Evidence map›Paper›PMID 27927637›Full record

ReviewThe American journal of clinical nutrition2017

Options for basing Dietary Reference Intakes (DRIs) on chronic disease endpoints: report from a joint US-/Canadian-sponsored working group.

Elizabeth A Yetley, Amanda J MacFarlane, Linda S Greene-Finestone, Cutberto Garza, Jamy D Ard, Stephanie A Atkinson, Dennis M Bier, Alicia L Carriquiry, William R Harlan, Dale Hattis and 6 more

Abstract readReview
In one paragraph

Review in The American journal of clinical nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Combinations of Epidemiological and Experimental Studies in Air Pollution Research: A Narrative Review.International journal of environmental research and public health · 2020
    Pooled it
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  8. Trial
  9. Article
  10. Review
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  14. Article
  15. Lifestyle Interventions in Frailty.Advances in experimental medicine and biology · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Elizabeth A YetleyOffice of Dietary Supplements, NIH, Bethesda, MD.
Amanda J MacFarlaneBureau of Nutritional Sciences, Health Canada, Ottawa, Ontario, Canada; amanda.macfarlane@hc-sc.gc.ca.
Linda S Greene-FinestoneBureau of Nutritional Sciences, Health Canada, Ottawa, Ontario, Canada.
Cutberto GarzaBoston College, Chestnut Hill, MA.
Jamy D ArdWake Forest School of Medicine, Wake Forest University, Winston-Salem, NC.
Stephanie A AtkinsonDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Dennis M BierChildren's Nutrition Research Center, Baylor College of Medicine, Houston, TX.
Alicia L CarriquiryDepartment of Statistics, Iowa State University, Ames, IA.
William R HarlanRetired, Office of the Director, NIH, Bethesda, MD.
Dale HattisThe George Perkins Marsh Institute, Clark University, Worcester, MA.
Janet C KingChildren's Hospital Oakland Research Institute, Oakland, CA.
Daniel KrewskiMcLaughlin Centre for Population Health Risk Assessment, University of Ottawa, Ottawa, Ontario, Canada.
Deborah L O'ConnorDepartment of Nutritional Sciences, University of Toronto.
Ross L PrenticeFred Hutchinson Cancer Research Center.
Joseph V RodricksRamboll-Environ International Corporation, Arlington, VA; and.
George A WellsDepartment of Epidemiology and Community Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

Funding

Nutrition and Physical Activity Assessment Study (NPAAS)R01CA119171 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian L Neuhouser · 2006 to 2026
$14.3M
NCI NIH HHS R01 CA119171
6 · The paper itself

Abstract

Dietary Reference Intakes (DRIs) are used in Canada and the United States in planning and assessing diets of apparently healthy individuals and population groups. The approaches used to establish DRIs on the basis of classical nutrient deficiencies and/or toxicities have worked well. However, it has proved to be more challenging to base DRI values on chronic disease endpoints; deviations from the traditional framework were often required, and in some cases, DRI values were not established for intakes that affected chronic disease outcomes despite evidence that supported a relation. The increasing proportions of elderly citizens, the growing prevalence of chronic diseases, and the persistently high prevalence of overweight and obesity, which predispose to chronic disease, highlight the importance of understanding the impact of nutrition on chronic disease prevention and control. A multidisciplinary working group sponsored by the Canadian and US government DRI steering committees met from November 2014 to April 2016 to identify options for addressing key scientific challenges encountered in the use of chronic disease endpoints to establish reference values. The working group focused on 3 key questions: 1) What are the important evidentiary challenges for selecting and using chronic disease endpoints in future DRI reviews, 2) what intake-response models can future DRI committees consider when using chronic disease endpoints, and 3) what are the arguments for and against continuing to include chronic disease endpoints in future DRI reviews? This report outlines the range of options identified by the working group for answering these key questions, as well as the strengths and weaknesses of each option.

Indexed as

Chronic DiseaseDietNutritional RequirementsNutritional StatusNutrition AssessmentRecommended Dietary AllowancesAgedCanadaHumansObesityReference ValuesUnited Stateschronic diseaseDietary Reference Intakesevidence assessmentsevidentiary challengesintake response

Identifiers

PMID27927637
PMCPMC5183726

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.