1. Food Advertising and Marketing to Children: RWJF Research Roundtable III ~ Welcome! April 4-5, 2011 Academy for Education Development Washington, DC

2. Coordinated Approaches to Reducing Youth Exposure to Unhealthy Food Marketing ADVOCACY EVIDENCE ACTION National Policy and Legal Analysis Network Healthy Eating Research Food Trust Childhood Obesity Modeling Network Save the Children RWJF Center to Prevent Childhood Obesity IOM Standing Committee ChildObesity 180 African American Collaborative Obesity Network National Collaborative on Childhood Obesity Research (NCCOR) Communities Creating Healthy Environments Leadership for Healthy Communities Rudd Center for Food Policy and Obesity Bridging the Gap Hudson Institute Salud America! Food Marketing Workgroup Healthy Kids, Healthy Communities

3. The 4 P’s of Food Marketing U.S. Children Advertising/ Promotion Source: Sonia Grier and Shiriki Kumanyika Price Product/ Packaging Placement

4. Gov’t food assistance Programs, Macro-Level Societal and cultural norms Home/ Family Individual Agriculture and economic policies, food subsidies Food Industry action (product, packaging, pricing, placement) Local health care services/coverage Local public health programs, policies, media campaigns Point-of-purchase information, promotions in restaurants, convenience/grocery stores Exposure to healthy and unhealthy foods and ads in schools, communities Media and public education campaigns Access to healthy/unhealthy foods in communities (grocery stores, corner stores, fast food, farmers markets) National healthcare policy Land use, zoning, business incentives Federal policies (children’s food advertising, food labeling, Healthy & Hunger-Free Kids’ Act, Farm Bill) Food advertising and marketing, industry regulation and self-regulation Psychosocial food norms, preferences knowledge attitudes skills, supports role models Biological age gender genes physiology Household environment and feeding practices, incl. portion size Parent/child care provider training and education Individualized health care interventions Community and Organizational Source: Orleans, 2007 Food price/taxes

5. BMI per Person Target Population DALYs Gross Cost Net Cost TV viewing0.45227,0006,700$54.6M-$2.1M TV advertising0.172.4 M37000$0.13M-$300M Soft drinks0.13119,0001,060$3.3M-$5.2M Family-based targeted program 1.75,8002,700$11M-$4.1M Walking School Bus0.0316,00030$22.8M$22.6M Targeted multi-faceted school-based0.524,300370$0.56M-$0.08 Multi-faceted school-based +PE 1.1115,0008,000$40.4M-$28.7M Multi-faceted school-based –PE0.31115,0001,600$24.3M$11.2M Active After-School0.0799,000449$40.3M$36.6M Orlistat in adolescents0.863,300450$6.4M$4.0M Gastric Surgery (adolescents)13.94,10012,300$130 M$55.0M General practice counseling 0.259,700511$6.3M$3.0M High Projected Population Impact – Projections from Australia Source: Haby, Vos, Carter et al., 2006

6. Today’s Aims Review progress since 2005/6 IOM Report Food Marketing to Children and Youth and highlight new developments/cutting-edge research Prioritize research on children’s food marketing that will advance policies and practices to reduce youth exposure to unhealthy food marketing and activate the public, parents and youth – by 2015?! Outline ways to broaden our networking and collaboration across research, action and advocacy

7. Watershed Best bets (targets) for policies, practices, regulations or environmental changes able make a difference in children’s/adolescents’ food environments, norms, diets, health and BMI? reduce disparities/inequities in exposure to unhealthy food marketing? short- and long-term impact? Best opportunities and approaches in next 4 years (e.g., research, action, advocacy, communication, consumer engagement, strategic alliances)? feasible and politically viable actions at federal, state and local levels sufficient evidence, advocacy, potential to spur consumer demand/coalition action? “Game changers?” (def: Nike’s systematic approach to programming to increase movement worldwide) strategies that are relatively new, not well known or well exploited, powerful motivators, have high ROI, are relevant to large populations, are characterized by feedback loops, synergies, “win-win’s” and lend themselves to strategic alliances. (~ disruptive innovations?) 7 9/12/2015