The Nordic Nutrition Recommendations 2022 – principles and methodologies

Christensen, Jacob J.; Arnesen, Erik; Andersen, Rikke; Eneroth, Hanna; Erkkola, Maijaliisa; Høyer, Anne; Lemming, Eva Warensjö; Meltzer, Helle Margrete; Halldórsson, Thorhallur I.; Þórsdóttir, Inga; Schwab, Ursula; Trolle, Ellen; Blomhoff, Rune

doi:10.29219/fnr.v64.4402

Cited by 75 publications

(88 citation statements)

References 16 publications

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“…The definition of a qualified SR was based on the inclusion and exclusion criteria (Box 2) pre-specified by the NNR2022 project (2)(3)(4).…”

Section: Step 3 Identification Of Qualified Srs To Omit Duplicationsmentioning

confidence: 99%

“…The search for qualified SRs was based on searches in PubMed/Medline and inspection of the websites of national and international food and health authorities as described by the Food and Agriculture Organization (FAO) of the United Nations (15). We also contacted the following major national food and health authorities and organisations directly for information on previous or planned SRs: Step 4: Formulation and shortlisting of PI/ECOTSS statements All shortlisted topics from the ScRs and the public call were formulated by the NNR2022 Committee as initial PI/ ECOTSS statements (2)(3)(4). The shortlisted PI/ECOTSS statements were then compared with topics covered in the list of qSRs (Table 2), and overlapping PI/ECOTSS statements, which had not been removed in a previous stage, were excluded from the shortlisting.…”

Section: Step 3 Identification Of Qualified Srs To Omit Duplicationsmentioning

confidence: 99%

“…Systematic reviews (SRs) ( 1 ) are the preferred method to summarise the current evidence on the causal relationship between nutrient- or food group exposure and a health outcome. Whilst several thousand SRs have been published in the field of diet and nutrition, only a limited number of SRs have adhered to the extensive principles and methodologies required to be identified as ‘qualified SRs’ ( 2 – 4 ) (see Step 3 later) by the Nordic Nutrition Recommendations 2022 (NNR2022) project. Qualified SRs will be the main foundation when the NNR2022 project revises national dietary reference values (DRVs) and food-based dietary guidelines (FBDGs) for the Nordic and Baltic countries.…”

Section: Popular Scientific Summarymentioning

confidence: 99%

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The Nordic Nutrition Recommendations 2022 – prioritisation of topics for de novo systematic reviews

Høyer

Christensen

Arnesen

et al. 2021

Food & Nutrition Research

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Background: As part of the process of updating national dietary reference values (DRVs) and food-based dietary guidelines (FBDGs), the Nordic Nutrition Recommendations 2022 project (NNR2022) will select a limited number of topics for systematic reviews (SRs). Objective: To develop and transparently describe the results of a procedure for prioritisation of topics that may be submitted for SRs in the NNR2022 project. Design: In an open call, scientists, health professionals, national food and health authorities, food manufacturers, other stakeholders and the general population in the Nordic and Baltic countries were invited to suggest SR topics. The NNR2022 Committee developed scoping reviews (ScRs) for 51 nutrients and food groups aimed at identifying potential SR topics. These ScRs included the relevant nominations from the open call. SR topics were categorised, ranked and prioritised by the NNR2022 Committee in a modified Delphi process. Existing qualified SRs were identified to omit duplication. Results: A total of 45 nominations with suggestion for more than 200 exposure–outcome pairs were received in the public call. A number of additional topics were identified in ScRs. In order to omit duplication with recently qualified SRs, we defined criteria and identified 76 qualified SRs. The NNR2022 Committee subsequently shortlisted 52 PI/ECOTSS statements, none of which overlapped with the qualified SRs. The PI/ECOTSS statements were then graded ‘High’ (n = 21), ‘Medium’ (n = 9) or ‘Low’ (n = 22) importance, and the PI/ECOTSS statements with ‘High’ were ranked in a Delphi process. The nine top prioritised PI/ECOTSS included the following exposure–outcome pairs: 1) plant protein intake in children and body growth, 2) pulses/legumes intake, and cardiovascular disease and type 2 diabetes, 3) plant protein intake in adults, and atherosclerotic/cardiovascular disease and type 2 diabetes, 4) fat quality and mental health, 5) vitamin B12 and vitamin B12 status, 6) intake of white meat (no consumption vs. high consumption and white meat replaced with red meat), and all-cause mortality, type 2 diabetes and risk factors, 7) intake of n-3 LPUFAs from supplements during pregnancy, and asthma and allergies in the offspring, 8) nuts intake and cardiovascular disease (CVD) and type 2 diabetes in adults, 9) dietary fibre intake (high vs. low) in children and bowel function. Discussion: The selection of topics for de novo SRs is central in the NNR2022 project, as the results of these SRs may cause adjustment of existing DRVs and FBDGs. That is why we have developed this extensive process for the prioritisation of SR topics. For transparency, the results of the process are reported in this publication. Conclusion: The principles and methodologies developed in the NNR2022 project may serve as a framework for national health authorities or organisations when developing national DRVs and FBDGs. This collaboration between the food and health authorities in Denmark, Estonia, Finland, Iceland, Latvia, Lithuania, Norway and Sweden represents an international effort for harmonisation and sharing of resources and competence when developing national DRVs and FBDGs.

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“…The definition of a qualified SR was based on the inclusion and exclusion criteria (Box 2) pre-specified by the NNR2022 project (2)(3)(4).…”

Section: Step 3 Identification Of Qualified Srs To Omit Duplicationsmentioning

confidence: 99%

Section: Step 3 Identification Of Qualified Srs To Omit Duplicationsmentioning

confidence: 99%

Section: Popular Scientific Summarymentioning

confidence: 99%

See 1 more Smart Citation

The Nordic Nutrition Recommendations 2022 – prioritisation of topics for de novo systematic reviews

Høyer

Christensen

Arnesen

et al. 2021

Food & Nutrition Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…The grading of the evidence for causal relationships, for both reduction and increase in risk, results in one of the following grading categories (Table 4) Mendelian randomization (MR) studies may also give support for causal interpretations of observational association, being less affected by confounding and bias than traditional observational studies (1). MR studies have contributed to the establishment of biomarkers such as low-density lipoprotein (LDL)-cholesterol, triglycerides, and blood pressure as causal risk factors for cardiovascular disease, which also have implications for the strength of evidence of nutrition recommendations.…”

Section: Strength Of Evidencementioning

confidence: 99%