Strengthening national nutrition research: rationale and options for a new coordinated federal research effort and authority.
Background The US faces remarkable food and nutrition challenges. A new federal effort to strengthen and coordinate nutrition research could rapidly generate the evidence base needed to address these multiple national challenges. However, the relevant characteristics of such an effort have been unce...
| Publicado en: | American Journal of Clinical Nutrition Vol. 112; no. 3; pp. 721 - 770 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | pictorial review tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145455613&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145455613 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029165 AJC jtl: American Journal of Clinical Nutrition issn: 00029165 maglogo: N pubinfo: dt: Sep2020 vid: 112 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 145455613 145455613 145455613 10.1093/ajcn/nqaa179 145455613 ppf: 721 ppct: 49 formats: tig: atl: Strengthening national nutrition research: rationale and options for a new coordinated federal research effort and authority. aug: au: Fleischhacker, Sheila E Woteki, Catherine E Coates, Paul M Hubbard, Van S Flaherty, Grace E Glickman, Daniel R Harkin, Thomas R Kessler, David Li, William W Loscalzo, Joseph Parekh, Anand Rowe, Sylvia Stover, Patrick J Tagtow, Angie Yun, Anthony Joon Mozaffarian, Dariush affil: Fly Health, LLC and Georgetown University Law Center , Washington, DC, USA sug: subj: Nutrition Research, Medical Nutrition Disorders Nutrition Policy Federal Government United States Food Security Authority Public Health Agriculture Health Services Accessibility Dietary Reference Intakes Diet Research Support United States Descriptive Statistics Administrative Personnel Health Care Costs Health Status Disparities COVID-19 Pandemic Hypertension Diabetes Mellitus Obesity Government Agencies National Institutes of Health (U.S.) Collaboration Preventive Health Care Financing, Government ab: Background The US faces remarkable food and nutrition challenges. A new federal effort to strengthen and coordinate nutrition research could rapidly generate the evidence base needed to address these multiple national challenges. However, the relevant characteristics of such an effort have been uncertain. Objectives Our aim was to provide an objective, informative summary of 1) the mounting diet-related health burdens facing our nation and corresponding economic, health equity, national security, and sustainability implications; 2) the current federal nutrition research landscape and existing mechanisms for its coordination; 3) the opportunities for and potential impact of new fundamental, clinical, public health, food and agricultural, and translational scientific discoveries; and 4) the various options for further strengthening and coordinating federal nutrition research, including corresponding advantages, disadvantages, and potential executive and legislative considerations. Methods We reviewed government and other published documents on federal nutrition research; held various discussions with expert groups, advocacy organizations, and scientific societies; and held in-person or phone meetings with >50 federal staff in executive and legislative roles, as well as with a variety of other stakeholders in academic, industry, and nongovernment organizations. Results Stark national nutrition challenges were identified. More Americans are sick than are healthy, largely from rising diet-related illnesses. These conditions create tremendous strains on productivity, health care costs, health disparities, government budgets, US economic competitiveness, and military readiness. The coronavirus disease 2019 (COVID-19) outbreak has further laid bare these strains, including food insecurity, major diet-related comorbidities for poor outcomes from COVID-19 such as diabetes, hypertension, and obesity, and insufficient surveillance on and coordination of our food system. More than 10 federal departments and agencies currently invest in critical nutrition research, yet with relatively flat investments over several decades. Coordination also remains suboptimal, documented by multiple governmental reports over 50 years. Greater harmonization and expansion of federal investment in nutrition science, not a silo-ing or rearrangement of existing investments, has tremendous potential to generate new discoveries to improve and sustain the health of all Americans. Two identified key strategies to achieve this were as follows: 1) a new authority for robust cross-governmental coordination of nutrition research and other nutrition-related policy and 2) strengthened authority, investment, and coordination for nutrition research within the NIH. These strategies were found to be complementary, together catalyzing important new science, partnerships, coordination, and returns on investment. Additional complementary actions to accelerate federal nutrition research were identified at the USDA. Conclusions The need and opportunities for strengthened federal nutrition research are clear, with specific identified options to help create the new leadership, strategic planning, coordination, and investment the nation requires to address the multiple nutrition-related challenges and grasp the opportunities before us. pubtype: Academic Journal doctype: pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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