Download Reduce - The Oxford Health Alliance

The Role of the Food Industry
in Health Promotion
George A. Mensah, MD, FACC, FACN, FCP (Hon) SA
VP, Global R&D Nutrition
PepsiCo
Presented at:
Oxford Health Alliance Annual Summit 2011, Keble College, Oxford.
Epidemic Chronic Disease - From Raising Awareness to Driving Change.
April 14-15, 2011.
Conflict of Interest Disclosure and a Disclaimer
•
•
I am a full-time employee of PepsiCo.
•
Any mention of food and beverage companies
other than PepsiCo is for illustration only and
does not imply the company’s endorsement or
consent to be represented here.
These slides have not been reviewed or
approved by PepsiCo. Thus, the contents
should not be construed as necessarily
representing the views of PepsiCo.
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PERFORMANCE WITH PURPOSE
PepsiCo’s responsibility is to
continuously improve all aspects of the
world in which we operate – products,
environment, people – creating a better
tomorrow for future generations.
“Performance with Purpose is at the foundation of
every aspect of our business. Indeed, financial
achievement can and must go hand-in-hand with
sustainability. We integrate a commitment to human,
environmental and talent sustainability into all of our
operations. Doing so creates a blueprint for PepsiCo to
develop, manufacture and sell our products in a
sustainable way, gives us a competitive advantage in
markets all over the world, which in turn drives long-term
growth.”
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The Times again lists PepsiCo U.K. & Ireland as
a Top 50 Employer for Women, for the 5th time
In addition to placing among
the top 50, PepsiCo U.K. &
Ireland was one of 3 finalists
to be considered for an
Opportunity Now Excellence
in Practice Award for the
category of Agile
Organisation, recognizing
companies for their
approach to flexible working.
4
A Message from PepsiCo Global Health Policy
Congratulations to OxHA:
• Successful CIH program
• Earliest to lay out the economic case for
multisectoral actions.
• Stimulated debate about the role of urban
design in building mobility and healthy
eating into the structure of cities.
What works? What can be scaled up?
• Now is the time to provide leadership on what works and can
be scaled up; and what may work and needs different
partnerships and incentives to have impact.
6
Whether or not the food industry has a role in
health promotion is not the question
• The main question is: what should that role be?
• What concrete actions are being taken today in order
to go from making pledges to driving change?
• How can independent assessment of food industry
compliance and health impact be ascertained?
• What are the major challenges? What technological
breakthroughs will accelerate change?
• How do we best collaborate to drive change?
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Multiple organizations and task forces have affirmed
Industry’s role in promoting the public’s health
• The World Health Organization
• The World Heart Federation
• The US National Academy of Sciences
Institute of Medicine
• International Obesity Task Force
• The International Diabetes Federation
• The Grand Challenges in NCD Prevention
•The UK Government
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Collective Food Pledges in the Public Health
Responsibility Deal
Core Commitment
•
We will encourage and enable people to
adopt a healthier diet.
Collective Pledges
•
Provide calorie information for food and
non alcoholic drinks for our customers in
out of home settings.
•
Commit to salt reduction targets for the
end of 2012 agreed by the Responsibility
Deal, which collectively will deliver a
further 15% reduction on 2010 targets.
•
These targets will give a total salt
reduction of nearly 1g per person per
day compared to 2007 levels in food.
•
Remove, artificial trans fats from
products by the end of 2011.
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What pledges has PepsiCo UK & Ireland signed
under the Public Health Responsibility Deal?
Food Network Pledges
• Out of home calorie labelling
• Salt reduction
• Artificial trans fats removal
Health at Work Network Pledges
• Chronic conditions guide
• Occupational health standards
• Health & wellness report
• Healthier staff restaurants
10
Doing the right thing
“You can depend
on Americans to
do the right thing,
after they've tried
everything else.”
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Globalization and Health 2010; www.globalizationandhealth.com/content/6/1/10
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Food industry roles in health promotion to
address the major chronic diseases
Major Chronic Diseases
Unhealthy Physical 2
diets
Inactivity
Adverse social, economic, 3
and environmental conditions
1
Direct food industry actions
Direct philanthropic actions
Indirect food industry actions
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Food industry actions in support of
healthful foods, snacks, and beverages - 1
• Improve the nutrient content and quality of foods and
beverages through reformulation of existing products.
• Control nutrients of public health concern such as added
sugar, sodium, trans fats, and also total calories per serving.
• Introduce new products that enhance positive nutrition by
the addition of increased amounts of whole grains, fruits and
vegetables, nuts and seeds, and low-fat dairy in accordance
with dietary guidelines.
• Expand options for reducing portion size through the use of
smaller package sizes, and development of products that
address satiety and appetite control.
• Invest in R&D to enable technological breakthroughs to
accelerate product reformulation.
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Food industry actions in support of
healthful foods, snacks, and beverages - 2
• Invest in research advances in agronomy, agricultural
policy, diverse sources of calories in the community,
and behavioral economics.
• Adopt established labeling policies, and adopt
established advertising and marketing policies,
especially as they apply to children.
• Support nutrition education and physical activity
programs with an emphasis on energy balance.
• Invest in workplace wellness initiatives.
16
PepsiCo’s 2010 Annual Report:
Performance with Purpose: The Promise of PepsiCo
www.pepsico.com/Download/PepsiCo_Annual_Report_2010_Full_Annual_Report.pdf
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Direct corporate action involves increasing some
nutrients and food groups while limiting others
Food Groups
to Increase
Nutrients
to Encourage
Omega-3
fatty acids
Sugar
Non-starch
polysaccharides
Flax seed oils
Nutrients
to Limit
Salt
Whole grains
Saturated Fat
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PepsiCo has adopted a science-based
framework for food industry innovation
Fruits/
Vegetables
Whole Grains
• Cardiovascular
risk reduction
• Cardiovascular
risk reduction
Low-fat Dairy
Sweeteners
•Overall health
promotion
Sodium
• Obesity
prevention
• Blood
pressure
control
Saturated Fats
Total Calories
• Atherosclerosis
prevention
• Obesity
prevention
Trans Fats
• Atherosclerosis prevention
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PepsiCo human sustainability goals
regarding key food and beverage brands
• Increase the amount of whole
grains, fruits, vegetables, nuts,
seeds, and low-fat dairy.
•
Reduce the average amount of
sodium per serving by 25% by 2015.
•
Reduce the average amount of
saturated fat per serving by 15% by
2020.
•
Reduce the average amount of
added sugar per serving … by 25%
by 2020.
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Our Global Goals and Commitments in the
marketplace are also important
• Display calorie count and key
nutrients on packaging by 2012.
• Advertise to children less than 12
years of age only products that meet
our global science-based standards.
• Eliminate the direct sale of full-sugar
soft drinks in primary and secondary
schools around the globe by 2012.
• Increase the range of foods and
beverages that offer solutions for
managing calories, like portion
sizes.
22
Our Global Goals and Commitments in the
community are also important
• Assure affordable, nutritionally-
relevant products for underserved
and lower-income communities.
• Invest in initiatives to promote
healthier communities, including
enhancing diet and physical activity
programs.
• Integrate our policies and actions
on human health, agriculture and the
environment.
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Commitments Made by the International Food
and Beverage Alliance (IFBA), May 2008
5 actions over of 5 years
1.
Food reformulation
2.
Consumer information
3.
Responsible marketing
4.
Promotion of healthy lifestyles
5.
Public-private partnerships
Commitments signed by the
Chief Executive Officers of:
•
•
•
•
•
•
•
•
•
Ferrero
General Mills
Grupo Bimbo
Kellogg’s
Kraft Foods
Mars
Nestlé
PepsiCo
The Coca-Cola Company
IFBA, November 2009. https://www.ifballiance.org
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These 10 Companies Alone Contribute 83% of Global
Food, Beverage and Restaurant Advertising Spend
Courtesy of John Fletcher, PepsiCo International
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Transforming the portfolio in UK & Ireland
is not a trivial pursuit
The Grocer l 31 July 2010 l www.thegrocer.co.uk
PepsiCo UK & Ireland – Health Report 2010
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Goals and commitments made by
PepsiCo UK & Ireland - 1
● Invest 70% of R&D budget to deliver products defined as
healthier** from 2012.
● Deliver 1.8bn servings of fruit & veg and 1.7bn servings of
whole grain per annum by 2012.
● At least 50% of savoury snacks to be baked or include positive
nutrition* by 2015.
● All crisps and snacks to meet or surpass existing FSA salt
reduction targets by 2012.
● A 4% cut in sugar level of regular Pepsi by 2012 subject to
consumer trials; 65% of carbonated soft drinks can and bottle
sales no-sugar by 2015.
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Goals and commitments made by
PepsiCo UK & Ireland - 2
● Introduce single-serve calorie cap of 160 calories
across single serve savoury snacks without “positive
nutrition benefits”.
● Trial marketing campaigns to transition consumers,
who have high per-capita consumption of savoury
snacks and full-sugar soft drinks, to healthier
alternatives from 2010.
● Increase availability of Walkers Baked and Pepsi Max
by 25% by 2012 for consumers on the go.
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Goals and commitments made by
PepsiCo UK & Ireland - 3
● All Pepsi ads to back growth of no-sugar or natural
from 2010.
● 60% of total sales volume to be defined as healthier*
by 2015.
● Work with government and other stakeholders to
deliver pledges on portion sizes and availability of
healthier products.
● Quaker and Tropicana to donate to breakfast clubs in
deprived areas.
● Support Change4Life through promoting healthy
breakfasts and other activities.
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Increase the range of foods & beverages that offer
solutions for managing calories, like portion sizes.
• In 2010, we continued to launch new products with
zero- and low-calorie sweeteners and reformulated
existing products with fewer calories.
• Naked Juice, for example, introduced a 100% juice
smoothie that has 35 percent fewer calories than its
predecessor.
• Tropicana added new varieties to its Trop 50 line,
which offers 50 percent less sugar and fewer
calories with no artificial sweeteners.
• In Mexico, a baking technique is used to produce a
version of Sabritas potato chips with 20% less
calories.
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Overall reduction of added sugars
• First major food company to
introduce zero-calorie, all
natural sweetener derived
from the stevia plant
• Orange juice available with
50% less sugar and calories
• Instant oatmeal available with
50% less sugar than regular
instant oatmeal
32
Selected PepsiCo examples of all-natural, zerocalorie and reduced or low sugar beverages
• In the US, we introduced an all-natural, zero-calorie
sweetener in our SoBe Lifewater brand and
launched eight different flavors to provide consumers
with a wide range of naturally sweetened options.
• In Turkey, a leading beverage, Fruko Gazoz, was
reformulated with a sweetener blend that reduces
sugar content by 32 percent.
• In Brazil, we recently acquired Amacoco, to broaden
the distribution and sales of our low-sugar coconut
water product line.
33
Eliminate direct sale of full-sugar soft drinks to
primary & secondary schools globally by 2012.
• In 2009, we discontinued sales of full sugar soft
drinks to K-12 schools in the U.S. and replaced them
with smaller portioned and lower-calorie options, as
part of a voluntary commitment with the Alliance for a
Healthier Generation.
• We do not sell full-sugar soft drinks directly to primary
and, in some cases, secondary schools in most of
Europe, Canada and the majority of countries in the
Arabian Peninsula.
• In this past year we committed to extending our US
school beverage policy globally by 2012.
34
Percent Change in Total Volume of Beverage
Shipments to All Schools, 2004 to 2009-2010, USA
ABA. Alliance School Beverage Guidelines Final Progress Report, 2010; www.ameribev.org
35
Under the EU Pledge, Accenture reports a decline in
advertising since 2005 for non-compliant foods
93% for programs with an audience composed of a majority of children <12,
and a 56% decline overall, i.e. in all programs on all channels at all times
Blue = Noncompliant products
Red = Noncompliant products in spots with a reported profile >50%
36
Overall fats reduction efforts
•
In Europe and UK, we introduced baked potato
crisps with 70% less fat than regular crisps
•
Use of Sunseed (Europe) and NuSun (US)
– By reformulating our British crisp brand with Sunseed,
we removed 40,000 tons of saturated fat from the British diet
•
Frito-Lay: first major food company to remove trans
fats from entire snack chip portfolio (2003)
•
Reduced trans-fatty acid content in Mexican cookie
brand from 15%-30% to virtually zero
– Removed 10,000 tons/yr. of trans-fatty acid from food supply
37
PepsiCo UK & Ireland – Health Report 2010
38
PepsiCo UK portfolio (2008) — Retail sales by
brand Total PUK sales: £1.5 billion +
PepsiCo UK & Ireland – Health Report 2010
40
UK Sales 2008 – Regular Pepsi/7UP vs. No sugar
beverages, overall % gross revenue
Source: Nielsen ScanTrack, Full Year 2008, Total Market UK.
41
Examples of direct philanthropic actions for the
prevention & control of obesity, diabetes, HTN
• Unrestricted research grants to support community
interventions in health.
• PepsiCo Foundation philanthropic initiatives promote
healthier communities through enhancing diet and
physical activity programs.
• PepsiCo Foundation support to key academic and
community organizations working to address nutrition
challenges.
42
Examples of direct corporate actions for the
prevention & control of chronic diseases
• Support for nutrition & health science meetings.
• In-house, collaborative and sponsored research.
• To implement improved nutrition in a marketplace
requires more than just ‘nutrition research’
– Often fundamental changes are needed and a
deeper understanding from consumer insights
research necessary.
• Support for physical activity programs.
43
Industry supports physical activity programs, sports
events, and celebrities through endorsements
44
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Trans fat (TFA) content of major US supermarket and
restaurant foods before and after food reformulation
A
Supermarket Products
Restaurant Products
Mozaffarian & Jacobson. NEJM 2010; 362:2037-2039
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Summary and Conclusions - 1
• Industry plays important business and philanthropic
roles in health promotion.
• Product reformulation and changes in packaging and
advertising practices are key business strategies.
• Progress is sometimes slow and uneven, but there is a
huge commitment in the major global food producers.
• Breakthroughs in agriculture, behavior economics, food
science, and processing technology are also needed.
• Strong partnerships with industry are needed.
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Summary and Conclusions - 2
• The entire food and beverage industry needs to be
involved in health promotion.
• The International Food & Beverage Alliance companies
are increasing commitments to public health.
• However, the impact and magnitude of the contribution
to the total market share of foods and beverages
consumed remain incompletely understood.
• Independent monitoring and evaluation of industry
compliance with commitments are necessary.
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