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
Today Rudd Center Why target sugary drinks? Policies Getting involved Q and A
www.yaleruddcenter.org Strategic science Food marketing to kids School and pre-school initiatives Weight bias Legal and economic approaches Policy resources Sugary drinks
Which sugary drinks?
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Center for Science in the Public Interest, 2013
SSB consumption promotes weight gain in children and adults. American Journal Clinical Nutrition, 2013
higher consumption of SSBs is associated w. development of metabolic syndrome and type 2 diabetes. Diabetes Care, 2010
Studies www.yaleruddcenter.org Added sugar and health risks Adult and child obesity Consumption trends Health risks Marketing to youth Taxes
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Sources of added sugars, >2 yr, NHANES 2007-08 Welsh et al. Am J Clin Nutr, 2011
Sources of added sugars, 2-18 y.o. children and adolescents 2009-2010 Slining and Popkin, PedObes, 2013
Added sugar recommendations AHA Enjoy range within plan guided by DGA Academy Soda is number one source limit. DGA
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Million Gallons Sugary Drinks Sold in US 2003-2011 Beverage World, Oct 2012
Million Gallons Sugary Drinks Sold in US 2003-2011 Beverage World, Oct 2012
16% 12% 11% 11% 6% 5% Chaloupka, CCHHS, 2011
Ogden et al., NCHS Data Brief, No. 71, 2011 Mean % Total Daily Cal from SSBs by Race/Ethnicity, 2005-08
Ogden et al., NCHS Data Brief, No. 71, 2011 Mean % Total Daily Cal from SSBs by Poverty Income Ratio 2005-08
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Marketing Higher exposure significantly associated with higher consumption
Evaluating Sugary Drink Nutrition and Marketing to Youth www.sugarydrinkfacts.org
Sugary drink marketers target children, teens, and black and Hispanic youth.
Despite industry pledges to market fewer unhealthy beverages to children, they are exposed to more not less advertising for sugary drinks.
Target kids under 12
Coke: We don t market to children
2009: $500m, kids, teens, mostly sugary drinks $87m TV $138m schools $94m events $69m sponsorships, cross-promotions
Marketing In 2010 $948m spent in measured media TV RADIO MAGAZINE ADS BANNER ADS Compare to RWJF child obesity initiative: $500m for 5 years
Not just measured media
Product placements
72.5m fans, #2 brand on Facebook (behind FB itself)
Local sponsorships Chicago and Coca-Cola $5m health challenge $3m grant for Wellness Initiatives $2.6m for recycling bins (w. logo)
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
Not just measured media Facebook, Twitter, YouTube Cell phone ads and apps Company websites
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Portions 1950s
Portions today 16 ounces 208 calories 13 tsp sugar 64 ounces 780 calories 54 tsps sugar
Why sugary drinks? Science Sugar Consumption Marketing Portions Caffeine
Caffeine has no flavor activity in soft-drinks yet will induce a physiologic and psychologic desire to consume the drink.
Initiatives Pricing Procurement Education Portion control SNAP Schools Competitive foods Drinking water Supermarkets Health Care
www.yaleruddcenter.org North American Campaigns to Reduce Soda Consumption and Promote Healthy Beverages Since 2009
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
Procurement
Boston
MO Dental Association
Rhode Island
Seattle/King County
New York City
Boston, MA www.fatsmack.org
16 ounces NYC portion size limit
A policy to cap portion size is likely to result in a modest reduction in excess calories. 2013
Legislation: Can t use SNAP to buy sugary drinks
Hospital initiatives
No sugary drink prescription
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
Soda for breakfast. Part of the solution?
Beverage company sponsorships Influence policy, education etc. Should Academy accept sponsorships from Coke and Pepsi?
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)
Thank you! Yaleruddcenter.org Roberta.friedman@yale.edu