Retired, Center for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD, USA and Chair, Committee on Advocacy and Science Policy, American Society for Nutrition, USA.
Retired, National Center for Health Statistics, Hyattsville, MD, USA.
Am J Clin Nutr. 2023 May;117(5):847-858. doi: 10.1016/j.ajcnut.2023.03.007. Epub 2023 Mar 11.
NHANES needs urgent attention to ensure its future, which is facing emerging challenges associated with data collection, stagnant funding that has undercut innovation, and the increased call for granular data for subpopulations and groups at risk. The concerns do not rest merely on securing more funding but focus on the need for a constructive review of the survey to explore new approaches and identify appropriate change. This white paper, developed under the auspices of the ASN's Committee on Advocacy and Science Policy (CASP), is a call to the nutrition community to advocate for and support activities to prepare NHANES for future success in a changing nutrition world. Furthermore, because NHANES is much more than a nutrition survey and serves the needs of many in health fields and even commercial arenas, effective advocacy must be grounded in alliances among the survey's diverse stakeholders so that the full range of expertise and interests can engage. This article highlights the complicated nature of the survey along with key overarching challenges to underscore the importance of a measured, thoughtful, comprehensive, and collaborative approach to considering the future of NHANES. Starting-point questions are identified for the purposes of focusing dialog, discussion forums, and research. In particular, the CASP calls for a National Academies of Sciences, Engineering, and Medicine study on NHANES to articulate an actionable framework for NHANES going forward. With a well-informed and integrated set of goals and recommendations that could be provided by such a study, a secure future for NHANES is more readily achievable.
NHANES 需要紧急关注以确保其未来,因为它面临着与数据收集、停滞不前的资金(削弱了创新)以及对亚人群和风险群体的更详细数据的需求不断增加相关的新兴挑战。这些担忧不仅在于确保更多的资金,而且还在于需要对调查进行建设性审查,以探索新方法并确定适当的变革。本白皮书是在 ASN 倡导和科学政策委员会 (CASP) 的支持下制定的,呼吁营养界倡导和支持为 NHANES 未来在不断变化的营养世界中取得成功做准备的活动。此外,由于 NHANES 不仅仅是一个营养调查,它还满足了许多健康领域甚至商业领域的需求,因此有效的倡导必须立足于调查的不同利益相关者之间的联盟,以便充分发挥各种专业知识和利益相关者的作用。本文强调了该调查的复杂性以及关键的总体挑战,以强调在考虑 NHANES 的未来时采取谨慎、深思熟虑、全面和协作的方法的重要性。本文确定了起点问题,以聚焦对话、讨论论坛和研究。特别是,CASP 呼吁美国国家科学院、工程院和医学院对 NHANES 进行研究,为 NHANES 的未来制定一个可操作的框架。通过这样的研究提供一套明智而综合的目标和建议,可以更轻松地实现 NHANES 的美好未来。