FDA Obesity Working Group Presentation to Presentation to FDA Science Board April 22, 2004 Alan M....

FDA Obesity Working GroupFDA Obesity Working Group

Presentation toPresentation toFDA Science BoardFDA Science Board

April 22, 2004April 22, 2004Alan M. RulisAlan M. Rulis

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Facilitator forFacilitator forNational Dialogue on Obesity – National Dialogue on Obesity –

Recommendation from OWG ReportRecommendation from OWG Report

The report recommends that FDA work The report recommends that FDA work through a facilitatorthrough a facilitator to provide a forum for to provide a forum for stakeholders to seek consensus-based stakeholders to seek consensus-based approaches that address two specific aspects approaches that address two specific aspects of obesity in the United States:of obesity in the United States:

1) developing options for providing voluntary 1) developing options for providing voluntary nutrition information for foods consumed away nutrition information for foods consumed away from home, e.g., in a restaurant setting, and from home, e.g., in a restaurant setting, and

2) education to combat pediatric obesity. 2) education to combat pediatric obesity.

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Foods Eaten Away from HomeFoods Eaten Away from HomeProposed Scope of Work for Proposed Scope of Work for

FacilitatorFacilitator

1.1. What nutrition What nutrition information will be most information will be most helpful for consumers to helpful for consumers to have before ordering have before ordering food in a restaurant?food in a restaurant?

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2.2. What are the best What are the best options for providing options for providing nutrition information in nutrition information in a restaurant setting? a restaurant setting?

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3.3. Should nutrition information be Should nutrition information be listed for all menu items or just listed for all menu items or just some items?some items?

If for just some, what criteria If for just some, what criteria should determine which items should determine which items have nutrition information have nutrition information listed?listed?

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4.4. When providing nutrition When providing nutrition information in the information in the restaurant setting, what restaurant setting, what consideration should be consideration should be given to the differences given to the differences between ‘chain’ and non-between ‘chain’ and non-chain restaurants? chain restaurants?

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5.5. How should restaurants How should restaurants tailor the kinds of tailor the kinds of nutrition information nutrition information presented based on presented based on expected clientele?expected clientele?

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6.6. Should nutrition information Should nutrition information be presented in context (e.g., be presented in context (e.g., as percent of daily value, as percent of daily value, comparison to 2,000 comparison to 2,000 calorie/day diet, comparison calorie/day diet, comparison to other menu items)?to other menu items)?

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Foods Eaten Away from HomeFoods Eaten Away from HomeProposed Scope of Work for FacilitatorProposed Scope of Work for Facilitator

7.7. How should FDA proceed How should FDA proceed to encourage restaurants to encourage restaurants to participate in a to participate in a voluntary pilot program to voluntary pilot program to test various options?test various options?

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8.8. How can industry/FDA How can industry/FDA measure the effectiveness measure the effectiveness of providing nutrition of providing nutrition information to consumers information to consumers in restaurants?in restaurants?

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Pediatric Nutrition/Obesity EducationPediatric Nutrition/Obesity EducationProposed Scope of Work for FacilitatorProposed Scope of Work for Facilitator

1.1. On what age groups is it On what age groups is it most appropriate for FDA most appropriate for FDA to focus education efforts? to focus education efforts?

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Pediatric Nutrition/Obesity EducationPediatric Nutrition/Obesity EducationProposed Scope of Work for Proposed Scope of Work for


2.2. What are the most What are the most appropriate settings (e.g., appropriate settings (e.g., school, home, health care school, home, health care settings, social settings, social organizations/clubs) for organizations/clubs) for educational efforts?educational efforts?

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3.3. How important is it for How important is it for education efforts to be education efforts to be conducted using mass conducted using mass media (television, radio, media (television, radio, print)?print)?

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4.4. Over what time period Over what time period should an education should an education effort be extended to effort be extended to achieve optimal impact achieve optimal impact and lasting effects?and lasting effects?

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5.5. What types of messages What types of messages are most effective, and in are most effective, and in which age groups, for which age groups, for educating children about educating children about nutrition and health? nutrition and health?

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6.6. To what extent should To what extent should education and/or other education and/or other types of messages be types of messages be tailored to different ethnic tailored to different ethnic and/or socio-economic and/or socio-economic groups?groups?

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7.7. What are effective means What are effective means for partnering in the public for partnering in the public and private sectors to and private sectors to develop and deliver develop and deliver obesity education?obesity education?

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Pediatric Nutrition/Obesity EducationPediatric Nutrition/Obesity EducationProposed Scope of Work for Proposed Scope of Work for FacilitatorFacilitator

8.8. What are examples of What are examples of effective partnering effective partnering currently operating, and currently operating, and can they provide a can they provide a foundation for future foundation for future progress? progress?

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QUESTIONS FOR THE QUESTIONS FOR THE SCIENCE BOARDSCIENCE BOARD

On Scope of Work for Food Eaten On Scope of Work for Food Eaten Away from HomeAway from Home

On Scope of Work for Pediatric On Scope of Work for Pediatric Obesity EducationObesity Education

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Questions for the Science BoardQuestions for the Science BoardFood Eaten Away From HomeFood Eaten Away From Home

1.1. Are FDA’s proposed Are FDA’s proposed questions/issues likely to provide questions/issues likely to provide appropriate information to proceed appropriate information to proceed with a pilot program with with a pilot program with restaurants? restaurants?

If not, what If not, what otherother questions/issues questions/issues should be addressed?should be addressed?

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2.2. What kind of What kind of evaluation is evaluation is appropriate to assess appropriate to assess the effectiveness of a the effectiveness of a pilot program?pilot program?

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3.3. What advice would you have What advice would you have for a facilitator concerning for a facilitator concerning the basis for evaluating the basis for evaluating recommendations on recommendations on providing nutrition providing nutrition information in a restaurant information in a restaurant setting? setting?

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4.4. What research would be What research would be helpful for a facilitator to helpful for a facilitator to know about to help them know about to help them provide the best provide the best guidance to the agency guidance to the agency on this subject? on this subject?

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5.5. In view of the materials In view of the materials you’ve been provided, is you’ve been provided, is there any other advice there any other advice or information you or information you believe is important to believe is important to give FDA on this issue?give FDA on this issue?

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Questions for the Science BoardQuestions for the Science Board Pediatric Obesity EducationPediatric Obesity Education

6.6. Are FDA’s proposed Are FDA’s proposed questions/issues likely to questions/issues likely to provide appropriate provide appropriate information to guide the information to guide the development of useful and development of useful and understandable understandable nutrition/obesity education nutrition/obesity education efforts?efforts?

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7.7. What research would be What research would be helpful for a facilitator to helpful for a facilitator to know about to help them know about to help them provide the best guidance provide the best guidance to the agency on this to the agency on this subject? subject?

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8.8.What other questions What other questions should FDA be asking a should FDA be asking a facilitator to explore in facilitator to explore in order to help the agency order to help the agency develop effective develop effective educational strategies? educational strategies?

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9.9. In view of the materials In view of the materials you’ve been provided, is you’ve been provided, is there any other advice there any other advice or information you or information you believe is important to believe is important to give FDA on this issue?give FDA on this issue?

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Back to BasicsBack to Basics

"We're going back to basics, "We're going back to basics, designing a comprehensive effort to designing a comprehensive effort to attack obesity through an attack obesity through an aggressive, science-based, aggressive, science-based, consumer-friendly program with the consumer-friendly program with the simple message that 'Calories simple message that 'Calories Count.'“Count.'“

- FDA Deputy Commissioner Lester M. Crawford, DVM, Ph.D.- FDA Deputy Commissioner Lester M. Crawford, DVM, Ph.D.

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Small StepsSmall Steps

"Counting calories is critical for people trying "Counting calories is critical for people trying to achieve and maintain a healthy weight. to achieve and maintain a healthy weight. This new report highlights FDA's overall This new report highlights FDA's overall strategy for getting consumers accurate, strategy for getting consumers accurate, helpful information that allows them to make helpful information that allows them to make wise food choices at home, at supermarkets wise food choices at home, at supermarkets and in restaurants. Taking small steps to eat a and in restaurants. Taking small steps to eat a more balanced diet and to stay physically more balanced diet and to stay physically active can go a long way to reversing the active can go a long way to reversing the epidemic of obesity that harms far too many epidemic of obesity that harms far too many Americans." Americans."

- DHHS Secretary Tommy G. Thompson - DHHS Secretary Tommy G. Thompson

FDA Obesity Working Group Presentation to Presentation to FDA Science Board April 22, 2004 Alan M....

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