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Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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NUTRITIONAL RISK ASSESSMENT

Perspectives, Methods, and Data Challenges

Workshop Summary

Carol West Suitor, Ann Yaktine, and Maria Oria Rapporteurs

Food Forum

Food and Nutrition Board

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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THE NATIONAL ACADEMIES PRESS

500 Fifth Street, N.W. Washington, DC 20001

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This study was supported by Contract No. HHSF223200730582P between the National Academy of Sciences and the U.S. Department of Health and Human Services; the Interagency Risk Assessment Consortium; the U.S. Department of Agriculture; and the International Life Sciences Institute. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

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Copyright 2007 by the National Academy of Sciences. All rights reserved.

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Suggested citation: Institute of Medicine (IOM). 2007. Nutritional risk assessment: Perspectives, methods, and data challenges, workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
×

“Knowing is not enough; we must apply.

Willing is not enough; we must do.”

—Goethe

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES


Advising the Nation. Improving Health

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine


The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.


The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.


The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.


The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.


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Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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WORKING GROUP ON NUTRITIONAL RISK ASSESSMENT

ROBERT L. BUCHANAN (Chair),

Center for Food Safety and Applied Nutrition, Food and Drug Administration, U.S. Department of Health and Human Services, College Park, MD

SUZANNE HARRIS,

International Life Sciences Institute, Washington, DC

DAVID KLURFIELD,

Agricultural Research Service, U.S. Department of Agriculture, Beltsville, MD

KATHLEEN KOEHLER,

Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, DC

MOLLY KRETSCH,

Agricultural Research Service, U.S. Department of Agriculture, Beltsville, MD

MICHAEL D. McELVAINE,

Office of Risk Assessment and Cost–Benefit Analysis, U.S. Department of Agriculture, Washington, DC

MARIANNE MILIOTIS,

Center for Food Safety and Applied Nutrition, Food and Drug Administration, U.S. Department of Health and Human Services, College Park, MD

STEPHEN OLIN,

International Life Sciences Institute, Washington, DC

MARIA ORIA,

Food and Nutrition Board, Institute of Medicine, Washington, DC

CATHERINE E. WOTEKI,

Mars, Incorporated, McLean, VA

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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FOOD FORUM

MICHAEL P. DOYLE (Chair),

University of Georgia, Griffin

PAMELA ANDERSON,

Ross Products Division, Abbott Laboratories, Columbus, OH

RHONA APPLEBAUM,

The Coca-Cola Company, Atlanta, GA

JAMES D. ASTWOOD,

ConAgra Foods Inc., Omaha, NE

JANET BEAUVAIS,

Health Canada, Ottawa, Ontario

SUSAN BORRA,

International Food Information Council, Washington, DC

ROBERT BRACKET,

Food and Drug Administration, Washington, DC

JULIE CASWELL,

University of Massachusetts, Amherst

CELESTE A. CLARK,

Kellogg Company, Battle Creek, MI

DICK CRAWFORD,

McDonalds Corporation, Oak Brook, IL

SUSAN J. CROCKETT,

General Mills, Minneapolis, MN

HAMED FARIDI,

McCormick & Company, Hunt Valley, MD

NED GROTH III,

Groth Consulting Services, Pelham, NY

BRENDA HALBROOK,

Department of Agriculture, Washington, DC

JERRY HJELLE,

Monsanto Company, St. Louis, MO

GILBERT A. LEVEILLE,

Cargill, Wayzata, MN

JOSEPH A. LEVITT,

Hogan & Hartson L.L.P., Washington, DC

ALICE H. LICHTESTEIN,

Tufts University, Boston, MA

DONNA PORTER,

Library of Congress, Washington, DC

PRISCILLA SAMUEL,

Mead Johnson Nutrition, Evansville, IN

FRED R. SHANK,

Institute of Food Technologists, Washington, DC

WILLIAM SVEUM,

Kraft Foods, Glenview, IL

STEVE L. TAYLOR,

University of Nebraska, Lincoln

BRIAN WANSINK,

Cornell University, Ithaca, NY

CATHERINE E. WOTEKI,

Mars, Incorporated, McLean, VA

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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FOOD AND NUTRITION BOARD*

DENNIS M. BIER (Chair),

Children’s Nutrition Research Center, Houston, TX

MICHAEL P. DOYLE (Vice Chair),

Center for Food Safety, University of Georgia, Griffin

DIANE BIRT,

Department of Food Science and Human Nutrition, Iowa State University, Ames

YVONNE BRONNER,

School of Public Health and Policy, Morgan State University, Baltimore, MD

FERGUS M. CLYDESDALE,

Department of Food Science, University of Massachusetts, Amherst

GORDON L. JENSEN,

Department of Nutritional Sciences, Pennsylvania State University, University Park

REYNALDO MARTORELL,

Department of Global Health, Emory University, Atlanta, GA

SUSAN T. MAYNE,

Division of Chronic Disease Epidemiology, Yale University School of Medicine, New Haven, CT

SANFORD A. MILLER,

Center for Food, Nutrition, and Agriculture Policy, University of Maryland, College Park

J. GLENN MORRIS, JR.,

Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore

SUZANNE P. MURPHY,

Cancer Research Center of Hawaii, University of Hawaii, Honolulu

JOSE M. ORDOVAS,

Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA

MARTIN A. PHILBERT,

School of Public Health, University of Michigan, Ann Arbor

JIM E. RIVIERE,

Center for Chemical Toxicology Research and Pharmacokinetics, North Carolina State University, Raleigh

REBECCA J. STOLTZFUS,

Division of Nutritional Sciences, Cornell University, Ithaca, NY

PATRICK J. STOVER,

Division of Nutritional Sciences, Cornell University, Ithaca, NY

WALTER C. WILLETT,

Department of Nutrition, Harvard School of Public Health, Boston, MA

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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Staff

LINDA D. MEYERS, Director

GERALDINE KENNEDO, Administrative Assistant

ANTON L. BANDY, Financial Associate

*

IOM Boards do not review or approve individual workshop summaries. The responsibility for the content of the summary rests with the rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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Independent Report Reviewers

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:


Diane F. Birt, Department of Food Science and Human Nutrition, Center for Research on Botanical Dietary Supplements, Iowa State University

Christine Chaisson, LifeLine Group, Inc.

Susan Ferenc, Chemical Producers and Distributors Association

Donna V. Porter, Domestic Social Policy Division, Congressional Research Service


Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the final draft of the report before its release. The review of this report was overseen by A. Catharine Ross, Department of Nutritional Sciences, Pennsylvania State University. Appointed by the Institute of Medicine, she was responsible for making certain that an independent

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
×

examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authors and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Nutritional Risk Assessment: Perspectives, Methods, and Data Challenges: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/11940.
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For more than two decades, the practice of risk assessment has been applied to human public health issues, and policy makers have used the results of risk assessments in their decision-making process. Approaches for risk assessment have been developed for nonnutrients such as drugs, food additives, and pesticides, but approaches for risk assessment have received less attention in the nutrition area. Some aspects of the risk assessment approach used for nonnutrients are applicable to the assessment of risks related to nutrition. The overall approach, however, must be adapted and modified to take into account the unique aspects of nutrients, including the fact that both high and low nutrient intakes are associated with risk. Experience with the application of a risk assessment process to the setting of upper levels of intake for essential nutrients, for example, has uncovered a number of challenges. Adapting and developing risk assessment strategies for application in nutrition science could lead to improved approaches to the development of dietary and nutritional recommendations and thus is a topic of considerable interest.

One nonscientific but overall challenge to nutritional risk assessment relates to increasing and improving communication among experts from key disciplines in ways that could inform the nutritional risk assessment process. Among these key disciplines are nutrition, toxicology, dietary exposure assessment, economics, risk analysis, and epidemiology. How can the perspectives and methods of these diverse fields be brought together to develop more effective approaches for quantitative nutritional risk assessment? How can they be applied to a spectrum of topics related to food and nutrition—micronutrients, macronutrients, dietary supplements, whole foods, food groups, and dietary patterns? How can they help overcome the data challenges that confront nutritional risk assessors?

As a step toward improving the communication and sharing methods and information across disciplines, members of the Interagency Risk Assessment Consortium, the U.S. Health and Human Services Office of the Assistant Secretary for Planning and Evaluation, the Institute of Medicine's Food Forum, and the International Life Sciences Institute planned the Nutritional Risk Assessment Workshop. The workshop was held on February 28 and March 1, 2007, in Washington, D.C. This workshop, which was envisioned as one in a series, focused on opening a dialogue to explore the unique questions and challenges faced by nutritionists and the potential use of risk assessment methodologies to answer them. Nutritional Risk Assessment : Perspectives, Methods, and Data Challenges, Workshop Summary summarizes the happenings of this workshop.

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