Micronutrient recommendation stakeholders' beliefs on dietary guidelines: a qualitative study across six European countries/regions

Brown, Kerry A.; Timotijević, Lada; Barnett, Julie; Ruprich, Jiří; Řehůřková, Irena; Hermoso, Maria; Lf, Andersen; Lillegaard, Inger Therese L.; Fernández-Celemı́n, Laura; Larrañaga, Ainhoa; Lončarevič-Srmič, A; Raats, Monique M.

doi:10.1038/ejcn.2011.38

Cited by 4 publications

(4 citation statements)

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“…The term ‘dietary guideline’ was believed to be the most understandable and translatable term across stakeholders and countries and was initially used in section 1 of the interview schedule. Previously published results from this data set reported variation in the interviewee-led interpretation of the term ‘dietary guideline’ ( 26 ) . Thus, the reader should be aware that ‘dietary guideline’ has referred to both nutrient- and food-based recommendations throughout the present paper.…”

Section: Methodsmentioning

confidence: 70%

“…It is unclear the degree these past negative or positive experiences of consumer involvement may have influenced any assumptions about consumers and consumer involvement reported in the study. In addition, the confusion surrounding the terminology in this area ( 26 , 40 ) has led to the present study interviewing those responsible for and collecting results referring to a variety of nutrient- and food-based guidelines (Dietary Reference Values, nutrient goals, Food-Based Dietary Guidelines).…”

Section: Discussionmentioning

confidence: 99%

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Consumer involvement in dietary guideline development: opinions from European stakeholders

Brown

Hermoso

Timotijević

et al. 2012

Public Health Nutr.

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Objective: The involvement of consumers in the development of dietary guidelines has been promoted by national and international bodies. Yet, few best practice guidelines have been established to assist with such involvement. Design: Qualitative semi-structured interviews explored stakeholders' beliefs about consumer involvement in dietary guideline development. Setting: Interviews were conducted in six European countries: the Czech Republic, Germany, Norway, Serbia, Spain and the UK. Subjects: Seventy-seven stakeholders were interviewed. Stakeholders were grouped as government, scientific advisory body, professional and academic, industry or non-government organisations. Response rate ranged from 45 % to 95 %. Results: Thematic analysis was conducted with the assistance of NVivo qualitative software. Analysis identified two main themes: (i) type of consumer involvement and (ii) pros and cons of consumer involvement. Direct consumer involvement (e.g. consumer organisations) in the decision-making process was discussed as a facilitator to guideline communication towards the end of the process. Indirect consumer involvement (e.g. consumer research data) was considered at both the beginning and the end of the process. Cons to consumer involvement included the effect of vested interests on objectivity; consumer disinterest; and complications in terms of time, finance and technical understanding. Pros related to increased credibility and trust in the process. Conclusions: Stakeholders acknowledged benefits to consumer involvement during the development of dietary guidelines, but remained unclear on the advantage of direct contributions to the scientific content of guidelines. In the absence of established best practice, clarity on the type and reasons for consumer involvement would benefit all actors.

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Section: Methodsmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Consumer involvement in dietary guideline development: opinions from European stakeholders

Brown

Hermoso

Timotijević

et al. 2012

Public Health Nutr.

View full text Add to dashboard Cite

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“…Differences persist in the terminology used by national and international bodies tasked with setting DRV. A qualitative analysis of stakeholder beliefs in dietary guidelines across Europe identified a need for greater clarity about the terminology used (61) .…”

Section: European Food Safety Authoritymentioning

confidence: 99%

Approaches to setting dietary reference values for micronutrients, and translation into recommendations

Powers

2021

Proc. Nutr. Soc.

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Dietary reference values (DRV) are estimates of the daily amounts of nutrients or food energy that meet the needs of healthy people. In the UK, three terms are used to express these estimates, assuming a normal distribution of requirements in a population. These are the estimated average requirement, the lower reference nutrient intake and the reference nutrient intake. DRV are for use in a variety of settings, including the assessment of adequacy and safety of nutrient or energy intake in a population group, in the design of meal provision in care settings, in food labelling and in considering food fortification strategies. DRV, and other expressions of nutrient requirements, assume a relationship between the intake of a nutrient and some criterion of adequacy, the outcome. Estimates of requirements are based on a diverse range of measures of adequacy, according to available evidence. The Scientific Advisory Committee on Nutrition (SACN) is the body responsible for reviewing and setting DRV for the UK population. The work of SACN is guided by a framework of evidence that relates food and nutrients to health. There have been calls for the harmonisation of approaches used in the setting of nutrient requirements, globally, and an increased transparency in the decision-making process. Some progress has been made in this regard, but there is a great deal of work to be done.

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“…EURRECA has been aware of the relevance of its work to the NRSBs from its very beginning, which has resulted in research into the organisation of NRSBs in Europe [8], populations at risk of low micronutrient intake [9] and potential policy options, with case studies that involved some of the NRSBs [10]. To further facilitate the derivation of DRVs, EURRECA has highlighted the topics that require additional research and has identified which nutrients/health outcomes should be prioritised for research by age or population group [11].…”

Section: Next Stepsmentioning

confidence: 99%

EURRECA/WHO Workshop Report: ‘Deriving Micronutrient Recommendations: Updating Best Practices’

et al. 2012

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This paper describes the outcome of the workshop ‘Deriving Micronutrient Recommendations: Updating Best Practices’ which took place in Brussels in April 2012. The workshop was organised jointly by the European Micronutrient Recommendations Aligned (EURRECA) Network of Excellence and the World Health Organization (WHO) Regional Office for Europe. The delegates included, among others, representatives from nutrient recommendation setting bodies (NRSBs) across Europe. The current paper focuses on the gaps and needs of NRSBs as identified by the workshop participants: (i) practical tools and best practices to adapt dietary reference values, (ii) comparable nationally representative food consumption data (including updated and complete food composition databases), (iii) adequate financial resources and technical capacity, (iv) independence and transparency in expert selection, research conduct and communication of research results and (v) clear correspondence of terminology used at national levels.

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Micronutrient recommendation stakeholders' beliefs on dietary guidelines: a qualitative study across six European countries/regions

Cited by 4 publications

References 5 publications

Consumer involvement in dietary guideline development: opinions from European stakeholders

Consumer involvement in dietary guideline development: opinions from European stakeholders

Approaches to setting dietary reference values for micronutrients, and translation into recommendations

EURRECA/WHO Workshop Report: ‘Deriving Micronutrient Recommendations: Updating Best Practices’

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