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4 min readLetters18 October 2016U.S. Dietary GuidelinesFrank B. Hu, MD, PhD, Marian L. Neuhouser, PhD, RD, Rafael Perez-Escamilla, PhD, Miguel A. Martinez-Gonzalez, MD, PhD, MPH, and Walter C. Willett, MD, DrPHFrank B. Hu, MD, PhDFrom Harvard T.H. Chan School of Public Health and Harvard Medical School, Boston, Massachusetts; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; Yale School of Public Health, New Haven, Connecticut; and University of Navarra, Pamplona, Spain.Search for more papers by this author, Marian L. Neuhouser, PhD, RDFrom Harvard T.H. Chan School of Public Health and Harvard Medical School, Boston, Massachusetts; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; Yale School of Public Health, New Haven, Connecticut; and University of Navarra, Pamplona, Spain.Search for more papers by this author, Rafael Perez-Escamilla, PhDFrom Harvard T.H. Chan School of Public Health and Harvard Medical School, Boston, Massachusetts; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; Yale School of Public Health, New Haven, Connecticut; and University of Navarra, Pamplona, Spain.Search for more papers by this author, Miguel A. Martinez-Gonzalez, MD, PhD, MPHFrom Harvard T.H. Chan School of Public Health and Harvard Medical School, Boston, Massachusetts; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; Yale School of Public Health, New Haven, Connecticut; and University of Navarra, Pamplona, Spain.Search for more papers by this author, and Walter C. Willett, MD, DrPHFrom Harvard T.H. Chan School of Public Health and Harvard Medical School, Boston, Massachusetts; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; Yale School of Public Health, New Haven, Connecticut; and University of Navarra, Pamplona, Spain.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0170 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Nissen's comments on the dietary guidelines and nutritional sciences in general (1) are highly misleading and in many cases wrong. He incorrectly equates the Dietary Guidelines Advisory Committee (DGAC) report (2) with the Dietary Guidelines for Americans (DGAs) (3). The DGAC report was developed by 14 experts who reviewed and summarized peer-reviewed evidence on diet and health. It served as the scientific basis for the federal government to develop the DGAs, policy documents subject to strong congressional and industry influences. The DGAs were written by federal staff without involvement of the DGAC. Therefore, Nissen's question, “How can ...References1. Nissen SE. U.S. dietary guidelines: an evidence-free zone. Ann Intern Med. 2016;164:558-9. [PMID: 26783992]. doi:10.7326/M16-0035 LinkGoogle Scholar2. Dietary Guidelines Advisory Committee. Scientific Report of the 2015 Dietary Guidelines Advisory Committee. February 2015. Accessed at http://health.gov/dietaryguidelines/2015-scientific-report on 21 January 2016. Google Scholar3. U.S. Department of Health and Human Services; U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th ed. December 2015. Accessed at http://health.gov/dietaryguidelines/2015 on 21 January 2016. Google Scholar4. Martinez-Gonzalez MA, Bes-Rastrollo M. Dietary patterns, Mediterranean diet, and cardiovascular disease. Curr Opin Lipidol. 2014;25:20-6. [PMID: 24370845] doi:10.1097/MOL.0000000000000044 CrossrefMedlineGoogle Scholar5. Chowdhury R, Warnakula S, Kunutsor S, Crowe F, Ward HA, Johnson L, et al. Association of dietary, circulating, and supplement fatty acids with coronary risk: a systematic review and meta-analysis. Ann Intern Med. 2014;160:398-406. [PMID: 24723079]. doi:10.7326/M13-1788 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Harvard T.H. Chan School of Public Health and Harvard Medical School, Boston, Massachusetts; Fred Hutchinson Cancer Research Center and University of Washington, Seattle, Washington; Yale School of Public Health, New Haven, Connecticut; and University of Navarra, Pamplona, Spain.Note: Drs. Hu, Neuhouser, and Perez-Escamilla were members of the 2015 DGAC, and Dr. Martinez-Gonzalez is coordinator of the PREDIMED Network.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L16-0170. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoU.S. Dietary Guidelines: An Evidence-Free Zone Steven E. Nissen U.S. Dietary Guidelines Miguel A. Martinez-Gonzalez and Antonia Trichopoulou U.S. Dietary Guidelines Steven E. Nissen Metrics Cited byPerceived social support and diet quality among ethnic minority groups in Yunnan Province, Southwestern China: a cross-sectional studyDietary patterns in patients with asthma and their relationship with asthma severity: NHANES 2005-2016Intake of dietary saturated fatty acids and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition-Netherlands cohort: associations by types, sources of fatty acids and substitution by macronutrientsAre children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review 18 October 2016Volume 165, Issue 8Page: 604-605KeywordsCholesterolCohort studiesDietDisclosureEatingFatsLongitudinal studiesLow density lipoproteinNutritionSystematic reviews ePublished: 18 October 2016 Issue Published: 18 October 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
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