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Healthy eating on a plate: eating for health made simple Module 4: Label Reading Healthy eating on a plate: eating for health made simple Module 4 – Label Reading, June 2013 Page | i Healthy eating on a plate: eating for health made simple Contents Module 4: Label Reading .................................................................................................................... 1 Learning Outcomes ............................................................................................................................. 1 Key Messages: ..................................................................................................................................... 1 Checklist for session ............................................................................................................................ 1 Session outline: Label Reading............................................................................................................ 2 Presenter notes for Module 4: Label Reading .................................................................................... 3 Nutrition and health related labelling ................................................................................................ 3 Making a healthier choice ................................................................................................................... 8 Allergy advice on labels....................................................................................................................... 9 Allergy advice on labels....................................................................................................................... 9 Evaluation ......................................................................................................................................... 10 Some things to consider when presenting this module ................................................................... 10 Website resources ............................................................................................................................ 11 Appendix A – Resources………………………………………………………………….…………………………………..12 Activity Sheet – ‘Which food is the healthier choice?’ - Tomato Paste Activity Sheet - Answers – ‘Which food is the healthier choice?’ Activity Sheet – ‘Which food is the healthier choice?’ - Yoghurt Activity Sheet - Answers – ‘Which food is the healthier choice?’ Appendix B – Script and flashcards…………………………………………………………………….……………..17 Module 4 – Label Reading, June 2013 P a g e | ii Healthy eating on a plate: eating for health made simple Module 4: Label Reading The Australian food system can be difficult to navigate, with a seemingly endless range of products on the supermarket shelves. Children will want to have the same types of foods they see other children eating at school and it can be challenging for parents to work out which food is the healthier choice. There is a lot of information presented on food labels; this module will focus on a few of the key things consumers want to know. • How to choose which brand of food to buy e.g. which cereal is the best one to buy? • Confusion about numbers and warnings on Australian food packaging. Note: ‘use by’, ‘best before’ and storage instructions on labels are dealt with in Module 1 – Food Handling and Storage. Learning Outcomes: By the end of the session participants will be able to: • Understand common nutrition and health related claims on labels • Use a simple tool to make healthier food choices within food groups • Identify allergy advice on labels. Key Messages: • • Limit saturated fat, added sugar and salt Allergy advice on labels is intended to protect people with diagnosed conditions. Checklist for session: • • • • • • • Script & flashcard set for Module 4: Label Reading Variety of labels with allergy advice or statements Activity Sheet - ‘Which food is the healthier choice?’ - Tomato Paste Activity Sheet - Answers - Which food is the healthier choice?’ Activity Sheet - ‘Which food is the healthier choice?’ - Yoghurt Activity Sheet - Answers - Which food is the healthier choice?’ Pens Module 4 – Label Reading, June 2013 P a g e |1 Healthy eating on a plate: eating for health made simple Session outline: Label Reading Time 2 mins 5 mins 10 mins 5 mins 2 mins 6 mins Activity Introduction and overview of the session • Making sense of nutrition and health related claims on labels • How to make a healthier choice when comparing two products of the same type • Being able to identify allergy advice on a label. Nutrition and health related labelling Discussion Points: • Discuss the target nutrients required to be on the Nutrition Information Panel (NIP) – energy (kilojoules), protein, total fat, saturated fat carbohydrate, sugar and sodium • Fibre, calcium, iron etc. may be interesting nutrients; however they are not required to be on a label. Note: If the manufacturer makes a claim regarding a nutrient on the label it must appear on the Nutrition Information Panel • Common claims on labels. Highlight how manufacturers tend to make claims depending on the target market • Discuss confusing terms such as, ‘energy’, cholesterol free, no added sugar, % fat free, no added salt, reduced salt, light/lite etc. • Highlight reliable symbols for making a healthier choice e.g. the Heart Foundation Tick™ & the Glycemic Index Foundation, GI symbol. Making a healthier choice • Introduce a simple tool to compare foods of the same type (e.g. comparing yoghurt) Note: This tool is not suitable to compare different food types (e.g. cheese versus yoghurt) In-class activity • Activity Sheet– ‘Which is the healthier choice?’ • Discuss answers as a group Allergy advice on labels • Explanation why allergy advice appears on labels, highlighting that the advice may be bolded in the ingredients list and/or listed under a separate Allergy Statement on the label • Some manufacturers choose to state what is not in the product rather than what is e.g. gluten free or does not contain gluten. This can be a difficult concept for participants with low English literacy to understand • Highlight the difference between allergy advice and the statement ‘may contain’ or ‘manufactured on’. Recap of main points Group discussion • Discuss what participants have learnt, confidence and intention to change. Module 4 – Label Reading, June 2013 Resources required Flashcard: ‘Health Claims’ x 3 ‘Highlighted Nutrients’ Flashcard: ‘Reliable symbols’ Flashcards: ‘Labels – cereal’, ‘Labels – soy milk’ Activity sheet: ‘Which is the healthier choice?’ Tomato Paste/Yoghurt Answer sheet: ‘Which is the healthier choice?’ Tomato Paste/Yoghurt Flashcard: ‘Allergy advice’, ‘Allergens’ Activity – Variety of labels displaying allergy advice in different ways P a g e |2 Healthy eating on a plate: eating for health made simple Presenter notes for Module 4: Label Reading Nutrition and health related labelling Give an overview of what participants can expect to learn during the session: • Making sense of nutrition and health related claims on labels • How to make a healthier choice when comparing two products in the supermarket • Being able to identify allergy advice on a label. Interpreting nutrition and health related claims on packaging can be confusing. The Food Standards Authority New Zealand and Australia (FSANZ) is the body that develops and administers The Australia New Zealand Food Standards Code. The Code sets out the requirements for foods such as additives, food safety and labelling. For the purpose of this module, only the most common nutrition and health claims that appear on labelling will be addressed. Display ‘Health Claims’ flashcards (There are three ‘Health Claim’ flashcards) Introduce the session by asking participants “What sort of claims have you seen on labels?” If this module is part of a program run over several weeks, you may want to ask participants at last week’s session to bring in some food labels for this week’s session - make sure you ask them to clean and dry any packaging thoroughly. The only nutrients that must appear on a Nutrition Information Panel (NIP) are energy, protein, total fat, saturated fat, carbohydrate, sugars and sodium. If the manufacturer has made a claim for some other nutrient – for example, ‘cholesterol free’ or ‘contains calcium for growth’, then that nutrient will have be listed on the NIP – even if it is zero – as is the case for ‘cholesterol free’. Certain terms on labels have set definitions as prescribed by FSANZ. The table below lists some of the more common ones. Other terms such as % fat-free, % reduced salt, light/lite, low in salt, etc. do not have prescribed definitions and can be misleading for consumers. Claims with prescribed meanings as regulated by FSANZ No added sugar Can contain naturally occurring sugars (fructose in fruit, lactose in milk), but not permitted to contain added sugar Reduced-fat or salt The product should contain 25 per cent less fat or salt when compared to the original Low fat Must be less than 3 per cent fat for solid foods (1.5 per cent for liquid foods) Fat free Must be less than 0.15 per cent fat Module 4 – Label Reading, June 2013 P a g e |3 Healthy eating on a plate: eating for health made simple Common claims on labels No added sugar: Ironically, this claim is often seen on sweet foods and drinks such as fruit juice, fizzy drinks, sports drinks, yoghurt, toppings, jam etc. and is aimed at people watching their weight or parents who are concerned about the amount of sugar their children are eating: • • • • The Nutrition Information Panel (NIP) on the label may still list sugar; however the sugar will be from naturally occurring sugars (fructose in fruit or Example 1: Nutrition Information lactose in milk) Pear Juice A 100% fruit juice with no added sugar may have similar Nutrition Information (average) kilojoules (energy) and sugar listed on the NIP as a fruit Servings per package - 6 drink (which has added sugar). For this reason, even Serving size – 125 g Per Per though 100% fruit juice is a healthier choice, it should serving 100g be limited to ½ cup a day – or better still eat the whole ENERGY 301 kJ 241 kJ fruit and get the extra benefit of fibre! PROTEIN 0.1 g 0.1 g FAT - TOTAL < 0.1 g < 0.1 g The food may be sweetened with fruit juice concentrate SATURATED < 0.1 g < 0.1 g (fructose); therefore the manufacturer can claim no CARBOHYDRATE 18.9 g 15.1 g added sugar (e.g. 100% spreadable fruit) - SUGARS 18.2 g 14.5 g The food may still taste sweet and have very little sugar SODIUM 5 mg 4 mg INGREDIENTS: PEAR JUICE (100%) listed on the NIP; the sweetness may come from intense sweeteners o intense sweeteners are classified as additives and may appear in the ingredients list as either a number starting with ‘9’, by name or both o intense sweeteners approved in Australia include; alitame (956), acesulfame potassium (Ace K )(950), aspartame (951), cyclamate (952), neotame (961), saccharin (954), sucralose (955) , steviol glycosides (960) and thaumatin (957) o these sweeteners are 100’s of times sweeter than sugar, so only small amounts are needed, giving the sweetness of sugar without the kilojoules. ‘Energy’: This term is used by manufacturers in a positive way and generally appears on foods targeted at children; however the term can be misleading: Drinks containing • The correct definition of energy is the amount of kilojoules (calories) a food caffeine or guarana will provide are not suitable for • Often these drinks have the same amount of sugar in them as standard soft children. drinks • High sugar foods, targeted at children are often described as providing energy • Some products marketed as ‘energy’ drinks contain caffeine or guarana, which is a stimulant. Cholesterol free: This type of claim is often seen on vegetable oil or a product made with vegetable oil and is aimed at people who are concerned about high blood cholesterol: • • • • This claim does not mean the product does not contain fat or is low in fat Vegetable oil has the same amount of kilojoules per gram as any other type of fat or oil Cholesterol is only found in animal products. Oils and spreads made exclusively from seeds, plants or nuts do not contain cholesterol There is no need to put this claim on a food made from seeds, plants or nuts. Manufacturers make this claim so they can highlight on the NIP that the product contains zero cholesterol. Module 4 – Label Reading, June 2013 P a g e |4 Healthy eating on a plate: eating for health made simple Cholesterol There are two types of cholesterol, LDL and HDL. LDL is the one people are generally concerned about and it is often referred to as ‘bad’ cholesterol. HDL is often referred to as ‘good’ cholesterol. An easy way to remember the difference is the ‘H’ in HDL stands for ‘healthy’. Cholesterol in food makes very little difference to the cholesterol level in the blood. The best way of reducing the cholesterol level in the blood is to: o Limit saturated and trans fats o these types of fat can build up in the blood vessels causing plaque which contributes to heart disease • Include a small amount of healthy fats in your diet each day including unsaturated spreads or oil and nuts or seeds e.g. sunflower, safflower, canola, soybean, olive, sesame, walnut, peanut, cashew • Eat fish two to three times a week o the type of fat in fish, plants and seeds has been shown to lower the risk of heart disease. Food high in saturated fat …choose this instead Full-fat cheese (hard and soft) Reduced-fat cheese Full-fat dairy (milk, yoghurt) Reduced-fat milk and yoghurt Butter Mashed avocado Hummus Margarine or spreads made from plants or seeds (sunflower, safflower, canola, soybean, olive, sesame, avocado or nuts) Cream Light n’ Creamy Carnation milk Crème fraiche Reduced-fat sour cream Chicken skin and visible fat on meat Remove the skin from chicken and remove visible fat from meat Processed meat (sausages, luncheon meat, Choose lean meat burgers, salami, bacon) Pastry made with animal fats such as lard Make dough or pastry with oil or spreads made from plants or seeds (sunflower, safflower, canola, soybean, or butter olive, sesame or nuts) Coconut oil, milk* and cream Milk with coconut essence added *Coconut milk refers to the milk made from Almost all the fat in coconut oil, milk and cream is soaking desiccated coconut in water – not saturated, so even reduced-fat versions are high in the clear liquid that is poured from a saturated fats coconut, which is low in fat. Palm oil Choose cooking oils made from plants or seeds (sunflower, safflower, canola, soybean, olive, sesame or Unbleached (red palm oil) is often described as healthier; however it contains peanut) the same amount of saturated fat Fried take-away foods Limit take-away foods Packaged cakes, biscuits, crisps and Limit these foods chocolate Module 4 – Label Reading, June 2013 P a g e |5 Healthy eating on a plate: eating for health made simple % fat free: This claim is seen on a wide variety of foods and is aimed at people who are concerned with their fat intake: • Full-fat yoghurt and milk are generally around 3-4% fat. So a label that states 96% fat free on yoghurt or milk is the same as saying full-fat o milk (even full-fat milk), is relatively low in fat compared to a product such as cheese (which is around 30% fat). However, Australians drink a lot of milk - and as a result it is the main source of saturated fat in the Australian diet o milk consumption is encouraged as it is the most convenient source of calcium for most people; however it is important to reduce the amount of saturated fat in the diet as well. For this reason reduced-fat or low-fat milk products are recommended for adults Reduced-fat or lowfat milk is not recommended for children under two years old. For people who do not drink cow’s milk, alternative products (such as soy milk) should be fortified with calcium. • A product that states it is 80% fat free, still contains 20% fat • Statements such as 92% less saturated fat – can lead consumers to believe the overall fat content of the food is low; however this may not be the case • As with cholesterol – sometimes manufacturers will use a % fat-free statement on a product that doesn’t actually contain fat – such as dried sultanas No added salt: This claim usually appears on canned vegetables or tomato based products such as tomato paste, tomato sauce and baked beans in tomato sauce and appears on the NIP as sodium: Sodium is a component of salt. High levels have been linked with high blood pressure and stroke. • • • Most of the sodium (75%) we consume comes from salt added to processed foods Sodium occurs naturally; so a product making this claim may still have sodium listed on the NIP. For example, a 400 g can of tomatoes without added salt contains approximately 20 mg of sodium compared to one with added salt, which can contain up to 700 mg sodium! Some manufacturers choose not to add salt to their products, however do not put the claim on the label Reduced salt, % reduced salt or low salt: This claim often appears on salty snack foods such as savoury biscuits and potato crisps: • To make this claim, the product should contain 25% less salt when compared to the original • For very salty products, such as soy sauce, this can mean the product still contains quite a large amount of sodium Light/lite: This claim appears on a wide variety of foods such as cheese, yoghurt, milk, cereals, icecream, canned fruit, crisps, olive oil, alcohol etc. and is one of the most confusing for consumers: • The claim can refer to energy (kilojoules), fat, alcohol, sugar, colour (e.g. soy sauce, olive oil) or the amount of salt. No artificial additives, colours, flavours: These claims are generally found on products marketed to children, such as confectionary, crisps and ready-to-eat cereals: Module 4 – Label Reading, June 2013 P a g e |6 Healthy eating on a plate: eating for health made simple • Salt, fat and sugar are natural products, and foods displaying this claim may still be high in one or more of these. Display ‘’Highlighted Nutrients’ flashcard Highlighted nutrients: This is a tactic used to draw the consumer’s attention to the nutrients the manufacturer thinks will make the product more appealing: • Soy milk products will often highlight saturated fat and calcium o Soy milk won’t contain any saturated fat - because it is not an animal product, so the NIP will highlight this o Calcium is highlighted to show the soy milk matches the amount of calcium in cow’s milk (the calcium in soy is added, not naturally occurring) • Cereal 1 is a cereal targeted at children and highlights iron and vitamin C o Iron – because this is an important nutrient for growing bodies o Vitamin C – because this vitamin helps your body to absorb iron from non-animal sources • Cereal 2 is a cereal targeted at weight conscious women and highlights protein and calcium o Protein – along with fibre keeps you full for longer o Calcium – an important nutrient for women to maintain bone health Display ‘Reliable Symbols’ flashcard Reliable symbols to help consumers choose healthier options The Heart Foundation Tick and the Glycemic Index GI symbol are displayed on packaging to indicate the product has met strict criteria set by these two organisations: • Other types of ticks and GI symbols featured on packaging may still be healthy options; however they are not endorsed by these two organisations and may not meet the same criteria • This does not mean that other products in the supermarket are less healthy than those displaying one of these symbols; however it is a simple way for consumers to identify healthier choices without reading labels. Heart Foundation Tick™ Manufacturers pay for the right to display the Heart Foundation Tick™ on their labels; however strict criteria must be met in regards to one or more of the following nutrients when compared with foods of the same category: Decreased levels of one or more of: • Total fat, saturated fat, trans fatty acids and partially hydrogenated fat • Sodium • Lower energy density and appropriate serve sizes Increased levels of one of more of • Dietary fibre and/or vegetables and/or wholegrains • Calcium (for soy products and diary alternatives) • Protein • % ingredients. Module 4 – Label Reading, June 2013 P a g e |7 Healthy eating on a plate: eating for health made simple Glycemic Index Foundation The Glycemic Index Foundation is an internationally recognised not-for-profit organisation based in Sydney. Consumers can be confident that a food bearing the GI Symbol is not only rated as low GI but is an overall healthy choice (low in kilojoules, total and saturated fat and sodium and where appropriate high in fibre and calcium) and that the GI rating has been certified to be correct. The Glycemic Index or GI is a measure of how fast carbohydrate is converted to glucose for the body to use for energy. Generally speaking a low GI diet has been found to have health benefits, including reducing the risk of type 2 diabetes and cardiovascular disease. The Halal symbol verifies that the product contains foods or ingredients that are permissible ’halal’ for people who follow the Muslim faith to eat. It is not a guarantee that a product is healthy in terms of fat, added sugar and salt. Making a healthier choice Having gone through some of the claims made on labels, participants will want to know how they can make healthy choices in the supermarket. Display ‘Labels’ flashcards for cereal and soy milk Go through the two examples as a group: • Look at the 100 g column • Compare energy, saturated fat, sugar and sodium • Place a tick next to the nutrients with the lowest amount • The product with the greatest number of ticks is generally the healthier choice • If a product has the same amount of ticks – choose the product with the lowest energy. Distribute ‘Which is the healthier choice activity sheet?’ Give participants enough time to fill in the activity sheet and then go through the answers. Clarify any points and collect the sheets. Make a note of how many participants complete the activity sheet correctly. Emphasise that this tool will only tell you which is the healthier choice when you are comparing two products – it doesn’t tell you if the products you are comparing are overall healthy choices (for example if you compare two brands of potato chips – no matter which one you choose, it is a food that should only be eaten occasionally) Module 4 – Label Reading, June 2013 P a g e |8 Healthy eating on a plate: eating for health made simple Allergy advice on labels Display ‘Allergy advice’ flashcard During the focus groups some participants expressed concern at the types of warnings found on Australian food labels. These warnings are there to protect people who have a diagnosed food allergy or intolerance; they do not mean the food is unsafe to eat for the general population. Some schools have a policy regarding nuts and foods containing nuts. Parents should check with their school to make sure they comply with the school policy. Common food allergies include: Peanuts, tree nuts, shellfish, finned fish, milk, eggs, sesame, wheat and soybeans. If a person suspects they have a food allergy, they should seek advice from their doctor or a registered dietitian. Allergy advice can appear on a label in a variety of ways: • The ingredient can appear in bold type in the ingredients list: • There may be a statement on the label separate to the ingredients list such as: o Allergy Advice – contains wheat and milk or o Contains wheat and milk as indicated in bold type (wheat and milk will be bolded in the ingredients list) • These types of statements will usually appear close to the ingredients list • Some manufacturers choose to highlight what a food does not contain (e.g. gluten free or does not contain lactose) – this can be a confusing concept for consumers • Other statements that may appear on labels include: o may contain traces of nuts, egg or milk o made on equipment that also processes products containing nuts, egg or milk o these warnings are on labels because the manufacturer is concerned the food may have been contaminated with a potential allergen unintentionally. o labels include a phone number for consumers to ring with questions. If a person has an allergy and is concerned about how the product is processed, they should call the number listed for more information. Allergy advice on labels Display ‘Allergens’ flashcard This flashcard shows participants some of the types of foods that are likely to have an Allergy Statement on them, however if a person has a diagnosed food allergy – all labels should be checked as ingredients can change. If in doubt, the label will also display a phone number which consumers can ring to ask any further questions. Module 4 – Label Reading, June 2013 P a g e |9 Healthy eating on a plate: eating for health made simple Distribute food labels Ask participants if they can identify any food allergy advice or statements on the labels provided. Ask questions to test the participant’s understanding of the labels e.g. if a participant finds a label with milk in bold – ask “If you were allergic to cow’s milk – could you drink/eat this product? Recap the main points • Words on labels can be misleading – always compare labels and limit saturated fat, added sugar and salt • There are some symbols you can trust – like the Heart Foundation Tick Symbol and the GI symbol – however this does not mean products displaying these labels are the only healthy choices in the supermarket • Allergy advice and warnings on labels are there to protect people with diagnosed allergies. If you think you have an allergy consult your doctor or a registered dietitian • Eating more fresh food and less packaged foods is an easy way to make your diet healthy. Evaluation Group discussion and evaluation • What will you take away from today’s session? • Do you feel more confident that you can make a healthier choice than before the session? • What changes, if any, do you plan to make as a result of today’s session? Make notes of comments throughout the session and questions asked when filling out the activity sheet and during the label reading activity An overall evaluation will be conducted at the end of the sessions. Some things to consider when presenting this module • • • • • Participants will need basic numeracy and literacy skills to participate in this module Have contact numbers for local health professionals in case people require further information regarding food allergies or other health concerns e.g. diabetes, heart disease, high cholesterol This subject often brings up some interesting views on food allergy and intolerance. It is important that people are referred on to a dietitian if they require any further information. Check with local schools for their policies regarding nuts and nut products. This topic could also generate some negative discussion. If participants are concerned about the school policy, they need to take it up with the school. It is not the presenter’s role to comment on school policy. If you are using food packaging for the activities – make sure all labels are thoroughly clean and dry. Module 4 – Label Reading, June 2013 P a g e | 10 Healthy eating on a plate: eating for health made simple Website resources eatforhealth.gov.au http://www.eatforhealth.gov.au/eating-well/how-understand-food-labels. How to understand food labels. This website gives advice about the amount and kinds of foods Australians should eat for good health. This page explains food labels and what to look for. FSANZ, Food labelling, http://www.foodstandards.gov.au/consumer/labelling/Pages/default.aspx Food Standards Australia, New Zealand (FSANZ) sets the standards for the information that must appear on food labels. This webpage is designed to assist consumers to understand the information presented on food labels. FSANZ 2011, Intense Sweeteners, http://www.foodstandards.gov.au/consumer/additives/intensesweetener/Pages/default.aspx Intense sweeteners are classed as a food additive. This link provides some background information on the intense sweeteners approved for use in Australia. Glycemic Index Foundation 2012, GI Smart Shopping, http://www.gisymbol.com.au/smart_shopping.php. The Glycemic Index (GI) is one tool that can be used by consumers to make a healthy food choice. This site gives some background about what the GI is and how it can be used in conjunction with other health messages to make healthier choices in the supermarket. Heart Foundation, Fats & cholesterol, http://www.heartfoundation.org.au/healthyeating/fats/Pages/default.aspx>. The Heart Foundation is a charity organisation renowned for its contribution to research and health education for heart health. This webpage contains easy to read information to help people understand fats and cholesterol. Heart Foundation, Heart Foundation Tick™, http://www.heartfoundation.org.au/information-forprofessionals/heart-foundation-tick/pages/tick-criteria.aspx The Heart Foundation Tick™ program is a self-funded public health program. This site gives the background to the Tick™ and gives examples of some of the criteria and food categories the program covers . Module 4 – Label Reading, June 2013 P a g e | 11 Healthy eating on a plate: eating for health made simple Appendix A Resources Module 4: Label Reading Module 4 – Label Reading, June 2013 P a g e | 12 Food A NUTRITION INFORMATION SERVINGS PER PACKAGE: 20 Food B SERVING SIZE: 25g quantity per serving NUTRITION INFORMATION SERVINGS PER PACKAGE: 20 quantity per serving quantity per 100g ENERGY 72 kJ 287kJ PROTEIN 0.9g 3.5g FAT, TOTAL 0.05g 0.21g - SATURATED 0.02g 0.07g CARBOHYDRATE 2.8g 11.3g - SUGARS 2.2g 8.6g SODIUM 115mg 460mg LYCOPENE 9mg 37mg Ingredients: Concentrated tomato (99%), salt. Packed in Australia from important and local ingredients. SERVING SIZE: 25g quantity per 100g ENERGY 69 kJ 275kJ PROTEIN 0.8g 3.3g FAT, TOTAL 0.05g 0.21g - SATURATED 0.02g 0.07g CARBOHYDRATE 2.7g 10.8g - SUGARS 2.1g 8.3g SODIUM 12mg 48mg POTASSIUM 189mg 757mg LYCOPENE 9mg 35mg Ingredients: Concentrated tomato (100%) Packed in Australia from imported ingredients. Which of these foods is the healthier choice? To help you decide, look at the 100g column. Place a tick next to the nutrients below that have less energy, saturated fat, sugar and sodium. Put a cross next to the nutrients below that have more energy, saturated fat, sugar and sodium. The food with the most ticks is the healthier choice. Answer: Food….. is the healthier choice. Food A Energy …….. Food B Energy …….. Saturated Fat …….. Saturated Fat …….. Sugar …….. Sugar …….. Sodium …….. Sodium …….. Food A NUTRITION INFORMATION SERVINGS PER PACKAGE: 20 Food B SERVING SIZE: 25g quantity per serving NUTRITION INFORMATION SERVINGS PER PACKAGE: 20 SERVING SIZE: 25g quantity per serving quantity per 100g ENERGY 72 kJ 287kJ PROTEIN 0.9g 3.5g FAT, TOTAL 0.05g 0.21g - SATURATED 0.02g 0.07g CARBOHYDRATE 2.8g 11.3g - SUGARS 2.2g 8.6g SODIUM 115mg 460mg LYCOPENE 9mg 37mg Ingredients: Concentrated tomato (99%), salt. Packed in Australia from important and local ingredients. quantity per 100g ENERGY 69 kJ 275kJ PROTEIN 0.8g 3.3g FAT, TOTAL 0.05g 0.21g - SATURATED 0.02g 0.07g CARBOHYDRATE 2.7g 10.8g - SUGARS 2.1g 8.3g SODIUM 12mg 48mg POTASSIUM 189mg 757mg LYCOPENE 9mg 35mg Ingredients: Concentrated tomato (100%) Packed in Australia from imported ingredients. Which of these foods is the healthier choice? To help you decide, look at the 100g column. Place a tick next to the nutrients below that have less energy, saturated fat, sugar and sodium. Put a cross next to the nutrients below that have more energy, saturated fat, sugar and sodium. The food with the most ticks is the healthier choice. Answer: Food B is the healthier choice. Energy, saturated fat and sugar are virtually the same so aren’t given a tick or a cross. Food A Energy same Saturated Fat same Food B Energy same Saturated Fat same Sugar same Sugar same Sodium Sodium Food A Food B NUTRITION INFORMATION SERVING SIZE: 100g SERVINGS PER CUP: 9 quantity per 100g 334kJ (80 cal) 6.0g 1.9g 1.2g 8.7g 8.7g 100mg 215mg (27%RDI*) 100,000,000 cfu# (min) 100,000,000 cfu# (min) 100,000,000 cfu# (min) ENERGY PROTEIN FAT, TOTAL - SATURATED CARBOHYDRATE - SUGARS SODIUM CALCIUM L ACIDOPHILUS BIFIDOBACTERIUM LACTOBACILLUSS *RDI- RECOMMENDED DIETARY INTAKE # COLONY FORMING UNITS Ingredients: Milk, Skim milk, milk solids, Inulin (Dietary fibre), live yoghurt cultures (incl. L Acidophilus, Bifidobacterium, Lactobacillus GG). NUTRITION INFORMATION SERVINGS PER TUB: ENERGY SERVING SIZE: 100g quantity per serving quantity per 100g 561 kJ 561 kJ PROTEIN, TOTAL - GLUTEN FAT, TOTAL - SATURATED CARBOHYDRATE - SUGARS SODIUM CALCIUM 4.7g 4.7g 0mg 0mg 9.7g 9.7g 6.5g 6.5g 7.2g 7.2g 7.2g 7.2g 65mg 65mg 168mg 168mg (21% RDI*) *Recommended Dietary Intake Ingredients: Skim milk, cream, milk solids non-fat, live yogurt cultures: s. thermophiles & L Bulgaricus No artificial colours, flavours or preservatives Refrigerate below 4°c Which of these foods is the healthier choice? To help you decide, look at the 100g column. Place a tick next to the nutrients below that have less energy, saturated fat, sugar and sodium. Put a cross next to the nutrients below that have more energy, saturated fat, sugar and sodium. The food with the most ticks is the healthier choice. Answer: Food….. is the healthier choice. Food A Energy ……… Food B Energy Saturated Fat ……… Saturated Fat ……….. Sugar ……… Sugar ……….. Sodium …….. Sodium ……….. ……….. Food A NUTRITION INFORMATION SERVING SIZE: 100g ENERGY PROTEIN FAT, TOTAL - SATURATED CARBOHYDRATE - SUGARS SODIUM CALCIUM L ACIDOPHILUS BIFIDOBACTERIUM LACTOBACILLUSS Food B SERVINGS PER CUP: 9 quantity per 100g 334kJ (80 cal) 6.0g 1.9g 1.2g 8.7g 8.7g 100mg 215mg (27%RDI*) 100,000,000 cfu# (min) 100,000,000 cfu# (min) 100,000,000 cfu# (min) *RDI- RECOMMENDED DIETARY INTAKE # COLONY FORMING UNITS Ingredients: Milk, Skim milk, milk solids, Inulin (Dietary fibre), live yoghurt cultures (incl. L Acidophilus, Bifidobacterium, Lactobacillus GG). NUTRITION INFORMATION SERVINGS PER TUB: ENERGY SERVING SIZE: 100g quantity per serving quantity per 100g 561 kJ 561 kJ PROTEIN, TOTAL - GLUTEN FAT, TOTAL - SATURATED CARBOHYDRATE - SUGARS SODIUM CALCIUM 4.7g 4.7g 0mg 0mg 9.7g 9.7g 6.5g 6.5g 7.2g 7.2g 7.2g 7.2g 65mg 65mg 168mg 168mg (21% RDI*) *Recommended Dietary Intake Ingredients: Skim milk, cream, milk solids non-fat, live yogurt cultures: s. thermophiles & L Bulgaricus No artificial colours, flavours or preservatives Refrigerate below 4°c Which of these foods is the healthier choice? To help you decide, look at the 100g column. Place a tick next to the nutrients below that have less energy, saturated fat, sugar and sodium. Put a cross next to the nutrients below that have more energy, saturated fat, sugar and sodium. The food with the most ticks is the healthier choice. Answer: Food A is the healthier choice. Energy and saturated fat are a lot less for Food A. Although sugar is more for Food B – it is only by a small amount and is from naturally occurring lactose . There is no sugar listed in the ingredients. Food B Energy Saturated Fat Saturated Fat Sugar Sugar Sodium Sodium Food A Energy Appendix B Script & flashcards Module 4: Label Reading Module 4 – Label Reading, June 2013 P a g e | 17 This page has been left intentionally blank Page | 1 Script for Module4: Label Reading Give an overview of what participants can expect to learn during the session: There are so many products in the supermarkets and all sorts of claims that are made on labels to entice the consumer. Making sense of the labels can be confusing. Module 4 Label Reading Today we are going to discuss: • Making sense of nutrition and health related claims on labels • How to make a healthier choice when comparing two products in the supermarket • Being able to identify allergy advice on a label. We are only going to discuss some of the most common claims on labels today, but I hope it will make you more aware of some of the things to look out for when trying to make good choices in the supermarket. Page | 1 Module 4 Label Reading Page | 2 Script for Module4: Label Reading Ask participants – “What sort of claims have you seen on labels?” Claims made on labels can be very confusing – how do we know which ones to trust? No added sugar: Often seen on sweet foods and drinks such as fruit juice, fizzy drinks, sports drinks, yoghurt, toppings, jam etc. This claim is aimed at people watching their weight or parents who are concerned about the amount of sugar their children are eating: • The Nutrition Information Panel (NIP) only lists sugar – it does not tell you where the sugar comes from. So for milk-based products such as yoghurt and milk drinks, even though a claim for no added sugar is made - sugar will still be listed on the NIP; however the sugar will be from naturally occurring sugars (fructose in fruit or lactose in milk) • A 100% fruit juice with no added sugar may have similar kilojoules (energy) and sugar listed on the NIP as a fruit drink (which has added sugar). o 100% fruit juice is a healthier choice – but limit it to ½ cup a day – it’s easy to drink kilojoules and a glass of orange juice can contain as many kilojoules as four oranges - eat the whole fruit and get the extra fibre! • The food may be sweetened with fruit juice concentrate (fructose). You can see this on 100% spreadable fruit. o Even though this is a healthier option – it should still be limited to small serves • If sugar isn’t listed, the sweetness may come from intense (artificial) sweeteners o These type of sweeteners will appear on the ingredients list starting with the number ‘9’, or they may be listed by name. Some labels include the name and the number Intense sweeteners approved in Australia include; alitame (956), acesulfame potassium (Ace K )(950), aspartame (951), cyclamate (952), neotame (961), saccharin (954), sucralose (955) , steviol glycosides (960) and thaumatin (957) these sweeteners are 100’s of times sweeter than sugar, so only small amounts are needed, giving the sweetness of sugar without the kilojoules. Page | 2 Health Claims Page | 3 Script for Module4: Label Reading ‘Energy’: This term is generally used to describe foods targeted at children and teenagers • Energy means either kilojoules (usually in the form of sugar) or • A stimulant like caffeine or guarana (caffeine from a South American plant) has been added. Caffeine and guarana are now being added to a range of soft drinks, not just cola flavoured drinks. o Drinks with added caffeine or guarana are not suitable for children Cholesterol free: This claim is often seen on vegetable oil or a product made with vegetable oil and is aimed at people who are concerned about high blood cholesterol: • This claim does not mean low or no fat – it means the product is made from plants • Cholesterol is only found in animal products. Oils and spreads made exclusively from seeds, plants or nuts do not contain cholesterol • Vegetable oil has the same amount of kilojoules as any other oil – only use small amounts. % fat free: This claim is seen on a wide range of foods • A 96% fat free yoghurt or milk is the same as saying full-fat milk or yoghurt • A product that is 80% fat free, still contains 20% fat – which is too much • 75% less saturated fat – this only tells you about one type of fat (saturated fat) the product may still be very high in overall fat • Fat –free is sometimes used on foods that contain other negative nutrients (like salt or sugar) to make the product sound healthier and draw you attention away from the high sugar or high salt Page | 3 Health Claims Page | 4 Script for Module4: Label Reading • Look for products that use the words ‘low-fat’. This means they must meet the guidelines for a low-fat food (i.e. that it contains no more than 3% fat). No added salt/reduced salt: This claim usually appears on canned vegetables or tomato based products such as tomato paste, tomato sauce and baked beans in tomato sauce and appears on the label as sodium: • Salt reduced means 25% less salt than the original product. So if the original product is very salty – the salt reduced product can still be very high in salt – like soy sauce or potato crisps. • Some similar products may be low in salt – but choose not to advertise it. For example ‘home brand’ tomato pastes are usually low in salt, but don’t advertise it on the packaging – so always check the label. Aim for as close to 120 mg of sodium per 100 grams as possible. Light/lite: This claim appears on a wide variety of foods such as cheese, yoghurt, milk, cereals, icecream, canned fruit, crisps, olive oil, alcohol etc. and is one of the most confusing for consumers: • The claim can refer to energy (kilojoules), fat, alcohol, sugar, colour (e.g. soy sauce, olive oil) or the amount of salt. No artificial additives, colours, flavours: These claims are generally found on products marketed to children, such as confectionery, crisps and ready-to-eat cereals: • Salt, fat and sugar are natural products – so these products can still be high in one or all of these things • This claim doesn’t not make the food or drink healthier in terms of fat, sugar or sodium. Page | 4 Health Claims Page | 5 Script for Module4: Label Reading Highlighted nutrients on the Nutrition Information Panel: The makers of food products want to highlight the nutrients they think will make their product more appealing. Some examples include: • Soy milk products will often highlight saturated fat and calcium • o This product does not contain saturated fat - because it is not an animal product – and they want to draw your attention to that fact o Full-fat soy milk is still high in fat – choose the reduced fat soy milk (note: reduced-fat milks are not suitable for children under 2 years of age) o Soy milk does not contain calcium naturally, so the calcium must be added. It important to make sure cow’s milk alternatives have at least 100mg of calcium per 100 grams to get the same calcium benefit as drinking a glass of cow’s milk Cereal 1 is targeted at children – or more importantly the person who buys cereal for children! • o Iron – because this is an important nutrient for growing bodies o Vitamin C – because this vitamin helps your body to absorb iron from non-animal sources Cereal 2 is targeted at weight conscious women o Protein – along with fibre keeps you full for longer o Calcium – an important nutrient for women to maintain bone health Page | 5 Highlighted Nutrients Page | 6 Script for Module4: Label Reading Reliable symbols Products that display The Heart Foundation Tick and the Glycemic Index (GI) symbol have met strict criteria set by these two organisations. Companies pay so they can display the symbols and this money is used for research into heart disease and diabetes. • Other types of ticks and GI symbols may still be healthy options; however they are not endorsed by these two organisations and may not meet the same criteria • This does not mean that other products in the supermarket are less healthy than those displaying one of these symbols (the Heart Foundation Tick and the GI symbol); however it’s a simple way to pick a healthy choice if you don’t want to read labels. • The Halal symbol is not a guarantee that a product is healthy in terms of fat, added sugar and salt. Page | 6 Reliable Symbols ? Page | 7 ? Script for Module4: Label Reading Having looked at some of the claims that are made on labels – the next question you may be asking is “How do I tell which is the healthier food?” Go through the two examples as a group: First example- Cereals • • • • • Look at the 100 g column Compare energy, saturated fat, sugar and sodium Place a tick next to the nutrients with the lowest amount The product with the greatest number of ticks is generally the healthier choice If a product has the same amount of ticks – choose the product with the lowest energy. The cereals are virtually the same – except one has more sugar and one has more sodium. They are both reasonable choices, however plain wheat biscuits or oats are the best choices as they are high in fibre and low in added sugar and sodium. These cereals have the same amount of kilojoules per serve and the same amount of fat. They contain different amounts of protein, sugar and carbohydrates – which contain roughly the same amount of kilojoules per gram as each other. Page | 7 Labels Nutrition Information (AVERAGE) servings per package – 24 average service size – 30g (1 metric cup) quantity % daily per intake serving per serving ENERGY 470 kJ 5% PROTEIN 2.3 g 5% FAT, TOTAL 0.1 g 0.1% - SATURATED <0.1 g 0.1% CARBOHYDRATE 24.9 g 8% - SUGARS 2.4 g 3% DIETARY FIBRE 1.0 g 3% SODIUM 193 mg 8% % RDI THIAMIN (VIT B1) 0.28 mg 25% RIBOFLAVIN (VIT 0.42 mg 25% B2) NIACIN 2.5 mg 25% VITAMIN C 6.0 mg 15% FOLATE 100 ug 50% IRON 3.0 mg 25% ZINC 1.8 mg 15% Nutrition Information Cereal 1 per serve with ½ cup skim milk 670Kj 7.0 g 0.2 g 0.1 g 31.4 g 8.8 g 1.0 g 250 mg quantity per 100g 0.33 mg 0.68 mg 0.92 mg 1.42 mg 2.6 mg 7.3 mg 106 ug 3.1 g 2.3 g 8.3 mg 20.0 mg 333 ug 10.0 g 6.0 mg 1580Kj 7.8 g 0.2g <0.1 g 82.9 g 7.9 g 3.3 g 645 mg This food has Same energy (kJ) Same saturated fat Less sugar More sodium (AVERAGE) servings per package – 10 average service size – 30g (3/4 metric cup) quantity % daily per intake serving per serving ENERGY 470 kJ 5% PROTEIN 5.9 g 12% FAT, TOTAL 0.1 g 0.2% - SATURATED <0.1 g 0.1% CARBOHYDRATE 21.2 g 7% - SUGARS 4.4 g 5% DIETARY FIBRE 0.8 g 2% SODIUM 147 mg 6% % RDI THIAMIN (VIT B1) 0.28 mg 25% RIBOFLAVIN (VIT B2) 0.42 mg 25% NIACIN 2.5 mg 25% VITAMIN B6 0.4 mg 25% FOLATE 100 ug 50% CALCIUM 300 mg 25% IRON 3 mg 25% Ingredients Cereal 2 per serve with ½ cup skim milk quantity per 100g 670Kj 10.6 g 0.2 g 0.2 g 27.7 g 10.8 g 0.8 g 203 mg 1570Kj 19.7 g 4g 0.1 g 70.8 g 14.5 g 2.5 g 490 mg 0.33 mg 0.68 mg 2.6 mg 0.4 mg 106 ug 359 mg 3.1 mg 0.92 mg 1.42 mg 8.3 mg 1.3 mg 333 ug 666 mg 10.0 mg This food has Same energy (kJ) Same saturated fat More sugar Less sodium Cereals (62%) (rice, wheat), wheat gluten, sugar, wheat flour, minerals (calcium carbonate, iron, zinc oxide), salt, barley malt extract, vitamins (niacin, vitamin B6, riboflavin, thiamine, folate). CONTAINS GLUTEN CONTAINING CEREALS. MAY CONTAIN TRACES OF PEANUTS AND/OR TREE NUTS. Look at the 100g or 100ml column and choose the food with Less energy, saturated fat, sugar and sodium. If a product has the same amount of ticks – choose the product with the least energy, if the energy is the same choose the product with the least saturated fat, if the saturated fat is the same choose the product with the least sugar, if the sugar is the same choose the product with the least sodium. Page | 8 Script for Module4: Label Reading Second example- Soy milk • • • • • Look at the 100 g column Compare energy, saturated fat, sugar and sodium Place a tick next to the nutrients with the lowest amount The product with the greatest number of ticks is generally the healthier choice If a product has the same amount of ticks – choose the product with the lowest energy. The milks are virtually the same – except one has more energy than the other. The extra energy is coming from the higher fat content – but because this is a non-animal product, the saturated fat content is the same. Emphasise that this tool will only tell you which is the healthier choice when you are comparing two products – it doesn’t tell you if the products you are comparing are overall healthy choices (for example if you compare two brands of potato chips – no matter which one you choose, it is a food that should only be eaten occasionally) Page | 8 Labels NUTRITION INFORMATION (AVERAGE) Serving size: 250 ml Servings per package: 4 Per serving Per 100 ml ENERGY (kJ) 650 260 (Cal) 155 62 PROTEIN (g) 7.8 3.1 0.0 0.0 GLUTEN (g) FAT, TOTAL (g) - SATURATED (g) -TRANS FAT (g) -POLYUNSATURATED FAT (g) -MONOUNSATURATED FAT (g) 8.5 1.0 0.0 4.0 3.5 0.0 3.4 0.4 0.0 1.6 1.4 0.0 CHOLESTEROL (mg) CARBOHYDRATE, TOTAL (g) 12.5 5.0 - SUGARS (g) 5.0 2.0 -LACTOSE (g) 0.0 0.0 -GALACTOSE (g) 0.0 0.0 DIETARY FIBRE (g) 0.8 0.3 SODIUM (mg) 113 45 POTASSIUM (mg) 350 140 VITAMIN A (ug) 100 (13%) 40 RIBOFLAVIN (mg) 0.43 (25%0 0.17 VITAMIN B12 (ug) 1.0 (50%) 0.4 300 (37%) 120 CALCIUM (mg) PHOSPHORUS (mg) 250 (25%) 100 ISOFLAVONES (MG) 8.0 3.2 *Percentage of Recommended dietary Intake250 (25%) (RDI) INGREDIENTS: Filtered water, soy protein (3.5%), corn maltodextrin, vegetable oils (sunflower, canola) [contains antioxidant (tocopherols) (contains soy)], cane sugar, minerals (phosphates of calcium, potassium and magnesium), acidity regulator (332), antioxidant (ascorbic acid), vitamins (A, B12, B2, B1), natural flavour. (All ingredients are nonanimal origin.) Contains soy. Soy Milk 1 This food has More energy (kJ) Same saturated fat Same sugar Same sodium NUTRITION INFORMATION (AVERAGE) Serving size: 250 ml Servings per package: 4 Per serving Per 100 ml Energy (kJ) 398 159 (Cal) 155 (38) protein (g) 7.8 3.1 gluten ( 0.0 0.0 Fat, total 8.5 3.4 saturated 1.0 0.4 trans 0.0 0.0 polyunsaturated 4.0 1.6 monounsaturated 3.5 1.4 cholesterol 0.0 0.0 carbohydrate, total 12.5 5.0 sugars 5.0 2.0 lactose 0.0 0.0 galactose 0.0 0.0 dietary fibre 0.8 0.3 sodium 113 45 calcium 300 (37%) 120 *Percentage of Recommended dietary Intake (25%) (RDI) INGREDIENTS: Filtered water, whole soy beans (min 14%), raw sugar, calcium phosphate, vegetable gums (460, 407, 466), colour (171), sea salt, flavours, food acids (340, 331) Soy Milk 2 This food has Less energy (kJ) Same saturated fat Same sugar Same sodium Look at the 100g or 100ml column and choose the food with Less energy, saturated fat, sugar and sodium. If a product has the same amount of ticks – choose the product with the least energy, if the energy is the same choose the product with the least saturated fat, if the saturated fat is the same choose the product with the least sugar, if the sugar is the same choose the product with the least sodium. Page | 9 Script for Module4: Label Reading Distribute activity sheets – Which is the healthier choice? Distribute the class activity sheets Give participants enough time to fill in the activity sheet and then go through the answers. Clarify any points and collect the sheets. Make a note of how many participants complete the activity sheet correctly. Page | 9 Page | 10 Script for Module4: Label Reading Allergy advice You may have noticed some products have warnings on them. These warnings are there to protect people who have a diagnosed food allergy or intolerance; they do not mean the food is unsafe to eat for everyone else. Common food allergies include: Allergy advice can appear on a label in a variety of ways, usually close to the ingredients list: Peanuts, tree nuts, shellfish, finned fish, milk, eggs, sesame, wheat and soybeans. • The ingredient can appear in bold type in the ingredients list: If a person suspects they have a food • There may be a statement on the label separate to the ingredients list such as: allergy, they should seek advice from o Allergy Advice – contains wheat and milk their doctor or a registered dietitian. o Contains wheat and milk as indicated in bold type (wheat and milk will be Some schools have a policy regarding bolded in the ingredients list) nuts and foods containing nuts. Parents should check with their school. • Other statements that may appear on labels include: o may contain traces of nuts, egg or milk, or o made on equipment that also processes products containing nuts, egg or milk These warnings are on labels because the manufacturer is concerned the food may have been contaminated with a potential allergen unintentionally while the food has been stored or during processing. • Some manufacturers choose to highlight what a food does not contain (e.g. gluten free or does not contain lactose) • labels also include a phone number for consumers to ring with questions. If a person has an allergy and is concerned about how the product is processed, they should call the number listed for more information. Page | 10 Allergy Advice CONTAINS GLUTEN CONTAINING CEREALS. ALLERGY ADVICE: CONTAINS MILK High in calcium, gluten free, contains no lactose, cholesterol, or preservatives Ingredients INGREDIENTS: Filtered water, soy protein (3.5%), corn maltodextrin, vegetable oils (sunflower, canola) [contains antioxidant (tocopherols) (contain soy), cane sugar, minerals (phosphates of calcium, potassium and magnesium), acidity regulator (332), antioxidant (ascorbic acid), vitamins (A, B12, B2, B1), natural flavour. (All ingredients are of non-animal origin.) Contains soy. Page | 10 Contains wheat, soybean and milk products. Made on equipment that also processes products containing egg, peanut, sesame, fish and crustacean. Contains Gluten Contains Milk or Milk Products Contains Sobybeans or Soybean WHOLEGRAIN WHEAT FLOUR (44%), WHEAT FLOUR, VEGETABLE OIL, CORNFLOUR, SUGAR, SALT, MALT EXTRACT (FROM BARLEY), SOY LECITHIN, YEAST. MAY CONTAIN TRACES OF EGG, MILK, NUT AND SESAME. Script for Module4: Label Reading Distribute food labels – participants will look for allergy advice on the labels Distribute the food labels with allergy advice on them Ask participants if they can identify any food allergy advice or statements on the labels provided. Ask questions to test the participant’s understanding of the labels e.g. if a participant finds a label with milk in bold – ask “If you were allergic to cow’s milk – could you drink that? Recap the main points • Words on labels can be misleading – always compare labels and limit saturated fat, added sugar and salt • There are some symbols you can trust – like the Heart Foundation Tick Symbol and the GI symbol – however this does not mean products displaying these labels are the only healthy choices in the supermarket • Allergy advice and warnings on labels are there to protect people with diagnosed allergies. If you think you have an allergy consult your doctor or a dietitian. • Eating more fresh food and less packaged foods is an easy way to make your diet healthy. Group discussion • What will you take away from today’s session? • Do you feel more confident that you can make a healthier choice than before the session? • What changes, if any, do you plan to make as a result of today’s session? Page | 10 Allergens Page | 12 Script for Module4: Label Reading This page has been left intentionally blank Page | 12