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4 Discussion and Future Directions
Pages 43-48

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From page 43...
... This evidence scan was carried out to obtain new information on riboflavin in association with health outcomes, including adequacy, chronic disease risk, and toxicity. An iterative process of evaluation and adjustment was needed in order to obtain the most relevant evidence to inform identifying and selecting relevant studies.
From page 44...
... However, the committee also fully recognizes that such countrylevel assessments of applicability risks missing nuances, such as within-country differences and disparities in health, nutritional status, socioeconomic factors, and access to care. The committee realizes that contemporary populations frequently add supplements to their nutrient intake and that the search required articles to be indexed using terms for "diet" and other potentially restrictive concepts.
From page 45...
... Most studies conducted outside of the United States and Canada were excluded in the full-text screening, when the committee ascertained that the populations studied in lower-middle- and low-income countries were not comparable with those in both countries. Of the remaining studies, one was deemed relevant only when it described participants who met the inclusion criteria (see Chapter 2, Table 2-1)
From page 46...
... In the absence of a validated biomarker or surrogate marker and/or uncertainty about dietary intake estimates, the committee notes a need to identify a means to consider new and emerging intake estimate methodologies. This could include nontraditional methods to obtain estimates of nutrient status, such as -omics technology to detect riboflavin status.
From page 47...
... 2017. Guiding principles for developing Dietary Reference Intakes based on chronic disease.


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