Healthy Food and Beverage Policy Position Statement Policy Catered Meals Employee Snack Food and Beverages Meetings, Functions and Events

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Healthy Food and Beverage Policy Position Statement Healthy eating and drinking are fundamental to good health, helping individuals feel and handle stress better, achieve optimal work performance and have plenty of energy. Healthy eating and drinking are also important for prevention and control of many health problems, such as heart disease, high blood pressure, and type 2 Diabetes. The Kansas Health Foundation (KHF) acknowledges that food and beverages have a tremendous impact on health and that by providing access to healthy food and beverage options the Foundation can support the health of its Board, employees, grantees and partners. In addition, KHF s food and beverage policy will serve as an important model to inform organizational policies in Kansas. Policy To create a healthy environment, KHF will ensure access to a variety of healthy food and beverages at KHF-sponsored organization activities. This applies to all Foundation internal and external meetings, functions and events. Catered Meals Caterers used for KHF events will provide a variety of healthy food and beverage choices based on recommendations outlined in the KHF Healthy Catering Guidelines. For all catered meals, KHF will provide vendors with the KHF Healthy Catering Guidelines and request that menus are prepared that adhere to the guidelines. Employee Snack Food and Beverages For food and beverages that are purchased directly by KHF, we will follow the KHF Healthy Food and Beverage Guidelines to ensure that: Healthy snack food choices are available for staff Healthy food choices are available at organization activities Healthy food choices are positioned more prominently than other foods All food and beverages are handled, prepared, and stored in accordance with food safety regulations Meetings, Functions and Events For food and beverages purchased by individual KHF staff during work time for KHF meetings, functions and events, staff will adhere to the Healthy Food and Beverage Guidelines to the extent possible based on restaurant menu items, food and beverage availability, and other practical considerations. Off-Site Restaurant Meals For KHF meetings that include purchasing restaurant meals for KHF Board members, Advisory Groups, Committees or external partners, individuals will be able to select items off the menu without limitations to ensure timely ordering of meals. To help ensure restaurant meals are healthy, KHF staff is encouraged to select restaurants that have a Presented by: Foundation Health and Wellness Committee Date Submitted: 06/15/2012 Review date: June 2013

Healthy Food and Beverage Policy variety of healthy food options when providing meals to Board members, Advisory Groups, Committees and external partners. Presented by: Foundation Health and Wellness Committee Date Submitted: 06/15/2012 Review date: June 2013

KHF HEALTHY FOOD AND BEVERAGE GUIDELINES Guidelines Healthy foods are high in vitamins and fiber and low in saturated fat, added sugars, and sodium (salt). Healthy foods are also free of artificial sweeteners. Healthy snack foods include: Fruits and vegetables Whole grains Nuts and seeds Low fat dairy products Each snack food item available for staff and at organization activities will meet the following guidelines: 1. Nutrition Standards' Nutrient Levels Calories: 200 calories or less Fat: Equal to or less than 4g per 100 calories o 35% or less of total calories, except for nuts, seeds and nut butters Note: For 30% or less of total calories, choose products with less than 3.3 g per 100 calories o <10% or less of total calories from saturated fat. (per 2.5 g per 200 calories) o Trans-fat free Sugar: Equal to or less than 9 g per 100 calories o 35% or less of weight from total sugar, except fruit without added sugar. o Specifications of food products with naturally occurring sugars (lactose and fructose): [Yogurt and milk, no more than 22 g [unflavored items] 30 g [flavored items] total sugar per 8-oz portion] *Sodium: 200 mg or less o Due to availability of lower sodium products, sodium guidelines may be difficult to meet and will take time to achieve 100% purchase of sodium products with 200 mg or less Fiber: Half of the available grain snack items will be whole grains Protein: Snack items will include options with greater than or equal to 4 g protein 2. Portion sizes When possible, serve or make it easy to access foods in portion sizes that meet nutrient guidelines. Suggested portions include the following: a. 100% juice in 4-6 oz. cans or glasses Approved: 06/19/2012 Revised:

b. Mini bagels and muffins 3. Beverage Clarifications The following beverages will be offered: a. Water (without added sugar or artificial sweetener) b. Non-sweetened tea c. Coffee d. Low-fat (1% or 1/2%) and-or skim milk e. 100% juice (not greater than 4-6 oz.) Coffee sweeteners and creamers : a. Used as only a condiment, sugar and artificial sweeteners will be offered b. Non-fat dry milk or skim milk The following beverages will not be offered: a. Soft drinks: Neither regular or diet soft drinks will be offered b. Sports drinks: Neither energy drinks, or vitamin waters will be offered 4. Other Clarifications Diet, light, lite or other foods containing artificial sweeteners are not considered healthy Rationale for inclusion of sugar and artificial sweetener as a coffee condiment but not as a soft drink: o o o Both added sugar and sugar subs are unhealthy choices As a condiment it is a small amount controlled by the individual and required by some individuals for chronic health problems (such as diabetes) As a beverage it is a large amount; not always an individual choice when other beverage options are not available Non-fat (without fat) generally refers to fat-free dairy products FDA defines low-fat as 3 g or less fat per serving FDA defines light as a reference to 4 different claims: a. At least one-third fewer calories per serving than a comparison food; or b. Contains no more than half the fat per serving of a comparison food. If a food derives 50% or more of its calories from fat, the reduction must be at least 50% of the fat; or c. Contains at least 50% less sodium per serving than a comparison food; or d. Can refer to texture and/or color, if clearly explained, for example, "light brown sugar. Light when attributed to a claim for yogurt generally refers to fewer calories resulting fully, or in part, from the substitution of artificial sweeteners for sugar. Approved: 06/19/2012 Revised:

Sources: Institute of Medicine, Nutrition Standards for Foods in Schools 2010 Dietary Guidelines for Americans Kansas State Board of Education Vending Machines/School Stores Guidelines Approved: 06/19/2012 Revised:

KHF Healthy Catering Guidelines GUIDELINES BEVERAGES Ice water Bottled spring or sparkling water regular or flavored with no sugar 100% fruit or vegetable juices avoid large-size bottles Skim or 1% milk BREAKFAST MEETINGS Fresh fruit Yogurt flavored non-fat or fat-free Note: light (or lite) yogurts containing artificial sweeteners do not meet guidelines Bagels 3-1/2 diameter or less; serve with low-fat cream cheese, jam or jelly SNACKS Fresh fruit cut up and offered with low-fat yogurt dip Raw vegetables cut up and offered with fat-free or low-fat dressing or salsa dip Pretzels served with sweet mustard dip Tortilla chips baked and offered with salsa dip Coffee and flavored coffees regular and decaffeinated Tea regular and herb teas hot or cold Coffee and tea creamers of skim milk, 1% milk or fat-free half & half Muffins small or mini (5 g fat or less per muffin) Fruit bread (5 g fat or less per1 oz. slice) Granola bars low-fat, low sugar (5 g fat or less per bar) Low Fat Protein Beverages from Beverages list Popcorn lower fat (5 g fat or less per serving) Whole grain crackers (5 g fat or less per serving) Angel food cake with fruit topping Beverages from Beverages list CATERED LUNCHES & DINNERS An entrée with no more than 12 to 15 g fat. ( 3 oz. low fat meat per lunch and 4-5 oz. dinner) Approved: Revised: 06/07/2012

o Use lower fat or fat- free preparation methods to serve added fats like dressings or condiments on the side and to provide the number of calories and fat grams in entrées if available. o Serve items that are broiled, baked, grilled or steamed rather than fried or sautéed o Choose entrées in tomato-based sauces rather than cream, butter or cheese sauces Always offer a vegetarian entrée Avoid fried foods or cream sauces Include fresh fruit Include at least one vegetable fresh or cooked, with no butter or cream sauces added Serve salads with dressing on the side offer at least one low-fat or fat-free dressing. o If pasta and potato salads are considered, make with low fat/fat free dressing and added vegetable. Include whole grain breads (unbuttered) o If bagels and muffins are served they should be mini size Choose lower fat/lower calorie desserts o Cut up fresh fruit and offer with low-fat fruit yogurt dip, low-fat ice cream or frozen yogurt, sherbet or sorbet, o Angel food cake with fruit topping Include toppings such as a granola/nut/brown sugar topping for yogurt on the side. Choose lower salt items when possible, (i.e., avoid sauerkraut, pickle garnishes, salted nuts, hot dogs, lunch meats, soy sauce) Beverages from Beverages list Local Kansas foods when possible BOX LUNCH SANDWICH Suggestions (ALWAYS INCLUDE A VEGETARIAN OPTION): Whole grain breads or pita wraps o prepared without butter/margarine or mayonnaise/salad dressing o Lean beef, poultry or marinated tofu low-fat (3 g fat/oz)thinly sliced, 2-3 oz. total protein Salmon (poached or steamed, no breading) Cheese 1 oz Toppings: lettuce, sprouts, tomatoes, onions, mustard or catsup Low-fat mayonnaise or mayonnaise type dressing on the side Pretzels or baked chips (7 g fat or less per oz.) Fresh fruit Fresh fruit cut up and offered with lowfat yogurt dip Approved: Revised: 06/07/2012

Raw vegetables cut up and offered with fat-free or low-fat dressing, salsa or tofu dip Raw vegetable salads marinated in fatfree or low-fat Italian dressing Pasta, tofu, and vegetable salads with fat-free or low-fat dressing Vegetable spring rolls fresh, not fried Cheese cut into 3/4 squares or smaller Whole grain crackers 5 g fat or less per serving Cake cut into small 2 squares Angel food cake slices with fruit topping Beverages from Beverages list Meal Nutrient Gold Standards (when nutrients are known): Lunch and Dinner 750-850 Calories <35% Calories from fat (29-33 g fat) <10% Calories from saturated fat (8.3 g 9.4 g) <40 g added sugar (excluded - unsweetened fruits and dairy) Breakfast 450-600 Calories (Breakfast) <35% Calories from fat (18-23 g) <10% Calories from saturated fat (5-7 g) <25 g added sugar (excluded- unsweetened fruits and dairy) Resources: USDA Meal Standards (Grades 9-12) North Carolina Eat Smart and Move More Network for a Healthy California University of Minnesota School of Public Health Dietary Guidelines for Americans Nutrient Information for Catered Snacks (Sources: Kansas State Board of Education Vending Machines and School Stores Guidelines and Nutrition Standards for Foods in Schools IOM/CDC) Fat - 35% or less of total calories (or less than 4g per 100 calories), except for nuts, seeds and nut butters Sugar - 35% or less of weight from total sugar (or less than 9 g per 100 calories), except fruit without added sugar. Calories - 200 calories or less Non-caloric water Only low-fat (1% or 1/2%) and-or skim milk Soy or rice beverage with 35% or less of weight from total sugar (less than 9 grams per 100 calories) 100% juice Foods and beverages are free of artificial sweeteners Approved: Revised: 06/07/2012

KHF Healthy Catering Menu Checklist Sandwiches and Wraps Whole grain-low fat bread Whole grain low-fat/fat free tortilla Low fat cheese replaces regular cheese Low fat/lean meats (no sausage, hot dogs, lunch meats) Lower sodium meats (no sausage, hot dogs, lunch meats) Low-fat vegetarian option Low-fat/fat free cream cheese Low-fat/fat free mayonnaise Low-fat/fat free sour cream Low-fat/fat free salad dressing Salads Low fat cheese Low fat, lean meats Low fat salad dressing for regular Low fat croutons or similar toppings on side (or ½ usual portion) Salad dressing on the side Box Lunch Sides Baked chips to replace regular chips No chips because low-fat version is not available No cookie Pasta salad prepared with low-fat dressing Potato salad prepared with low-fat dressing Coleslaw prepared with low-fat dressing Fresh fruit Fresh vegetables with low-fat or no dip Fruit and Vegetable Trays Fresh fruit Fresh vegetable (if dip accompanies, it is low fat dip) Low-fat or no cheese if it is a part of the tray Condiments Low-fat margarine Salsa Low-fat/fat free salad dressing Lower fat gravy or sauces replace regular Entrees Low-fat (baked, broiled, steamed, grilled) protein - No greater Approved: Revised: 06/07/2012

than 3 ounces for lunch Low-fat (baked, broiled, steamed, grilled) protein - No greater than 4-5 ounces for dinner Entrees prepared without sauce or gravy Entrees prepared with tomato-based, non-cream, or other lowfat/fat free sauces Vegetarian option Dinner Menu Items Baked Potatoes with toppings on the side Steamed or raw vegetables Whole grain breads/rolls, unbuttered Salads with low-fat/fat free dressing Fresh fruit Low-fat (whole grain) breads replace high fat croissants, Foccacia or quick breads Soups Low-fat/fat free vegetable soup Cream soups made with low-fat/non-fat milk Beverage 100% vegetable or fruit juice (4-6 oz and not larger) 1% or skim milk Bottled water (no flavoring or additives) Portion Size A mini bagel replaces regular size size (3 ½ inch or smaller) A mini muffin replaces regular size (2 ½ inch or smaller) Mini cookies Small tasting sizes of desserts with added sugar or higher in fat Sandwiches cut in halves Higher fat sauces/gravies in smaller amounts Lower Sugar Ingredients Eliminate or reduce sweet sauces Use fresh fruits No artificial sweeteners Other Information Calorie and fat information are available Catering available for group sizes Approved: Revised: 06/07/2012

Catering delivery for group sizes Eco-friendly serving containers Approved: Revised: 06/07/2012