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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.

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 (NNR 2012) 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 (NNR 2022) will be published in 2022. In addition to include an update on NNR for energy, macro- and micronutrients, NNR 2022 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

NNR 2022 Committee

The NNR 2022 committee is the working group responsible for organizing and implementing the NNR 2022 project as well as communicate and publish the NNR 2022 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 NNR 2022 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:

  • Ane Sørlie Kværner, The Norwegian Directorate of Health, Oslo, Norway

The NNR 2022 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 NNR 2022 report. For an overview of the specific tasks of the committee, see the Organization chart.

The NNR 2022 Committee is responsible for appointing Scientific Advisory Board members, Chapter experts and Peer reviewers, and for establishing Evidence-Based Practice Centers. All board members and scientific experts must sign conflict of interest forms to be reviewed and approved by the NNR 2022 Committee. The NNR 2022 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 NNR 2022 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
  • Else Molander, 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 NNR 2022 project. They will also give advice on general scientific issues related to the NNR 2022 project.

Suitable candidates will be invited to participate in the Scientific Advisory Group by the NNR 2022 Committee during 2019.

Evidence-Based Practice Centers

The NNR 2022 project will establish one or more Evidence-Based Practice Centers (EPCs), responsible for conducting systematic reviews on selected topics. Each EPC 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. Each EPC will be facilitated by one or more librarians. The EPCs will be selected by the NNR 2022 Committee based on a public call. More information about the public call is coming.

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 NNR 2022 Committee based on a public call and their personal skills and competence related to the individual chapters. The public call will be announced Fall 2019.

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 NNR 2022 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 (NNR 2022) will include an update of all 42 chapters in NNR 2012. In addition, new chapters may be developed for topics of specific importance for public health in the Nordic or Baltic countries. In NNR 2022, 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.

NNR 2022: Process chart
NNR 2022: Process chart
Download pdf version of process chart

Time schedule

The NNR 2022 development process began January 2019 and will continue until 2022 with the release of the NNR 2022 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 NNR 2022 update project. Ways to participate include reviewing regularly updated information on our website, including minutes from past meetings in the NNR 2022 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 NNR 2022 update project, written comments can be submitted to the NNR 2022 Committee on topics relevant to its work. All submitted comments will be publicly available. 

Nomination of topics

Background

As preparatory work for the NNR 2022, 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 NNR 2012.

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 NNR 2022 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 NNR 2022 Committee will accept nominations of topics until October 31st, 2019.

Received nominations will be evaluated according to the following criteria:

  • Relevance: The topic is within the scope of NNR 2022
  • 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.

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 NNR 2012 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 Evidence-Based Practice Centers (EPC)

During 2019, a call for EPCs will be announced on our web pages. More information is coming.

Call for experts

During 2019, a call for chapter experts and peer-reviewers of chapters and systematic reviews will be announced on our web pages. More information is coming.

Meeting minutes

NNR 2022 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 submit a comment, please fill in the current form:

Først publisert: 03.07.2019 Sist endret: 03.07.2019