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APPENDIX C

REPORT ON THE EVALUATION OF CLINICAL NUTRITION RESEARCH UNITS, FISCAL YEAR 1982

INTRODUCTION

Under the authority of the Public Health Service Act, Section 301 (amended), the National Institutes of Health (NIH) support Clinical Nutrition Research Units (CNRUS). These Units are designed to encourage a multidisciplinary approach to clinical nutrition, and to complement NIH-supported project grants and training awards and relevant activities funded from other sources. Currently there are seven CNRUs supported by the National Institutes of Arthritis, Diabetes, and Digestive and Kidney Diseases (NIADDK) and the National Cancer Institute (NCI).

Advances in nutritional sciences are derived from, and thus dependent on, many disciplines (such as biochemistry, molecular biology, genetics, and physiology) and medical specialties (such as internal medicine, obstetrics, pediatrics, and surgery). The dependence upon the close interaction among research, health services, and education is evident in each of the CNRUS in operation. Examples of major efforts of the Units include research in hospital malnutrition and its prevention; research in the role of nutrition in the etiology and prevention of cancer, diabetes, atherosclerosis, cystic fibrosis, and other diseases; clinical investigations in the nutrition requirements of infants and children for normal growth and development; and the development of high quality Nutritional Support Services.

In 1981, site visits were made to each of the four CNRUS funded in August or September, 1979; in 1982, similar visits were made to Units initiated in September, 1980. The purpose of these site visits, conducted collaboratively by representatives from NIADDK, NCI, and several non-NIH clinical nutrition scientists, was to evaluate the effectiveness of the CNRU mechanism at each site after 20 months of operation. In 1982, scientists from the Veterans Administration and the United States Department of Agriculture Nutrition Center were also invited to participate in the evaluation vists.

A continuing goal of NIH is to enhance coordination and cooperation among the CNRUS; to stimulate multidisciplinary nutrition research, nutrition education, and research training in nutrition; and to encourage the development of Nutritional Support Services in medical centers.

The Comptroller General's Final Report, Progress Made in Federal Human Nutrition Research Planning and Coordination; Some Improvements Needed,1 recommended that the Secretary of Health and Human Services (HHS) instruct the Director of the National Institutes of

1 U.S. Government Accounting Office. Progress Made in Federal Human Nutrition Research Planning and Coordination; Some Improvements Needed, Pubn. No. CED-82-56, May 21, 1982.

Health (NIH) to prepare a summary report on the activities of Clinical Nutrition Research Units (CNRUs). This publication has been prepared in response to that recommendation and provides background information about, and highlights of, the CNRU initiative in nutrition research, training in nutrition research, nutrition support services, and nutrition education. The report is intended to be useful and informative to Federal nutrition research administrators and other interested parties, including specific Congressional committees and the scientific community.

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