Redesigning the Process for Establishing the Dietary Guidelines for Americans

Redesigning the Process for Establishing the Dietary Guidelines for Americans
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 287
Release: 2017-12-16
Genre: Medical
ISBN: 030946482X

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What foods should Americans eat to promote their health, and in what amounts? What is the scientific evidence that supports specific recommendations for dietary intake to reduce the risk of multifactorial chronic disease? These questions are critically important because dietary intake has been recognized to have a role as a key determinant of health. As the primary federal source of consistent, evidence-based information on dietary practices for optimal nutrition, the Dietary Guidelines for Americans (DGA) have the promise to empower Americans to make informed decisions about what and how much they eat to improve health and reduce the risk of chronic disease. The adoption and widespread translation of the DGA requires that they be universally viewed as valid, evidence-based, and free of bias and conflicts of interest to the extent possible. However, this has not routinely been the case. A first short report meant to inform the 2020 review cycle explored how the advisory committee selection process can be improved to provide more transparency, eliminate bias, and include committee members with a range of viewpoints. This second and final report recommends changes to the DGA process to reduce and manage sources of bias and conflicts of interest, improve timely opportunities for engagement by all interested parties, enhance transparency, and strengthen the science base of the process.

Evidence review for dietary guidance

Evidence review for dietary guidance
Author: Food and Agriculture Organization of the United Nations
Publisher: Food & Agriculture Org.
Total Pages: 177
Release: 2023-10-30
Genre: Political Science
ISBN: 9251379971

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The evidence review for dietary guidance is the first step in establishing the Myanmar food based dietary guidelines (FBDGs) for pregnant and lactating women and children under 5 years old. The review process followed a systematic approach to gather, assess and analyse data and information related to food, diet and nutrient intakes of the Myanmar people, agricultural production and food supply, food sustainability, cultural food preference and behaviour, prevalence of malnutrition and diet-related diseases. The evidence review provides justifications for making FBDG recommendations based on up-to-date and country-specific information, as well as the global evidence base. The evidence review increases the transparency of the evidence-based process in establishing the Myanmar FBDGs. Moreover, The evidence review for dietary guidance is the first structured evidence review to guide FBDGs development in Myanmar.

Optimizing the Process for Establishing the Dietary Guidelines for Americans

Optimizing the Process for Establishing the Dietary Guidelines for Americans
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 137
Release: 2017-12-16
Genre: Medical
ISBN: 0309453607

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Federal guidance on nutrition and diet is intended to reflect the state of the science and deliver the most reliable recommendations possible according to the best available evidence. This guidance, updated and presented every 5 years in the Dietary Guidelines for Americans (DGA), serves as the basis for all federal nutrition policies and nutrition assistance programs, as well as nutrition education programs. Despite the use of the guidelines over the past 30 years, recent challenges prompted Congress to question the process by which food and nutrition guidance is developed. This report assesses the process used to develop the guidelines; it does not evaluate the substance or use of the guidelines. As part of an overall, comprehensive review of the process to update the DGA, this first report seeks to discover how the advisory committee selection process can be improved to provide more transparency, eliminate bias, and include committee members with a range of viewpoints for the purpose of informing the 2020 cycle.

Women’s Empowerment and Nutrition

Women’s Empowerment and Nutrition
Author: Mara van den Bold
Publisher: Intl Food Policy Res Inst
Total Pages: 80
Release: 2013-11-01
Genre: Social Science
ISBN:

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Many development programs that aim to alleviate poverty and improve investments in human capital consider women’s empowerment a key pathway by which to achieve impact and often target women as their main beneficiaries. Despite this, women’s empowerment dimensions are often not rigorously measured and are at times merely assumed. This paper starts by reflecting on the concept and measurement of women’s empowerment and then reviews some of the structural interventions that aim to influence underlying gender norms in society and eradicate gender discrimination. It then proceeds to review the evidence of the impact of three types of interventions—cash transfer programs, agricultural interventions, and microfinance programs—on women’s empowerment, nutrition, or both. Qualitative evidence on conditional cash transfer (CCT) programs generally points to positive impacts on women’s empowerment, although quantitative research findings are more heterogenous. CCT programs produce mixed results on long-term nutritional status, and very limited evidence exists of their impacts on micronutrient status. The little evidence available on unconditional cash transters (UCT) indicates mixed impacts on women’s empowerment and positive impacts on nutrition; however, recent reviews comparing CCT and UCT programs have found little difference in terms of their effects on stunting and they have found that conditionality is less important than other factors, such as access to healthcare and child age and sex. Evidence of cash transfer program impacts depending on the gender of the transfer recipient or on the conditionality is also mixed, although CCTs with non-health conditionalities seem to have negative impacts on nutritional status. The impacts of programs based on the gender of the transfer recipient show mixed results, but almost no experimental evidence exists of testing gender-differentiated impacts of a single program. Agricultural interventions—specifically home gardening and dairy projects—show mixed impacts on women’s empowerment measures such as time, workload, and control over income; but they demonstrate very little impact on nutrition. Implementation modalities are shown to determine differential impacts in terms of empowerment and nutrition outcomes. With regard to the impact of microfinance on women’s empowerment, evidence is also mixed, although more recent reviews do not find any impact on women’s empowerment. The impact of microfinance on nutritional status is mixed, with no evidence of impact on micronutrient status. Across all three types of programs (cash transfer programs, agricultural interventions, and microfinance programs), very little evidence exists on pathways of impact, and evidence is often biased toward a particular region. The paper ends with a discussion of the findings and remaining evidence gaps and an outline of recommendations for research.

Food, Nutrients and Health

Food, Nutrients and Health
Author:
Publisher:
Total Pages: 12
Release: 2019
Genre:
ISBN: 9780660283425

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"The Evidence Review Cycle for Dietary Guidance (ERC) is Health Canada's ongoing systematic approach to gathering, assessing, and analyzing scientific evidence relevant to dietary guidance. This process helps to ensure that dietary guidance from Health Canada on healthy eating, such as Canada's Food Guide, remains scientifically sound, current, relevant, and useful"--Page 1.

Guiding Principles for Developing Dietary Reference Intakes Based on Chronic Disease

Guiding Principles for Developing Dietary Reference Intakes Based on Chronic Disease
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 335
Release: 2017-12-21
Genre: Medical
ISBN: 0309462568

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Since 1938 and 1941, nutrient intake recommendations have been issued to the public in Canada and the United States, respectively. Currently defined as the Dietary Reference Intakes (DRIs), these values are a set of standards established by consensus committees under the National Academies of Sciences, Engineering, and Medicine and used for planning and assessing diets of apparently healthy individuals and groups. In 2015, a multidisciplinary working group sponsored by the Canadian and U.S. government DRI steering committees convened to identify key scientific challenges encountered in the use of chronic disease endpoints to establish DRI values. Their report, Options for Basing Dietary Reference Intakes (DRIs) on Chronic Disease: Report from a Joint US-/Canadian-Sponsored Working Group, outlined and proposed ways to address conceptual and methodological challenges related to the work of future DRI Committees. This report assesses the options presented in the previous report and determines guiding principles for including chronic disease endpoints for food substances that will be used by future National Academies committees in establishing DRIs.

Assessing the existing evidence base on school food and nutrition policies

Assessing the existing evidence base on school food and nutrition policies
Author:
Publisher: World Health Organization
Total Pages: 92
Release: 2021-05-04
Genre: Medical
ISBN: 9240025642

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This report presents the outcomes of a scoping review conducted to identify and map existing evidence on the effects of school food and nutrition policies on health-related outcomes in children of school age as part of the initial preparation for undertaking the guideline development process by the WHO Nutrition Guidance Expert Advisory Group (NUGAG) Subgroup on Policy Actions. In order to align with WHO’s Nutrition-friendly Schools Initiative (NFSI) framework, school-based food and nutrition interventions were assessed in terms of the impacts in four key policy areas, namely – the school community, the school curriculum, the school food and nutrition environment, and school nutrition and health services.

Redesigning the Process for Establishing the Dietary Guidelines for Americans

Redesigning the Process for Establishing the Dietary Guidelines for Americans
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 287
Release: 2017-11-16
Genre: Medical
ISBN: 0309464854

Download Redesigning the Process for Establishing the Dietary Guidelines for Americans Book in PDF, Epub and Kindle

What foods should Americans eat to promote their health, and in what amounts? What is the scientific evidence that supports specific recommendations for dietary intake to reduce the risk of multifactorial chronic disease? These questions are critically important because dietary intake has been recognized to have a role as a key determinant of health. As the primary federal source of consistent, evidence-based information on dietary practices for optimal nutrition, the Dietary Guidelines for Americans (DGA) have the promise to empower Americans to make informed decisions about what and how much they eat to improve health and reduce the risk of chronic disease. The adoption and widespread translation of the DGA requires that they be universally viewed as valid, evidence-based, and free of bias and conflicts of interest to the extent possible. However, this has not routinely been the case. A first short report meant to inform the 2020 review cycle explored how the advisory committee selection process can be improved to provide more transparency, eliminate bias, and include committee members with a range of viewpoints. This second and final report recommends changes to the DGA process to reduce and manage sources of bias and conflicts of interest, improve timely opportunities for engagement by all interested parties, enhance transparency, and strengthen the science base of the process.