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Dietary Supplement Use in Women: Current Status and Future Directions Agenda

Monday, January 28, 2002

8:15-8:30Convocation and Welcome
8:30-8:45Keynote Address: Dietary Supplements and Women's Health
Plenary Session I: Overview of Dietary Supplements
Focus: An overview of the universe of dietary supplements currently marketed to women, possible justification based on national survey data, and history of use both in the U.S. and internationally
8:45-9:00Introduction: Conference Coverage
9:00-9:20Current Evidence of Use of Dietary Supplements by Women: Overview of Data from the National Nutrition Monitoring System
9:20-9:40Experiences in Implementation of Supplementation Programs: International Perspective
9:40-10:00Herbals/Botanical Supplements: Indications and Clinical Concerns
10:00-10:20Traditional Use and Current Status of Phytotherapy Use by Women: Contrasts and Parallels from an International Perspective
10:30-10:50BREAK
Plenary Session II: Monitoring
Focus:Identification of processes planned and in place to provide data about who uses dietary supplements, which ones, why, and analytical issues related to database generation
Session Chair: Johanna Dwyer, USDA
10:50-11:10Current Usage Patterns: Who, What, Why, How Much?
11:10-11:30National Nutrition Monitoring: How Can We Develop Evidence Base to Inform National Policy Decisions about Supplement Use: Dietary Essential Nutrients
11:30-11:50Regulatory Perspective, FDA: Case Study for Implementation of Intervention; Fortification and Impact on Intake Including Supplement Use by Women During the Reproductive Years
11:50-12:10Industry-based Data: Who and What? Usage Patterns by Women; Data on Supplement Composition
12:10-12:30General Discussion
12:30-1:30LUNCH
1:30-3:00Panel Session I: Monitoring and Data Needs
Panel Questions:
  1. What are the critical gaps in our knowledge about patterns of use of dietary supplements by women? Across developmental states/stages?
  2. What are strengths and weaknesses of current surveillance systems in terms of monitoring use patterns across the diverse range of ethnic, demographic, and developmental and physiological/age groups?
  3. What are the key methodological issues to be addressed with respect to surveillance of dietary essentials, herbals/botanicals, and other bioactive ingredients as dietary supplements?
  4. What are the five essential research questions that need to be addressed in terms of monitoring dietary supplement use?
3:00-3:30BREAK
Plenary Session III: Developmental Physiology
Focus: Discussion of specific needs of women at critical periods of physiology and in different demographic and/or geographic settings. Identification of factors, e.g., bioavailability, to be considered in the safety evaluation of dietary supplements to be used by women with particular emphasis on different stages of development and physiological conditions.
Session Chair: Janet King, USDA Western Human Nutrition Center/University of California-Davis
3:30-3:50Adolescence
3:50-4:10Reproductive Health Issues
4:10-4:30Pregnancy/Lactation
4:30-4:50Peri/Post-Menopause
4:50-5:10General Discussion
 
Tuesday, January 29, 2002
8:30-10:00Panel Session II: Developmental Physiology
Panel Questions:
  1. What are the three core research questions for each stage of physiological development discussed during the plenary session?
  2. Are there differences in scientific issues dependent on geographical, ethnic or demographic settings?
    • General context: i.e., women irrespective of setting
    • U.S. perspective
    • International context
  3. What are the issues that might exist with respect to different classes of dietary supplements and physiological state?
10:00-10:30BREAK
Plenary Session IV: Case Studies
Focus:Demonstrations of the interaction between science, policy and consumer practices using well-characterized examples of dietary supplements and their use, advocacy and safety across developmental periods
Session Chair: Anne Looker, National Center for Health Statistics, CDC
10:50-11:10Calcium
11:10-11:30Iron
11:30-11:50Folic Acid
11:50-12:10 Phytoestrogens
12:10-12:30General Discussion
12:30-1:30LUNCH
Plenary Session V: Factors Influencing the Decision to Use Dietary Supplements
Focus:Review of factors that influence one's exposure to and decisions to use dietary supplements
Session Chair: Mark Conner, University of Leeds
1:30-1:50Environmental Influences: Factors Influencing the Decision to Use Dietary Supplements
1:50-2:10Dietary Supplement Use in the Context of Health Disparities: Cultural/Ethnic/Demographic Determinants of Use
2:10-2:30The Role of the Media
2:30-2:50General Discussion
2:50-3:20BREAK
3:20-4:50Panel Session III: Coverage plenary sessions 4 and 5
Core Questions:
  1. Based on the case studies presented, what are the strengths and weaknesses of our current system for translation of science into practice?
  2. What are the obstacles to implementation of evidence based practice domestically? Internationally?
  3. Social/Cultural and Behavior Factors Associated with Patterns of use in women: How can we get input from and to consumers about dietary supplement use? What factors need to be evaluated to determine how attitudes and behaviors are formed relative to the use of dietary supplements?
4:50-5:10Summary and Closing Remarks
ADJOURN