Reducing Sugary Beverage Consumption Across the US: A Policy Update for RDs
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1 Reducing Sugary Beverage Consumption Across the US: A Policy Update for RDs Roberta R. Friedman, ScM Director of Public Policy Yale Rudd Center for Food Policy and Obesity AND Webinar September 12, 2013
2 Today Rudd Center Why target sugary drinks? Policies Getting involved Q and A
3 Strategic science Food marketing to kids School and pre-school initiatives Weight bias Legal and economic approaches Policy resources Sugary drinks
4 Which sugary drinks?
5 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
6 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
7 Center for Science in the Public Interest, 2013
8 SSB consumption promotes weight gain in children and adults. American Journal Clinical Nutrition, 2013
9 higher consumption of SSBs is associated w. development of metabolic syndrome and type 2 diabetes. Diabetes Care, 2010
10 Studies Added sugar and health risks Adult and child obesity Consumption trends Health risks Marketing to youth Taxes
11 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
12 Sources of added sugars, >2 yr, NHANES Welsh et al. Am J Clin Nutr, 2011
13 Sources of added sugars, 2-18 y.o. children and adolescents Slining and Popkin, PedObes, 2013
14 Added sugar recommendations AHA Enjoy range within plan guided by DGA Academy Soda is number one source limit. DGA
15 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
16 Million Gallons Sugary Drinks Sold in US Beverage World, Oct 2012
17 Million Gallons Sugary Drinks Sold in US Beverage World, Oct 2012
18 16% 12% 11% 11% 6% 5% Chaloupka, CCHHS, 2011
19 Ogden et al., NCHS Data Brief, No. 71, 2011 Mean % Total Daily Cal from SSBs by Race/Ethnicity,
20 Ogden et al., NCHS Data Brief, No. 71, 2011 Mean % Total Daily Cal from SSBs by Poverty Income Ratio
21 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
22 Marketing Higher exposure significantly associated with higher consumption
23 Evaluating Sugary Drink Nutrition and Marketing to Youth
24 Sugary drink marketers target children, teens, and black and Hispanic youth.
25 Despite industry pledges to market fewer unhealthy beverages to children, they are exposed to more not less advertising for sugary drinks.
26 Target kids under 12
27 Coke: We don t market to children
28 2009: $500m, kids, teens, mostly sugary drinks $87m TV $138m schools $94m events $69m sponsorships, cross-promotions
29 Marketing In 2010 $948m spent in measured media TV RADIO MAGAZINE ADS BANNER ADS Compare to RWJF child obesity initiative: $500m for 5 years
30 Not just measured media
31 Product placements
32 72.5m fans, #2 brand on Facebook (behind FB itself)
33 Local sponsorships Chicago and Coca-Cola $5m health challenge $3m grant for Wellness Initiatives $2.6m for recycling bins (w. logo)
34 Local sponsorship Supports community Creates opportunities Can still focus on public health Promotes individual responsibility Companies create healthy glow Influence city officials Buy silence Locality sells products
35 Not just measured media Facebook, Twitter, YouTube Cell phone ads and apps Company websites
36 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
37 Portions 1950s
38 Portions today 16 ounces 208 calories 13 tsp sugar 64 ounces 780 calories 54 tsps sugar
39 Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
40 Caffeine has no flavor activity in soft-drinks yet will induce a physiologic and psychologic desire to consume the drink.
41
42 Initiatives Pricing Procurement Education Portion control SNAP Schools Competitive foods Drinking water Supermarkets Health Care
43 North American Campaigns to Reduce Soda Consumption and Promote Healthy Beverages Since 2009
44
45 Sugary drink tax proposal Penny per-ounce Any bev. w. added caloric sweetener Revenue for obesity prevention 20% increase in price, 24% decrease in consumption Andreyeva et al. Prev. Med. 2011
46 Procurement
47 Boston
48 MO Dental Association
49 Rhode Island
50 Seattle/King County
51 New York City
52 Boston, MA
53 16 ounces NYC portion size limit
54 A policy to cap portion size is likely to result in a modest reduction in excess calories. 2013
55 Legislation: Can t use SNAP to buy sugary drinks
56
57
58 Hospital initiatives
59 No sugary drink prescription
60 Industry responses to policy Many things drive obesity Sugar isn t special all calories equal It s about physical activity Science isn t clear Sponsorships, lobbying Front groups We re part of the solution
61 Soda for breakfast. Part of the solution?
62 Beverage company sponsorships Influence policy, education etc. Should Academy accept sponsorships from Coke and Pepsi?
63 What can you do? Support policy changes locally Write or give testimony Write a letter to the editor Encourage coalitions to consider sugary drinks Let Academy leadership know your stand on sponsorship (either way)
64 Thank you! Yaleruddcenter.org
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