This midcourse report provides an initial assessment of how the process used to develop the Dietary Guidelines for Americans, 2020-2025 (DGA) compares to the recommendations in the 2017 National Academies report on redesigning the process for establishing the DGA. It also assesses the criteria and processes for including the scientific studies used to develop the guidelines. The scope of this study was to address the process and not the content of the guidelines.

• Front Matter
• Summary
• 1 Introduction
• 2 Methodological Approach to the Task
• 3 Analysis of the Scientific Methodologies, Review Protocols, and Evaluation Processes of the Dietary Guidelines
• 4 Analysis of the Scientific Studies Used to Develop the Dietary Guidelines for Americans
• 5 Concluding Remarks
• Appendix A: Committee Member Biographies
• Appendix B: Open Session Agendas and Comments
• Appendix C: Systematic Review Matrix Summary
• Appendix D: Dietary Guidelines Advisory Committee/Dietary Guidelines for Americans Recommendation Comparison Table
• Appendix E: Summary of Selected Systematic Review Practices
• Appendix F: Selected Systematic Review Methodologies 2015 Versus 2020
• Appendix G: Systematic Review Questions Addressing Diet-Related Metabolic Diseases
• Appendix H: Updated Systematic Reviews