The process of drafting the Guidelines needs reform

  • The USDA process for ensuring systematic reviews of the literature, called the Nutrition Evidence Library (NEL) has not been used consistently. For example, the 2015 report did not consult the NEL for 67% of the questions requiring a systematic review of the literature.

“The expert report underpinning the next set of US Dietary Guidelines for Americans fails to reflect much relevant scientific literature in its reviews of crucial topics and therefore risks giving a misleading picture…” — British Medical Journal, 2015

All of these factors raise significant questions about whether the best possible evidence is being used to create dietary advice for Americans.