PowerPoint Presentation - Today's Dietitian · PDF fileSuggested CDR Performance Indicators:...

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  • 12/16/2015

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    Disclosures 2

    Karen Ansel, MS, RDN, CDN

    Karen Ansel reports the following relevant disclosure: She serves as a content developer for Kelloggs.

    David R. Just, PhD

    David Just has no disclosures for this program.

    The presenters have certified that no conflict of interest exists for this program.

    Learning Objectives

    Suggested CDR Learning Codes: 4010, 5370, 6000, 8100; Level 2

    Suggested CDR Performance Indicators: 8.1.2, 8.2.3, 8.3.6, 12.4.3

    1. Evaluate the most recent trends regarding snacking.

    2. Assess the impact of the food environment on

    snacking.

    3. Interpret the latest research regarding snacking on

    measures of health and body weight.

    4. Provide clients with evidence-based recommendations

    for healthful snacking.

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    Snacking Trends

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    Thirty-Five Years Ago

    The average American

    ate one snack a day

    40 percent of adults and

    teens didnt eat any

    snacks at all.

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    (USDA Food Surveys Research Group, 2010 & 2011)

    Today

    Thirty percent more people snack today than

    they did four decades ago

    Most people snack at least twice a day

    The majority snack even more

    Nearly half of adults snack two or three times

    a day. The snacking trend continues to rise.

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    (USDA Food Surveys Research Group, 2010 & 2011; Piernas, J Nutr, 2010)

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    Perc

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    du

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    Number of Snacks a Day

    Changes in Snacking Frequency of US Adults Over the Past 35 Years

    1977-1978

    2007-2008

    (USDA Food Surveys Research Group, 2011)

    Reasons We Love to Snack

    Physiological

    To satisfy a craving

    To satisfy hunger

    For better nutrition

    66 percent of people surveyed listed nutrition as one of their top reasons for snacking according to a 2014 Nielsen report.

    Emotional

    For fun and enjoyment

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    (Nielsen website, 2014)

    Are Snacks the New Meals?

    Many people are eating snacks in place of

    meals.

    Adults who snack multiple times a day, are

    especially likely to snack all day instead of

    eating regular meals.

    Some adults believe its healthier to snack

    throughout the day than to eat three meals.

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    Time Use and Calories Consumed

    Time Use (in minutes) Calories Activity All days Mon-Fri Sat-Sun All days Mon-Fri Sat-Sun Eating/drinking only 57.1 53.0 69.4 922.3 858.7 1115.7 Going to bed/sleeping 493.0 472.3 525.7 27.5 30.5 18.6 Personal care 55.7 56.2 54.2 60.0 53.4 80.0 Working 147.5 177.2 57.0 112.3 137.6 35.3 Home production 158.2 154.5 169.5 195.5 199.3 184.0 Caring 45.5 45.9 44.4 56.8 62.5 39.5 Education 12.1 13.0 9.0 10.8 14.3 0.0 Travel 79.2 82.0 70.5 127.5 128.8 123.6 Relaxation and leisure (excluding TV and attending events) 80.1 79.4 82.4 97.2 100.2 88.0 Watching TV 167.7 163.5 180.2 221.3 234.2 182.0 Attending art and sports 4.0 3.0 7.1 8.5 8.8 7.9 Socializing 50.2 46.1 62.7 111.7 82.9 199.3 Sports and exercise 11.5 11.1 12.9 4.3 3.9 5.6 Phone 14.8 15.8 11.8 25.9 26.1 25.3 Shopping 24.7 23.1 29.3 28.4 30.5 22.1 Services 12.7 13.8 9.1 14.1 16.6 6.5 Voluntary/civic/religious activities 16.7 11.1 33.7 3.9 2.6 7.8 NA 8.4 8.0 9.8 17.0 12.2 31.5

    (Bertrand and Schanzenbach, Am Econ Rev, 2009)

    Time Use and Calories Consumed

    On high calorie days: overweight individuals

    taking in the excess calories by snacking while

    doing chores or socializing. For normal weight

    high calorie days occur almost always along with

    socializing.

    How much you eat in front of the TV is

    unaffected by how much you ate in the previous

    6 hoursyou are focused on the TV and not on

    how much you eat.

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    Early Morning Morning Afternoon Evening Late Evening

    Perc

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    sn

    ackin

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    Time of day

    Change in Snacking Frequency Since 2010

    2010

    2015

    (IRI Worldwide website, 2015)

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    Generational Snack Habits

    Even though everyone

    is snacking more often,

    Millennials are most

    likely to snack all day

    and evening long

    compared to Baby

    Boomers who snack

    less in the morning or

    late at night.

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    (IRI Worldwide website, 2015)

    Foods Were Snacking On 10 Most Popular Snacks

    Fresh fruit

    Chocolate

    Potato & Tortilla Chips

    Bread & sandwiches

    Cheese

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    Ice cream

    Vegetables

    Yogurt

    Cookies

    Nuts & seeds

    (Nielsen website, 2014)

    Snacks Arent Always

    Traditional Snack Foods

    People seek out snack-sized versions of foods we usually eat as, or with, meals:

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    salads

    soups

    pastas

    sandwiches

    burgers

    pizzas

    breakfast foods

    desserts

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    Healthier Options

    Many people are also seeking healthier snack

    options, such as snacks that are:

    Naturally flavored

    Low in sugar and sodium

    Free of high fructose corn syrup

    Made with whole grains

    High in fiber

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    (Nielsen website, 2014)

    Snacks and

    Weight Management

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    Snack Calories

    Roughly a quarter of our

    daily calories come from

    snacks.

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    (USDA Food Surveys Research Group, 2010 & 2011;

    Piernas and Popkin, Health Aff, 2010)

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    Snacking Research

    Research on the impact of snacking and eating

    frequency on body weight is mixed

    This may be partially due to:

    Different definitions of snacking among

    studies.

    Inclusion or exclusion of beverages and

    alcoholic drinks as snacks.

    Reporting errors by study participants.

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    Snacking, Calories and Obesity

    Even though people who

    snack more frequently

    take in more calories, the

    USDA reports that normal

    weight men and women

    actually snack slightly

    more often than people

    who are overweight or

    obese.

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    (USDA Food Surveys Research Group, 2010 & 2011)

    Snacking & Weight Management

    Among Adults

    Eating frequent meals and snacks has been

    proposed to help control appetite and food

    intake.

    However, a review of controlled feeding studies

    in adults found:

    Eating more than 3 times a day had little, if

    any, impact on appetite or food intake.

    Eating fewer than 3 times a day increased

    appetite.

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    (Leidy and Campbell, J Nutr, 2011)

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    Snack Choices and Body Weight

    In Adults

    Snacking on cakes, cookies,

    candy, chocolate and desserts

    is associated with increased

    snacking energy intake.

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    (Bertus et al, Int J Obes, 2005; Murakami and Livingstone, Int J Obes, 2014)

    Snacking and Body Weight

    Among Children

    Unlike adults, eating

    frequency may not be

    related to overweight and

    obesity in children.

    Some studies suggest that

    children and adolescents

    who eat more often may

    have a smaller waist

    circumference and lower

    BMI.

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    (Academy of Nutrition and Dietetics EAL; Toschke et al, Obes Res, 2005; Toschke et al, Int J

    Pediatr Obes, 2009; Barba et al, Int J Obes, 2006; Mota et al, Ann Hum Biol, 2008;)

    Snacking & Disease Prevention

    Research on snacking and

    prevention or treatment of

    type 2 diabetes or high

    triglyceride and cholesterol

    levels is not consistent

    enough to conclude whether

    snacking has positive or

    negative benefits.

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    (Rashidi et al, Saudi Med J, 2003; Jenkins et al, Metabolism, 1995; Mekary et al, Am J

    Clin Nutr, 2013; Mekary et al, Am J Clin Nutr, 2012; Smith et al, Br J Nutr, 2012)

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    Snacks and Nutrition

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    Snacks Provide Nutrients

    Snacks can deliver nutrients people dont get

    enough of.

    When meals dont supply all the nutrition people need, nutrient-dense snacks can help fill those gaps.

    Adults and teens who snack on whole fruit, vegetables, legumes, grains, crackers and salty snacks tend to have better diet quality than people who dont snack or who snacked on other foods.

    Adults who eat breakfast, lunch, dinner plus 1 or 2 snacks a day obtain more key nutrients including protein, fiber, folic acid, vitamin C, calcium, magnesium, iron and potassium.

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    (Nicklas et al, BMC Public Health, 2014; Kerver et al, J Am Diet Assoc, 2006)

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    Nutrient

    Nutrients provided by snacks

    Teens

    Adults

    (USDA Food Surveys Research Group, 2010 & 2011)

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    Sugar, Sodium & Snack