Table 1.
Proposed key terms to describe levels of nutrition guidancea
Term | Target | Definition | Optimized | Examples |
---|---|---|---|---|
Personalized | Individuals | Specific dietary recommendations provided on the person level, usually based on intrinsic host biology including genetic predisposition, microbiome, and immunological response, among others | When genetic or other unique biological or physiological factors cause a differential need for consumption or avoidance of nutrients or food substances or foods/beverages based on host response | Lactose intolerance; celiac disease; phenylketonuria; food allergies and intolerance; responders and nonresponders |
Precision | Population subgroups | Specific tailored dietary recommendations that exist on a distribution of risk profiles or on the bases of growth, development, or life stage | Risk profiles that predispose to end points that can be ameliorated or managed by diet among identifiable subgroups | Sex, age, and life-stage groups; those at risk for type 2 diabetes |
Public health | Entire population | Broad-based guidance to most in the population | When most people react in similar and predictable ways and low risk of harm exists | Fortification programs to prevent deficiency disorders; strong scientific agreement |