Table 5.
NCCC recommendations related to population-level research
| Agency | Recommendation |
|---|---|
| HHS (NIH and CDC) | Support large-scale natural experiment research, including cost-effectiveness analysis, to inform the evidence base related to social and environmental policies that prevent and control type 2 diabetes; special focus should be paid to “health-in-all policies” types of interventions relevant to non–health agency activities and other public health (nonclinical) interventions |
| HHS (Centers for Medicare & Medicaid Innovation) or alternative federal entity | Support demonstration projects in collaboration with non–health agencies related to influencing social determinants of health and reducing diabetes risk and diabetes control and complications (for example, USDA SNAP interventions, HUD housing interventions, EPA fresh water interventions, and DOT walkability interventions) |
| HHS (NIH and CDC), USDA, DOT, HUD | Investments in research training need to be made to enhance the workforce skilled in the competencies needed to carry out health impact assessments and related simulation work |
| HHS (NIH) | Expand the NIH initiative on precision nutrition to 1) include clinical trials that can inform critical population health questions related to which foods, beverages, ingredients, and additives promote/prevent the development of type 2 diabetes; 2) include studies of communication interventions and (counter)marketing practices to inform which practices work best for which subpopulations with respect to changing dietary patterns to prevent type 2 diabetes and which practices elevate diabetes risk; and 3) broaden the definition of “precision” to go beyond targeting the individual to include targeting cultural and geographic entities (neighborhoods) |
| HHS (NIH) and USDA | Encourage that nutrition and metabolic research accurately quantify water intake and use this information to better study the associations between water consumption and health across the life span; USDA should develop methods to incorporate water consumption into USDA Food Patterns (water is a beverage that currently is not a contributor to USDA food groups or subgroups) |
| HHS (NIH) | Support research (in collaboration with other agencies) to better understand the role of 1) exposures related to environmental pollutants, toxins, contaminants, unclean water, and endocrine-disrupting chemicals on metabolic function and diabetes risk; and 2) life course trauma (including interpersonal violence, discrimination, racism, and disability) on metabolic function and diabetes risk and associated interventions to reduce exposure to such trauma and/or mitigate the effects of trauma on diabetes outcomes |
HHS, Department of Health and Human Services.