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1 Copyright © 2008 School Nutrition Association. All Rights Reserved. Welcome! To join the audio portion of the event, please dial: Note: SNA members will automatically earn 1 CEU credit for participating in today’s event. Details will be provided at the conclusion of the webinar. Disclaimer of Endorsement: reference herein to any products, services or expressed ideas does not constitute or imply endorsement or recommendation by the School Nutrition Association.

2 Copyright © 2008 School Nutrition Association. All Rights Reserved. High Fructose Corn Syrup (HFCS) and School Wellness: Science-based Facts for Healthful School Nutrition Programs May 7, 2008 Disclaimer of Endorsement: reference herein to any products, services or expressed ideas does not constitute or imply endorsement or recommendation by the School Nutrition Association.

3 Copyright © 2008 School Nutrition Association. All Rights Reserved. High Fructose Corn Syrup (HFCS) and School Wellness: Science-based Facts for Healthful School Nutrition Programs Overview and Moderator Susan Borra, RD, President, International Food Information Council Foundation Food Science Perspective of HFCS John White, PhD, President, White Technical Research Health Effects of Foods and Beverages with Added Sugars in Children’s Diets Theresa Nicklas, DrPH, MPH, Professor of Pediatrics, Baylor College of Medicine HFCS in School Nutrition Operations Sandy Voss, RD, LD, District Dietitian/Assistant Food Service Director, Arlington Heights School District 25

4 Copyright © 2008 School Nutrition Association. All Rights Reserved. Consumer perceptions of Sugar/HFCS Susan Borra, RD President, IFIC Foundation

5 Copyright © 2008 School Nutrition Association. All Rights Reserved. International Food Information Council (IFIC) Foundation Mission: To effectively communicate science-based information on health, nutrition, and food safety for the public good. Primarily supported by the broad-based food, beverage and agricultural industries.

6 Copyright © 2008 School Nutrition Association. All Rights Reserved. Sugars in the 2005 Dietary Guidelines Concern about weight gain, obesity, nutrient dilution Emphasized limiting foods with “added sugars” (“discretionary calories”) Fiber-rich fruits, vegetables, whole grains

7 Copyright © 2008 School Nutrition Association. All Rights Reserved. Media Reporting on Sugars and Health – Some Recent Headlines Law Banning Sugary Foods in Schools Passes Rethink that drink; the liquid calories you take in may be packing on more pounds than you realize The Sugar- Sweetened Facts Food companies vow to tighten limits on kids’ ads Sweet Tooth Could Lead to More Fruit, Less Obesity Juices fall from list of best kids’ drinks

8 Copyright © 2008 School Nutrition Association. All Rights Reserved. Sugar and Obesity Media Coverage Note: Lexis-Nexis search in U.S. Newspapers and Newswires on “obesity AND sugar or fructose or high fructose corn syrup or carbs or carbohydrates” Low-carb diet fad

9 Copyright © 2008 School Nutrition Association. All Rights Reserved. Global Media Coverage of Fructose/High Fructose Corn Syrup and Obesity Note: Figures retrieved from Lexis-Nexis searches on “Fructose or High Fructose Corn Syrup and Obesity or Obese” in U.S. newspapers, newswires, and Non-U.S. newspapers and newswires

10 Copyright © 2008 School Nutrition Association. All Rights Reserved. Consumers Reporting “Somewhat or Very Concerned” About Nutritional Content, US Grocery Shopper Trends, FMI 2007

11 Copyright © 2008 School Nutrition Association. All Rights Reserved. Consumer Awareness of Label Terms Related to Dietary Sugars Percent Heard (n=1000) Food and Health Survey 2007

12 Copyright © 2008 School Nutrition Association. All Rights Reserved. Sugar Consumption Trends  Significant decrease from ‘06 Sugar HFCS Fructose Glucose Sucrose Added sugars  Food and Health Survey 2007 Please indicate whether you are trying to consume more or less of the following:

13 Copyright © 2008 School Nutrition Association. All Rights Reserved. Science Says: High Fructose Corn Syrup and sugars have similar effects in humans

14 Copyright © 2008 School Nutrition Association. All Rights Reserved. 19% 23% 26% 25% 35% 37% 54% 53% 30% 32% 40% 28% 35% 31% 35% Great impact Some impact Taste Convenience Price Factors Influencing Consumers Purchasing Decisions How much of an impact do the following have on your decision to buy foods and beverages? 88% 85% 58% 65% 63% 72% 49% 55% Healthfulness  Significant increase from ‘06 (n=1000)     

15 Copyright © 2008 School Nutrition Association. All Rights Reserved. Food Science Perspective of HFCS John S. White, Ph.D. White Technical Research Argenta, Illinois

16 Copyright © 2008 School Nutrition Association. All Rights Reserved. HFCS in perspective Discovery of honey ~ Piero de Cosimo 1462, Worcester Art Museum Surprising attention Dietary component for eons Similar to sucrose Expert reviews: no concerns Predictable Obesity solution sought Historical precedent Distrust of government/agriculture/industry

17 Copyright © 2008 School Nutrition Association. All Rights Reserved. What is HFCS? HFCS = monosaccharides = free sugars Fructose + glucose Sucrose = disaccharide = bound sugars Fructose  Glucose

18 Copyright © 2008 School Nutrition Association. All Rights Reserved. HFCS is similar to sugars from natural sources Fructose (% total sugars) Fruit, vegetables, nuts, dairy ≥66Apples, pears 56-65Asparagus, raspberries, spinach, watermelon Almonds, apricots, bananas, blackberries, blueberries, broccoli, Brussels sprouts, cabbage, cantaloupe, carrots, cashews, cherries, Clementines, sweet corn, cucumbers, currants, dates, figs, filberts, grapefruit, grapes, hazelnuts, honeydew, melon, kiwi fruit, lentils, lettuce, lime juice, macadamias, nectarines, sweet onions, navel oranges, peaches, peanuts, peas pecans, sweet peppers, persimmons, pineapple, pistachios, raisins, summer squash, strawberries, sweet potatoes, tomatoes, walnuts, cooked wild rice 31-41Artichokes, celery, okra, plums, radishes, turnip greens Source: NutritionData.com. Conde Nast

19 Copyright © 2008 School Nutrition Association. All Rights Reserved. HFCS is similar to other caloric sweeteners % Total sugars Sweetener Physical form Total fructose Total glucose Crystalline fructose Dry max HFCS-42Syrup4258 HFCS-55Syrup5545 HoneySyrup4852 Crystalline sucrose Dry50 Medium invertSyrup50 Total invertSyrup50 Grape juice+ conc. Syrup5347 Apple juice+ conc. Syrup6535 Pear juice+ conc. Syrup7426 Agave nectar+Syrup7424

20 Copyright © 2008 School Nutrition Association. All Rights Reserved. HFCS is similar to other caloric sweeteners Composition Sugars ratio Production unit operations Functionality (some differences) Absorption Metabolism

21 Copyright © 2008 School Nutrition Association. All Rights Reserved. Fructose-glucose sweeteners are interchangeable Once absorbed into the bloodstream, they deliver the same sugars at the same ratios to the same tissues within the same timeframe to the same metabolic pathways

22 Copyright © 2008 School Nutrition Association. All Rights Reserved. HFCS/fructose is highly functional Stability in acid Ease of handling Flavor enhancement Control of freezing Fermentable sugars Moisture retention Resistance to crystallization Sugars for browning reactions Sweetness equivalent to sucrose

23 Copyright © 2008 School Nutrition Association. All Rights Reserved. Sweetness sucrose = HFCS-55 Sugars Sweetness Intensity (crystalline) 1 Relative Sweetness (10% ds) 2 Fructose Sucrose100 HFCS-5599 Glucose Schallenberger & Acree Sugar Chemistry. AVI Pub. Co., Westport CT. 2 White & Parke Cereal Foods World. 34(5):

24 Copyright © 2008 School Nutrition Association. All Rights Reserved. HFCS is a versatile ingredient Carbonated soft drinks, juices, fruit drinks Cereals, breakfast drinks Condiments Dairy products Meats Sauces, dressings, marinades Snack foods Syrups, toppings

25 Copyright © 2008 School Nutrition Association. All Rights Reserved. US availability: sucrose = HFCS

26 Copyright © 2008 School Nutrition Association. All Rights Reserved. It’s a sucrose world Source: Fereday et al. Sweetener analysis. LMC International Ltd., 2005.

27 Copyright © 2008 School Nutrition Association. All Rights Reserved. We eat more of everything Source: USDA-ERS 2007 Caloric nutrients data set, loss adjusted

28 Copyright © 2008 School Nutrition Association. All Rights Reserved. Perspective is lacking in the HFCS debate As HFCS , sucrose  We eat more of everything now than 35y ago HFCS = sucrose in lab tests HFCS is not uniquely responsible for obesity in the US or abroad Replacing HFCS with sucrose will not reduce obesity or improve health; they are the same

29 Copyright © 2008 School Nutrition Association. All Rights Reserved. Theresa A. Nicklas, DrPH Professor USDA/ARS Children’s Nutrition Research Center Baylor College of Medicine Department of Pediatrics Weighing the Evidence

30 Copyright © 2008 School Nutrition Association. All Rights Reserved. Which of the Following is the Strongest Predictor of Obesity?  Poor parenting  Being a male  Using computers and cell phones  Drinking too much sweetened beverages

31 Copyright © 2008 School Nutrition Association. All Rights Reserved. What is an Evidence—Based System?  A science-based systematic evaluation of the strength of the evidence behind a statement.

32 Copyright © 2008 School Nutrition Association. All Rights Reserved. The Philosophy Behind an Evidence-Based System  Rules are set “up front” then followed rather than having a preconceived idea, then finding the papers to support the idea.  If one follows the rules, any trained scientist should come to the same conclusion.

33 Copyright © 2008 School Nutrition Association. All Rights Reserved. ADA Evidence Analysis Library  Intake of calorically-sweetened beverages is positively related to adiposity in children (Sept. 2004) — Strength of the available evidence — Grade II (Fair)

34 Copyright © 2008 School Nutrition Association. All Rights Reserved. ADA Evidence Analysis Library Grade II: Fair 1.Strong design 2.Uncertainty attached to the conclusion 3.Doubts about generalizability, bias, research design flaws, or adequacy of sample size Or, alternatively 1.Weak designs 2.Results have been confirmed in separate studies

35 Copyright © 2008 School Nutrition Association. All Rights Reserved. Sweetened Beverage Consumption and Weight Status

36 Copyright © 2008 School Nutrition Association. All Rights Reserved. No Relationship Between Sweetened Beverage Consumption and Overweight Status: 13 Studies 1.Johnson L, Mander AP, Jones LR, Emmett PM, Jebb SA. Is sugar-sweetened beverage consumption associated with increased fatness in children?. Nutr. 2007; 23: Sun SZ, Empie MW.Lack of findings for the association between obesity risk and usual sugar-sweetened beverage consumption in adults—A primary analysis of databases of CSFII , CSFII , NHANES III, and combined NHANES Food Chem Toxicol. 2007; 45: Mundt CA, Baxter-Jones AD, Whiting SJ, Bailey DA, Faulkner RA, Mirwald RL. Relationships of activity and sugar drink intake on fat mass development in youths. Med Sci Sports Exerc. 2006; 38: Blum JW, Jacobsen DJ, Donnelly JE. Beverage consumption patterns in elementary school aged children across a two-year period. J Am Coll Nutr. 2005; 24: Andersen LF, Lillegaard IT, Overby N, Lytle L, Klepp KI, Johansson L. Overweight and obesity among Norwegian schoolchildren: changes from 1993 to Scand J Public Health. 2005; 33: Overby NC, Lillegaard IT, Johansson L, Andersen LF. High intake of added sugar among Norwegian children and adolescents. Public Health Nutr. 2004; 7: Newby PK, Peterson KE, Berkey CS, Leppert J, Willett WC, Colditz GA. Beverage consumption is not associated with changes in weight and body mass index among low-income preschool children in North Dakota. J Am Diet Assoc. 2004; 104: Phillips SM, Bandini LG, Naumova EN, Cyr H, Colclough S, Dietz WH, Must A. Energy-dense snack food intake in adolescence: longitudinal relationship to weight and fatness. Obes Res. 2004; 12: Forshee RA, Anderson PA, Storey ML. The role of beverage consumption, physical activity, sedentary behavior, and demographics on body mass index of adolescents. Int J Food Sci Nutr. 2004; 55: Forshee RA, Storey ML. Total beverage consumption and beverage among children and adolescents. Int J Food Sci Nutr. 2003; 54: Giammattei J, Blix G, Marshak HH, Wollitzer AO, Pettitt DJ. Television watching and soft drink consumption: association with obesity in 11- to 13-year-old schoolchildren. Arch Pediatr Adolesc Med. 2003; 157: Rodríguez-Artalejo F, García EL, Gorgojo L, Garcés C, Royo MA, Martin Moreno JM, Benavente M, Macías A, De Oya M, Investigators of the Four Provinces Study. Consumption of bakery products, sweetened soft drinks and yogurt among children aged 6-7 years: association with nutrient intake and overall diet quality. Br J Nutr. 2003; 89: Forshee RA, Storey ML. The role of added sugars in the diet quality of children and adolescents. J Am Coll Nutr. 2001; 20:

37 Copyright © 2008 School Nutrition Association. All Rights Reserved. Some Relationship Between Sweetened Beverage Consumption and Overweight Status: 17 Studies 1.Sanigorski AM, Bell AC, Swinburn BA. Association of key foods and beverages with obesity in Australian schoolchildren. Public Health Nutr. 2007; 10: Dubois L, Farmer A, Girard M, Peterson K. Regular sugar-sweetened beverage consumption between meals increases risk of overweight among preschool-aged children. J Am Diet Assoc. 2007; 107: Welsh JA, Cogswell ME, Rogers S, Rockett H, Mei Z, Grummer-Strawn LM. Overweight among low-income preschool children associated with the consumption of sweet drinks: Missouri, Pediatrics. 2005; 115:e Novotny R, Daida YG, Acharya S, Grove JS, Vogt TM. Dairy intake is associated with lower body fat and soda intake with greater weight in adolescent girls. J Nutri. 2004; 134: Schulze MB, Liu S, Rimm EB, Manson JE, Willett WC, Hu FB. Glycemic index, glycemic load, and dietary fiber intake and incidence of type 2 diabetes in younger and middle-aged women. Am J Clin Nutr. 2004; 80: Schulze MB, Manson JE, Ludwig DS, Colditz GA, Stampfer MJ, Willett WC, Hu FB. Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women. JAMA. 2004; 292: Berkey CS, Rockett HR, Field AE, Gillman MW, Colditz GA. Sugar-added beverages and adolescent weight change. Obes Res. 2004; 12: Ariza AJ, Chen EH, Binns HJ, Christoffel KK. Risk factors for overweight in five- to six-year-old Hispanic-American children: a pilot study. J Urban Health. 2004; 81: James J, Thomas P, Cavan D, Kerr D. Preventing childhood obesity by reducing consumption of carbonated drinks: cluster randomized controlled trial. Br Med J. 2004; 328: Nicklas TA, Yang S-J, Baranowski T, Zakeri I, Berenson G. Eating patterns and obesity in children: The Bogalusa Heart Study. Am J Prev Med. 2003; 25: Mrdjenovic G, Levitsky DA. Nutritional and energetic consequences of sweetened drink consumption in 6- to 13-year-old children. J Pediatr. 2003; 142: Giammattei J, Blix G, Marshak HH, Wollitzer AO, Pettitt DJ. Television watching and soft drink consumption: association with obesity in 11- to 13-year-old schoolchildren. Arch Pediatr Adolesc Med. 2003; 157: Gillis LJ, Bar-Or O. Food away from home, sugar-sweetened drink consumption and juvenile obesity. J Am Coll Nutr. 2003; 22: Liebman M, Pelican S, Moore SA, Holmes B, Wardlaw MK, Melcher LM, Liddil AC, Paul LC, Dunnagan T, Hayanes GW. Dietary intake, eating behavior, and physical activity-related determinants of high body mass index in rural communities in Wyoming, Montana, and Idaho. Int J Obes Relat Metab Disord. 2003; 27: Ludwig DS, Peterson KE, Gortmaker SL. Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet. 2001; 357: French SA, Jeffery RW, Forster JL, McGovern PG, Kelder SH, Baxter JE. Predictors of weight change over two years among a population of working adults: the Healthy Worker Project. Int J Obes Relat Metab Disord. 1994; 18: Tordoff MG, Alleva AM. Effect of drinking soda sweetened with aspartame or high-fructose corn syrup on food intake and body weight. Am J Clin Nutr. 1990; 51:963-9.

38 Copyright © 2008 School Nutrition Association. All Rights Reserved. Sweetened Beverage Consumption and Weight Status: Where is the Weight of the Evidence? Some Relationship No Relationship

39 Copyright © 2008 School Nutrition Association. All Rights Reserved. Evidence for the Relation Between Sweetened Beverage Intake and Overweight Status WEAKNESSES  small sample  regionally specific sample  response bias due to low return rate of beverage diaries  single 24-hour recall  multi-colinearity in diet

40 Copyright © 2008 School Nutrition Association. All Rights Reserved. Regular Carbonated Soft Drinks (NHANES) Smith PA, Forshee RA, Storey ML, Ceres Institute, Center for Food and Nutrition Policy, EB 2001  Mean frequency is 21.9 servings per month, less than 1/day.  87% of adolescents have 30 or fewer servings per month, or less than 1/day.

41 Copyright © 2008 School Nutrition Association. All Rights Reserved.

42 Copyright © 2008 School Nutrition Association. All Rights Reserved. Eating patternEA maleEA femaleAA maleAA female OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI) Food groups consumption a,b R²=0.08R²=0.10R²=0.17R²=0.13 Fats/oils0.97 (0.85 – 1.10)1.00 ( )0.93 ( )1.06 ( ) Fruits/fruit juices1.03 (0.88 – 1.20)1.10 ( )0.97 ( )0.55 ( )* Vegetables0.98 (0.77 – 1.24)1.09 ( )1.05 ( )0.75 ( ) Breads/grains1.20 (0.86 – 1.67)0.90 ( )0.62 ( )1.03 ( ) Mixed meats1.12 (0.95 – 1.31)0.93 ( )1.06 ( )0.97 ( ) Desserts0.89 (0.73 – 1.09)1.08 ( )0.89 ( )0.89 ( ) Candy0.94 (0.76 – 1.18)0.78 ( )0.79 ( )1.00 ( ) Sweetened beverages1.68 (1.12 – 2.33)*1.53 ( )*1.02 ( )0.92 ( ) Poultry0.99 (0.89 – 1.09)1.04 ( )0.97 ( )0.99 ( ) * p < 0.05;*p < 0.01 a Food group consumption I: individual food group consumption as eating pattern variables. b Odds ratio = risk of being overweight if increasing mean gram consumption. AA, African American; CI, confidence interval; EA, Euro-American; FJV, fruits/fruit juices and vegetables; meats, mixed meats, poultry, seafood, eggs, pork, and beef; OR, odds ratio; sweets, desserts, candy, and sweetened beverages; dairy, milk and cheese. The Association Between Eating-Pattern Variables and Overweight Status by Ethnicity-Gender Groups

43 Copyright © 2008 School Nutrition Association. All Rights Reserved. 1% Explained by Sweetened Beverages 4% Explained by Other Eating Patterns 95% Unexplained by Eating Patterns Overweight and Eating Patterns

44 Copyright © 2008 School Nutrition Association. All Rights Reserved. Smith PA, Forshee RA, Storey ML, Ceres Institute, Center for Food and Nutrition Policy, EB 2001 Variance of Children’s BMI Explained by Regression Model Income 1.8% TV 2.0% Demographics 4.0% Unexplained Variance 91.8% Explained Variance 8.3% Total Variance Explained Variance Diet 0.5%

45 Copyright © 2008 School Nutrition Association. All Rights Reserved. Association Between Eating Patterns and Weight Status Mean Difference Normal WeightOverweightObese Food Groups I (Gram Percent) Fat Fruits/Fruit Juices Vegetables Breads/Grains Mixed Meats Dessert Candy Non-Alcohol Beverage Diet Beverage Sweetened Beverage 1.41 (0.12) (0.61) a 7.99 (0.58) (0.50) 0.99 (0.25) 2.26 (0.27) 1.33 (0.14) (1.37) a 2.57 (0.91) a (1.54) 1.24 (0.18) 3.60 (0.87) b 7.21 (0.83) (0.72) 1.74 (0.36) 2.17 (0.39) 1.25 (0.20) (1.97) a,b 5.56 (1.32) a,b (2.23) 1.27 (0.21) 4.80 (1.05) a,b 9.05 (1.00) 9.64 (0.86) 1.42 (0.43) 2.30 (0.47) 0.85 (0.24) (2.36) b 6.80 (1.58) b (2.67) Model adjusted for age, calories intake, ethnicity, gender, and ethnicity x gender. 1 OR (95% CI) 2 Least-square mean (Stderr) a,b Significant mean difference if with different superscripts.

46 Copyright © 2008 School Nutrition Association. All Rights Reserved. Review Articles Sweetened Beverages and Weight Status Strong Evidence 1, 2 1.Malik VS, Schulze MB, Hu FB. Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr Aug 84(2): Vartainian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health April 97:

47 Copyright © 2008 School Nutrition Association. All Rights Reserved. Review Articles Sweetened Beverages and Weight Status Inconclusive Evidence 3, 4 3.Pereira MA, Jacobs DR. Sugar-sweetened beverages, weight gain and nutritional epidemiological study design. Br J Nutr Nov 23; Bachman CM, Baranowski T, Nicklas TA. Is there an association between sweetened beverages and adiposity? Nutr Rev April 64(4):

48 Copyright © 2008 School Nutrition Association. All Rights Reserved. Where is the weight of the evidence? ????? Inconclusive Evidence Strong Evidence Review Articles Sweetened Beverages and Weight Status

49 Copyright © 2008 School Nutrition Association. All Rights Reserved.  Strongest evidence was the positive association between sweetened beverage consumption and total energy intake. However….  The evidence regarding sweetened beverage consumption and overweight/obesity was not conclusive and warrants further investigation. Conclusions Based on a Scientific Review of the Literature 2005 Dietary Guidelines Advisory Committee Report

50 Copyright © 2008 School Nutrition Association. All Rights Reserved. Obesity Epidemic Food Industry Candy Genes Soft Drinks Pouring Contracts Junk Food Restaurants Fast Food Computers Working Mothers Poverty Poor Parenting School Feeding TV Decreasing Physical Activity Decreased PE in Schools Sugar Glycemic Index Energy Density No Simple Answer to the Obesity Epidemic

51 Copyright © 2008 School Nutrition Association. All Rights Reserved. The Energy Balance Equation Dietary Intake – Energy Expenditure = Stores (What you got – What you spent = What’s left) PHYSICAL ACTIVITY FOOD INTAKE

52 Copyright © 2008 School Nutrition Association. All Rights Reserved. “If you eat more of one thing, you eat a lot less of something else. So for every theory saying this disease is caused by an excess in x, you can produce an alternative theory saying it’s a deficiency in y.” ~ Hugh Tunstall Pedoe

53 Copyright © 2008 School Nutrition Association. All Rights Reserved.  Intuition versus science  Inconsistent findings  Lack of consensus from systematic reviews  Amount of variance explained in BMI is less than 5% for diet Should we be making policy recommendations based on…….

54 Copyright © 2008 School Nutrition Association. All Rights Reserved. Newsweek, Dec. 26, 2005/Jan. 2, 2006

55 Copyright © 2008 School Nutrition Association. All Rights Reserved. High Fructose Corn Syrup Issues in a School Lunch Program Sandra Voss, MS, RD, LDN Arlington Heights, Illinois District 25 Food & Nutrition Services

56 Copyright © 2008 School Nutrition Association. All Rights Reserved. Objectives Background, Trends, & Goals of District 25 Food Service Parents issues and concerns regarding high fructose corn syrup SFA response to concerns & strategies for dealing with the parents SFA perspective of high fructose corn syrup in school food service operations

57 Copyright © 2008 School Nutrition Association. All Rights Reserved. Background on District 25 District of approximately 5000 children in suburban Chicago Middle to upper class community Highly educated parents

58 Copyright © 2008 School Nutrition Association. All Rights Reserved. Trends in Food Service Organic and All Natural Offerings Farm to School Programs Foods without Trans Fats Foods not containing HFCS

59 Copyright © 2008 School Nutrition Association. All Rights Reserved. Goals of our Department Meet USDA Nutritional Requirements of the National School Lunch and Breakfast Programs Provide good quality food at an affordable price Promote good nutrition by offering a wide variety of fruits, vegetables, and whole grains

60 Copyright © 2008 School Nutrition Association. All Rights Reserved. Issues & Concerns with HFCS 2 major areas of concern….. Parent Perspective School Food Authority Perspective

61 Copyright © 2008 School Nutrition Association. All Rights Reserved. Parent Issues & Concerns All concern rises from media coverage and research done regarding the relationship of HFCS and childhood obesity Ala Carte offerings containing HFCS Reimbursable meal components containing HFCS

62 Copyright © 2008 School Nutrition Association. All Rights Reserved. Response to Concerns A la carte products: Some products contain HFCS such as cookies, crackers, flavored sparkling water, and low fat ice cream products Soda and confectionary products are not served (per NSLP regulations)

63 Copyright © 2008 School Nutrition Association. All Rights Reserved. Response to Concerns Ala carte offerings are optional and fit nutritional guidelines established by the district <35% cal from fat <10% cal from sat fat <35% sugar by weight <200 calories per serving

64 Copyright © 2008 School Nutrition Association. All Rights Reserved. Response to Concerns These items should be consumed in moderation and with a balanced, healthy diet Parents have control of children’s accounts and have the ability to block ala carte purchases

65 Copyright © 2008 School Nutrition Association. All Rights Reserved. Response to Concerns Reimbursable Meal Components: Majority of foods offered as part of meal do NOT contain HFCS Whole grain breads, yogurt, and chocolate milk DO contain HFCS Benefits of children consuming these nutrient dense foods Served in proper portion sizes

66 Copyright © 2008 School Nutrition Association. All Rights Reserved. School Food Authority Perspective Cost Implications We will not eliminate foods containing HFCS to meet our customers demand Current and anticipated increase in bread, milk, and other dairy products effecting the program Suggest to manufacturers to offer products without HFCS

67 Copyright © 2008 School Nutrition Association. All Rights Reserved. Strategies for Dealing with Concerned Parents Educate your parents About your program About HFCS Food and nutrition program requirements Financial implications of program eliminating HFCS

68 Copyright © 2008 School Nutrition Association. All Rights Reserved. Additional Strategies Nutrition Education Remember that kids only get 18-20% of their calories from school meals and the other 80% are consumed outside of school Educate students on eating balanced meals and choosing a variety of foods

69 Copyright © 2008 School Nutrition Association. All Rights Reserved. Additional Strategies Educate front-line staff on HFCS and the school food service perspective When parents approach FS staff, they can address some of their concerns Offer a variety of meal choices at lunch Allow multiple types of products, most of which do not have HFCS

70 Copyright © 2008 School Nutrition Association. All Rights Reserved. Additional Strategies Encourage consumption of fruits/veggies, whole grains….go back to the basics!

71 Copyright © 2008 School Nutrition Association. All Rights Reserved. Questions & Answers Sue Borra, RDJohn White, PhD Theresa Nicklas, DrPh Sandy Voss, MS, RD, LDN

72 Copyright © 2008 School Nutrition Association. All Rights Reserved. Resources for HFCS Information International Food Information Council Foundation (IFIC): (use HFCS as search criteria) The American Dietetic Association: (see “Position of the ADA: Use of Nutritive and Nonnutritive Sweeteners”) The Facts about High Fructose Corn Syrup:

73 Copyright © 2008 School Nutrition Association. All Rights Reserved. Disclaimer of Endorsement: reference herein to any products, services or expressed ideas does not constitute or imply endorsement or recommendation by the School Nutrition Association. Today’s webinar was made possible by:

74 Copyright © 2008 School Nutrition Association. All Rights Reserved. ALL SNA members who registered for and participated in the event will automatically obtain 1 SNA Continuing Education Unit (CEU) for viewing today’s webinar. – Participation will be verified against the event registration log, so if you participated via a shared computer, please to indicate your participation. Please include your SNA member number, full name and contact information, and the name of the person who registered for the event in the body of your . * Please note: CEU credits are for SNA members only; SNA is unable to provide CEU’s for other organizations. CEU certificates will NOT be issued as SNA will maintain record of your participation in the event. Details on Receiving SNA CEU Credits


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