Health Professional Advisors Conference Call

1. Health Professional Advisors Conference Call March 26, 2013

2. Today’s Agenda • Welcome & Agenda Overview • Introductions • ENC 2013 Programs • Research News • HPA Program Updates • Discussion Topics

3. ENC Team Don Layman, PhD Research Director Anna Shlachter, MS, RD Program Manager, Nutrition, Research & Communications Mitch Kanter, PhD Executive Director

4. Introductions: 2013 HPA Panel Neva Cochran, MS, RD, LD Dave Ellis, RD, CSCS Mary Donkersloot, RD Araceli Vazquez, MS, RD Amy Campbell, MS, RD, CDE Serena Ball, MS, RD Jason Karp, PhD Chris Barry, MMSc, PA-C Kathleen M. Zelman, MPH, RD, LD Karen Buch, RD Dixie Harms, DNP, ARNP, FNP-C, BC-ADM, FAANP 4

5. 2013 Programs

6. ENC Mission • ENC is a credible source of nutrition and health science information and the acknowledged leader in research and education related to eggs 6

7. Alliances and Partnerships • Joslin Diabetes Center • American Nurse Practitioner Foundation • Mediterranean Alliance • Healthy Plate Program • Produce for Better Health Foundation/Fruits and Veggies More Matters • MyPlate Health Professional Working Group 7

8. Nutrition Close-Up • Next Issue: April 2013 • Content: • Heather Leidy, PhD: Latest research on satiety • Jason Karp, PhD: Nutrition needs for running performance • Dixie Harms DNP: Cholesterol, recap of AANP conference presentation 8

9. Health Professional Presentations • American College of Sports Medicine Health & Fitness Summit (March 12-15) • Protein: The Key to Fitness, Performance and Weight Management • Presented by Don Layman, PhD • Nearly 500 fitness professional attendees at two presentations; reached more than half of all attendees • Webinar partnership with Advance for NPs and PAs (April) • Dietary Patterns for Cardiometabolic Health: Unscrambling the Guidance • David Katz, MD, MPH, FACPM, FACP 9

10. Health Professional Presentations Cont’d • American Academy of Physician Assistants Conference Breakfast (May) • Speaker/Topic TBD • American Academy of Nurse Practitioners (June) • Sarcopenia: Latest Updates in Nutrition and Metabolism Research and Practical Applications for Patient Care • Doug Paddon-Jones, PHD and Barbara Resnick, PhD, RN, CRNP, FAAN, FAANP • Weight Management Cross-DPG Breakfast at FNCE (October) • Also inviting members from Diabetes Care & Education, Women’s Health and Healthy Aging • Speaker/Topic TBD 10

11. HPA Opportunistic Presentations • Upcoming: • Kathleen Zelman, MPH, RD, LD – South Carolina Dietetic Association • Mary Donkersloot, RD – Physician’s Lunch in LA • Past Presentations: • Neva Cochran, MS, RD, LD – Mississippi Dietetic Association • Mary Donkersloot, RD – Pacific Egg and Poultry Association • Dixie Harms, DNP, ARNP, FNP-C, BC-ADM, FAANP – American Association of Nurse Practitioners

12. ENC 2013 Exhibit Schedule

13. EggNutritionCenter.org 13

14. Research News

15. Apr Apr Jul Jul Oct Oct Jan Jan ENC Funded Research: Projected Completion Dates Klein Exercise Training/type 2 DM high pro/low cho or ADA/AHA Jan 2015 Leidy Effects of incr protein at brfst alone or combo w/ lunch, in adolescent April 2014 Johnson Chol Meta-analysis Dec 2013 Wang Produ of food grade egg lecithin using “green techn” Aug 2013 Bonnema (F) Satiety of pro/fiberL combo egg whole grain on appetite/intake Dec 2014 Jacques- Cholesterol Meta-analysis Dec 2013 Wolfe/Ferrando Pro IntDistribut Pro Metab/ Skeletal Musc Mar 2015 Johnson Eggs and cognitive function in aging April 2014 McKay 2egg/d cognitive fxn older adult Apr 2014 Evans Eggs, prot n Ex Post-menopause Oct 2013 2013 2014 2015 Jan Oct Apr Jul Zeisel Egg Ingest Incre Plasma TMAO Activates LDL Oxidation June 2013 Fernandez Egg effects on postpran glucose in diabetes Dec 2013 Schalinske T2D, Vascular Dz Eggs Mar 2014 McCrory Egg Intake w/ w/o fiber neural activity appetite glycemic/lipemiccntrl May 2015 Kanaley Eggs glycemic Control in T2D Apr 2013 Gower Egg breakfast and metabolic flexibility Jan 2014 Baum Egg bkfst energy, intake, glycemic rsp children Oct 2014 Mott (F) Egg Consumption on Adolescent health over 10 yrcntrl Dec 2015 Volek Carb v SFA on Biomarkers of CVD May 2013 Kral Eggs v cereal satiety in children Dec 2013 Wei (F) Health education For egg use in low Income women Jul 2014 Feng/Wilke Egg cholesterol limits statin \toxicity June 2013 Campbell Prot n Ex on muscle fat and inflammation Dec 2013 KEY: Active Pending

16. Jul Jul Jan Jan ENC Funded Research (*Potential* Publication Completed Projects) NicklasUnscrambling the Research Egg, Healthy Lifestyle and Health Outcomes Key: Cholesterol/CVD Protein/Satiety Nutrient Density West/Caudill The Influence of Choline Intake on Lipids Katz Effects of Egg Ingestion on Endothelial Function in Adults with CAD Moore Effects of animal and plant proteins and their foods sources on selected cardiometabolic risks factors in adults Leidy The beneficial effects of a protein-rich breakfast on appetite control and cognition in overweight and obese adolescents Dhurandhar Is the increased satiety after egg breakfast due to superior quality of egg proteins? 2013 2014 2015 Jan Jul Garlick Eggs Enhance Protein Quality at Breakfast to Optimize Protein Turnover and Energy Status of Skeletal Muscle Layman The Importance of High Quality Protein at Breakfast Allen Assessment of vitamin B12 bioavailability from eggs Nicolosi Effect 2-eggs/d on prog of dry AMD in older individuals also Cholesterol; results Kholsa The role of eggs in long-term weight control and their impact on cardiovascular disease risk in young adults Kern Breakfast eggs and Ex on b comp and cholesterol Kanarek Acute and prolonged effects of eggs on cognition 16

17. Research Preview: Experimental Biology • Mini-Symposia • Effects of egg ingestion on endothelial function in adults with coronary artery disease: a randomized, controlled, crossover trial • D.L. Katz, Y. Ma, Y. Kavak and V. Njike (Yale Univ. Prevent. Res. Ctr.) • Daily addition of a protein-rich breakfast for long-term improvements in energy intake regulation and body weight management in overweight and obese ‘breakfast skipping’ young people. • H.J. Leidy, H.A. Hoertel, S.M. Douglas and R.S. Shafer (Univ. of Missouri-Columbia) • The effect of eggs on satiety in children and adolescents. • A. Liu, R.S. Puyau, H. Han, W.D. Johnson, F.L. Greenway and N.V. Dhurandhar (Pennington Biomed. Res. Ctr.)

18. Research Preview: Experimental Biology • Posters • Differing effects of statistical approaches to assess the relationship between egg consumption patterns and adiposity using data from 2001-2008 NHANES. • T.A. Nicklas, C.E. O’neiland V.L FulgoniIII (Baylor Col. of Med., LSU Ag Ctr. and Nutr. Impact LLC) • Profiles from assessment of amount, source, and cost of egg consumption by low-income women inform nutrition education intervention planning. • C.H. Wei and B. Lohse (Penn State) • The consumption of 12 eggs per week for 1 year significantly raises serum zeaxanthin levels with slight changes in macular pigment optical density and glare recovery in patients with early age-related macular degeneration. • H. Aljohi, E. Kotyla and T.A. Wilson (Univ. of Massachusetts) • Increases in plasma lutein and zeaxanthinby egg intake is associated with the formation of larger HDL particles in participants with metabolic syndrome. • C.N. Blesso, C.J. Andersen, B. Bolling and M.L. Fernandez (Wake Forest Univ. and Univ. of Connecticut)

19. Breaking Protein Research • Beneficial effects of a higher-protein breakfast on the appetitive, hormonal, and neural signals controlling energy intake regulation in overweight/obese “breakfast-skipping” late-adolescent girls. Heather Leidy, PhD Assistant ProfessorNutrition & ExercisePhysiology University of Missouri

21. A) Perceived Hunger B) Perceived Fullness

22. A) Perceived Desire to Eat B) Prospective Food Consumption

23. A) Hunger-stimulating Hormone Ghrelin B) Satiety-stimulating Hormone PYY

24. Activation BS > NP and HP Breakfast B) Activation NP > HP • Brain regions displaying differential activation prior to dinner in response to food vs. non-food stimuli

26. HPA Program Updates

27. HPA Survey Feedback • Main findings: • Majority of HPAs felt compensation to be fair for current workload ENC Response: Raised compensation for 2013 term • Many HPAs found the quarterly activity report cumbersome ENC Response: Include time for personal introductions/updates on calls; communicate more frequently through Google Groups • Majority of HPAs liked the concept of using Google Groups for updates ENC Response: Continue using Google Groups • Many supported ENC’s development of tools/resources and funding research; would like more meal plans, one-page fact sheets and egg images ENC Response: Develop new HPA Resource Center to house resources, including an image bank and starter presentations 27

28. HPA Google Group Great use of Google Group! • Two ways to use: • Email enc-health-professional-advisors@googlegroups.com • Log into Google Group online and create “New Topic” – sends email to all HPAs • Feel free to share: • Articles • Research • Resources/PDFs • Conference info • Professional updates • Reach out to Sam with any questions or issues 28

29. Coming Soon: HPA Resource Center • Password-protected portal on ENC.org • Go-to resources for HPAs in one place • Past HPA call decks • Fellow HPA presentations • Fact sheets • Latest materials • Key messages • Will include new starter presentations that you can pull from and build upon for any presentations 29

30. Thoughts • Comments • Feedback Discussion

31. How can ENC be more effective in reaching your colleagues?

32. What would you like to see the HPA program do in 2013?

33. Do you envision an opportunity for ENC at any meetings you’re attending in 2013?

34. Questions