORDER TO FIND A 

5610
04:20:50,686 --> 04:20:53,122
COMMITTEE WITH THIS BROAD RANGE 

5611
04:20:53,122 --> 04:20:59,829
OF EXPERTISE BUT EVEN I CAN SAY 

5612
04:20:59,829 --> 04:21:00,830
IT WAS ACCOMPLISHED.

5613
04:21:00,830 --> 04:21:02,665
GIVE YOURSELF A ROUND OF 

5614
04:21:02,665 --> 04:21:03,332
APPLAUSE.

5615
04:21:03,332 --> 04:21:05,635
YOU EXCEEDED THE CHARGE AND 

5616
04:21:05,635 --> 04:21:06,669
WE'RE APPRECIATIVE OF THE TIME 

5617
04:21:06,669 --> 04:21:07,703
AND WISDOM YOU DEDICATE AND 

5618
04:21:07,703 --> 04:21:10,673
SHARED WITH THE COMMITTEE AND 

5619
04:21:10,673 --> 04:21:15,511
ALL OF US.

5620
04:21:15,511 --> 04:21:20,283
TOGETHER AS A COMMITTEE YOU 

5621
04:21:20,283 --> 04:21:24,186
COMBINED YOUR KNOWLEDGE AND 

5622
04:21:24,186 --> 04:21:26,555
SKILLS AND CRAFT YOUR ADVICE TO 

5623
04:21:26,555 --> 04:21:28,324
HHS AND USDA.

5624
04:21:28,324 --> 04:21:29,926
BEING A SPECIAL GOVERNMENT 

5625
04:21:29,926 --> 04:21:31,894
EMPLOYEE FOR THIS COMMITTEE IS 

5626
04:21:31,894 --> 04:21:38,668
AN UNPAID EXTRA JOB FOR YOU.

5627
04:21:38,668 --> 04:21:40,636
IN YOUR DAY JOB YOU'RE CENTER 

5628
04:21:40,636 --> 04:21:43,039
AND PROGRAM DIRECTORS, DEANS, 

5629
04:21:43,039 --> 04:21:44,073
DEPARTMENT CHAIRS AND PROFESSORS

5630
04:21:44,073 --> 04:21:47,243
AND CLINICIANS.

5631
04:21:47,243 --> 04:21:50,680
IN ADDITIONAL LEADERSHIP IN 

5632
04:21:50,680 --> 04:21:52,081
PROFESSIONAL ASSOCIATIONS.

5633
04:21:52,081 --> 04:21:55,451
THAT'S IS YOUR WORK-RELATED 

5634
04:21:55,451 --> 04:21:55,851
RESPONSIBILITIES.

5635
04:21:55,851 --> 04:21:59,488
IN YOUR REAL LIFE YOU HAVE 

5636
04:21:59,488 --> 04:22:00,089
FAMILY COMMITMENTS INCLUDING 

5637
04:22:00,089 --> 04:22:03,693
AIMING PARENT AND CHILDREN.

5638
04:22:03,693 --> 04:22:05,561
TAKING KIDS TO COLLEGE FOR THE 

5639
04:22:05,561 --> 04:22:09,298
FIRST TIME OR SUPPORTING YOUR 

5640
04:22:09,298 --> 04:22:11,467
KIDS' SPORTS TEAMS AND CARING 

5641
04:22:11,467 --> 04:22:13,970
FOR PARENTS AS ROLES REVERSE AND

5642
04:22:13,970 --> 04:22:15,638
THEY NEED US MORE THAN EVER AND 

5643
04:22:15,638 --> 04:22:19,275
WE EXPERIENCE THAT TOGETHER AND 

5644
04:22:19,275 --> 04:22:21,544
THERE ARE WONDERFUL PETS WE 

5645
04:22:21,544 --> 04:22:24,046
SHARED THROUGHOUT THE 

5646
04:22:24,046 --> 04:22:24,847
SUBCOMMITTEE MEETINGS THAT PLAY 

5647
04:22:24,847 --> 04:22:26,449
HAVE BEEN WAITING LONGER TO GO 

5648
04:22:26,449 --> 04:22:28,884
OUT FOR WALKS AS YOU FINISH YOUR

5649
04:22:28,884 --> 04:22:30,119
SUBCOMMITTEE CALLS SO GIVE 

5650
04:22:30,119 --> 04:22:30,820
THANKS TO YOUR PETS.

5651
04:22:30,820 --> 04:22:33,656
ON COMPLETION OF YOUR WORK, WE 

5652
04:22:33,656 --> 04:22:34,690
WILL GIVE YOU FULL ATTENTION 

5653
04:22:34,690 --> 04:22:36,826
BACK TO YOUR UNIVERSITIES, 

5654
04:22:36,826 --> 04:22:38,661
MEDICAL CENTERS, FAMILIES AND 

5655
04:22:38,661 --> 04:22:40,429
PETS.

5656
04:22:40,429 --> 04:22:42,031
IT'S BEEN AN HONOR TO SUPPORT 

5657
04:22:42,031 --> 04:22:46,669
AND CHEER YOU ON AS YOU FINISH 

5658
04:22:46,669 --> 04:22:49,572
YOUR WORK.

5659
04:22:49,572 --> 04:22:50,940
I'M A SENSITIVE ONE.

5660
04:22:50,940 --> 04:22:53,843
IT'S MY MOM'S FAULT.

5661
04:22:53,843 --> 04:22:54,877
WE'LL MISS YOU DEARLY AND HOPE 

5662
04:22:54,877 --> 04:22:57,480
TO SEE YOU SOON AND FROM THE 

5663
04:22:57,480 --> 04:22:59,482
BOTTOM OF EVE AND MY HEART, WE 

5664
04:22:59,482 --> 04:23:00,016
THANK YOU DEARLY FOR YOUR 

5665
04:23:00,016 --> 04:23:06,689
WONDERFUL WORK AND COMMITMENT.

5666
04:23:06,689 --> 04:23:10,026
THANK YOU SO MUCH.

5667
04:23:10,026 --> 04:23:11,227
TO OUR WONDERFUL STAFF TEAMS AND

5668
04:23:11,227 --> 04:23:14,296
HHS AND USDA, YOU HAVE PROVIDED 

5669
04:23:14,296 --> 04:23:16,999
A WONDERFUL FOUNDATION FOR THE 

5670
04:23:16,999 --> 04:23:18,834
COMMITTEE'S WORK.

5671
04:23:18,834 --> 04:23:20,636
EVE AND I ARE SO THANKFUL TO 

5672
04:23:20,636 --> 04:23:22,805
HAVE YOU ON OUR TEAMS AND HEARD 

5673
04:23:22,805 --> 04:23:23,606
THE COMMITTEE RAVE ABOUT YOUR 

5674
04:23:23,606 --> 04:23:26,242
TERRIFIC WORK OVER THE YEARS.

5675
04:23:26,242 --> 04:23:29,945
YOUR EXPERTISE ON THE METHODS OF

5676
04:23:29,945 --> 04:23:31,447
SYSTEMATIC REVIEW, FOOD PATTERN 

5677
04:23:31,447 --> 04:23:34,650
MODELLING AND DATA ANALYSIS ARE 

5678
04:23:34,650 --> 04:23:35,051
TOP NOTCH.

5679
04:23:35,051 --> 04:23:35,851
THANK YOU FOR CONTINUING TO 

5680
04:23:35,851 --> 04:23:37,820
ADVANCE THE METHODS.

5681
04:23:37,820 --> 04:23:41,957
YOU MAKE ALL OF US LOOK GOOD.

5682
04:23:41,957 --> 04:23:42,958
THANK YOU TO OUR COMMUNICATION 

5683
04:23:42,958 --> 04:23:43,225
TEAMS.

5684
04:23:43,225 --> 04:23:45,928
WE VALUE YOUR ONGOING SUPPORT 

5685
04:23:45,928 --> 04:23:46,729
WITH THE IMPORTANT TASK OF 

5686
04:23:46,729 --> 04:23:49,865
EFFECTIVE COMMUNICATION.

5687
04:23:49,865 --> 04:23:53,202
IN ADDITION TO THIS STAFF AT 

5688
04:23:53,202 --> 04:23:55,805
ODPCP WE'RE THANKFUL TO THE DATA

5689
04:23:55,805 --> 04:23:57,006
ANALYSIS SUPPORT FROM USDA, CDC 

5690
04:23:57,006 --> 04:24:00,643
AND NIH.

5691
04:24:00,643 --> 04:24:05,848
A SPECIAL THANKS TO OUR 

5692
04:24:05,848 --> 04:24:10,052
CONTRACTORS OUR NIH TECH SUPPORT

5693
04:24:10,052 --> 04:24:11,987
AND THE TOWER CONFERENCE CENTER 

5694
04:24:11,987 --> 04:24:14,690
FOR HOSTING OUR MEETINGS.

5695
04:24:14,690 --> 04:24:18,394
A SHUT OUT TO THE PEER REVIEWER 

5696
04:24:18,394 --> 04:24:19,728
AND APPRECIATE OF THE NICHD 

5697
04:24:19,728 --> 04:24:21,931
COLLEAGUES FOR FACILITATING THE 

5698
04:24:21,931 --> 04:24:22,665
PEER REVIEW.

5699
04:24:22,665 --> 04:24:26,368
I KNOW THAT WAS A MAJOR 

5700
04:24:26,368 --> 04:24:26,669
UNDERTAKING.

5701
04:24:26,669 --> 04:24:29,171
YOU'LL SEE OUR STAFF TEAMS AND 

5702
04:24:29,171 --> 04:24:30,873
MANY OF THE TEAMS I NOTED.

5703
04:24:30,873 --> 04:24:39,849
A BIG THANK YOU TO YOU ALL.

5704
04:24:39,849 --> 04:24:41,217
A LITTLE MORE ABOUT STAFF.

5705
04:24:41,217 --> 04:24:46,355
AS I REFLECT ON STAFF TEAM AND 

5706
04:24:46,355 --> 04:24:49,558
THE DEPARTMENTS AT HHS AND USDA,

5707
04:24:49,558 --> 04:24:51,260
IT'S BEEN MY PLEASURE WORKING 

5708
04:24:51,260 --> 04:24:52,461
WITH THIS ALL-STAR TEAM.

5709
04:24:52,461 --> 04:24:56,432
I LEARN FROM YOU EVERY DAY.

5710
04:24:56,432 --> 04:24:59,935
THANK YOU FOR YOUR HARD WORK, 

5711
04:24:59,935 --> 04:25:00,836
PATIENCE AND GRACE.

5712
04:25:00,836 --> 04:25:02,571
I WAS REFLECT BEING ON MY RUN 

5713
04:25:02,571 --> 04:25:04,840
THIS MORNING HOW TIME PASSES 

5714
04:25:04,840 --> 04:25:08,210
WHEN WE WORK ON LONG PROJECTS 

5715
04:25:08,210 --> 04:25:08,477
TOGETHER.

5716
04:25:08,477 --> 04:25:10,679
ON OUR TEAM THERE'S BEEN NEW 

5717
04:25:10,679 --> 04:25:15,818
BABIES, ENGAGEMENTS, WEDDINGS, 

5718
04:25:15,818 --> 04:25:16,452
HOUSES, SPORTS AND SCHOOLS AND 

5719
04:25:16,452 --> 04:25:17,520
OUR OLDER CHILDREN APPLYING TO 

5720
04:25:17,520 --> 04:25:21,157
COLLEGE AND GOING TO COLLEGE.

5721
04:25:21,157 --> 04:25:22,691
THIS IS ALL WHILE DOING 

5722
04:25:22,691 --> 04:25:26,395
FANTASTIC WORK ON YOUR DAY, 

5723
04:25:26,395 --> 04:25:29,098
NIGHT, WEEKEND JOB OF SUPPORTING

5724
04:25:29,098 --> 04:25:30,366
RIGOROUS SCIENTIFIC PROCESS.

5725
04:25:30,366 --> 04:25:35,337
I'D LIKE TO EXPRESS MY EXTREME 

5726
04:25:35,337 --> 04:25:39,375
GRATITUDE TO MY PARTNER EVE ON 

5727
04:25:39,375 --> 04:25:41,710
THE PROCESS SINCE 2018 AND I 

5728
04:25:41,710 --> 04:25:44,313
COULD NOT ASK FOR A BETTER OTHER

5729
04:25:44,313 --> 04:25:44,914
HALF.

5730
04:25:44,914 --> 04:25:46,382
YOUR SCIENTIFIC AND LEADERSHIP 

5731
04:25:46,382 --> 04:25:48,117
SKILLS ARE TOP NOTCH AND ON TOP 

5732
04:25:48,117 --> 04:25:50,686
OF EVERYTHING YOU'RE A KIND, 

5733
04:25:50,686 --> 04:25:53,822
PATIENT AND FUN TO WORK WITH.

5734
04:25:53,822 --> 04:25:54,190
THANK YOU, EVE.

5735
04:25:54,190 --> 04:25:55,424
FINALLY, A BIG THANKS TO THE 

5736
04:25:55,424 --> 04:25:58,994
LEADERSHIP AT HHS AND USDA AND 

5737
04:25:58,994 --> 04:26:01,430
ODPCP AND CNPP.

5738
04:26:01,430 --> 04:26:01,897
THE SUPPORT IS REALLY 

5739
04:26:01,897 --> 04:26:06,135
APPRECIATED.

5740
04:26:06,135 --> 04:26:07,536
TO THE PUBLIC, THANK YOU FOR 

5741
04:26:07,536 --> 04:26:09,205
YOUR ENGAGEMENT THROUGHOUT THE 

5742
04:26:09,205 --> 04:26:11,173
PROCESS AND FOR FOLLOWING THE 

5743
04:26:11,173 --> 04:26:12,875
COMMITTEE ON THEIR JOURNEY.

5744
04:26:12,875 --> 04:26:14,443
PLEASE STRAY TUNED FOR THE 

5745
04:26:14,443 --> 04:26:15,711
REPORT POSTING AND THE PUBLIC 

5746
04:26:15,711 --> 04:26:18,647
COMMENT OPPORTUNITY.

5747
04:26:18,647 --> 04:26:21,217
AND NOW I WOULD LIKE TO ADJOURN 

5748
04:26:21,217 --> 04:26:24,119
THE REPORT MEETING OF THE 2025 

5749
04:26:24,119 --> 04:26:24,853
DIETARY GUIDELINES ADVISORY 

5750
04:26:24,853 --> 04:26:25,120
COMMITTEE.

5751
04:26:25,120 --> 04:26:35,464
THANK YOU VERY MUCH.