Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report (2023)

Chapter: Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process

Previous Chapter: Appendix A: Committee Member Biographies
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.

Appendix B

Elements of the 2020–2025 Dietary Guidelines for Americans Process

TABLE B-1 Elements of the 2020–2025 Dietary Guidelines for Americans Process

Element of the process Stage of DGA Development Process*
Stage 1: Identify topics and supporting scientific questions Stage 2: Appoint a DGAC to review the evidence Stage 3: Develop the DGA
Who was involved
  • USDA and HHS staff in consultation with agencies across the federal government
  • The public
  • Secretaries of USDA and HHS appoint the DGAC members (20)
  • Divided into six subcommittees and one cross-cutting working group (data analysis and food pattern modeling)
    • Supported by staff of the federal agencies (including the federal data analysis team and NESR)
  • The public
  • Staff of the USDA/HHS: federal writing group
  • Federal agencies with nutrition policy and programs
  • External experts for peer review
  • The public
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
What happened
  • Federal nutritionists proposed topics and supporting questions
    • The list was informed by the needs of federal nutrition-related programs and reflected the 2014 Farm Bill
  • Open public comment period
  • Topics and questions were refined and posted with the call for DGAC nominations
  • Protocols developed for each question
  • Review the evidence (NESR systematic reviews, data analysis, and food pattern modeling)
  • Develop conclusion statements and provide advice for Secretaries to consider for the next guidelines
  • Open public comment periods
  • DGAC disbands after submitting the DGAC Scientific Report to the Secretaries
  • Public and federal scientists comment on DGAC Scientific Report
  • DGA is written
  • DGA undergo federal expert technical review by all agencies with nutrition policies and programs across USDA and HHS
  • DGA undergo peer-review by external experts (including previous DGAC members and federal scientists and policy advisors)
  • DGA complete federal clearance process and receive approval from Secretaries of USDA and HHS
  • DGA are released to the public
Data considered
  • Needs of federal nutrition-related programs
  • Existing evidence-based federal guidance and existing systematic reviews
  • Public and agency comments
  • Published research
  • Previous and new NESR systematic reviews
  • Databases (What We Eat In America, National Health and Nutrition Examination Survey, National Health Interview Survey, National Cancer Institute’s Surveillance Epidemiology and End Result, and National Vital Statistics System)
  • Dietary Reference Intakes
  • Public comments
  • Public comments and agency input
  • DGAC Scientific Report
  • Previous edition of the DGA
  • Existing evidence based on federal guidance
  • Needs of federal nutrition-related programs
  • Unintended consequences
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Data analysis conducted
  • Review public comments and agency input
    • Considered each comment in relation to four criteria (briefly: relevance, importance, impact, and avoiding duplication)
  • Review needs of federal nutrition-related programs
  • Protocols created for each question
    • Data analysis protocols
    • Food pattern modeling protocols
    • Systematic review protocols
  • Data analysis—collection of analyses to describe the current health and dietary intakes of Americans
  • Food pattern modeling—analysis of how a change in dietary pattern affects nutrient needs
  • Systematic reviews—synthesizing peer-reviewed literature
  • Review public and agency comments on DGAC Scientific Report
  • Review needs of federal nutrition-related programs, previous guideline editions, and previous DGAC recommendations

NOTE: DGA = Dietary Guidelines for Americans; DGAC = Dietary Guidelines Advisory Committee; HHS = U.S. Department of Health and Human Services; NESR = Nutrition Evidence Systematic Review

*Based on stages presented in the Dietary Guidelines for Americans, 2020–2025

Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Image
FIGURE B-1 Comparison of select milestones in the timeline recommended in the 2017 National Academies Report (top) with that used to develop the 2020–2025 Dietary Guidelines for Americans (bottom).
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Image
FIGURE B-1 Comparison of select milestones in the timeline recommended in the 2017 National Academies Report (top) with that used to develop the 2020–2025 Dietary Guidelines for Americans (bottom).
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.

REFERENCES

DGA (Dietary Guidelines for Americans), n.d.a. USDA-HHS development of the Dietary Guidelines. https://www.dietaryguidelines.gov/usda-hhs-development-dietary-guidelines (accessed August 31, 2022).

DGA. n.d.b. Process to identify the topics and questions. https://www.dietaryguidelines.gov/resources/about-process/process-identify-topics-and-questions (accessed August 31, 2022).

DGA. n.d.c. Topics and questions for review organized by topic. https://www.dietaryguidelines.gov/resources/about-process/process-identify-topics-and-questions/topics-andquestions-review-organized (accessed August 31, 2022).

DGAC (Dietary Guidelines Advisory Committee). 2020. Scientific Report of the 2020 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Health and Human Services and the Secretary of Agriculture. Washington, DC: U.S. Department of Agriculture, Agricultural Research Service. https://www.dietaryguidelines.gov/2020-advisory-committee-report (accessed June 6, 2022).

NASEM (The National Academies of Sciences, Engineering, and Medicine). 2017. Redesigning the process for establishing the dietary guidelines for americans. Washington, DC: The National Academies Press.

USDA/HHS (U.S. Department of Agriculture/Department of Health and Human Services). 2020. Dietary Guidelines for Americans, 2020–2025, 9th ed. https://dietaryguidelines.gov/ (accessed June 6, 2022).

Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Page 121
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Page 122
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Page 123
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Page 124
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
Page 125
Suggested Citation: "Appendix B: Elements of the 20202025 Dietary Guidelines for Americans Process." National Academies of Sciences, Engineering, and Medicine. 2023. Evaluating the Process to Develop the Dietary Guidelines for Americans, 2020-2025: Final Report. Washington, DC: The National Academies Press. doi: 10.17226/26653.
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Next Chapter: Appendix C: Data Sources Used by the 2020 Dietary Guidelines Advisory Committee
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