Supporting Health through Food Policy

Transcription

1 Supporting Health through Food Policy Margo G. Wootan, D.Sc. Vice President for Nutrition

2 Leading Causes of Death 1. Heart Disease 709, Cancer 551, Stroke 166, Chronic Lower Respiratory 123, Accidents 93, Diabetes 68, Pneumonia and Influenza 67, Alzheimer s Disease 49, Nephritis 37, Septicemia 31, Suicide 28, Chronic Liver Dis./Cirrhosis 26, High Blood Pressure 17, Pneumonitis 16, Homicide 16,137

3 Obesogenic Food Environment Consumer Confusion

4

5 Nature of journalism they cover news Diet book authors want to sell books Food industry marketing, deceptive labeling and ads, funding biased research Generated confusion threatens: the public s health nutrition policy Nutrition Confusion

6 Center for Science in the Public Interest (CSPI) >45 year history (since 1971) Mission: Make it easier to eat healthfully Prevent/mitigate diet and obesity related diseases Educate the public Nutrition Action Healthletter Press Books, Reports Website tips Facebook Twitter Instagram National, state and local policy

7 There is no neutral ubiquity of food & sugary drinks what s available food formulations package/portion size price, what s on sale ads and marketing placement in stores/on menus

8 Unconscious, automatic food behavior

9 Defaults de fault (di fáwlt) n. A choice automatically made by someone else People stick with defaults Beneficial defaults acceptable There s no neutral beneficial v harmful defaults Default portions sizes and packaging, food formulations, pairings

10 Defaults: formulations

11 Healthy Defaults at Disney World Source: Using Healthy Defaults in Walt Disney World Restaurants to Improve Nutritional Choices, Peters, et al. (2016)

12

13 Children s meals Eating out = 1/4 of children's calories Restaurant marketing to kids Studies link eating out with obesity and higher caloric intakes 2012: 97% of kids meals unhealthy 2008: 99% of kids meals unhealthy McDonald s, Wendy s, Burger King, Dairy Queen, Applebee s, Jack in the Box dropped sugary drinks from kids menu Kid s Meal Policies Passed: Santa Clara County, San Francisco, Davis, Stockton, Berkeley, Perris Introduced: CO, MD, HI, VT, NYC, NYS

14 Lane County, OR San Francisco* San Mateo County* Santa Clara County* Washington California LA County Oregon Multnomah County* King County, WA Arizona State and United Local States Menu of Labeling AmericaPolicies New Mexico Oklahoma Iowa Chicago, IL Missouri Arkansas Illinois Indiana Ohio Kentucky Tennessee Schenectady County Albany County, NY Rockland County, NY Ulster County, NY West- Virginia Westchester County, NY New York Pennsylvania Vermont Maine Connecticut Rhode Island New Jersey New Hampshire Massachusetts Nassau County, NY New York, NY Suffolk County, NY Philadelphia Delaware Maryland Montgomery County, MD Washington, DC Hawaii Texas Florida Davidson County, TN** Implemented Passed Introduced 2009 Introduced *Superceded by state law. **TN Legislature retracted county regulations. April 2011

15 Menu Labeling Chains; 20 outlets Calories on menus, menu boards, food tags, buffets, vending Other nutrition info on brochures, posters, etc. May 7, cal/person/day = effect on ordering 40 cal/entrée = effect on reformulation Awareness campaign: Education Reformulation Costco/Sheetz

16 Common Sense Nutrition HR 772/S 261 Opposed by public health groups Deny customers calorie information Disclosure Act Industry-determined serving sizes Weaken enforcement/ consumer protection Bill passed House, not Senate

17 Changes: new added sugars line added sugars Daily Value bolder calories remove clutter: Calories from Fat & nutrient table vitamins A & C voluntary Potassium & vitamin D required improved fiber definition some serving sizes revised

18 Retail prompts to buy economic drivers v. health considerations Product availability, placement, shelf space Store layout Pricing, couponing, sales Food pairings Displays In-store promotions Voluntary action by retailers, manufacturers Local ordinances Checkout Full report free online: cspinet.org/rigged

19 Food Service Guidelines (Procurement) Growing Movement Procurement, plus: pricing marketing placement menu labeling

20 Where Foods/Beverages are Sold or Served Federal, state, local governments Worksites Hospitals Assisted-living communities Institutionalized populations Community based organizations (including faith based) Colleges and universities Child care School systems Settings Venues Cafeterias Snack Bars Vending Lunch Rooms Meetings Conferences

21 Phased-in vs. Statewide Policy Stepwise implementation (start with one agency and expand) Delaware: state parks Palm Beach County, FL: DoH Portland, OR: parks and rec Implement policy in all government agencies at once City-wide vending: Los Angeles, San Francisco, Chula Vista County, Contra Costa County NYC for food served through programs, childcare, corrections Provide policy as a model to other workplaces (Seattle/King County)

22 Vending on Public Property cspinet.org/vendingcontradications.pdf

23 Vending on Public Property cspinet.org/vendingcontradications.pdf

24 Healthy Meetings National Alliance for Nutrition and Activity Healthy Meeting Toolkit Healthy Meeting Pledge

25 For More Information Model standards Fact Sheets General Randolph-Sheppard Financial Impact Toolkits Promotional/educational signs and materials Model legislation

26 2010 Child Nutrition Reauthorization Healthy, Hunger-Free Kids Act, S Landmark legislation School lunch, breakfast, CACFP, WIC, summer foods, after-school suppers Improve access, funding and nutritional quality of school foods

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

28 USDA School Meal Regs

29 Schools Meeting School Lunch Standards Percent ᵃ ᵇ ᶜ 2014ᵈ a. School Nutrition Dietary Assessment Study (SNDA) b. SNDA II c. SNDA IV d. USDA 6-cent certification data for school districts

30 Threats to school nutrition Policy riders on spending bills CNR delayed House Freedom Caucus hit list Conservative lobbyists Administrative action St. Louis Post-Dispatch

31 Food Marketing Is Effective Companies know marketing works: $2 billion/year 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 Marketing undermines parents and affects what others feed children

33 Children s Food and Beverage Advertising Initiative 18 Participating Companies 12 use nutrition criteria for child-directed ads 6 pledge no child-directed ads

34 Nickelodeon Food Ads

35 Strengthen self-regulation All companies need to have marketing policy Entertainment companies Strengthen nutrition standards Cover all marketing In-school, on-package, in-store, toy give-aways, kids menus Strong definition of kidtargeted marketing

36 Soft drink taxes Current funding for nutrition and physical activity is inadequate 35 states tax soft drinks Some state soda taxes are earmarked 1 /oz. soft drink = $13 billion/yr nationally Reduce intake by 15% Decrease medical costs by $1.7B/yr Reduce diabetes, heart attacks, strokes, premature deaths

37 bit.ly/supermarketdecisions

38 cspinet.org/ actnow