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4/30/2015 The Evolution of Breakfast: Nutrition and Health Concerns in the Future David Grotto, MS, RDN, LDN 1 Disclosure Senior Nutrition Marketing Business Partner Specialty Channels Objectives - Participants Will Be Better Able to… 1. understand the history, function and role of breakfast as it applies to human health. 2. apply the challenges of the present breakfast environment to identifying short gaps in nutrition. 3. anticipate future breakfast trends and determine their potential impact on nutrition, health and performance. 1 4/30/2015 What is Breakfast? Breakfast is the first time your body receives nutrients after an extended period of fasting! 1. 4 2. Frank GC. Breakfast: What does it mean? Am J Life Med. 2009;3:160-163. .O’Neil CE, Byrd-Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson-Martin S. The Role of Breakfast in Health: Definition and Criteria for a Quality Breakfast. JAND .2014; 114 (3): S8-21 the past 5 Evolution of Breakfast Hunter-gatherers had no set meal time or pattern. They were in a constant search for energy. Fuller DQ. Contrasting Patterns in Crop Domestication and Domestication Rates: Recent Archaeobotanical Insights from the Old World. Annals of Botany. 2007;100(5):903-924. 2 4/30/2015 A Paleo-thetic Point of View Modern Day “Hunter-Gatherer” Realities Hunter-Gatherer Breakfast? “Scrambled eggs, a breakfast classic, can easily be made into a hunter gatherer style dish. All that is required is replacing the added milk for extra egg yolk then season and scramble. “ “Another food that’s easy to switch into a hunter gatherer diet is hash browns. The white potatoes in hash browns can be replaced with shredded sweet potatoes, which can be pan fried with olive oil and seasonings.” Source: http://huntergathererdiet.org/paleodietbreakfast/ 3 4/30/2015 http://www.faculty.rsu.edu/users/f/felwell/www/Theorists/Essays/Diamond1.html Breakfast: Formally Known as “Dinner” Breakfast is an English word derived from the French disdejeuner "luh dayzhun-ay meaning “Un-fast” or “Breakthe-fast”. This became shortened in 11th century to dismare or disner (Old French) to the word we now know as dinner. The meaning shifted in 13th century to meaning main meal of the day. Not until the 15th century that the term “breakfast” came to mean morning meal. Anderson, H.A. (2013). Breakfast: A History . Plymouth, U.K.: Alta Mira Press 4 4/30/2015 Roman Breakfast Ancient romans ate 3 meals a day and an afternoon snack. Roman breakfast was known as jentaculum, served in the morning and included favorites such as cheese, bread, olives, salad, nuts, dried grapes, cold meat from the night before. Some parts of Rome also included milk, eggs and mulsum – a combination of wine, honey, with the addition of aromatic spices. Anderson, H.A. (2013). Breakfast: A History . Plymouth, U.K.: Alta Mira Press St. Thomas Aquinas Six methods for committing gluttony Prapropere – “Eating too soon” Summa Theologica 1265-1274 Anderson, H.A. (2013). Breakfast: A History . Plymouth, U.K.: Alta Mira Press Francis I of France “ Rise at 5, dine at 9, sup at 5, and couch at 9” 15th century Anderson, H.A. (2013). Breakfast: A History . Plymouth, U.K.: Alta Mira Press 5 4/30/2015 Timucua Indians 1591. Planting corn. Library of Congress Queen Elizabeth I An early riser, QE1 ate a hearty breakfast of beer and oat cakes. “Wholesome and pragmatic” 1533-1603 Anderson, H.A. (2013). Breakfast: A History . Plymouth, U.K.: Alta Mira Press Queen Elizabeth II “Her Majesty enjoys Cornflakes or Special K, with fruit from her greenhouses or macadamia nuts she keeps in a Tupperware box. “ Source: http://www.telegraph.co.uk/news/uknews/theroyalfamily/10027980/Can-you-take-the-heat-in-HerMajestys-kitchens.html 6 4/30/2015 1906: The Birth of Flaked Cereal Nutrition Deficiency Diseases of the 20th Century Fuller DQ. Contrasting Patterns in Crop Domestication and Domestication Rates: Recent Archaeobotanical Insights from the Old World. Annals of Botany. 2007;100(5):903-924. The National School Lunch (NSLP) and School Breakfast (SBP) Programs • Established in 1946 • Signed into law by President Truman • Low-cost or free lunch to qualifying students through subsidies • Utilized farm surpluses as well as address concerns of hunger and malnutrition Today: Breakfast and lunch is served to a combined 44 million children daily 21 Copyright © 2011 Kellogg Company Confidential 7 4/30/2015 School Food is Much Different Today TODAY YESTERDAY Nat’l School Lunch Program Regulations School Feeding Programs Begin 1930s Nat’l School Breakfast Program Regulations 1946 Initiate Compliance of Smart Snacks Interim Final Rule Final Rule of School Lunch and Breakfast Programs Published Interim Final Rule Smart Snacks Released Healthy, Hunger-Free Kids Act (HHFKA) 1966 2010 GOAL: REDUCE MALNOURISHED 2012 2013 Sodium and Fortification Parameters Change???? ? 2014 2016 GOAL: IMPROVE CALORIE QUALITY 22 the present 23 Convenience Rules! Breakfast Enablers - Among Total Respondents - 36% Buy convenient, easy to prep items 46% Have lots of breakfast options available 24% 40% 21% Buy portable/on-the-go items 26% 17% Get up early to prep breakfast Prep breakfast night before Other mention 21% 7% 6% 8% 4% adult (self) n=7,188 mom (kids) n=6,239 8 4/30/2015 Top Ten Breakfast Items Breakfast is the Smallest Meal Boomer Breakfasts 9 4/30/2015 Children’s Breakfasts Kids Still Go Hungry in America Breakfast consumption declines as children get older Then 36% among high school students1 High School Recommended Breakfast Calories: 450 – 600 2 That number drops to 50% in the middleschool years1 Middle School 77% of young children eat breakfast every day1 1 Breakfast in America Survey (2011) 2 http://www.fns.usda.gov/sites/default/files/LAC_03-06-12_0.pdf Elementary School Recommended Breakfast Calories: 400 – 550 2 Recommended Breakfast Calories: 350 – 500 2 30 10 4/30/2015 Moms want their kids to eat breakfast… 89% of moms want kids to eat breakfast every day, only 60% report they do1 WE’RE ALL STARVING FOR BREAKFAST! 31 million people do not eat or drink anything in the morning before 11a.m.2 SOURCE: 1NPD’s 31 Morning MealScape 2011; 2. Kellogg’s Power of Breakfast Survey 2011 …so do Educators! A 90% OF EDUCATORS SAY 1 Breakfast is critical to academic achievement. It’s hard to learn when you’re hungry! 1. APCO Insights on behalf of Share our Strength. From the Share our Strength Teacher’s Report 2013; n = 1,000 public school teachers and principals. 32 Lack of optimal glucose causes your brain to perform differently FASTING The Mid-Brain Food Seeking Mode * Distracted, irritable, restless, anxious Glucose-rich The Front Brain Working Mode * Calm, focused, organized, thoughtful Du F, Zhu XH, 33Zhang Y, Friedman M, Zhang N, Ugurbil K, Chen W. Tightly coupled brain activity and cerebral ATP metabolic rate. Proc Natl Acad Sci USA 2008;105:6409-6414. Copyright © 2011 Kellogg Company Confidential 11 4/30/2015 Some Get “Hangry” When They Skip Breakfast Adults (Self) Moms (Kids) n=7,188 n=6,190 30% Eat lunch earlier Feel tired and sluggish 27% 26% Eat more snacks 25% Eat bigger lunch Feel crabby/irritable Can't concentrate/focus 19% 16% Feel crabby/irritable Dads (Kids) n=721 Feel crabby/irritable 27% 25% Eat more snacks Feel tired and sluggish Feel tired and sluggish 20% Eat lunch earlier Can't concentrate/focus Feel no different 8% 18% Eat lunch earlier 18% Can't concentrate/focus 6% Eat different foods for lunch 8% Feel no different Eat bigger dinner 8% Eat different foods for lunch Eat different foods for lunch 12% Feel dizzy Eat bigger dinner 11% Eat bigger lunch Feel dizzy 3% Eat bigger lunch 0% 20% 7% 12% 14% 20% 15% Eat bigger dinner Feel dizzy Feel no different 27% 25% Eat more snacks 6% 3% 0% Breakfast can also supply your brain with several other key nutrients • Vit B1 – use glucose for thinking • Vit B6, B12 – make brain transmitters • Vit B12 – thinking and language • Vit C –build nerve endings • Vit D – prevent brain degeneration in adults • Vit E – membrane protection • Flavonoids – protect brain cell function • Iron – oxygen supply, nerve coatings, nerve chemicals, & IQ • Magnesium – chemical balance in brain cells • Zinc – taste • Iodine – controls cell energy • Omega 3 PUFA – thinking and visual development 1.USDA, ARS, 2012. Breakfast: per centages of selected nutrients contributed by foods eaten at breakfast, by gender and age. What we 35 eat in America,NHANES 2009-2010. 2. Bourre JM. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements Copyright © 2011 Kellogg Company Confidential for brain. Part 1: micronutrients. J Nutr Health Aging. 2006 Sep-Oct;10(5):377-85. Breakfast Consumption may be associated with Cognitive Function SBP participation has been linked to: • Improvement in academic performance and psychosocial functioning. For those at nutritional risk, breakfast consumption has been linked to: • Improved attention and behavior • Possible reduced absenteeism or tardiness due to breakfast being More research is needed in the areas of problem solving and psychomotor skills provided. and also comparing academic performance and in-class behavior in wellnourished versus undernourished children from various SES 1. O’Neil CE, Byrd-Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson-Martin S. The Role of Breakfast in Health: Definition and Criteria for a Quality Breakfast. JAND .2014; 114 (3): S8-21 36 2. Cooper SB, Bandelow S., Nevill ME. Breakfast consumption and cognitive function in adolescent schoolchildren. Physiol Behav. 2011:103(5): 431-439 12 4/30/2015 Breakfast consumption has been associated with several benefits BREAKFAST – THE NUTRITIOUS CHOICE Children and adults who eat breakfast tend to get more fiber, calcium, vitamins A and C, zinc, riboflavin, and iron 1 Breakfast eaters tend to eat better and be more physically active. On the other hand, breakfast skippers are more likely to eat fewer fruits and vegetables, exercise less, smoke, and/or drink alcohol 2,3,4,5 1. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc. 2005;105:743-760. 2. Cohen B, Evers S, Manske S, et al. Smoking, physical activity and breakfast consumption among secondary school students in a Southwestern Ontario community. Can J Pub Health. 2003;94:41-44. 3. Sjoberg A, Hallberg L, Hoglund D, Hulthen L. Meal pattern, food choice, nutrient intake and lifestyle factors in the Göteborg Adolescence Study. Eur J Clin Nutr. 2003;57:1569-1578. 4. Utter J, Scragg R, Mhurchu CN, Schaaf D. At-home breakfast consumption among New Zealand children: associations with Body Mass Index and related nutrition behaviors. J Am Diet Assoc. 2007;107:570-576. 5. Institute of Food Technologists. (2012). Skipping breakfast can lead to unhealthy habits all day long [Press Release]. Retrieved from http://www.ift.org/newsroom/news-releases/2012/june/28/skipping-breakfast-can-lead-to-unhealthy-habits-all-day-long.aspx 37 Factors Positively Influencing Breakfast Consumption • Parents who model breakfast eating • Foods that delight are readily available • Perceived benefits of eating breakfast – satiety, energy, etc. 1. 2. O’Neil CE, Byrd-Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson-Martin S. The Role of Breakfast in Health: Definition and Criteria for 38 a Quality Breakfast. JAND .2014; 114 (3): S8-21 McCrory MA, Campbell WW. Effects of eating frequency, snacking, and breakfast skipping on energy regulation: Symposium Copyright © 2011 Kellogg Company Confidential overview. J Nutr. 2011;141(1): 144-147 Barriers to breakfast consumption • Absence of hunger • Not having easy breakfast options available • Time constraints • Lack of planning 1. 2. O’Neil CE, Byrd-Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson-Martin S. The Role of Breakfast in Health: Definition and Criteria for a Quality Breakfast. JAND .2014; 114 (3): S8-21 39 McCrory MA, Campbell WW. Effects of eating frequency, snacking, and breakfast skipping on energy regulation: Symposium overview. J Nutr. 2011;141(1): 144-147 Copyright © 2011 Kellogg Company Confidential 13 4/30/2015 Dispelling Breakfast Myths and Challenges “Skipping breakfast will help me lose weight” “I don’t have time for breakfast” “Cereal is not good for me” Copyright © 2011 Kellogg Company Confidential “Many cereals contain too much sugar to be a good breakfast choice.” 40 Myth: “Skipping breakfast will help me lose weigh A recent study (n=18,988) of breakfast skippers vs. breakfast eaters found eaters generally 1 • Consumed less overall sugar, sat fat, cholesterol and sodium • Had higher intakes of shortfall nutrients – fiber, vitamins A, D and C, calcium, iron , potassium and magnesium • Had higher Healthy Eating Index scores • Had smaller waist circumferences and lower BMIs 1. O'Neil CE, Nicklas TA, Fulgoni, VL. Journal Academy of Nutrition and Dietetics. 2014 Dec;114(12):S27-43. 41 Myth: “I don’t have time for breakfast” FACT: Breakfast fits into busy lives •Can be quick to serve • Example: Cereal and milk •Helps children learn healthy eating habits even on busy mornings •Can be eaten on the go Convenience: Key to overcome operator perception. Breakfast options helps ensure that breakfast happens 42 14 4/30/2015 Myth: Cereal isn’t healthy BENEFITS OF A CEREAL BREAKFAST • Cereal breakfasts are typically associated with lower rates of obesity, overweight and lower BMI • Fiber containing foods, including ready-to-eat breakfast cereal, maintain digestive health. COMPARED TO NON-CEREAL EATERS (232 articles/30 yrs of research) Compared with low or no breakfast cereal consumption, regular breakfast cereal consumers may help have • diets higher in nutrients • greater likelihood in achieving nutrient recommendations. 3\ 1de la Hunty A and Ashwell M. (2007) Are people who regularly eat breakfast cereals slimmer than those who don’t? A systematic review of the evidence. BNF Nutrition Bulletin. 32:119–129. 2Slavin, J. L. (2008, October). Position of the American Dietetic Association: Implications of Dietary Fiber. Journal of the American Dietetic Association, 108(10), 1716-1731. doi:10.1016/j.jada.2008.08.007 43 Ready-to-eat cereal and Short-Fall Nutrients What if Fortification, Disappeared? 15 4/30/2015 Myth: Cereal contains too much sugar Research from the USDA shows that sugar in breakfast cereals decreased by an average of 12% between 2006 and 2011 Sugar in ready-to-eat cereal* 29 28 Sugar, g/100g 27 26 25 24 23 2005 2006 2007 2008 2009 2010 2011 *Mean values for General Mills and Kellogg cereals within USDA nutrient database 46 1. Dietary Guidelines for Americans 2010 http://www.cnpp.usda.gov/publications/dietaryguidelines/2010/policydoc/policydoc.pdf Cereal contributes minimally to added sugar consumption All other food categories, 15.40% According to the Dietary Guidelines for Americans, cereal provides approximately 4% of added sugar intake in the diet of the U.S. population.1 Sources of Added Sugars in the Diets of the US Population Ages 2 Years and Older Soda, energy drinks, sports drinks, 36% Yeast breads, 2.10% Tea, 3.50% Sugars and honey, 3.50% Ready-to-eat cereals, 3.80% Candy, 6.10% Dairy desserts, 6.50% Fruit drinks, 10.50% Grain-based desserts, 12.90% 47 1. Dietary Guidelines for Americans 2010 http://www.cnpp.usda.gov/publications/dietaryguidelines/2010/policydoc/policydoc.pdf the future 48 16 4/30/2015 Majority of babies born in the past year are members of minority groups Ethnicity of US Babies under 1 year old, Sept. 2012 3,997,074 Non‐Hispanic whites are now the minority of all babies born in the US. (US Census first reported this finding in May 2012) 1,948,883 Tomorrow’s youth will be more multicultural and have more experience with global flavors and tastes 1,070,973 745,827 277,060 Total US Population Hispanic Non-Hispanic White African American Asian 115,214 Other Source: US Census, Current Population Survey, September 2012. Note: Census asks about ethnicity in terms of both Race and Hispanic origin Source: US Census, Current Population Survey, September 2012. Note: Census asks about ethnicity in terms of both Race and Hispanic origin http://www.census.gov/content/dam/Census/library/publications/2015/demo/p25-1143.pdf Most Students Expect Ethnic Foods Source: Y-Pulse (ypulse.org) 27 17 4/30/2015 Millennials are looking for more from their food Top claims considered when buying food, by generation, US, March 2014 “Which of the following food claims do you actively look for when you are buying food products? Please select up to five.” Base: 1,890 US internet users age 18+ who are primary or shared shoppers Source: Lightspeed GMI/Mintel from Mintel’s Food Packaging Trends – US, July 2014 Regulatory Environment May Impact Breakfast 53 Affecting Taste May Challenge Ability to Meet Shortgap Nutrients 18 4/30/2015 Proposed criteria from the Breakfast Commentary for a “quality breakfast” Component Criteria Considerations Energy 15-25% of recommended total Kcals from mix of healthy carbs, protein and fats SBP provides 1828% IOM daily energy req. Nutrients Min 10% DV w/goal of 20% for NOC Calcium, vit D, potassium and fiber Food components to reduce Sat fat and sodium in context of daily allowances and meal patterns. Limit foods that provide calories with few nutrients. Sat fat <10% TE, <2300mg sodium. Quantifiable guidelines may be forthcoming in 2015 DGA. 1. O’Neil CE, Byrd‐Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson‐Martin S. The Role of Breakfast in Health: Definition and Criteria for a 55 Quality Breakfast. JAND .2014; 114 (3): S8‐21 Copyright © 2011 Kellogg Company Confidential Proposed criteria from the Breakfast Commentary for a “quality breakfast” Component Criteria Considerations Food Groups 3 food groups: Fiber-rich grains; non or low fat dairy; F&V, lean proteins. MyPlate servings/sizes Portion sizes Appropriate for age, sex and daily energy req. MyPlate; AAP Nutrient Dense Choose foods & bev to deliver a balance of nutrients for health relative to calories provided Consider complete nutrient package of foods/bev for balance during the course of the day 1. O’Neil CE, Byrd‐Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson‐Martin S. The Role of Breakfast in Health: Definition and Criteria for a 56 Quality Breakfast. JAND .2014; 114 (3): S8‐21 Copyright © 2011 Kellogg Company Confidential The Future Breakfast Will be Served Wherever it is Needed! Second Chance Breakfast 57 19 4/30/2015 Conclusion 1. In one form or another, breakfast has been a mainstay in many cultures. 2. A complete breakfast may have a positive influence on physical and mental performance and provide essential nutrition. 3. Drivers of breakfast innovations 1. Changing ethnic landscape 2. Giving consumers more or what they want, less of what they don’t 3. Gen Z ‘s preferences? 4. Shortgaps in nutrition continue. Breakfast can help. Breakfast for Better Days Kellogg – a legacy of giving • It lives on with our global social responsibility strategy focusing on hunger relief, particularly breakfast. The Kellogg and Kellogg Company Fund provided $2 million in grants to Action for Healthy Kids, the Food Research and Action Center and No Kid Hungry since 2013 to help increase participation in school breakfast programs. Our Breakfasts for Better Days™ initiative helps those who need it most • Kellogg will provide 1 billion servings of cereal and snacks to children and families in need around the world by the end of 2016. • More than 900 million servings since 2013. 59 60 20