Nutrition Roundtable

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Nutrition Roundtable
Friday, December 12, 2008

• FDA
• Center for Food Safety and Applied Nutrition
• College Park, Maryland

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Roundtable Format

• Welcome and Introductions
• Agency Priorities and Initiatives Related to
  Nutrition
• FDA Associate Commissioner
• Update on Nutrition Activities at CFSAN
• General updates
• Two Panels
• Front of Pack Symbols
• Foods Referred to as Functional Foods
• Education and Outreach-Spot the Block

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Roundtable Format, Contd

• Concluding Remarks
• Procedures Logistics
• Questions will be addressed at three periods
  during the Roundtable as indicated on the agenda
• Use index cards to record your questions and pass
  them to either aisle.
• Feedbackplease fill out the Evaluation Form in
  your packets

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Introductions

• Introductions
• FDA Commissioners Office
• Colleagues outside of FDA
• Welcome Everyone

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Objective

• To update stakeholders on nutrition activities at
  FDA in 2008

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Agency Priorities and Initiatives Related to
Nutrition

• Dr. David Acheson
• Associate Commissioner of Foods
• Office of Food Protection
• FDA

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Office of Food Protections Role in Nutrition

• Tasked with providing agency wide leadership of
  foods including health promotion and nutrition
• Increase FDAs role in the promoting the health
  benefits of food
• Partnering with other FDA centers, government
  agencies, and industry
• National Center for Food Safety and Technology
• FDAs National Center for Toxicological Research
• WebMD

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National Center for Food Safety and Technology
and FDA Collaboration

• NCFST is a food research consortium of the FDA,
  Illinois Institute of Technology, and the Food
  Industry
• Facilitated a workshop entitled The Role of
  Innovation and Technology in Meeting Individual
  Nutritional Needs with NCFST and CFSAN in
  September
• Workshop brought together government, academia,
  and industry to identify research opportunities
  in the development of a Health Promoting Foods
  Research Platform at NCFST

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Research Areas Discussed at Workshop

• Behavioral
• Small defined changes worked best
• Processing and Packaging
• Baby Carrots
• 100 calorie packs
• Information Technology
• Physical Activity and Nutrition Information

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Personalized Nutrition Activities at NCTR

• FDAs Division of Personalized Nutrition and
  Medicine (DPNM) at the National Center for
  Toxicological Research
• Goal is develop research strategies that account
  for genetic, environmental, and cultural
  diversity that influences gene expression and
  produces knowledge for improving personal and
  public health

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Personalized Nutrition Activities at NCTR

• Collaboration with USDA on the Delta Vitamin
  Project
• 3 month summer camp for rural low-income children
  in Summer of 2008
• Give children 2 nutritious meals/day
• Evaluate serum vitamin levels pre and post
• Impact on Genotyping
• Develop a Database for Food/Nutrient Assessments
• Standardization
• Web-based

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FDA and WebMD Partnership

• WebMD provides health information to 50 million
  people per month
• Partnership will enable WebMD to have links to
  FDA consumer health information
  http//www.webmd.com/fda
• FDA consumer updates will be contributed to WebMD
  The Magazine

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CFSANs Accomplishments and Updates

• Steven Sundlof, D.V.M, Ph.D.

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UpdatesMOU with USDACNPP

• MOU with USDACNPP developed to formalize
  collaborative activities between the two parties
  (the partners) to
• Expand the reach and visibility of education and
  outreach programs for communicating messages on
  use of Nutrition Facts labeling and the Dietary
  Guidelines for Americans/ MyPyramid, and

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UpdatesMOU with USDACNPP

• To jointly find ways to multiply the reach of
  these programs through partnering with external
  organizations.

The partners will have quarterly meetings to
brainstorm and generate ideas. Also, will share
ideas about ways to evaluate educational programs
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UpdatesHealth Claims

• Final rules published in 2008 as amendments to
  existing Health Claims
• Vitamin D and calcium and osteoporosis
  http//www.cfsan.fda.gov/lrd/fr080929.html
• Barley beta-fiber (soluble fiber) and coronary
  heart disease (CHD) http//www.cfsan.fda.gov/lrd
  /fr080815.html
• Isomaltulose and dental caries
  http//www.cfsan.fda.gov/lrd/fr080527.html

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UpdatesDietary Guidelines

• The process has begun to update the Dietary
  Guidelines (DG) for 2010.
• A USDA/DHHS joint effort, USDA has the lead for
  the 2010 DG
• The 13-member Advisory Committee (DGAC) has been
  sworn in.
• The first DGAC meeting was October 30-31, 2008

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UpdatesDietary Guidelines

• Work has been divided into eight topical
  subcommittees.
• The DG scientific review will be facilitated by
  an Evidence-based process called the Nutrition
  Evidence Library (NEL)
• Visit the DG website www.dietaryguidelines.gov
• Contacts
• Carole Davis, M.S., RD, USDA
• Kathryn McMurry, M.S., HHS
• FDA is very supportive of this process

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UpdatesFDAs Critical Path Initiative

• The project on Biomarkers, entitled Developing
  a Framework for Biomarker Validation for Reducing
  the Risk of Chronic Disease, is a contract with
  the Institute of Medicine (IOM). The aims are
• To develop a framework on evidence-based
  standards for the qualification of chronic
  disease risk biomarkers
• To apply available evidence on HDL-cholesterol to
  this framework as a case study

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UpdatesSection 912 of FDAAA

• Section 912 establishes new prohibition against
  food containing added drugs or biological
  products
• Issued FR notice on July 29 seeking comments on
  section 912 to provide context for FDA decisions
  implementing this provision
• Received about 27 comments, now under review
• Recently also received a citizen petition citing
  section 912 with respect to a specific food
  ingredient

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UpdatesSalt and Sodium

• FDA Public Hearing, held on November 29, 2007, to
  discuss policies regarding salt and sodium
• FDA received 200 unique comments and is
  presently reviewing them.
• As part of an HHS-sponsored project, the IOM has
  convened a committee to examine strategies to
  reduce sodium intake in the U.S. population.
• This committee will ultimately issue a final
  report describing its recommendations.

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Questions
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Front of Pack (FOP) Symbols

• Barbara Schneeman, Moderator
• Vincent de Jesus
• Chung-Tung Jordan Lin

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Foods Referred to as Functional Foods

• Barbara Schneeman, Moderator
• Ritu Nalubola
• Julie Moss
• Louisa Nickerson
• Paula

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Questions
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UpdatesEducational Outreach

• Spot the Block

Marjorie Davidson
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Questions
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Wrap-up

• Steven Sundlof, D.V.M., PhD

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Wrap-up Concluding Remarks

• Reminderfill out evaluation form
• We value your feedback
• This first Roundtable may likely be improved over
  time.
• There are ongoing CFSAN initiatives which will
  likely be completed in 2009
• ANPRMs
• Proposed rules
• Guidances

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Wrap-up Concluding Remarks

• The agency continues to regard these initiatives
  as high priority.
• Be watching for future Roundtables where we will
  discuss additional nutritional initiatives.