1. NUTRITION POLICY AT A CROSSROADS: DIETARY GUIDELINES FOR AMERICANS APPLICATION AND EVOLUTION ASNNA Winter Conference February 12, 2015 Angie Tagtow, MS, RD, LD Executive Director

2. 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

3. USDA

4. Executive Director Office of Nutrition Marketing and Communication Office of Nutrition Guidance and Analysis Deputy Director Senior Policy Advisor Administrative Center for Nutrition Policy & Promotion

5. 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. SciencePolicyAction

6. Why We Do This Work

7. CNPP Initiatives

8. 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

9. 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

10. 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

11. 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 4 On-going

13. 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

14. ChooseMyPlate.gov Coordinated Messaging with Supporting Resources Interactive/Personalized Tools Social Media Engagement Partnerships Action

15. New SNAP-Ed and MyPlate Resource

16. 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

17. Facilitating the Crossroads

18. Evolution of the Dietary Guidelines for Americans 1980 1985 1990 1995 2000 2005 2010

19. 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?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

20. Setting the Stage Policy

21. 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

22. 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

23. Helping American Make Better Choices Action

24. Applied to the School Environment MEDIA GOVERNMENT AGENCIES SCHOOLS FAITH-BASED ORGANIZATIONS HEALTH CARE PROVIDERS POSTSECONDARY INSTITUTIONS FAMILY SCHOOL EMPLOYEES YOUTH-SERVING ORGANIZATIONS Y O U T H

25. Applied to the Healthy Hunger Free Kids Act, 2010 School Meal Patterns Smart Snacks in Schools

26. 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

27. New IOM Report A Framework for assessing decisions about food & agriculture.

28. 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

29. Food Supply: Trans Fats Today

30. Food Supply: Nutrition Facts Label

31. Food Supply: Sodium

32. What Does the Future Hold for the Dietary Guidelines?

33. 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

34. 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

35. Spectrum of Prevention

36. 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!

37. Resources www.DietaryGuidelines.gov 2010 Dietary Guidelines for Americans Meeting announcements, materials and Q&As 2015 Public Comments Database SciencePolicyAction www.NEL.gov Systematic review summaries ChooseMyPlate.gov Consumer and Professional Resources SuperTracker What’s Cooking? USDA Mixing Bowl