Wednesday, March 19, 2008

Shopping Made Simple

Supermarket savvy could be coming soon to a grocery store near you…

Can it be – is it possible that there may soon be a tool available at grocery stores to help us understand the REAL health benefits of food? For most of us in the health education world, this seems like a far off dream. Whenever I start a weight management group I begin by asking participants if they understand food labels and how to make healthy choices. Most think they have pretty good label skills, but in reality they don’t because it is HARD to find the truth on the nutrition label.

Test your skills with this quiz:
  1. Rank the following foods from highest to lowest based on SODIUM content:
    • YooHoo Chocolate Drink
    • Cape Cod Potato Chips
    • Chex Cereal
    • Fritos Corn Chips
  2. Which has more sugar: Ragu Pasta Sauce or Smucker’s Ice Cream Topping?
  3. What is “unbleached enriched flour”?

How did you score?
Sodium makes food taste good and when it tastes good we eat more and when we eat more we need to buy more, which makes the food manufacturers happy. Do you really think they care about our health? Here’s the real ranking from least to most sodium: Cape Cod Potato Chips (73 mg per 100 calories), Fritos Corn Chips, YooHoo Chocolate Drink and saving the worst for last – Chex Cereal, with 233 mg sodium in a 100 calorie serving!

Added sugar can also enhance taste and add to the total calories of a seemingly “healthy” food. Yes, it’s true - Ragu Pasta Sauce has MORE sugar than the Smucker’s Ice Cream Topping, with 12 and 11 grams per serving respectively. There are 4 grams of sugar in a teaspoon, so that 100 calorie serving of pasta sauce has 3 teaspoons of sugar!

“Whole Wheat” or “Faux Wheat”? If a product is really made from whole grain “whole wheat flour” will be the first ingredient. “Unbleached enriched flour” is white flour in a fancy dress. Most breads with names like “multi grain, stone ground or wheat” are not made from whole-wheat flour. Read the ingredient list to be sure you are getting the real deal.

Help is on the way!
On Sunday, March 16, the Chicago Tribune ran an article “Food retailers hope to inspire loyalty, increase sales with their own nutritional labels…” about a nutrition score card system that will be appearing soon in Hy-Vee grocery stores across the Midwest. The scoring system is called the Overall Nutritional Quality Index (ONQI) and was developed by a team of experts led by Dr. David Katz of Yale University.

The ONQI will help shoppers choose foods based on overall nutritional quality and free from label claims made by the manufacturer. Personally, I’m really excited about this and professionally this could have a profound effect on public health. Eating the right foods could result in an “80% reduction in heart disease, a 90% reduction in diabetes, and a 60% reduction in cancer” according to Dr. Katz.

Currently the ONQI team is working with Topco, which provides procurement, quality assurance, packaging and other services to supermarket retailers, wholesalers, and food service companies. Hy-Vee is one of Topco’s 61 members, and so is Bashas’ which is located in the Southwest (where I live). Topco members serve over 60 million consumers and have over $100 billion in annual sales.

Other grocery stores are making attempts too. Safeway has a tool on their website called foodflex™ to help consumers determine the nutritional value of foods they have purchased.

I hope to see other grocery stores take an interest in consumer health too. It would be great to see the ONQI become a mainstream tool for us to evaluate food choices. Whether we realize it or not, most of our health decisions are made in the grocery store – not in the doctors office!

Monday, March 17, 2008

Weight Loss Success

NEWS FLASH: Losing as little as 10 pounds can reduce your risk for heart disease, stroke, and diabetes!

Recently, the American College of Sports Medicine (ACSM) hosted a learning event featuring Dr. John Foreyt, Ph.D. of Baylor College. The following is a summary of tips for long-term weight loss success. These tips are based on data from weight loss studies done all over the world as well as research from the National Weight Control Registry (a database of over 5,000 people who have lost at least 30 pounds and kept it off for long periods of time).

Successful “losers” have the following behaviors in common:
1. Eat a low fat diet consisting of 24% fat, 56% carbohydrate and 20% protein
2. Are physically active 60-90 minutes per day at a moderate intensity, walking is the most common activity
3. Use frequent self-monitoring techniques like weigh-ins, food records, calorie or fat gram counting
4. Eat breakfast, 78% report eating breakfast daily and 95% eat breakfast 5 days a week

In addition to the 4 common behaviors mentioned above, here are the other secrets to success from the long-term “losers”:
• Sleep 8 hours each night
• Write down everything you eat
• Find support in a weight loss class, group or with family & friends
• Never give up!

If every American would eat 3 fewer bites of a fast food hamburger (eat 100 less calories) and walk for an additional 20 minutes (burn 100 more calories) each day, our current trend of weight gain would be halted - obesity rates, disease rates and health care costs would all begin to drop. Imagine that!