Defining populations for Dietary Reference Intake recommendations : a letter report / National Academies of Sciences, Engineering, and Medicine [and three others].

Format:

Book

Author/Creator:

National Academies of Sciences, Engineering, and Medicine, author.

Health and Medicine Division, author.

Food and Nutrition Board, author.

Standing Committee for the Review of the Dietary Reference Intake Framework, author.

Contributor:

National Academies of Sciences, Engineering, and Medicine

Health and Medicine Division

Food and Nutrition Board

Standing Committee for the Review of the Dietary Reference Intake Framework

Health and Medicine Division, author.

Food and Nutrition Board, author.

Standing Committee for the Review of the Dietary Reference Intake Framework, author.

Language:

English

Subjects (All):

Nutrition--Evaluation.

Nutrition.

Nutrition policy.

Physical Description:

1 online resource (49 pages)

Edition:

First edition.

Place of Publication:

Washington, DC : National Academies Press, [2022]

Summary:

Since 1997, the United States and Canada have adopted harmonized Dietary Reference Intakes (DRIs), a set of nutrient intake reference values for use in planning and assessing diets for individuals and groups in both countries. In 2022 the U.S. Department of Agriculture asked the National Academies of Sciences, Engineering, and Medicine to convene a Standing Committee to review the DRI framework, including the structure and process that will guide future DRI reviews, and respond to questions posed by the U.S. and Canadian Federal DRI working group. Dietary recommendations have traditionally been designed for populations that were referred to as healthy or apparently healthy. The imprecise terminology and definition of these terms may exclude the increasing number of American and Canadian citizens with chronic disease. In its first letter report, the Standing Committee offers its advice on how to define the population to be considered for DRI recommendations for the United States and Canada.

Contents:

COVER PAGE

TITLE PAGE

COPYRIGHT PAGE

TABLE OF CONTENTS

SUMMARY

1 LETTER TO THE SPONSOR

2 CHARGE TO THE COMMITTEE

3 DEFINING THE DRI POPULATION

Current Health Status of the U.S. and Canadian Populations

4 QUESTIONS FROM THE FEDERAL DRI JOINT U.S.–CANADIAN WORKING GROUP

Question WG1: Who should be included in the “healthy population” definition to adequately characterize the population covered by the DRIs?

Question WG2: Is it assumed that subpopulations with risk factors for chronic diseases (such as overweight or obesity, high blood pressure, hypercholesterolemia, or prediabetes) are considered to meet the current definition since they do not meet the exclusion criteria listed above?

Question WG3: How should overweight and obesity be considered given the high prevalence of obesity?

Question WG4: Should a different term be considered other than “apparently healthy population” since the DRIs are developed to determine the recommended intake of nutrients to meet the needs of the majority of the general population and the health status of this population has shifted?

Question WG5: How should, or can, evidence from populations that are not “apparently healthy” be used to develop the DRIs? What about data from populations with clinical disease?

Question WG6: How should this definition inform the use of the DRIs for their various purposes?

5 QUESTIONS FROM THE COMMITTEE TO REVIEW THE DRIs FOR ENERGY

Question EC1: Should a DRI committee approach identifying a general or healthy population based on inclusion or exclusion criteria?

Question EC2: What is the standing committee’s recommendation for managing limitations in data needed to support a rationale for recommendations?

Question EC3: If data on some subpopulations are limited, how do you determine when to use the data as a criterion to exclude that group from the defined general population?

Question EC4: Does the standing committee want to make a statement about using International Classification of Diseases (ICD) codes to exclude population groups in a DRI review?

Question EC5: Are extreme outliers included in the general population? What about normal body composition when body mass index (BMI) is less than or equal to 18.5?

Question EC6: Since the DRIs for energy are different from other nutrients, how should the committee manage limitations in data needed to support the rationale for a recommendation?

APPENDIXES

A References

B Committee Member Biographies Generated by AI.

Notes:

Includes bibliographical references.

Description based on publisher supplied metadata and other sources.

Part of the metadata in this record was created by AI, based on the text of the resource.

Description based on print version record.

Other Format:

Print version: National Academies of Sciences, Engineering, and Medicine Defining Populations for Dietary Reference Intake Recommendations

ISBN:

9780309694414

0309694418

9780309694438

0309694434

OCLC:

1357015537