Nordic Nutrition Recommendations 2022

The new edition of the Nordic Nutrition Recommendations (NNR) will be published in 2022. There will be several opportunities for the public to participate during the update project.

Webinar on diet and sustainability: NNR2022

The Nordic Council of Ministers has requested that SUSTAINABILITY aspects of the diet is to be incorporated in the upcoming NNR. To start the work on integrating sustainability into NNR, we are organizing a whole day webinar September 24. See the program (pdf).

Scientific articles in Food & Nutrition Research

The three first papers were published in Food & Nutrition Research on June 18th 2020. These decribe the a priori scientific principles and methodoligies behind the new recommendations.

About the Nordic Nutrition Recommendations (NNR)

The Nordic Nutrition Recommendations (NNR) constitutes the scientific basis for national nutrient recommendations and food-based dietary guidelines (FBDG) in Denmark, Finland, Iceland, Norway and Sweden. The international collaboration between the five Nordic countries has resulted in the previous five editions of the NNR.

The most recent edition of the NNR (NNR2012) was launched in 2012/13 and published in 2014. Since then, a large number of scientific studies have emerged, underscoring the need for updating the NNR.

The new edition (NNR2022) will be published in 2022. In addition to include an update on NNR for energy, macro- and micronutrients, NNR2022 will develop evidence-based platforms for the national FBDG as well as the integration of overweight and obesity, and sustainability and environmental issues into FBDG.

Organization and roles

NNR2022 Committee

The NNR2022 committee is the working group responsible for organizing and implementing the NNR2022 project as well as communicate and publish the NNR2022 report. The committee consists of the project leader, ten nationally appointed committee members, and a scientific project secretary. The committee members are appointed by the national food and health authorities of Denmark, Finland, Iceland, Norway and Sweden. Each country appoints two committee members. In addition, representatives appointed by the food and health authorities in Estonia, Latvia, Lithuania and the autonomous areas of the Faroe Islands contribute to the NNR2022 Committee as observers.

Project leader:

  • Rune Blomhoff, University of Oslo, Oslo, Norway

Committee members:

  • Jacob Juel Christensen, University of Oslo, Oslo, Norway
  • Helle Margrete Meltzer, Norwegian Institute of Public Health, Oslo, Norway
  • Hanna Eneroth, The National Food Agency, Uppsala, Sweden
  • Eva Warensjö Lemming, The National Food Agency, Uppsala, Sweden
  • Ellen Trolle, Technical University Denmark, Kgs. Lyngby, Denmark
  • Rikke Andersen, Technical University Denmark, Kgs. Lyngby, Denmark
  • Inga Þórsdóttir, University of Iceland, Reykjavík, Iceland
  • Þórhallur Ingi Þórhallsson, University of Iceland, Reykjavík, Iceland
  • Ursula Schwab, University of Eastern Finland, Kuopio, Finland
  • Maijaliisa Erkkola, University of Helsinki, Helsinki, Finland

Observers:

  • Tagli Pitsi, National Institute for Health Development, Tallinn, Estonia
  • Lāsma Piķele, The Ministry of Health of the Republic of Latvia, Rīga, Latvia
  • Inese Siksna, Institute of Food Safety, Animal Health and Environment, Rīga, Latvia (alternate member)
  • Almantas Kranauskas, Ministry of Health, Vilnius, Lithuania
  • Bjørg Mikkelsen, Food Department at Faroese Food and Veterinary Authority, Faroe Islands

Project secretary:

  • Anne Høyer, The Norwegian Directorate of Health, Oslo, Norway

The NNR2022 Committee is responsible for the scientific progress of the work, including deciding on the principles and methodology for updating chapters (including methodology for performing systematic literature reviews), selecting chapter topics and type of approach used to update each chapter, define research questions for in-depth review, set dietary reference values and FBDGs and the final edit and publication of the NNR2022 report. For an overview of the specific tasks of the committee, see the Organization chart.

The NNR2022 Committee is responsible for appointing Scientific Advisory Board members, Chapter experts and Peer reviewers, and for establishing a NNR-Systematic Review Centre (NNR-SR Centre). All board members and scientific experts must sign conflict of interest forms to be reviewed and approved by the NNR2022 Committee. The NNR2022 Committee will report to the Steering Committee regularly.

Steering Committee

The Steering Committee is responsible for the overall management of the project. The committee consist of five representatives from the food and health authorities in the Nordic countries. The committee is chaired by the representative from Norway. The NNR2022 Committee will consult the Steering Committee on all administrative and budget matters throughout the project period.

Committee members:

  • Henriette Øien, The Norwegian Directorate of Health, Oslo, Norway
  • Anne Pøhl Enevoldsen, Danish Veterinary and Food Administration, Glostrup, Denmark
  • Satu Männistö, National Institute for Health and Welfare, Helsinki, Finland
  • Hólmfríður Þorgeirsdóttir, Directorate of Health, Reykjavík, Iceland
  • Ulla-Kaisa Koivisto Hursti, National Food Agency, Uppsala, Sweden

Scientific Advisory Group

The Scientific Advisory Group consists of internationally recognized scientists with experience in developing dietary reference values and FBDG for national authorities or health organizations. The Scientific Advisory Group will advise on the principles and methodologies for updating NNR, including the methodology used for performing systematic literature reviews as part of the NNR2022 project. They will also give advice on general scientific issues related to the NNR2022 project.

Members of the Scientific Advisory Group:

  • Amanda MacFarlane, Nutrition Research Division, Health Canada, Ottawa, Ontario, Canada.
  • Joseph Lau, Center for Evidence Synthesis in Health, Brown University School of Public Health
  • Susan Fairweather‐Tait, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, NR4 7UQ, UK.
  • Joao Breda, PhD MPH MBA │Head WHO European Office for Prevention and Control of Noncommunicable Diseases & a.i. Programme Manager Nutrition, Physical Activity and Obesity │Division of Noncommunicable Diseases and Promoting Health through the Life-course, Copenhagen, Denmark
  • Dominique Turck, Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Lille University Jeanne de Flandre Children's Hospital and Faculty of Medicine, Lille, France | Univ. Lille, Inserm, CHU Lille, U1286 - INFINITE - Institute for Translational Research in Inflammation, Lille, France 
  • Giota Mitrou, World Cancer Research Fund International, London, UK.
  • Wulf Becker, Uppsala University, Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden
  • 4-5 international leading experts on sustainability (not identified yet)

NNR-Systematic Review Centre (NNR-SR Centre)

The NNR2022 project will establish a virtual NNR-SR Centre, responsible for conducting systematic reviews on selected topics. The NNR-SR Centre will consist of a group of multidisciplinary scientists, of which a minimum of two will be experienced scientists and one a statistician. The other members may be PhD students or postdocs. The NNR-SR Centre will be facilitated by one or more librarians. The accepted member so far are:

  • Agneta Åkesson, Karolinska Institutet, Sweden  (head)
  • Dagfinn Aune, Imperial College London/Bjørknes University College, Norway
  • Christel Lamberg-Allardt, University of Helsinki, Finland.
  • Erik Arnesen, Dept. of Nutrition, University of Oslo, Norway
  • Linnea Bärebring, University of Gothenburg, Sweden
  • Bright Nwaru, University of Tampere/University of Gothenburg, Finland/Sweden
  • Jutta Dierkes, University of Bergen, Norway
  • Birna Thorisdottir, The School of Social Sciences at the University of Iceland, and the Icelandic Cancer Society, Iceland
  • Alfons Ramel, University of Iceland, Reykjavik, Iceland

The SR-Centre might be strengthened further with some specific expertise.

Experts for updating chapters

The NNR project will engage several scientific experts across the Nordic countries for updating the various chapters. For each chapter, a minimum of two experts will be involved. The experts will be appointed by the NNR2022 Committee based on a public call and their personal skills and competence related to the individual chapters. The public call is open until all chapter authors and referees have been appointed.

Peer reviewers for chapters and systematic reviews

Several scientific experts will be engaged as peer reviewers for chapters and systematic reviews. For each chapter and systematic review, at least two experts will be appointed. The experts will be appointed by the NNR2022 Committee based on a public call and their personal skills and competence related to the individual chapters or systematic reviews. The public call will be announced Fall 2019.

An overview of the project organization and roles can be found in the Organization chart. 

NNR 2022 Organization chart
NNR 2022: Organization chart
Download pdf version of organization chart

Updating chapters of NNR

The new edition of NNR (NNR2022) will include an update of all 42 chapters in NNR2012. In addition, new chapters may be developed for topics of specific importance for public health in the Nordic or Baltic countries. In NNR2022, there will be an increased focus on foods and dietary patterns as well as the integration of overweight and obesity, and sustainability and environmental issues.

An in-depth review of the principles and methodology for updating NNR will be published as two separate chapters, one focusing on the overall principles and methodology for updating NNR and one focusing on the methodology for conducting systematic reviews.

The planned updating process for each chapter is depictured in the Process chart.

Figure_four_stages.jpg
Process for defining DRV and FBDGs: four stages
SAG: Scientific Advisory Group qSR: qualified systematic review ScR: Scoping review NNR SR Centre: NNR Systematic Review Centre DRVs: Dietary Reference Values FBDGs: Food-Based Dietary Guidelines   

Downolad pdf version of Process for defining DRV and FBDGs: four stages 

Sustainability

The Nordic Council of Ministers has requested that sustainability aspects must be implemented in NNR2022. The NNR Committee will arrange several workshops on food and sustainability and engage a number of international experts in this work. A specific chapter on food and sustainability will be commissioned by several multidiciplinary international experts. International experts will also serve as peer reviewers. The conclusion from the food and sustainability chapter will be implemented into other relevant chapters, especially the food group chapters.

Time schedule

The NNR2022 development process began January 2019 and will continue until 2022 with the release of the NNR2022 report.

A tentative timeline of the project is given in the Time schedule chart.

NNR 2022: Time schedule chart
NNR 2022: Time schedule chart
Download pdf version of time schedule chart

Get involved!

There will be several opportunities for the public to participate during the NNR2022 update project. Ways to participate include reviewing regularly updated information on our website, including minutes from past meetings in the NNR2022 Committee and Steering Committee, nominating topics for in-depth review by independent experts, engage in various public hearings, provide public comments, etc.

Provide public comments

Throughout the NNR2022 update project, written comments can be submitted to the NNR2022 Committee on topics relevant to its work. All submitted comments will be publicly available. 

Public comments and nomination of topics

To comply with transparency, the results of the nomination process and all public comments are reported here. All nominations and comments are reported anonymously. The Committee is now working on answers to all comments. All answers will be publicly available at this website.

Nomination of topics

Background

As preparatory work for the NNR2022, in-depth reviews (i.e. systematic reviews) will be conducted on selected topics of particular importance for public health in the Nordic or Baltic countries in which new and relevant scientific data has emerged since NNR2012.

To ensure openness and transparency in the process, the public are invited to nominate topics for which systematic reviews are warranted. The final decision on which topics to review will be made by the NNR2022 Committee after consulting with the Scientific Advisory Group. The result of the nomination process will be in the form of a prioritized list of topics.

The public call is open until December 31st 2020.

Received nominations will be evaluated according to the following criteria:

  • Relevance: The topic is within the scope of NNR2022
  • Importance: The topic has new, relevant data in an area of substantial public health concern, uncertainty, and/or knowledge gap
  • Potential national impact: There is a probability that guidance on the topic would inform national food and health policies and programs
  • Avoiding duplication: The topic is not currently addressed through other evidence-based national or international initiatives

Received nominations will be screened for completeness to ensure all requirements are met (see below). To avoid bias in the screening and assessment process, all nominations will be handled anonymously.

NNR 2022 process for updating chapters
NNR 2022: Process for prioritization of SR topics in NNR2022
SAG: Scientific Advisory Group
qSR: qualified systematic review
ScR: Scoping review
NNR SR Centre: NNR Systematic Review Centre
DRVs: Dietary Reference Values
FBDGs: Food-Based Dietary Guidelines
PI/ECOTSS: population, intervention/intake/exposure, comparator, outcome, timing, setting, study design
​​
Download pdf version of Process for prioritization of SR topics in NNR2022

Submission of nominations

The nomination must include a cover letter, reference list and a simple PI/ECOTSS statement covering the elements population, intervention/exposure, outcome and timing. The specific requirements for each item are listed below. 

Cover letter (background)

The cover letter should describe the rationale and description of why a systematic review is needed. The topic should be discussed in light of the evaluation criteria listed above. The cover letter should be no more than 4000 characters.

Reference list

A list of new, relevant literature since NNR2012 supporting the need for a systematic review of the suggested topic should be provided. The literature list should be restricted to a maximum of 10 references to scientific studies.

PI/ECOTSS statement

The final topics for systematic reviews will be formulated as PI/ECOTSS statements. Thus, the nominator is encouraged to define the research question by means of a simplified PI/ECOTSS statement. PI/ECOTSS statement consist of the following elements:

  • Population(s) (e.g. age, gender, ethnicity, health status, individuals with or without specific diseases or risk factors, or it can be experimental animal models or in vitro samples)
  • Intervention/Exposure(s) (e.g. intake of a specific nutrient, food, food group or food component, inclusion or exclusion of supplements or other sources). This is the independent variable. It is important to describe the intervention/exposure in detail, rather than using general broad terms.
  • Comparator(s) (e.g. studies comparing intervention to placebo, experimental diet to usual diet, lower versus upper quartile)
  • Outcome(s) (e.g. specific health outcome, qualified biomarker, risk factor, specific or total mortality). It is important to limit the outcomes to those that may inform dietary reference values or FBDGs.
  • Timing (e.g. the time it takes for the intervention/exposure to achieve the outcome)
  • Setting (e.g. intervention in different types of environments, specific conditions such as exposure to prolonged heath, high or low physical activity level, high or low level of energy expenditure)
  • Study design(s) (e.g. randomized controlled trial, other clinical trial, prospective cohort studies, case-control studies, mechanistic studies)

In the nomination, the elements population, intervention/exposure, outcome and timing should be included. The PI/ECOTSS will be further refined by the NNR 2022 Committee after consulting the Scientific Advisory Group.

Call for NNR-SR Centre

The NNR-SR Centre is now established.

Call for experts

The NNR2022 update project will engage several scientific experts across the Nordic countries. Experts will be involved in different parts of the NNR project from conducting and reviewing systematic literature reviews to writing and reviewing chapters. A broad range of experts will be engaged, from methodology experts (e.g. statisticians, librarians) to researchers with experience with nutrients- and food-based dietary guidelines. Both experienced and young researchers are encouraged to apply. Experts performing systematic reviews will be organized in virtual NNR-SR Centre.

Would you like to contribute as an NNR expert?

To become an NNR expert, you need to submit an application form including contact information, area of expertise and preferred way(s) of contributing (i.e. as a systematic review expert, chapter expert and/or peer-reviewer of systematic reviews or NNR chapters). You must also provide information on which topics (i.e. nutrient, food, food compound) suits your competence. As an NNR expert you might be engaged in the update of several chapters. We therefore encourage you to tick off on all topics that matches your competence. The application must be supported by an academic CV.

Received applications will be reviewed by the NNR2022 Committee and evaluated based on personal skills and competence related to the different tasks. Suitable candidates will be contacted.

The public call is open until all chapter authors and referees have been appointed.

Meeting minutes

NNR2022 Committee meetings

Steering Group meetings

Contact information

The public is invited to submit written comments to the committee throughout the project period. All submitted comments will be publicly available.

To sign up for newsletters and email updates, please contact anne.hoyer@helsedir.no.

To submit a comment, please fill in the current form:

Først publisert: 03.07.2019 Last revised date: 19.05.2020