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The Rudd Center Health Digest

July 2012

Rudd Center Launches Update on Cereal FACTS

Cereal_FACTS

Cereal companies have improved the nutritional quality of most of their products marketed directly to children, but have increased advertising to children of many of their least nutritious cereals, according to a three-year update of the Rudd Center’s Cereal FACTS Report.

Cereal FACTS was originally launched in 2009. The report found that the least healthy breakfast cereals were those most frequently and aggressively marketed directly to children as young as age two. Major companies such as General Mills, Kellogg, and Post belong to the Children’s Food and Beverage Advertising Initiative (CFBAI), sponsored by the Council of Better Business Bureaus, and have improved their standards for child-directed advertising. The CFBAI reports that participating companies have also promised to improve the nutritional quality of their children’s cereals.

Using the same methods as the original Cereal FACTS, researchers found that the children’s cereal “landscape” has not improved since then. While companies improved the nutritional quality of most cereals marketed to children, the authors reported that total media spending to promote child-targeted cereals has increased by 34 percent from 2008 to 2011.

According to the report, cereal companies continue to push their least nutritious products directly to children, and children continue to see more advertising for cereals than for any other category of packaged food or beverage.

“Children still get one spoonful of sugar in every three spoonsful of cereal. These products are not nutritious options that children should consume every day,” said lead researcher Jennifer L. Harris, PhD, Director of Marketing Initiatives at the Rudd Center.

The authors asserted that this analysis points out several shortcomings of the CFBAI.

“It is obvious that industry regulating itself is a failure. If there is to be any hope of protecting children from predatory marketing, either public outcry or government action will be necessary to force the companies to change,” added co-author Kelly Brownell, PhD, Director of the Rudd Center.

The release of the report was covered by major media outlets, including USA Today, Los Angeles Times, U.S. News and World Report, Reuters, and NBC Latino.

The full report, report summary, and tools for consumers and researchers, including a video, are available.

The report was co-authored by Marlene Schwartz, PhD, Rudd Center Deputy Director.

American Medical Association Adopts Sugary Drink Policy

The American Medical Association (AMA) recently announced the adoption of a new policy addressing beverages with added sweeteners. Kelly Brownell, PhD, Rudd Center Director, called the move “historic.”

The AMA noted that sugar-sweetened beverages (SSBs) comprise nearly half of all Americans’ added sugar intake. The new policy supports the implementation of taxes on sugar-sweetened beverages. The AMA recognized that while various factors contribute to the obesity epidemic, an SSB tax could reduce caloric intake from added sugars, and the revenue generated could be put toward obesity prevention and education programs.

“Improved consumer education on the adverse effects of excessive consumption of beverages containing added sweeteners should be a key part of any multifaceted campaign to combat obesity,” said AMA board member Alexander Ding, MD.

The AMA also supports legislation that would require obesity prevention and education programs for first through twelfth graders, according to CBS News.

Just Published by the Rudd Center

Science Journal Examines Role of Food Industry in Health

“The obesity crisis is made worse by the way industry formulates and markets its products and so must be regulated to prevent excesses and to protect the public good,” according to Kelly Brownell, PhD, Rudd Center Director, in a commentary on the food and beverage industry for PLoS Medicine.

PLoS Medicine’s three-week series on “Big Food” examined the activities of the food and beverage industry regarding global health issues. The series adopted a multidisciplinary approach to exploring the role in health of “Big Food,” which the journal defined as the multinational food and beverage industry with huge and concentrated market power.

The food and beverage industry has a large and growing influence on the obesity crisis, but "Big Food" is not met with the same skepticism as other industries that influence public health, according to the journal editors.

Brownell argued in his commentary that, left to regulate itself, the food industry has the opportunity, if not the mandate from shareholders, to sell more products irrespective of their impact on consumers, and therefore, government, foundations, and other powerful institutions should be working for regulation, not collaboration.

“Respectful dialogue with industry is desirable, and to the extent industry will make voluntary changes that inch us forward, the public good will be served,” said Brownell. However, he cautioned, “There must be recognition that this will bring small victories only and that to take the obesity problem seriously will require courage, leaders who will not back down in the face of harsh industry tactics, and regulation with purpose.”

Health Providers Should Choose Words Wisely when Discussing Weight

The language that health care providers use when discussing their patients’ body weight can reinforce stigma, reduce motivation for weight loss, and potentially lead to avoidance of future medical appointments, according to a study published by the Rudd Center in the International Journal of Obesity.

The study, which examined adults’ perceptions of and reactions to common terms used to describe excess body weight by doctors, shows that patients prefer doctors use neutral language such as “unhealthy weight” rather than words that can be perceived as stigmatizing and blaming, such as “fat” or “morbidly obese.”

High percentages of both normal weight and overweight and obese participants reported that they would feel badly about themselves, embarrassed, and upset if stigmatized about their weight by a doctor. Additionally, about one in five adults reported they would avoid future medical appointments; one in five also said they would seek a new health care provider if they felt their doctor had stigmatized them about their weight.

These findings suggest that the terminology doctors use to describe excess body weight may have important implications for a patient’s emotional and physical health.

The authors asserted that using weight-based terminology that patients feel comfortable with may help facilitate a positive, productive discussion that communicates support and respect for patients in their efforts to become healthier, rather than instill stigma and blame.

The paper was co-authored by the Rudd Center’s Rebecca Puhl, PhD, Director of Research and Weight Stigma Initiatives; Jamie Lee Peterson, MA, Research Associate; and Joerg Luedicke, MA, Biostatistician.

Rudd Center Spotlight: Rebecca Pearl, MS

Pearl

Rebecca Pearl is a doctoral student at Yale University pursuing a degree in clinical psychology. Prior to starting her graduate studies, she earned a BA in psychology from Duke University, where she researched weight bias in interpersonal relationships among college students.

Ms. Pearl’s interest in weight bias led her to the Rudd Center, where she is researching the consequences of weight stigma and potential strategies to reduce bias. She is currently working on a series of studies examining how weight stigma, particularly in the media, affects obese individuals' exercise motivation and behavior. She was the lead author of a study published earlier this year demonstrating that presenting obese individuals in a positive, non-stereotypical manner in the media could help reduce weight-biased attitudes held by the public.

Ms. Pearl will complete a one-year clinical internship before graduating in May 2015 and then will pursue a postdoctoral position at a university to conduct research that will have an impact on reducing weight bias and stigma.

Rudd Center Voices

Mayor Bloomberg’s Big Soda Ban and Corporate Interests

New York City Mayor Bloomberg's proposed ban on large soft drinks will work to reduce calories consumed in liquid form, reported Kelly Brownell, PhD, Rudd Center Director, in The Atlantic. Children and adults eat more when they are served more and bodies do not recognize calories as well when they are delivered in beverages.

In response to the proposed ban, Dr. Brownell expects big soda companies to file lawsuits and conduct studies that will show, contrary to a large body of existing research, that portion size does not have an effect on eating or weight.

Employment Opportunity at the Rudd Center

Director of Advocacy Resources

Help guide the Rudd Center's rapidly-expanding work on food marketing to young people. Coordinate and lead the Rudd Center's work to educate and inform community organizations about issues related to food marketing, and develop resources to help identify and implement appropriate strategies for intervention.

To apply for this position, visit Yale's job posting website. Search the position by the requisition number: 17643BR.

Standards for Snacks: A Win-Win for Schools and Students

Healthy nutrition standards for snacks and beverages sold in schools would improve children’s health without a loss of revenue for the schools, as reported by the Kids’ Safe & Healthful Foods Project and the Health Impact Project, in one of the most comprehensive scientific reviews conducted on competitive foods.

The researchers concluded that updating the nutritional standards for snacks and beverages (also known as competitive foods) would decrease the consumption of unhealthy foods and drive more students to purchase school cafeteria meals, which are subject to USDA nutritional guidelines. The increase in school meal sales would offset any loss of revenue from a decrease in sales of competitive foods.

“The evidence is clear and compelling,” said Jessica Donze Black, Director of the Kids’ Safe & Healthful Foods Project. “Implementing strong national nutrition standards to make the snacks and beverages our children consume healthier is something that schools and districts can afford. The USDA should do all it can to finalize and help implement strong standards.”

A reduction of 110 to 165 calories from competitive foods would have a meaningful impact on children’s weight because many children consume roughly half of their daily calories at school.

Best and Worst Marketing Practices

Best: Walmart Creates Nutrition Standards
Walmart released strong nutrition standards earlier this year, and allows products that meet them to display the chain’s “Great for You” icon. The company requires that all foods bearing this logo contain serving sizes of major food groups, effectively allowing the label to be used almost exclusively on whole foods and minimally-processed food products. Unlike nutrition standards created by other industry leaders, Walmart’s standards make no exceptions for unhealthy categories such as snack foods, salty soups and meats, and sugary breakfast cereals. Read more.

Worst: Capri Sun Targets Teens
Teens are the target of a social media campaign for the new Capri Sun Big Pouch: a larger, re-sealable version of the original drink. At 11.2 ounces, almost twice the size of the original 6-ounce pouch, the drink contains 38 grams of sugar. Capri Sun says the product contains 25 percent less sugar than leading fruit drinks, but the added sugar exceeds recommendations for inactive teens and provides 66 percent of the daily added sugar allowance for very active 15-year-old males. Read more.

The Latest Rudd Center Podcasts

William H. Dietz, MD, PhD
Director, Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention

The Rudd Center’s extensive library of podcasts is available for download on iTunes U and through an RSS feed.

Front Burner News

Soda Companies’ Social Responsibility Campaigns

Social responsibility campaigns launched by the soda industry are dangerously similar to those used by the tobacco industry to counter public health concerns, according to media and public health experts writing in the journal PLoS Medicine. Read more.

Obesity on the Rise

Americans are exercising more, smoking less, and getting preventive vaccinations, but obesity and diabetes continue to rise, according to the CDC's National Center for Health Statistics. Read more.

Pizza Coalition Fights Menu Labeling

Pizza companies such as Domino's, Papa John's, Little Caesars, and Pizza Hut have formed a new coalition called The American Pizza Community to fight an FDA proposal that would require chain restaurants to post calorie counts on in-store menu boards. Read more.

Workplaces Seeking Tools to Fight Obesity

Alarmed by the projected increases in health care costs associated with obesity, small- and medium-sized businesses are committing more of their resources to reduce obesity in the workplace, according to a survey conducted by the National Business Coalition on Health. Read more.

Importance of the Farm Bill

Farmers_Market

The farm bill not only sets policy and spending for the nation's farms for years to come, but also affects dozens of programs such as food stamps and school lunches. Read more.

Appetite for Food and Drugs Linked to Same Spot in Brains

The brain cells that control hunger drive the circuit of reward that is stimulated by highly addictive drugs like cocaine, according to a study in the journal Nature Neuroscience. Read more.

McDonald’s Sponsors Olympics

McDonald's sponsorship of the Olympics sends the wrong message in battling obesity, according to The Academy of Royal Medical Colleges. Read more.

“Health Halo” Effect

Labeling of some foods as low-fat may be encouraging consumers to eat more and may be contributing to the rise in obesity, according to a researcher at Harvard University. Read more.

The Obesity Paradox

Obesity may be the new malnutrition of the homeless in the United States, according to a study published in the Journal of Urban Health. Read more.

SUGAR-SWEETENED BEVERAGES/TAXES


Big Soda Lobbies Against Richmond Sugary Drink Tax

A powerful trade organization in Washington, DC that represents PepsiCo, Coca-Cola, and other beverage companies is helping fund the Community Coalition Against Beverage Taxes, a Richmond, California group that is fighting the November ballot measure to raise taxes on soda and other sugary drinks. Read more.

Soda Tax in Richmond Could Create National Impact

If the proposed penny per-ounce tax on sugary drinks passes in Richmond, California, it could tilt the playing field against the soda industry and spotlight the drink's probable role in obesity. Read more.

Industry Fights NYC’s Proposed Ban on Large Sugary Drinks

The soft-drink industry is beginning an aggressive lobbying campaign to fight New York City’s proposed ban on large sugary drinks. Read more.

Group Urges Surgeon General Review of Sugary Drinks

The American Cancer Society is urging the Surgeon General to conduct a study on sugary drinks and their impact on consumer health. The group said sugary drinks play a major role in the nation's obesity crisis and called for a U.S. action plan, similar to the historic tobacco report. Read more.

Fewer Schools Selling Sugary Drinks

Fewer public elementary schools are selling soda and other sugar-sweetened beverages than they did a few years ago, according to research conducted by the Institute for Health Research and Policy at the University of Illinois at Chicago. Read more.

Massachusetts City Considers Limiting Size of Sodas Sold

The mayor of Cambridge, Massachusetts, following the lead of New York City Mayor Bloomberg, is considering a limit on the size of sugar-sweetened beverages sold in city restaurants. Read more.

VOICES


Bloomberg’s Ban on Large Sugary Drinks in the Bronx

Nowhere in New York City is the obesity problem worse than in the South Bronx, but residents have mixed reactions to Mayor Bloomberg’s ban on large sugary drinks. Read more.

Progress in Food Policy

There is plenty wrong with our food “system” but progress is slowly being made. Read more.

Regulating Sugar at the Retail Level

Soda_Supermarket

To bring about a decline in sugar consumption, supermarkets and restaurants should help consumers reduce the aggregate amount of sugar consumed, by 5 percent per year, by engaging in a wide variety of tactics to influence what their customers buy. Read more.

Consumer’s Responsibility?

It is challenging for individuals to take responsibility for making their own healthy food choices with a marketing environment that encourages people to eat everywhere, all day long, in very large portions, and at relatively low cost. Read more.

FOOD MARKETING


Sports Sponsorships Promote Unhealthy Foods

Food brands are using sports sponsorships to bombard children with unhealthy food advertising, according to a study by the University of Sydney and the Cancer Council of New South Wales. Read more.

Marketing Vegetables

Birds Eye, the frozen vegetable brand, will be marketing vegetables directly to children through a promotional partnership with “iCarly,” a popular show on Nickelodeon. Read more.