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			 Day 1: September 12, 12:00‒5:00 p.m. EDT 
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			 11:30 a.m.  | 
			
			 Doors Open 
			Workshop Introduction and Overview  | 
		
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			 12:00‒12:20 p.m.  | 
			
			 Opening Remarks and Welcome Day 1  | 
		
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			 12:20‒12:40 p.m.  | 
			
			 Overview of Malnutrition Outside of the Hospital and Community Issues  | 
		
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			 12:40‒1:00 p.m.  | 
			
			 Overview in the Medical Setting: Disease-related Malnutrition  | 
		
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			 Session 1: The Cost of Malnutrition in Clinical Settings  | 
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			 1:00‒1:10 p.m.  | 
			
			 Overview of the AHRQ Report  | 
		
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			 1:10‒1:20 p.m.  | 
			
			 Value Project  | 
		
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			 1:20‒1:30 p.m.  | 
			
			 Accelerating Malnutrition Quality of Care through Quality Measurement Learnings from the MQii  | 
		
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			 1:30‒1:40 p.m.  | 
			
			 Economics of Nutrition in Healthcare  | 
		
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			 1:40‒2:00 p.m.  | 
			
			 Q&A  | 
		
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			 2:00‒2:15 p.m.  | 
			
			 Break  | 
		
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			 Improving Assessment to Nutrition Care  | 
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			 2:15‒2:25 p.m.  | 
			
			 Optimal Number of Registered Dietitians (RD) Needed to Address Nutrition-related Issues  | 
		
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			 2:25‒2:35 p.m.  | 
			
			 Inpatient Payment Issues  | 
		
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			 2:35‒2:45 p.m.  | 
			
			 Malnutrition Diagnosis During Adult Inpatient Hospitalizations  | 
		
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			 2:45‒2:55 p.m.  | 
			
			 Lifestyle Medicine Reimbursement  | 
		
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			 2:55‒3:25 p.m.  | 
			
			 Q&A  | 
		
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			 3:25‒3:40 p.m.  | 
			
			 Break  | 
		
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			 Session 2: Moving Beyond the Terminology of "Malnutrition"  | 
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			 3:40‒3:50 p.m.  | 
			
			 Diagnosing Malnutrition in Adults: Today and Into the Future  | 
		
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			 3:50‒4:00 p.m.  | 
			
			 Nutrition as a Marker for Disease Severity  | 
		
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			 4:00‒4:10 p.m.  | 
			
			 Does a Malnutrition Diagnosis Predict Who Will Benefit from Nutrition Support?  | 
		
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			 4:10‒4:20 p.m.  | 
			
			 Causes, Consequences and Treatment of Micronutrient Deficiencies  | 
		
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			 4:20‒4:30 p.m.  | 
			
			 Nutritionally Vulnerable and Hidden Hunger  | 
		
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			 4:30‒4:50 p.m.  | 
			
			 Q&A  | 
		
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			 4:50‒5:00 p.m.  | 
			
			 Adjourn Day 1  | 
		
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 Day 2: September 13, 12:00‒5:00 p.m. EDT  | 
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			 12:00‒12:10 p.m.  | 
			
			 Welcome Day 2 and Day 1 Recap  | 
		
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			 Session 2: Moving Beyond the Terminology of "Malnutrition" (continued)  | 
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			 12:10‒12:20 p.m.  | 
			
			 Nutrition and Older Adults Across the Care Continuum  | 
		
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			 12:20‒12:30 p.m.  | 
			
			 Body Composition and Nutritional Status  | 
		
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			 12:30‒12:40 p.m.  | 
			
			 Renal Cachexia  | 
		
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			 12:40‒12:50 p.m.  | 
			
			 Cancer Cachexia: ASCO Guidelines  | 
		
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			 12:50‒1:10 p.m.  | 
			
			 Q&A  | 
		
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			 1:10‒1:25 p.m.  | 
			
			 Break  | 
		
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			 Session 3: Measuring Malnutrition: Methods and Tools  | 
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			 1:25‒1:35 p.m.  | 
			
			 Strengths and Weaknesses of Current Visceral Protein Biomarkers and Biomarkers of Nutritional/Metabolic State  | 
		
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			 1:35‒1:45 p.m.  | 
			
			 Physical and Composite Measurements  | 
		
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			 Emerging Biomarkers and Tools  | 
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			 1:45‒1:55 p.m.  | 
			
			 Deuterium-creatinine Dilution Method for Muscle Composition  | 
		
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			 1:55‒2:05 p.m.  | 
			
			 Nutritional Metabolomics: Potential Utility in Nutrition and Metabolic Support  | 
		
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			 2:05‒2:15 p.m.  | 
			
			 BMI Metabolomics: Making the Complex Simple  | 
		
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			 2:15‒2:25 p.m.  | 
			
			 Breath Analysis of Volatile Organic Compounds to Identify Malnutrition in Clinical Settings  | 
		
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			 2:25‒2:35 p.m.  | 
			
			 Microbiome and Malnutrition in Critical Illness  | 
		
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			 2:35‒3:05 p.m.  | 
			
			 Q&A  | 
		
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			 3:05‒3:20 p.m.  | 
			
			 Break  | 
		
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			 Session 4: Implementations Challenges and Case Examples: Addressing Malnutrition and Reducing Health Disparities  | 
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			 3:20‒3:30 p.m.  | 
			
			 Supply Chain Shortages  | 
		
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			 3:30‒3:40 p.m.  | 
			
			 Dual Burden of Overweight/Obesity and Malnutrition  | 
		
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			 3:40‒3:50 p.m.  | 
			
			 Malabsorptive and Small Bowel Disorders: The Increased Burden of Malnutrition in GI Patients  | 
		
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			 3:50‒4:00 p.m.  | 
			
			 ICU Nutrition: Moving Beyond Support  | 
		
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			 4:00‒4:10 p.m.  | 
			
			 Dementia and Enteral Feeding  | 
		
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			 4:10‒4:20 p.m.  | 
			
			 Nutrition and Lifestyle Medicine Services in the Nation's Largest Public Health Care System  | 
		
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			 4:20‒4:50 p.m.  | 
			
			 Q&A  | 
		
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			 4:50‒5:00 p.m.  | 
			
			 Adjourn Day 2  | 
		
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 Day 3: September 14, 12:00‒5:00 p.m. EDT  | 
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			 12:00‒12:10 p.m.  | 
			
			 Welcome Day 3 and Day 2 Recap  | 
		
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			 Session 5: Training the Next Generation of Researchers: Diversity, Equity, Inclusion, and Accessibility  | 
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			 12:10‒12:20 p.m.  | 
			
			 Nutrition in the Curricula of Residencies and Medical Schools  | 
		
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			 12:20‒12:30 p.m.  | 
			
			 Global Perspectives on Training Clinicians  | 
		
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			 12:30‒12:40 p.m.  | 
			
			 NIH Support for Diversity in the Nutrition Research and Training of the Research Workforce  | 
		
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			 12:40‒1:00 p.m.  | 
			
			 Barriers and Potential Solutions to Dietetics Education among Students of Diverse Backgrounds  | 
		
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			 1:00‒2:00 p.m.  | 
			
			 Q&A and Panel Discussion  | 
		
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			 2:00‒3:00 p.m.  | 
			
			 Visit the Poster Hall for Poster Session: Adults Track 1  | 
		
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			 Session 6: Moonshot Studies  | 
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			 3:00‒4:00 p.m.  | 
			
			 Discussion  | 
		
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			 4:00‒4:30 p.m.  | 
			
			 Adult Sessions Closing and Adjourn Day 3  | 
		
** Please note, All Sessions will be made available for on-demand
viewing after September 22nd.  Registrants will be alerted via email
when they are available for replay.
Goals
The overarching goal of this workshop is to address research gaps and opportunities related to malnutrition in clinical settings. Through research to develop effective nutrition interventions, the hope is to improve health outcomes and quality of life.
Objectives
Background
An Agency for Healthcare Research and Quality (AHRQ) systematic review on Malnutrition In Hospitalized Adults found that individuals who have malnutrition experience more hospital acquired complications, and have higher mortality rates compared to well-nourished patients. AHRQ defined malnourishment as varying degrees of overnutrition and/or undernutrition, and included participants with many different disease and health states in a clinical setting. AHRQ identified the need for future research that addresses the effectiveness of various measurement tools for malnutrition on clinical outcomes and hospital-initiated malnutrition interventions to decrease mortality and improve quality of life. This workshop relates to Strategic Goal 4 of the Strategic Plan for NIH Nutrition Research, to reduce the burden of disease in clinical settings, and improve the use of food as medicine.
We are grateful to the American Society for Nutrition (ASN)’s Medical Nutrition Council, the American Society of Parenteral and Enteral Nutrition (ASPEN), and the Academy of Nutrition and Dietetics (AND) for their assistance in planning the workshop.
Key Deadlines
Abstract & poster submission deadline: Friday, August 19, 2022
Notification of poster acceptance: Friday, September 2, 2022
Special Accommodations
If you have a disability and require any assistive device, service, or other reasonable accommodations to participate in this event, please contact Mark Dennis at 301-670-4990 during business hours at least 10 days before the meeting to discuss your needs.
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			 Day 4: September 19, 12:00‒5:00 p.m. EDT 
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			 12:00‒12:10 p.m.  | 
			
			 Welcome Day 4 Alison Cernich, Ph.D., Deputy Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH Nilesh Mehta, MD, Boston Children’s Hospital and Harvard Medical School  | 
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			 Session 7: Early Life Malnutrition Introduction: Definition, Burden, Epidemiology, and Screening  | 
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			 12:10‒12:20 p.m.  | 
			
			 Defining Pediatric Malnutrition: New Concepts and Metrics  | 
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			 12:20‒12:30 p.m.  | 
			
			 Approaches to Screening, Assessing, and Diagnosing Pediatric Malnutrition  | 
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			 12:30‒12:40 p.m.  | 
			
			 Application of a Tool for Diagnosing Pediatric Malnutrition in U.S. Hospitals  | 
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			 12:40‒12:50 p.m.  | 
			
			 Preterm Infants and the Bigger Causal Picture  | 
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			 12:50‒1:10 p.m.  | 
			
			 Q&A and Discussion of Lessons from Adult Malnutrition  | 
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			 1:10‒1:25 p.m.  | 
			
			 Break  | 
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			 Session 8:  Early Life Malnutrition Research Considerations, Part 1  | 
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			 1:25‒1:35 p.m.  | 
			
			 Opportunities to Address Challenges of Conducting Dietary Assessment during Infancy  | 
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			 1:35‒1:45 p.m.  | 
			
			 Addressing The Challenges Of Growth Faltering After Neonatal Surgery For Complex Congenital Heart Disease (CHD)  | 
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| 1:45‒1:55 p.m. | 
			 Complexities of Children being Dependent on Food Systems and Caregivers in Research on Malnutrition  | 
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			 A Summary of the Evidence on Malnutrition in Early Life  | 
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			 1:55‒2:05 p.m.  | 
			
			 Academy Systematic Reviews and Practice Guidelines for Pediatric Malnutrition  | 
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			 2:05‒2:15 p.m.  | 
			
			
  | 
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			 2:15‒2:35 p.m.  | 
			
			 Q&A  | 
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			 2:35‒2:50 p.m.  | 
			
			 Break  | 
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			 Disease/Condition-specific Malnutrition  | 
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			 2:50‒3:00 p.m.  | 
			
			 Changes in Metabolism: Gestational Diabetes  | 
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			 3:00‒3:10 p.m.  | 
			
			 Pediatric Obesity: A Unique Form of Malnutrition  | 
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			 3:10‒3:20 p.m.  | 
			
			 Inability to Meet Nutrient Needs: Anorexia Nervosa  | 
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			 3:20‒3:30 p.m.  | 
			
			 Double-burden of Malnutrition in Childhood Cancer  | 
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			 3:30‒3:40 p.m.  | 
			
			 Inability to Meet Nutrient Needs: Critical Care  | 
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			 3:40‒3:50 p.m.  | 
			
			 Nutritional Therapies in Inflammatory Bowel Disease: Implications on Malnutrition and Disease  | 
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			 3:50‒4:00 p.m.  | 
			
			 Carbohydrate Malabsorption in Irritable Bowel Syndrome  | 
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			 4:00‒4:10 p.m.  | 
			
			 Nutritional Strategies in the Malnourished Child with Short Bowel Syndrome  | 
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			 4:10‒4:20 p.m.  | 
			
			 Immune Related: NEC  | 
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| 4:20‒5:00 p.m. | 
			 Q&A  | 
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| 5:00 p.m. | 
			 Adjourn Day 4  | 
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 Day 5: September 20, 12:00‒5:00 p.m. EDT  | 
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			 12:00‒12:10 p.m.  | 
			
			 Welcome Day 5 and Day 4 Recap  | 
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			 Session 9: Early Life Malnutrition Research Considerations, Part 2  | 
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			 12:10‒12:20 p.m.  | 
			
			 Assessment of Energy Needs - Advances and Future Directions  | 
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			 12:20‒12:30 p.m.  | 
			
			 Update on Body Composition Assessment in Pediatrics  | 
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			 12:30‒12:40 p.m.  | 
			
			 Pediatric Malnutrition - Defining and Measuring Outcomes  | 
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			 Disparities, Family and System-level Determinants of Early Life Malnutrition Risk, Access, and Treatment  | 
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			 12:40‒12:50 p.m.  | 
			
			 Impact of Social Determinants of Health Other Than Food Insecurity on Low Birthweight, Growth Faltering, and Anemia Among Children  | 
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			 12:50‒1:00 p.m.  | 
			
			 Excess Weight Loss and Failure to Thrive in the Context of the Exclusively Breastfeeding Newborn: Research Gaps in Prevention, Identification, Treatment, and Inequities  | 
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			 1:00-‒1:30 p.m.  | 
			
			 Q&A  | 
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			 1:30‒1:45 p.m.  | 
			
			 Break  | 
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			 Session 10: Early Life Malnutrition: Moving Towards a Unified Approach  | 
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			 1:45‒1:55 p.m.  | 
			
			 Documenting Nutrition in the Electronic Health Records (EHR)  | 
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			 1:55‒2:05 p.m.  | 
			
			 Research Needed to Support Better Pediatric Malnutrition Guidelines and Access  | 
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			 2:05‒2:45 p.m.  | 
			
			 Q&A and Study Design Considerations Panel Discussion 
			Panelists:  | 
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			 2:45‒3:45 p.m.  | 
			
			 Visit the Poster Hall for Poster Session: Early Life Track 2  | 
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			 Session 11: Early Life Malnutrition Conclusions  | 
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			 3:45‒4:35 p.m.  | 
			
			 Discussion 
			Panelists:  | 
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			 4:35‒5:00 p.m.  | 
			
			 Early Life Sessions/Workshop Closing and Adjourn Day 5  | 
		|
                Associate Professor of Pediatrics
            
                Executive Director
            
                The University of Chicago
            
                Clinical Researcher
            
                Pediatric Neonatal Dietitian
            
                Distinguished Fellow and Professor
            
                Instructor of Pediatrics, Pediatric Gastroenterologist
            
                Deputy Director, NICHD
            
                Harvard Medical School
            
                Associate Professor
            
                Professor of Nutrition Science
            
                St Jude Chair of Excellence in Pediatric Gastroenterology Division Chief of Pediatric Gastroenterology, Hepatology and Nutrition
            
                Tecker International Consulting
            
                Associate Professor in Pediatrics, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
            
                Senior Associate Dean for Research, Professor of Nursing
            
                Professor of Pediatrics
            
                Chairman of the Respiratory Institute at Cleveland Clinic
            
                Professor of Nutrition - University of Delaware
            
                Clinical Professor of Surgery
            
                Program Director, NIDDK
            
                Adjunct Professor of Medicine at the Duke University Medical Center and Professor Human Nutrition in the Department of Nutritional Sciences at the University of California, Berkeley
            
                Professor/Dietitian/Epidemiologist
            
                Associate Professor
            
                Professor of Child Health and Well Being - Boston University School of Medicine
            
                Professor
            
                Kellyn Foundation
            
                Associate Professor of Pediatrics
            
                Special Projects Consultant American Society for Parenteral and Enteral Nutrition
            
                Assistant Professor, Nutrition
            
                Professor of Pediatrics, Indiana University School of Medicine
            
                Associate Professor
            
                University of Vermont
            
                University of New Mexico Health Sciences Center
            
                Doctor
            
                Professor of Clinical Pediatrics
            
                Assistant Professor
            
                Associate Professor
            
                President and Chief Executive Officer - TA Thornton Foundation
            
                Director of the ASPEN Clinical Guidelines
            
                Doctor
            
                Professor of Medicine Medical Director, The Marie-Josee and Henry R. Kravis Center
            
                Professor emerita/Nurse Scientist
            
                Boston Children's Hospital and Harvard Medical School
            
                Neonatal Dietitian in the Department of Pediatrics at MetroHealth Medical Center in Cleveland, OH
            
                Professor Emeritus
            
                CEO and Founder Health Equity Outcomes
            
                Nutrition Researcher with the Evidence Analysis Center - Academy of Nutrition and Dietetics
            
                University of Iowa
            
                Assistant Professor of Medicine, Director, GI Nutrition, Innovative Center for Health and Nutrition in Gastroenterology (ICHANGE), Weill Cornell Medical College
            
                Associate Professor of Nutritional Sciences
            
                Associate Professor of Medicine at the Medical College of Wisconsin
            
                Assistant Professor
            
                Roswell Park Comprehensive Cancer Center
            
                National Heart, Lung, and Blood Institute, NIH
            
                Chief Scientist and Executive Director, NNEdPro Global Institute for Food, Nutrition, and Health (Cambridge UK)
            
                Professor/ Associate Executive Director
            
                Queen's University Belfast
            
                Associate Professor of Medicine - Vanderbilt Institute for Clinical and Translational Research at Vanderbilt University Medical Center (VUMC)
            
                Director
            
                President & CEO - Partnership for a Healthier America
            
                Consultant
            
                Professor
            
                Professor of Medicine in the Institute of Human Nutrition, Columbia University Irving Medical Center
            
                Associate Professor
            
                Chief Science Officer
            
                Director of the Institute for Advancing Health Through Agriculture
            
                Baylor University and National Organization of Blacks in Dietetics and Nutrition (NOBIDAN)
            
                Professor of Pediatrics
            
                Chief Medical Officer
            
                Professor and Head of the Department of Kinesiology and Nutrition at the University of Illinois
            
                PPOHA Grant Program Manager
            
                Professor
            
                Program Director, Precision Nutrition and Dietetics
            
                Associate Professor of Medicine & Pediatrics
            
                Professor of Surgery/Surgical Nutrition Specialist
            
                Professor of Medicine
            
This workshop is led by the NIH Office of Nutrition Research (ONR) Medical Nutrition Implementation Working Group. This working group is charged with implementing the Strategic Plan for NIH Nutrition Research. It focuses on research aimed at reducing the burden of disease in clinical settings and how to improve the use of “Food as Medicine.” The ultimate goal is to enhance clinicians’ and the public’s ability to access evidence-based “medical foods,” medical nutrition therapy, and specific eating patterns. These may help prevent or reverse chronic diseases or to improve the effectiveness of medical treatments.
The working group is collaborating with the American Society for Nutrition (ASN)’s Medical Nutrition Council, the American Society of Parenteral and Enteral Nutrition (ASPEN), and the Academy of Nutrition and Dietetics (AND) on the development of this workshop.
Organizing Committee Members