1. Director, Nutrition Policy
Margo G. Wootan, D.Sc.
Director, Nutrition Policy

2. Progress on addressing obesity

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

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

5. Schools Serving Lunches that Meet Saturated Fat Standard

6. 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

7. 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

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

9. School Foods Report Card 2007

10. 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

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

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

14. 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

15. 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.

16. NANA’s model policies and additional resources: www
NANA’s model policies and additional resources:

17. School Foods Tool Kit

18. 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

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

20. 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

22. 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

24. Restaurant foods Appetizers Calories Sat + Trans Fat (g)
Buffalo Wings (12) w/ Dressing 1,
Stuffed Potato Skins (8) 1,
Cheese Fries (4 c) w/ Dressing 3,
Entrees
French Toast w/ Syrup & Margarine
Caesar Salad w/Chicken 1,
Spaghetti with Meatballs 1,
Fresh Chicken and Broccoli Pasta 1, (total fat)
Chicken and Biscuits 2,500 NA
Meals
Chicken Ranch Sandwich & Fries 1,
Double Whopper w/ Cheese
King Size Value Meal 1,
Fried Seafood Platter 2,
Sweets
Cinnabon (1)
Fudge Brownie Sundae 1,
Cheesecake Factory Carrot Cake (1 s) 1,

25. 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

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

27. Eating out linked
to obesity

28. 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

29. Current default kids’ meal Healthy default kids’ meal

30. Healthy Default Options on Disney’s Children’s Menus

31. 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

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

33. Food marketing to kids: $2 billion/year

34. 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

35. TV Ad on Nickelodeon for foods of poor nutritional quality

36. 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

37. 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

38. CDC state physical activity and nutrition grants

40. 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

41. 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.