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1 EXHIBIT C Center for Science in the Public Interest Publisher of Nutrition Action Healthletter EXHIBIT C Committee Name OBESITY Document consists of 43 SLIDES. Entire document provided. Due to size limitations, pages provided. A copy of the complete document is available through the Research Library (775/ ) or library@lcb.state.nv.us. Meeting Date:

2 Advertising by food manufacturers Food promotions = $26 billion Product category Prepared, convenience foods Confectionery and snacks Alcoholic beverages 5 A Day = $3.5 million Advertising expenditures $ million Share 1, , , Soft drinks and bottled water Cooking products and seasoning Beverages Dairy products and substitutes Bakery goods Meat, poultry, and fish Fruits, vegetables, grains, and beans General promotions Total ,

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5 Soft Drink Consumption, oz. Cans

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8 High School Students Attending Daily Physical Education Classes 40% Percent 20% 0%

9 Trips to School 5-9 yrs yrs Car 53% 44% School bus 30% 36% Walk 11% 12% U.S. Dept. of Transportation, 1995 Nationwide Personal Transportation Survey

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11 State policies can support Americans efforts to eat well and be active education + policy + environmental change = healthier eating and active living

12 SANDWICHES

13 Away from Home Foods % food dollar today

14 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 Schlotzsky s Chicken Breast Sandwich, Light & Flavorful (Large) 1,010 4 Spaghetti with Meatballs (3½ c) 1, Meals Grand Slam-Type Breakfast Platter 1, Fried Seafood Platter 2, BK Double Whopper w/ Cheese King Size Value Meal 2, Sweets Cinnabon (1) Fudge Brownie Sundae 1, Cheesecake Factory Carrot Cake (1 slice) 1,560 23

15 Nutritional Quality of Restaurant Foods Vary Widely Deli Sandwich Calories Sat Fat (g) Roast Beef with Mustard Tuna Salad Dinner House Side Dishes Vegetable of the Day 60 1 Baked Potato w/ Sour Cream French Fries Starbucks Caffe Latte w/ Skim Milk, Grande Caffe Latte w/ Whole Milk, Grande Caffe Mocha w/ Whole Milk & Whipped Cream, Grande Caffe Mocha w/ Whole Milk & Whipped Cream, Venti

16 Dietitians estimates of the calorie content of popular restaurant foods food item average calorie actual calorie percent estimate content difference Whole milk (1 c) % over Lasagna (2 c) % under Grilled chicken Caesar salad % under with dressing (4) Porterhouse steak dinner* 1,240 1,860 33% under Hamburger ( 10 oz.) and 865 1,550 44% under onion rings (11 rings) Tuna salad sandwich (11 oz.) % under *The dinner included a Porterhouse steak (untrimmed, 20 oz. before cooking) with a Caesar salad (2 cups), vegetable of the day (1 cup) and a baked potato with butter (1 tablespoon).

17 2/3 of Americans support calorie labeling in restaurants

18 Anyone s Guess The Need for Nutrition Labeling at Fast-Food and Other Chain Restaurants?????

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20 Schools with Vending Machines or School Store 43% of elementary schools 74% of middle/ junior high schools 98% of senior high Source: CDC, School Health Policies and Programs Study 2000

21 Children drinking more soda and less milk Source: Shenkin J, Heller K, Warren J, Marshall T. Soft Drink Consumption and Caries Risk in Children and Adolescents. General Dentistry 2003, vol. 51, pp

22 Tooth Decay in Youth

23 Soft Drinks and Health Dental caries and tooth erosion Displace low-fat milk and juice More soft drinks more calories (extra 190 cal/day for kids) 60% more likely to be obese with each additional soft drink/day Calorie compensation for beverages less precise than for foods

24 Will Schools Lose Funds if Competitive Foods Regulations Are Strengthened? Monthly Vending Machine Revenues in Philadelphia Schools Before and After Change in Beverages sales before sales after Sayre MS $304 $333 S. Philadelphia HS $653 $667

25 Milk in Schools 2/3 = high fat Milk = largest source of sat fat in children s diets Heart disease begins in childhood

26 Supporting Healthy Eating and Physical Activity in Schools Implement nutrition standards for vending, a la carte, fundraisers Promote and provide fruits and veggies Promote and serve 1% and fat-free milk Strengthen nutrition education Increase activity via PE, recess, and afterschool programs Create Safe Routes to School

27 WHY: Food marketing undermines parents ability to feed children well Marketing to children doubled ($7-15B, ) Food choices are manipulated by marketing techniques Advertising influences food preference/choices Kids misled by and don t understand advertising 4 out of 5 ads = sugary cereals, snack foods, candy, soft drinks, and fast food

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38 Limit marketing of lownutrition foods to children HOW: Limit marketing of low-nutrition foods in schools Write report on food marketing aimed at children Conduct marketing campaigns to promote healthy eating and activity Urge fast-food restaurants, food manufacturers, TV stations to follow guidelines for responsible food marketing aimed at children

39 Pestering Parents: How Food Companies Market Obesity to Children

40 National Alliance for Nutrition and Activity (NANA) NANA: 250 member organizations Federal, state and local members Diversity of members

41 FY 2001 FY 2002 FY 2003 $125 M $68.5 M $51 M FY 2004 $5 M (President s 04 budget)

42 CDC Funding for Nutrition 40 and Physical Activity (in millions)

43 Why Policy: 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 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. The National Alliance for Nutrition and Activity Learn more about how to eat well

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