Global Harmonization of Methodological Approaches to Nutrient Intake Recommendations Proceedings of a Workshop (2018) / Chapter Skim
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1 Introduction
1 Introduction
Pages 1-8
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The workshop objectives, guided by the Statement of Task (see Box 1-1) and identified by the workshop planning committee, were the following: • Describe potential frameworks to enable global harmonization of methodologies to establish nutrient intake recommendations.
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The goal is to develop discussion topics about ways to provide a uniform and con sistent basis for setting nutrient intake recommendations across countries while accommodating culturally and context-specific food choices and dietary patterns. Specific issues for consideration can include • Identifying appropriate uses for and ways to reach consensus on nutrient intake standards; • Developing a harmonized framework and approaches for the derivation of nutrient intake recommendations; • Cultivating international partnerships to evaluate methodologies and ap proaches to reviewing nutrients; • Reviewing the process for harmonization approaches and development of nutrient intake recommendations to maximize their acceptance; • Consider approaches to facilitate global sharing of resources to maintain quality and support cost-effectiveness to develop meth odologies for nutrient intake recommendations.
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The 2030 Agenda for Sustainable Development reiterated the need to end malnutrition in all its forms, with Goal 2 being to end hunger, achieve food security and improved nutrition, and promote sustainable agriculture. Then, the UN eneral Assembly declared, in April 2016, the period between 2016 G through 2025 the "UN decade of nutrition." Together, these three actions, along with numerous regional declarations to promote nutrition "have placed nutrition firmly at the heart of the development debate," Stamoulis said.
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DEFINING THE PROBLEM: PARTNER PANEL Following Stamoulis's and Atkinson's welcoming remarks, representatives from WHO and FAO were invited to offer further opening remarks in the first panel of the workshop: "Defining the Problem: Partner Panel." Atkinson spoke on the behalf of Ken Brown of the Bill & Melinda Gates Foundation. WHO Like Atkinson, Chizuru Nishida, WHO coordinator of the Nutrition Policy and Scientific Advice Unit in the Department of Nutrition for Health
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She expressed hope that this work will not just further the discussion,2 but will provide a road map of possible next steps for facilitating global harmonization, including the identification of priority nutrients or areas where proposed approaches can be tested. Additionally, she expressed WHO's interest in the possibility of applying or incorporating existing processes and methodologies already 2 This workshop will help to inform a larger, consensus effort to review and assess meth odological approaches to developing nutrient intake recommendations, as described at http:// nationalacademies.org/hmd/Activities/Nutrition/NutrientIntakeRecommendations.aspx (accessed April 25, 2018)
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Lartey then described some of FAO's ongoing programs in nutrition that are relevant to work on the harmonization of methodological approaches to developing nutrient intake recommendations, noting FAO's emphasis over the past 5 years on reforming food systems to deliver healthy diets. "We believe that if we want to address all forms of malnutrition as we currently have it," she said, "we really have to look at sustainable food systems." First, she mentioned FAO's collaboration with WHO to develop the Global Individual Food consumption data Tool (GIFT)
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According to Brown, as conveyed by Atkinson, the Gates Foundation will judge this effort as being successful if the consensus group,3 not this workshop, is able to develop recommendations for a preferred method to approach global harmonization and apply this method to the derivation of nutrient intakes for one or more nutrients as an example. Brown also remarked, again, as conveyed by Atkinson, that the Gates Foundation recognizes that the process of global harmonization will require not only technical considerations, but political consensus on how best to apply the recommended approach and which organization or organizations should take the lead on implementing the consensus committee's recommendations.
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The remainder of session 1, which was a panel discussion, "Current Models for Establishing Intake Recommendations," with four panelists from different regions of the world discussing opportunities for and challenges of harmonization, is summarized in Chapter 4. Chapter 5 summarizes the session 2 presentations on "Approaches to Evaluating the Evidence," with three presentations on quality assessment instruments, systematic reviews, and risk–benefit analysis.
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