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Nutrient Density and the Evolving Nutrition Profiling Environment Nutrient Rich Foods Coalition: A N

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Title: Nutrient Density and the Evolving Nutrition Profiling Environment Nutrient Rich Foods Coalition: A N


1
Nutrient Density and the Evolving Nutrition
Profiling Environment Nutrient Rich Foods
Coalition A New Approach
2
Obesity is Driving Change
3
Consumers Strive to Make Healthful Choices
4
Americans Are Overweight
Yet Undernourished
  • Americans are not meeting nutrient
    recommendations
  • 97 Potassium
  • 93 Vitamin E
  • 70 Calcium
  • 56 Magnesium
  • 44 Vitamin A
  • 31 Vitamin C
  • 14 Vitamin B6
  • 12 Zinc

5
Proliferation of Profiles
5
6
Nutrient Profiling at Retail
Overall Nutritional Quality Index (ONQI)
NUTRITION Three-Star Snacks In Aisle Five By Anne
Underwood NOV 12, 2007 ISSUE
FDA Public Hearing September 10-11, 2007 Use of
Symbols to Communicate Nutrition
Information, Consideration of Consumer Studies
and Nutritional Criteria
6
7
Implication of the Stars
8
The Nutrient Rich Foods Approach
An evolution from being based on what to avoid …
To being based on what to include, and
considering the whole food or total nutrient
package … A positive, common-sense approach to
eating that emphasizes the total diet …
9
The Nutrient Rich Foods Initiative Whats Best
for Consumers?
10
Nutrient Rich Foods Coalition
11

Beginning the Dialogue
  • Nutrient density to help consumers select the
    most nutrient-rich foods
  • We want to help consumers choose naturally
    nutrient-rich foods first - and then the less
    nutrient-dense foods as calorie needs allow.
  • Drewnowski 3/16/2004

12
Nutrient Density Cornerstone of 2005 Dietary
Guidelines for Americans
Get the most nutrition out of your calories
Maximizing your nutrients -- making calories
count for you
Choose the most nutritionally rich foods you can
from each food group each day.
12
13
Dietary Guidelines Advisory Committee
Call-to-Action
  • Develop a scientifically valid definition for
    "nutrient density that could be useful on the
    food label
  • Determine what criteria are necessary for foods
    to meet this definition

Overall Theme of 2005 DGAC Technical Report
Importance of Nutrient-Rich Diets
13
14
NRF Coalition Advisory Committees
  • Consumer Communications Nutrition Behavior
    Committee
  • Jane Andrews, MS, RD, Wegmans
  • Robert McKinnon, YellowBrick Road
  • Amy Mobley, PhD, RD, Purdue University
  • Laura Peracchio, PhD, University of Milwaukee
  • Connie Diekman, MEd, RD, LD, FADA, Washington
    University St. Louis
  • Kathleen Zelman, MPH, RD, nutrition consultant
  • Scientific Advisory Committee
  • Adam Drewnowski, PhD, University of Washington
  • Victor Fulgoni, PhD, Nutrition Impact, LLC
  • Robert Heaney, MD, FACP, FAIN, Creighton
    University
  • Eileen Kennedy, PhD, Tufts University
  • Janet King, PhD, University of California,
    Berkeley Davis
  • Nancy Krebs, MD, University of Colorado
  • Paul LaChance, PhD, Rutgers University
  • Esther Myers, PhD, RD, American Dietetic
    Association

15
Building the Nutrient Rich Foods System
16
NRF Coalition Vision
  • The Nutrient Rich Foods approach is a
    scientifically proven, consumer-tested system
    that is widely accepted and makes it easy for
    people to build and enjoy healthier diets by
    getting the most nutrition from their calories.

17
Nutrient Profiling Criteria
  • Objective - based on accepted nutrition science
    and labeling practices
  • Simple based on published daily values and
    meaningful amounts of food
  • Balanced based on nutrients to encourage and on
    nutrients to limit
  • Validated against measures of a healthful diet
  • Transparent based on published algorithms and
    open-source data
  • Consumer-driven likely to guide better food
    choices and more healthful diets

17
Drewnowski, Fulgoni. Nutr Rev 2008
18
The Nutrient Rich Foods Index is the only index
that meets all 6 criteria
  • Objective - based on 2005 Dietary Guidelines
    2005 MyPyramid and other expert panel data
  • Simple based on percent Daily Values and
    reference amounts (RACC) published by the FDA
  • Balanced based on nutrients to encourage and
    nutrients to limit
  • Validated against 2005 Healthy Eating Index
    (HEI)
  • Transparent algorithms published in peer-review
    journals based on FNDDS and SR-20 data from USDA
  • Consumer-driven research on helping consumers
    to build healthier diets is in progress

18
Drewnowski, Fulgoni. Nutr Rev 2008
19
Objective and Simple
  • Select Nutrients to Encourage
  • The 2005 Dietary Guidelines seven
  • Fiber, vitamins A, C, E, Ca, K, Mg
  • The Food and Drug Administration six
  • FDA defines healthy foods as those that contain
    10 DV of protein, fiber, vitamins A, C, Ca, Fe
  • Additional special population needs
  • Zn, Fe, folate, vitamins D, B12

19
20
Objective and Simple
  • Select Nutrients to Limit
  • The 2005 Dietary Guidelines five
  • Saturated fat, trans fat, cholesterol, added
    sugar, and sodium
  • The Food and Drug Administration four
  • FDA disqualifies foods from health claims if they
    contain fat, saturated fat, cholesterol or sodium
    above specified amounts
  • The European Union five
  • Article 4 lists total fat, saturated fat, trans
    fat, sugar, and sodium
  • The French three
  • AFSSA uses saturated fat, added sugar, and sodium

20
21
Objective and Simple
  • Determine Nutrition Criteria
  • Select reference amounts use those used in food
    labels FDAs Daily Values
  • Use algorithm across Food Groups but apply
    within Food Groups
  • Use USDA sources for nutrient composition
  • Select basis for calculations 100 kcal, 100 g,
    FDAs RACC

21
22
Objective and Simple
  • NRF RACC-based scores
  • Consistent with US labeling regulations (100g
    EU)
  • Scores/serving (RACC) more relevant to consumers
  • RACC-based scores rank foods similarly to 100
    kcal
  • Consistent with the nutrient density definition

22
23
Balanced
  • Create Algorithm
  • The total score balances nutrients to encourage
    and nutrients to limit
  • Calculate Daily Value for nutrients to
    encourage (capped at 100DV/100 kcal or RACC)
  • Subtract same for saturated fat, added sugars and
    sodium

23
24
Validated
24
25
Validated
  • Family of NRF Indices have been validated against
    objective measures of a healthy diet
  • Measure of diet quality (Healthy Eating Index)
  • Body Mass Index
  • Blood pressure
  • Cholesterol levels
  • Validation identified NRF 9.3 to be consumer
    tested
  • Protein, Fiber, Vitamin A, C, E, Calcium,
    Magnesium. Iron, Potassium
  • Saturated Fat, Sodium and Added Sugars

25
26
Healthy Eating Index 2005
26
26
27
Transparent
Sept/Oct 07
Jan 08
Feb 08
Additional Articles in Development …
27
2008
28
Making the NRF Approach Relevant to Consumers
29
Making it Relevant for Consumers I
  • Talked to consumers about nutrient density and
    what it means to them to
  • Determine which messages resonate
  • Understand the right ways to communicate nutrient
    density concepts

30
Making it Relevant for Consumers I
  • Consumers want to get more nutrients in their
    diets …
  • But they dont know how to
  • Overwhelmed
  • Tend to give up on nutrients/nutrition
  • Tools
  • Dense means heavy or stupid

I dont know how to shop for nutrient-dense
foods. -- Consumer, Denver
31
Headlines Must Empathize and Empower
  • Take Small Steps for a Healthier You
  • Get more nutrition out of your calories by
    choosing the most nutritionally rich foods from
    each food group each day
  • Recognized that healthy eating can be difficult …
    made the goal seem less intimidating and less
    challenging
  • Gave them permission to make changes a little bit
    at a time
  • Avoid calories, which can intimidate consumers

Take small steps, so someone might not be
overwhelmed … They can do a little bit at a
time. -- Consumer, Denver
31
32
Headlines Must Deliver A Strong Consumer Benefit
  • Live Well
  • Enjoy nutrient-rich foods from all five food
    groups including fruits, vegetables, nonfat and
    lowfat dairy, lean meats, and whole grains
  • Spoke to their primary goals related to food and
    health taste and general well-being
  • Liked messages that emphasized the health
    benefits of all food groups

I like how they point out non-fat, lowfat, lean
and whole … and that youre going to be
satisfied. -- Consumer, Denver
If you follow these rules for these food groups,
youre going to live well. -- Consumer, Chicago
32
33
Making it Relevant for Consumers II
  • Consumer research to bring index application to
    life for consumers
  • Application will be where consumers interact with
    food
  • User-driven design
  • Consumer-driven brand/design
  • Educational tools
  • Total diet translation
  • Diets/menus/recipes
  • Expanded web site

34
Supporting the Research Influencer Consumer
Communications
35
Health Professional/Scientist Briefings Symposia
EB 2008 NRF Scientific Forum and PIC Symposium
36
Resources
www.NutrientRichFoods.org
36
37
Nutrient Rich Foods A New Way
  • A science-based, simple, objective, and validated
    approach
  • A consumer-driven eating system that helps people
    get more nutrition from their calories by
    emphasizing the complete nutrient package of
    foods and beverages
  • A positive, total food / total diet approach

37
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