1. FDA Obesity Working Group Presentation to Presentation to FDA Science Board April 22, 2004 Alan M. Rulis

2. 2 Facilitator for National Dialogue on Obesity – Recommendation from OWG Report The report recommends that FDA work through a facilitator to provide a forum for stakeholders to seek consensus-based approaches that address two specific aspects of obesity in the United States: 1) developing options for providing voluntary nutrition information for foods consumed away from home, e.g., in a restaurant setting, and 1) developing options for providing voluntary nutrition information for foods consumed away from home, e.g., in a restaurant setting, and 2) education to combat pediatric obesity.

3. 3 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 1. What nutrition information will be most helpful for consumers to have before ordering food in a restaurant?

4. 4 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 2. What are the best options for providing nutrition information in a restaurant setting?

5. 5 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 3. Should nutrition information be listed for all menu items or just some items? If for just some, what criteria should determine which items have nutrition information listed?

6. 6 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 4. When providing nutrition information in the restaurant setting, what consideration should be given to the differences between ‘chain’ and non-chain restaurants?

7. 7 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 5. How should restaurants tailor the kinds of nutrition information presented based on expected clientele?

8. 8 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 6. Should nutrition information be presented in context (e.g., as percent of daily value, comparison to 2,000 calorie/day diet, comparison to other menu items)?

9. 9 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 7. How should FDA proceed to encourage restaurants to participate in a voluntary pilot program to test various options?

10. 10 Foods Eaten Away from Home Proposed Scope of Work for Facilitator 8. How can industry/FDA measure the effectiveness of providing nutrition information to consumers in restaurants?

11. 11 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 1. On what age groups is it most appropriate for FDA to focus education efforts?

12. 12 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 2. What are the most appropriate settings (e.g., school, home, health care settings, social organizations/clubs) for educational efforts?

13. 13 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 3. How important is it for education efforts to be conducted using mass media (television, radio, print)?

14. 14 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 4. Over what time period should an education effort be extended to achieve optimal impact and lasting effects?

15. 15 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 5. What types of messages are most effective, and in which age groups, for educating children about nutrition and health?

16. 16 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 6. To what extent should education and/or other types of messages be tailored to different ethnic and/or socio- economic groups?

17. 17 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 7. What are effective means for partnering in the public and private sectors to develop and deliver obesity education?

18. 18 Pediatric Nutrition/Obesity Education Proposed Scope of Work for Facilitator 8. What are examples of effective partnering currently operating, and can they provide a foundation for future progress?

19. 19 QUESTIONS FOR THE SCIENCE BOARD On Scope of Work for Food Eaten Away from Home On Scope of Work for Food Eaten Away from Home On Scope of Work for Pediatric Obesity Education On Scope of Work for Pediatric Obesity Education

20. 20 Questions for the Science Board Food Eaten Away From Home 1. Are FDA’s proposed questions/issues likely to provide appropriate information to proceed with a pilot program with restaurants? If not, what other questions/issues should be addressed?

21. 21 Questions for the Science Board Food Eaten Away From Home 2. What kind of evaluation is appropriate to assess the effectiveness of a pilot program?

22. 22 Questions for the Science Board Food Eaten Away From Home 3. What advice would you have for a facilitator concerning the basis for evaluating recommendations on providing nutrition information in a restaurant setting?

23. 23 Questions for the Science Board Food Eaten Away From Home 4. What research would be helpful for a facilitator to know about to help them provide the best guidance to the agency on this subject?

24. 24 Questions for the Science Board Food Eaten Away From Home 5. In view of the materials you’ve been provided, is there any other advice or information you believe is important to give FDA on this issue?

25. 25 Questions for the Science Board Pediatric Obesity Education 6. Are FDA’s proposed questions/issues likely to provide appropriate information to guide the development of useful and understandable nutrition/obesity education efforts?

26. 26 Questions for the Science Board Pediatric Obesity Education 7. What research would be helpful for a facilitator to know about to help them provide the best guidance to the agency on this subject?

27. 27 Questions for the Science Board Pediatric Obesity Education 8. What other questions should FDA be asking a facilitator to explore in order to help the agency develop effective educational strategies?

28. 28 Questions for the Science Board Pediatric Obesity Education 9. In view of the materials you’ve been provided, is there any other advice or information you believe is important to give FDA on this issue?

29. 29 Back to Basics "We're going back to basics, designing a comprehensive effort to attack obesity through an aggressive, science-based, consumer-friendly program with the simple message that 'Calories Count.'“ "We're going back to basics, designing a comprehensive effort to attack obesity through an aggressive, science-based, consumer-friendly program with the simple message that 'Calories Count.'“ - FDA Deputy Commissioner Lester M. Crawford, DVM, Ph.D.

30. 30 Small Steps "Counting calories is critical for people trying to achieve and maintain a healthy weight. This new report highlights FDA's overall strategy for getting consumers accurate, helpful information that allows them to make wise food choices at home, at supermarkets and in restaurants. Taking small steps to eat a more balanced diet and to stay physically active can go a long way to reversing the epidemic of obesity that harms far too many Americans." "Counting calories is critical for people trying to achieve and maintain a healthy weight. This new report highlights FDA's overall strategy for getting consumers accurate, helpful information that allows them to make wise food choices at home, at supermarkets and in restaurants. Taking small steps to eat a more balanced diet and to stay physically active can go a long way to reversing the epidemic of obesity that harms far too many Americans." - DHHS Secretary Tommy G. Thompson