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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.


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.


Sustainable Diets, Food, and Nutrition

Sustainable Diets, Food, and Nutrition
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 179
Release: 2019-05-11
Genre: Medical
ISBN: 030947955X

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On August 1 and 2, 2018, the National Academies of Sciences, Engineering, and Medicine hosted a public workshop in Washington, DC, on sustainable diets, food, and nutrition. Workshop participants reviewed current and emerging knowledge on the concept of sustainable diets within the field of food and nutrition; explored sustainable diets and relevant impacts for cross-sector partnerships, policy, and research; and discussed how sustainable diets influence dietary patterns, the food system, and population and public health. This publication briefly summarizes the presentations and discussions from the workshop.


Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report

Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report
Author: National Academies Of Sciences Engineeri
Publisher: National Academies Press
Total Pages: 0
Release: 2023-08-17
Genre: Medical
ISBN: 9780309691598

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In response to a request from Congress, the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine conducted a study comparing the process to develop the Dietary Guidelines for Americans, 2020-2025 (DGA 2020-2025) to recommendations included in the previously published National Academies report, Redesigning the Process for Establishing the Dietary Guidelines for Americans. This report describes the findings of the committee and conclusions related to this assessment. Notably, this report does not evaluate the merits of the DGA 2020-2025 but evaluates the process by which they were created relative to the recommendations made in the previously published National Academies report.


Nutritionism

Nutritionism
Author: Gyorgy Scrinis
Publisher: Columbia University Press
Total Pages: 363
Release: 2013-06-18
Genre: Cooking
ISBN: 0231527144

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Popularized by Michael Pollan in his best-selling In Defense of Food, Gyorgy Scrinis's concept of nutritionism refers to the reductive understanding of nutrients as the key indicators of healthy food—an approach that has dominated nutrition science, dietary advice, and food marketing. Scrinis argues this ideology has narrowed and in some cases distorted our appreciation of food quality, such that even highly processed foods may be perceived as healthful depending on their content of "good" or "bad" nutrients. Investigating the butter versus margarine debate, the battle between low-fat, low-carb, and other weight-loss diets, and the food industry's strategic promotion of nutritionally enhanced foods, Scrinis reveals the scientific, social, and economic factors driving our modern fascination with nutrition. Scrinis develops an original framework and terminology for analyzing the characteristics and consequences of nutritionism since the late nineteenth century. He begins with the era of quantification, in which the idea of protective nutrients, caloric reductionism, and vitamins' curative effects took shape. He follows with the era of good and bad nutritionism, which set nutricentric dietary guidelines and defined the parameters of unhealthy nutrients; and concludes with our current era of functional nutritionism, in which the focus has shifted to targeted nutrients, superfoods, and optimal diets. Scrinis's research underscores the critical role of nutrition science and dietary advice in shaping our relationship to food and our bodies and in heightening our nutritional anxieties. He ultimately shows how nutritionism has aligned the demands and perceived needs of consumers with the commercial interests of food manufacturers and corporations. Scrinis also offers an alternative paradigm for assessing the healthfulness of foods—the food quality paradigm—that privileges food production and processing quality, cultural-traditional knowledge, and sensual-practical experience, and promotes less reductive forms of nutrition research and dietary advice.


The Role of Nutrition in Maintaining Health in the Nation's Elderly

The Role of Nutrition in Maintaining Health in the Nation's Elderly
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 383
Release: 2000-06-09
Genre: Medical
ISBN: 0309068460

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Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.


Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020?2025

Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020?2025
Author: National Academies of Sciences Engineering and Medicine
Publisher:
Total Pages:
Release: 2023-02-19
Genre:
ISBN: 9780309274081

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This midcourse report provides an initial assessment of how the process used to develop the Dietary Guidelines for Americans, 2020-2025 (DGA) compares to the recommendations in the 2017 National Academies report on redesigning the process for establishing the DGA. It also assesses the criteria and processes for including the scientific studies used to develop the guidelines. The scope of this study was to address the process and not the content of the guidelines.


WIC Food Packages

WIC Food Packages
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 433
Release: 2006-01-28
Genre: Medical
ISBN: 0309096502

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The Special Supplemental Nutrition Program for Women, Infants, and Children (the WIC program) has promoted the health of low-income families for more than 30 years by providing nutrition education, supplemental food, and other valuable services. The program reaches millions of families every year, is one of the largest nutrition programs in the United States, and is an important investment in the nation's health. The U.S. Department of Agriculture charged the Institute of Medicine with creating a committee to evaluate the WIC food packages (the list of specific foods WIC participants obtain each month). The goal of the study was to improve the quality of the diet of WIC participants while also promoting a healthy body weight that will reduce the risk of chronic diseases. The committee concluded that it is time for a change in the WIC food packages and the book provides details on the proposed new food packages, summarizes how the proposed packages differ from current packages, and discusses the rationale for the proposed packages.


Food & Fitness Community Partnerships

Food & Fitness Community Partnerships
Author: Laurie Lachance
Publisher: Routledge
Total Pages: 102
Release: 2018-02-02
Genre: Architecture
ISBN: 1317237633

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This book describes many of the unique contributions of the Food & Fitness program including a number of early successes, drawing lessons from efforts to form and maintain partnerships, and from the strategies employed to create structural change in communities. This important study introduces the Food and Fitness community partnerships and their work to increase access to healthy, locally grown food, and opportunities for physical activity, in vulnerable communities across the United States. Established in 2007 and funded by the WK Kellogg Foundation, the partnerships are increasing the capacity of communities to participate in policy and systems change to positively affect their health and well-being. The material covered in the chapters provide an illustration of how funders, grantees, and partners can work together to create sustainable change at the neighborhood level to ensure that all children and families are able to thrive. A range of studies ae looked at from the various initiatives funded nationwide to evaluation methods and results, and an explanation of the role of philanthropy in community development from the viewpoint of the funders. This book was originally published as a special issue of Community Development.


Diet and Health

Diet and Health
Author: National Research Council
Publisher: National Academies Press
Total Pages: 765
Release: 1989-01-01
Genre: Medical
ISBN: 0309039940

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Diet and Health examines the many complex issues concerning diet and its role in increasing or decreasing the risk of chronic disease. It proposes dietary recommendations for reducing the risk of the major diseases and causes of death today: atherosclerotic cardiovascular diseases (including heart attack and stroke), cancer, high blood pressure, obesity, osteoporosis, diabetes mellitus, liver disease, and dental caries.