Download Seminar on Re-assessing Macronutrients Need

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Seminar on Re-assessing Macronutrients Need – Requirement, Quality and Health Impacts
May 3-4, 2017, Bangkok, Thailand
Background
The 2015 WHO dietary guidelines (1) state that energy balance is critical in maintaining a healthy body
weight and ensuring optimal nutrient intake. The guidelines mention that the exact make-up of a diversified,
balanced and healthy diet will vary depending on individual needs (eg, age, gender, lifestyle, degree of
physical activity), cultural context, locally available foods and dietary customs. For adults, the basic
requirements for fat intake include: less than 30% of total energy intake from fat (using poly- or
monounsaturated fat rather than saturated fat) with intake from trans-fat not exceeding 1%. Among
populations with inadequate total energy intake such as those in developing countries, a 2008 FAO/WHO
report (2) recommended a minimum fat intake level of 15% energy (6-11% energy from total PUFA
comprising n-6 and n-3 fatty acids) to ensure adequate consumption of total energy, essential fatty acids,
and fat soluble vitamins. According to a WHO/FAO report in 2007, recommendations for protein are pegged
on a safe level of intake of 0.83 g/kg /day for proteins with a protein digestibility-corrected amino acid score
value of 1.0, (3).
The Institute of Medicine (IOM) has also provided specific recommendations in terms of Acceptable
Macronutrient Distribution Ranges (AMDRs) for carbohydrate, protein, fat, n-6 and n-3 polyunsaturated
fatty acids (4) for specific age groups. For adults, AMDR for carbohydrate, protein, and fat is estimated at
45-65%, 10-35%, and 20-35% of energy, respectively. No more than 25% of energy should be consumed as
added sugars, while n-6 PUFA should comprise 5-10% of energy.
The European Food Safety Authority (EFSA) has set the European dietary reference values as the following in
2010: intake of total carbohydrates should range from 45 to 60% of the total energy intake for both adults
and children; intake of fats should range between 20-35% of the total energy intake. (5). In 2012, EFSA has
set the population reference intakes for protein to be 0.83g per kg body weight per day for adults (6).
In the Southeast Asia Region, there are also national dietary reference values such as DRI, RDI, RDA or RNI
among the countries.
In the past few years, there have been new developments in the field of nutrition that impact
recommendations for dietary intake distribution of macronutrients. This seminar aims to provide an
overview of the most recent scientific knowledge regarding optimal macronutrient distribution, and discuss
its implications for dietary recommendations in the region. The objectives are to:
1. Present new findings regarding macronutrient requirements and distribution for healthy population
groups, and the health impacts.
2. Characterize the intake, distribution and main sources of macronutrients in Southeast Asian diets
(based on recent national surveys).
3. Discuss issues and future research needs regarding macronutrient requirements and distribution,
particularly for Southeast Asian countries undergoing a nutritional transition.
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Bibliography
1. WHO Media Centre. Healthy diet. 2015. [cited 15 July 2016]. Available from
http://www.who.int/mediacentre/factsheets/fs394/en/.
2. WHO. Interim summary of conclusions and dietary recommendations on total fat and fatty acids. From the
joint FAO/WHO Expert Consultation on fats and fatty acids in human nutrition, 10-14 November, 2008,
WHO, Geneva. 2008.
3. —. Protein and amino acid requirement in human nutrition. WHO Technical Reprot Series 935. Geneva :
WHO Presss.
4. IOM. Dietary references for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino
acids (macronutrients). s.l. : National Academy of Sciences, Institute of Medicine, Food and Nutrition
Board, 2005.
5. EFSA. EFSA sets European dietary reference values for nutrient intakes. EFSA. [Online] 2010.
https://www.efsa.europa.eu/en/press/news/nda100326.
6. —. EFSA sets population reference intakes for protein. EFSA. [Online] 2012.
https://www.efsa.europa.eu/en/press/news/120209.
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Preliminary Program
Day 1 – May 3, 2017
08:20 – 08:50 hr
Registration
08:50 – 09:00 hr
Welcome and Introduction
ILSI SEA Region, Singapore
OPENING SESSION
09:00 – 09:30 hr
Global Recommendations for Macronutrients Requirement and
Acceptable Macronutrient Distribution Ranges
Prof. Janet King, CHORI, USA
09:30 – 10:10 hr
Macronutrient Requirements in South East Asia
Emeritus Prof. Geok Lin Khor, Universiti Putra Malaysia, Malaysia
10:10 – 10:30 hr
Tea Break
SESSION 1: Current Macronutrient Intake in SEA Region
Chairperson: TBC
10:30 – 12:00 hr
Presentations from SEA Countries on their Current Macronutrient
Intake:
 Malaysia
Mr. Mohd Hasnan Ahmad, Ministry of Health, Malaysia (TBC)

Thailand
Asst. Prof. Warapone Satheannoppakao, Faculty of Public Health,
Mahidol University, Thailand

Singapore
Ms. Melissa Koh, Health Promotion Board, Singapore

Philippines
Dr. Cecilia Cristina Santos-Acuin, Food and Nutrition Research
Institute (FNRI), Philippines

Vietnam
Dr. Le Bach Mai, National Institute of Nutrition (NIN)
Vietnam

Indonesia
Ministry of Health, Indonesia (TBC)
12:00 – 13:00 hr
Lunch
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SESSION 2: Macronutrient Intake and Health Impacts
Chairperson: TBC
13:00 – 13:30 hr
Development of Macronutrient Requirements-Evidence Based
Approach-Korean Experience
Dr. Oran Kwon, Ewha Women’s University, Korea (TBC)
13:30 - 14:00 hr
Macronutrients and Caloric Intake in Health and Longevity
(TBC)
14:00 – 14:15 hr
Q&A
SESSION 3: Protein
Chairperson: TBC
14:15 – 14:45 hr
Protein Requirements: Beyond the RDA
Dr. Chris McGlory, McMaster University, Canada
14:45 – 15:15 hr
Higher Protein Diets for Metabolic Health
Prof. Manny Noakes, CSIRO Food and Nutrition Flagship, Australia
15:15 – 15:45 hr
Importance of Protein Consumption Throughout the Day for
Health
Dr. Shuichi Machida, Juntendo University, Japan
15:45 – 16:15 hr
Amino acids and Protein Quality for Growth
Dr. Umaporn Suthutvoravut, Mahidol University, Thailand (TBC)
16:15 – 16:45 hr
Discussion & Q&A
16:45
Tea Break and End of Day 1
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Day 2 – May 4, 2017
SESSION 4: Fats
Chairperson: TBC
08:30 – 09:00 hr
DHA and EPA Fatty Acids and Health during the First 1000 Days
Dr. Barbara Meyer, University of Wollongong
09:00 – 09:30 hr
Omega-3 Index and Health for the General Population
Scientist from DSM (TBC)
09:30 – 10:00 hr
Emerging Science on Fatty Acids Intake and Health – What is
Optimal?
(TBC)
10:00 – 10:30 hr
Omega-3 Fatty Acid Profiles of Indonesian Foods-Recent Findings
Dr. Ratna Djuwati, University of Indonesia (TBC)
10:30 – 10:45 hr
Discussion & Q&A
10:45 – 11:00 hr
Tea Break
SESSION 5: Carbohydrates
Chairperson: TBC
11:00 – 11:30 hr
Carbohydrate Intake and the Influence on Gut Microbiota
Prof. Yuan Kun Lee, National University of Singapore, Singapore
11:30 – 11:55 hr
Consumption Levels and Sources of Added Sugar in Thailand: A
Review of the Best Available Evidence
Dr. Wantanee Kriengsinyos, Institute of Nutrition, Mahidol
University, Thailand
11:55 – 12:25 hr
Impact on Health- Macronutrient Composition and Carbohydrates
Quality
(TBC)
12:25 – 12:40 hr
Discussion & Q&A
SESSION 6: Discussion Panel
Chairperson: TBC
12:40 – 13:20 hr
Should the Current Macronutrient Recommendations be Reviewed
and Revised?
Future research needs.
13:20 – 14:20 hr
Closing and Lunch
End of Day 2