NUTRITION POLICY AT A CROSSROADS: DIETARY GUIDELINES FOR AMERICANS

APPLICATION AND EVOLUTION

ASNNA Winter Conference February 12, 2015

Angie Tagtow, MS, RD, LDExecutive Director

Journey

Overview of USDA’s Center for Nutrition Policy and Promotion

How science and policy is translated into action

Emerging issues for Dietary Guidelines for Americans

USDA

Executive Director

Office of Nutrition

Marketing and Communicatio

n

Office of Nutrition

Guidance and Analysis

Deputy Director

Senior Policy AdvisorAdministrative

Center for Nutrition Policy & Promotion

CNPP Core Functions

The mission of CNPP is to improve the health of Americans by developing and promoting dietary guidance that links scientific research to the nutrition needs of consumers.

Science

Policy Action

Why We Do This Work

CNPP InitiativesScienc

e Policy Action

Nutrition Evidence Library

A state-of-the-art method for conducting rigorous systematic reviews of the scientific evidence to answer precise questions

Conducted by a multidisciplinary team of scientific experts based on a predefined approach and criteria

Ensures objectivity, transparency and reproducibility

Science

Birth-24 Months Dietary Guidance Project

Agricultural Act of 2014: Calls for the Dietary Guidelines for Americans to expand to include pregnant women and children from birth to age 2

Sec 4204: Not later than the 2020 report [on the Dietary Guidelines for Americans] and in each report thereafter, the Secretaries [of USDA and HHS] shall include national nutritional and dietary information and guidelines for pregnant women and children from birth until the age of 2

Science

Dietary Guidelines for Americans

Purpose Provide science-based advice for ages 2 years and older Including those at increased risk of chronic disease

Target audience Policymakers, nutrition educators, and health professionals

Produced by USDA and HHS

How often Updated every 5 years

Policy

DGA Development and Implementation

DGAC Report Submitted to

Secretaries of USDA & HHS

USDA & HHS Develop Policy

Document

DGAC Chartered DG

Implemented through Federal

Programs

DGAC Charter

DGAC Public Meetings: Review

of Science

Phase 2 2 Yrs

Phase 1 1 Yr

Phase 3 1 Yr

Phase 4On-going

Engage in the DGA Process

The 2015 Dietary Guidelines Advisory Committee Report will be available for review soon

Submit comments through the 2015 DGAC Public Comment database

http://www.dietaryguidelines.gov

ChooseMyPlate.gov

Coordinated Messaging with Supporting

Resources

Interactive/Personalized Tools

Social Media Engagement

Partnerships

Action

New SNAP-Ed and MyPlate Resource

Engage with MyPlate

Use MyPlate resources and tools in your nutrition education efforts – visit ChooseMyPlate.gov

Connect with us: MyPlate on Facebook @MyPlate on Twitter Sign up for our GovDelivery

Announcements Become a Community Partner

Facilitating the Crossroads

Click icon to add picture

Evolution of the Dietary Guidelines for Americans

1980

1985

1990

1995

2000

2005

2010

2010 NEL Review

2010 DGAC Question: What are the effects of combining changes to the food environment and nutrition education compared to either of these strategies alone on children’s and adolescent’s dietary intake-related behaviors?

Consistent evidence suggests that combining nutrition education with changes to the school food environment is more effective for improving children’s and adolescents’ dietary intake than making changes to the food environment alone.  (GRADE: Strong)

Science

Setting the StagePolicy

2010 Call to Action

Ensure that all Americans have access to nutritious foods and opportunities for physical activity

Facilitate individual behavior change through environmental strategies

Set the stage for lifelong healthy eating, physical activity, and weight management behaviors

Action

MyPlate Messages

Make half your plate fruits and vegetables Switch to fat-free or low-fat (1%) milk (dairy) Make at least half your grains whole Compare sodium, sugars, and saturated fats in

foods and choose the foods with lower numbers Enjoy your food, but eat less Avoid oversized portions Be active your way Drink water instead of sugary drinks

Action

Helping American Make Better Choices

School Meal Patterns

Smart Snacks in Schools

Menu Labeling

Action

Applied to the School Environment

MEDIAGOVERNMENT

AGENCIES

SCHOOLS

FAITH-BASEDORGANIZATIONS

HEALTH CAREPROVIDERS

POSTSECONDARYINSTITUTIONS

FAMILY

SCHOOLEMPLOYEES

YOUTH-SERVINGORGANIZATIONS

Y O U T H

Applied to theHealthy Hunger Free Kids Act,

2010

School Meal Patterns

Smart Snacks in Schools

Applied to School Health Guidelines to Promote Healthy Eating and Physical Activity

Provide science-based guidance for schools on establishing a school environment supportive of healthy eating and physical activity

New IOM Report

A Framework for assessing decisions about food & agriculture.

Applied to the Food Supply: Trans Fats

Ingredients:Liquid Corn Oil, Partially Hydrogenated Soybean Oil, Salt, Vegetable Mono And Diglycerides And Soy Lecithin (Emulsifiers), Sodium Benzoate (To Preserve Freshness), Vitamin A Palmitate, Colored With Beta Carotene (Source Of Vitamin A), Artificial Flavor, Vitamin D3

Prior to January 2006 Starting in January 2006

Food Supply: Trans Fats Today

Food Supply: Nutrition Facts Label

Food Supply: Sodium

What Does the Future Hold for the Dietary Guidelines?

Emerging Issues

Population not eating near DG recommendations Expansion of the Dietary Guidelines to include the

birth-24 months Defining the “healthy, general population” Rapidly changing food system – production, processing,

retail Connecting DG to food and nutrition security via

capacity of natural resources in sustaining healthy diets New communication needs of a changing and diverse

audience - how to reach people where they are Enhanced attention by the media, public, industry,

Congress

Evolution of Dietary Guidelines Emerging research on behavioral economics

and influences on individual dietary behaviors RCTs, lifespan, updated data

Broader application of DG to policy, system and environment (PSE) initiatives and document impact

Innovative communication strategies to inform dietary behavior change

Exploration of DG impact on food system sectors and social, environmental and economic domains

Spectrum of Prevention

Consider Your Evolution

Apply the 2010 Dietary Guidelines to your work

Provide input to the 2015 DGAC Scientific Report

Share your stories Report your impacts Get ready for 2016!

Resources

www.DietaryGuidelines.gov

2010 Dietary Guidelines

for Americans Meeting

announcements, materials and Q&As

2015 Public Comments Database

Science

Policy

Action

www.NEL.gov Systematic

review summaries

ChooseMyPlate.gov Consumer and

Professional Resources

SuperTracker What’s Cooking?

USDA Mixing Bowl