Director, Nutrition Policy Margo G. Wootan, D.Sc. Director, Nutrition Policy www.cspinet.org/nutritionpolicy

Progress on addressing obesity

By Tony Auth, The Philadelphia Inquirer Junk-Food, Couch-Potato Culture By Tony Auth, The Philadelphia Inquirer

Kid’s eat 30%-50% of calories at school

Schools Serving Lunches that Meet Saturated Fat Standard

IOM Recommendations for School Meals Increase fruits and vegetables Make half grains whole grain Milk must be low or no fat Use only trans-free products Limit sodium to 740 mg Set maximum calorie targets

Continue to Improve School Meals Provide technical assistance Healthful and appealing Half grains whole grain Serve only 1% and fat-free milk More fruits and vegetables Competitive pricing Increase meal reimbursement rates Assess quality of meals, share results with parents

Food sold outside of school meals: Vending School stores Fundraisers A la carte

School Foods Report Card 2007

What’s a Junk Food? (According to the USDA) Fruitades (with little juice) French fries Ice cream bars Candy bars Cookies Chips Snack cakes Doughnuts Seltzer water Caramel corn Popsicles (without fruit juice) Jelly beans Chewing gum Lollipops Cotton candy Breath mints Not Allowed Allowed

Child Nutrition Promotion and School Lunch Protection Act, HR 1324/S934

Fundraisers in Schools Common items: candy, baked goods, and soda

www.cspinet.org/schoolfundraising.pdf

School Wellness Policies Requirements Address nutrition education, physical activity, and other wellness activities Set nutrition guidelines for all foods available on each school campus during the school day Involve parents, students, school food personnel, school board, administrators, public

Strengthen Local School Wellness Policies Technical assistance/training; Make wellness policies and implementation plans public; Periodically assess implementation of policies and update as needed; and Maintain standing local wellness policy committees.

NANA’s model policies and additional resources: www NANA’s model policies and additional resources: www.SchoolWellnessPolicies.org

School Foods Tool Kit www.cspinet.org/schoolfoods

Remove Junk-Food Marketing from Schools Don’t market, sell, or give away low nutrition foods/brands: sales school fundraisers placing logos, spokes-characters, etc. on vending machines, in books and curricula, and on scoreboards, buses, or other school property educational incentive programs supplies for labels/proof of purchase programs on Channel One free samples or coupons

Worksites Adults spend day at work Eat – lunch, snacks (vending), meetings Important for addressing: high healthcare costs disability absenteeism

Worksite Nutrition Policies Adopt nutrition policies for cafeterias, vending machines, company events, conferences, and meetings Provide healthy options Incentives and pricing strategies to make healthy options more appealing and affordable On-site farmers markets or produce delivery clubs Provide nutrition information in cafeterias and vending machines Initiatives to educate, motivate and provide social support State: Gather or develop model policies and materials Provide incentives Serve as model

Menu Labeling in Health Reform Only chains; ≥20 outlets Standard menu items – not custom orders, specials Calories on menus, menu boards and food tags Other nutrition info on brochures, posters, etc. Is feasible; allows for reasonable variation Cost is modest compared to other costs of doing business National uniformity

Restaurant foods Appetizers Calories Sat + Trans Fat (g) Buffalo Wings (12) w/ Dressing 1,010 22 Stuffed Potato Skins (8) 1,120 40 Cheese Fries (4 c) w/ Dressing 3,010 91 Entrees French Toast w/ Syrup & Margarine 910 13 Caesar Salad w/Chicken 1,010 13 Spaghetti with Meatballs 1,160 10 Fresh Chicken and Broccoli Pasta 1,170 55 (total fat) Chicken and Biscuits 2,500 NA Meals Chicken Ranch Sandwich & Fries 1,580 16 Double Whopper w/ Cheese King Size Value Meal 1,980 42 Fried Seafood Platter 2,170 39 Sweets Cinnabon (1) 730 14 Fudge Brownie Sundae 1,130 30 Cheesecake Factory Carrot Cake (1 s) 1,560 23

Total Number of Meal Combos Meals that Exceed Calorie Limit Rank (by revenue) Restaurant (n=13) Meal/Combo Name Total Number of Meal Combos Meals that Exceed Calorie Limit (>430 calories) # % 2 KFC* Kids Laptop Meal 440 100 13 Sonic Wacky Pack 48 18 Jack in the Box Kids Meal 24 Chick-fil-A Kid's Meal 20 8 Taco 3 12 Chili's Pepper Pals 700 658 94 7 Wendy's Kids’ Meal 30 28 93 1 McDonald’s Happy Meal & Mighty Kids Meal 40 37 Burger King** Kids Meal & Big Kids Meal 49 45 92 22 Dairy Queen Deeqs Kids Meal 16 89 15 Arby's 32 69 Denny's*** The D-Zone at Denny’s 52 31 60 5 Subway Fresh Fit for Kids 6 33 Total /Average   1474 1378

Away-from-Home Food Consumption Has Doubled 37% 18%

Eating out linked to obesity

Improve menus: reformulate existing items calories, saturated fat, trans, sodium leaner meats, lower fat dairy add whole grains add more fruits and vegetables – with interesting recipes add new healthy entrees

Current default kids’ meal Healthy default kids’ meal

Healthy Default Options on Disney’s Children’s Menus

Food Marketing Is Effective Studies show marketing gets children’s attention & affects food choices, food preferences, purchase requests, diets & health Watching TV linked to obesity Kids misled by and don’t understand advertising Parents know marketing works

Saturday AM TV Ads Batada, Seitz, Story & Wootan, JADA, 2008.

Food marketing to kids: $2 billion/year

Children’s Food and Beverage Advertising Initiative Current participants include: Burger King Cadbury Adams Campbell Soup Company Coca-Cola Company ConAgra Foods Dannon General Mills Hershey Kellogg Kraft Foods Mars McDonald's USA Nestlé USA PepsiCo Post Foods Unilever United States

TV Ad on Nickelodeon for foods of poor nutritional quality

Encourage companies to adopt strong marketing policies Prohibit junk food marketing in schools Counter advertising Host a meeting with governor Hold a hearing Write to companies Pass a resolution Use the bully pulpit, press conferences, radio interviews

CDC Division of Nutrition, Physical Activity, and Obesity CDC needs $90 million to fund all approved state grants CDC Division of Nutrition, Physical Activity, and Obesity

CDC state physical activity and nutrition grants

Soft drink taxes Current funding for nutrition and physical activity is inadequate >25 states have soft drink taxes Some state soda taxes are earmarked 1¢/12 oz. soft drink = $1.5 billion per year nationally MO: 2 cent tax could raise $58 M/yr Taxes to reduce intake 10% tax = 8% decreased intake MO: 10% tax = $118 M/yr

www.cspinet.org/nutritionpolicy Why Policy: Policy Options: Why nutrition policy is important Policy Options: Policies and programs to promote nutrition and physical activity Get Involved: What you can do Find Out More: Why its hard to eat well and be active in America today The National Alliance for Nutrition and Activity Learn more about how to eat well Eating well and being physically active takes more than just willpower. We need programs and policies that make healthy food more available, that disclose the calorie content of restaurant foods, and that teach people how to make healthy eating easier. There are existing nutrition policies and programs, like Nutrition Facts labels on packaged foods, nutrition standards for school lunches, and regulation of food additives. But more needs to be done to help people who want to eat well and prevent diet-related disease. www.cspinet.org/nutritionpolicy