Foundations of Nutrition: Five Things Students Need to Know to Read the Food Label California Healthy Kids Resource Center (C.H.K.R.C.) Partner: Californi California Department of Education, Nutri Nutrition Ser Serv vices Di Divis visiion Welcome to the Foundations of Nutrition: Five Things Students Need to Know to Read the Food Label training. This training was developed with funding from the Network for a Healthy California and adapted from a module developed in collaboration with the California Department of Education Nutrition Services Division. It will take about 30 minutes to complete, so let's get going! 1 Training Objectives After this training you will be able to: • Identify the main components of the food label. • Use the food label to choose foods that contribute to a healthy diet. • Access lessons and resources to support students in making healthy food choices. Let’s start with the objectives for the training. By the end of this training you will be able to identify the main components of the Nutrition Facts label, use these components to choose healthy foods, and access resources to use the Nutrition Facts label in your classroom. 2 What Would You Choose? Many things play a role in our decisions to purchase foods. Maybe it’s the advertising on the bottle that says the product has 100 percent vitamin C, maybe it’s the item’s popularity (think about how popular energy drinks have become), or maybe it’s because you are looking for a caffeine pick-me-up. Your students have the same considerations. How do you help them make a nutritious choice? Teaching students about the Nutrition Facts label gets them beyond advertising to make an informed, healthy decision. Although the food label initially looks daunting, you really only need to consider five key components to figure out if the food you are about to eat is healthy. This training will identify these key components and illustrate the versatile ways you can use the food label with your students. 3 Reading the Food Label is Easier Than You Think! Sugars 5g 1. Check serving size 2. Glance at calories 3. Determine what nutrients to eat less of 4. Concentrate on nutrients you should eat more of 5. Review the ingredients list Reading the food label is easier than you might think. To start, use these five simple steps. First check the serving size, highlighted in green. Next, glance at calories, then review the nutrients you should eat less of, including fat, cholesterol, sugars, and sodium shown in the yellow sections. The fourth step is to concentrate on the nutrients that you should eat more of, including fiber, vitamins, and minerals, shown in the blue sections. Finally, review the list of ingredients. To make quick snack decisions, we’ll show you how to use the Percent Daily Value, highlighted in pink, to make a healthy choice every time. Let’s start with serving size. 4 Step 1: Serving Size and Servings per Container • Start with serving size and number of servings per container at the top of the label • Use the servings per container to calculate the amount of calories and nutrients per package First, check the Nutrition Facts section of the food label for the serving size and number of servings in the container, these provide very important information. Serving size may be listed by volume, weight, or number of pieces (for example, as 1 cup, 8 ounces, or 11 chips). Often, a package seems like it would be a single serving, such as a bottle of juice or bag of chips, but surprisingly there could be two or more servings in the package. If you eat or drink the entire package, you would get more of any vitamins and minerals in the food, but you would also get more calories, sugar, sodium, and fat. For example, this drink may have the number of calories listed as 150, however the number of servings per container is two and a half. Drinking the whole can increases the total calories to 375 and doubles other nutrients as well. To prevent these extra surprises, always start at serving size and servings per container to accurately calculate calories and nutrients and to make a healthy decision. 5 Step 2: Calories • Check the number of calories per serving • Multiply by the number of servings to find the total calories per container Next, read the number of calories per serving. When comparing products, remember to multiply the calories by the number of servings to determine how many calories are really included in the container. In this example there are 250 calories per serving and two servings per container, which means that consuming a full container of this item would total 500 calories. To help keep calories in balance, also consider the number of calories you need each day. 6 Step 2: Calories Finding Calorie Recommendations • Calories are energy from food • Consider your calorie recommendations Gender Height Weight Age Exercise Female 5 feet 3 inches 130 lbs. 25 30 min = 2,000 calories a day A calorie is a way of measuring how much energy food provides to our bodies. One way to balance calorie intake for the day is to find your daily calorie recommendation. The amount of calories a person needs is based on age, gender, height, weight, and level of activity. For example, a 2,000 calorie intake is recommended for a woman who is 5 feet and 3 inches tall, 130 pounds, twenty-five years old, and who exercises about 30 minutes a day. To better compare food labels and the amount of energy a food contributes to your total needs, visit the MyPlate Web site to get your daily calorie recommendations. You can access the MyPlate Web site from the resources section at the end of this training. 7 Step 2: Calories Make Nutrient-Dense Choices Choose the most bang for your buck Fruit Drink (16 oz) Nutrients 100% Orange Juice (16 oz) 220 Calories 220 Total Fat 60 grams Sugars 48 grams Protein 4 grams Potassium 900 mg (26%) Vitamin C 120 mcg (200%) Vitamin A 728 IU (18%) Folate 120 mcg (30%) When considering calories, choose foods with the most bang for the buck. The fruit drink and 100 percent orange juice on this slide have the same number of calories, 220. However, the 100 percent orange juice packs many more nutrients, such as potassium, vitamin C, vitamin A, and folate. Choosing foods based on calories and nutrients (nutrient-dense foods) promotes better health and may prevent excess weight gain. The Nutrition Facts label is an important tool for making choices that build a healthy plate aligned with the 2010 Dietary Guidelines for Americans and MyPlate recommendations. You can access more about these guidance documents in the resources section following this training. 8 Step 3: Limit These Nutrients • Limit fat, cholesterol, and sodium • Excessive amounts of these nutrients can be harmful to your health • Use the footnote for a reminder In step three, check the Nutrition Facts label for the amount of fat, cholesterol, and sodium in the food you are about to choose. Health experts recommend limiting your intake of total fat, saturated fat, trans fat, cholesterol, and sodium. Using the food label to cut back on these nutrients supports the 2010 Dietary Guidelines for Americans recommendations and may reduce your risk of chronic diseases like heart disease, cancer, and obesity. The Nutrition Facts label is based on a 2,000 calorie diet. Use the footnote on the bottom of the label as a quick reference to compare the grams of total fat and other nutrients in the product to the amount recommended per day. For example, an individual with a recommended 2,000 calorie intake should eat less than 65 grams of fat and less than 20 grams of saturated fat. Remember that everyone is different and has different calorie needs and nutrient requirements. Use the MyPlate Web site to check for recommendations that fit your needs. 9 Step 4: Increase These Nutrients • Eat more foods that are high in fiber, vitamins, and minerals • These nutrients can help reduce the risk of some heart disease, cancer, diabetes, and obesity Now consider the blue section of the Nutrition Facts label. This is where information on fiber, vitamins, and minerals is listed. This section is important to read and understand because research shows that most Americans do not get enough of these nutrients in their diets. Eating more of these nutrients can improve your health and help reduce the risk of some diseases and conditions. Getting enough calcium, for example, may reduce the risk of osteoporosis or weak bones. Eating a diet high in fiber promotes healthy bowel function. Additionally, a diet rich in vitamin C and iron may help to prevent infection and anemia (iron deficiency). Remember, you can use the Nutrition Facts label not only to help limit those nutrients you want to cut back on but also to increase the ones you need to consume in greater amounts. 10 Nutrition Facts Label Challenge Choose a Snack String Cheese Servings per Container 1 Step 1 Check the Serving Size and Servings per Container Step 2 How many calories in each? Step 3 How much fat and sodium? Step 4 How much of select vitamins and minerals? Cheese Puffs Servings per Container 1 Let’s put these steps together and practice making a healthy choice. The student in the picture is looking for a snack. He checks the labels of string cheese and cheese puffs. He looks at the serving size and servings per container, calories, total fat, and sodium for each food product. Considering nutrient density, in other words, the most bang for your buck, which is the best snack choice? The best choice would be the string cheese. The serving size and servings per container are the same, however the calories are lower in the string cheese and the cheese puffs have more fat and sodium. The string cheese also delivers a good amount of calcium. 11 Your Turn to Practice Using the Nutrition Facts Label Step 1 Check the Serving Size and Servings per Container Step 2 How many calories in each? Step 3 How much fat and sodium? Step 4 How much of select vitamins and minerals? Grab Bag of Chips Trail Mix Servings per Container 1 Servings per Container 1 3g 10% 16g Now, you give it a try. Use the first four steps to compare the serving size and servings per container, calories, total fat, sodium, vitamins, and minerals in two more snacks. Which is a better choice, the grab bag of chips or the trail mix? 12 Answer The grab bag of chips has • More total calories • More fat • More sodium • Both choices have vitamins and minerals The trail mix is a more nutritious choice. Servin g Size 2 oun Servin ces gs Pe r Con tainer 1 Were you surprised at the differences? Which did you choose? Although the grab bag of chips and the trail mix have the same number of servings per container, the chips have 106 more calories, 8 grams more total fat, and four times more sodium. There is some vitamin C in the chips, but there are other foods with vitamin C that are lower in fat. The trail mix makes a healthier snack choice overall. 13 Teaching the Nutrition Facts Label • Influences family members • Develops health skills • Helps students make informed decisions Many students are interested in their health and the health of their families. You will find that many students have family members that are struggling with diet-related diseases. Teaching your students to comprehend the Nutrition Facts label can lead to your students teaching their families about healthy eating. The EatFit and Power of Choice resources shown on this slide provide ready-to-use lessons to teach middle school students the steps for reading labels. These activities provide instruction and practice to develop students’ health and nutrition skills, such as accessing valid information and making informed decisions. The resources section at the end of the training includes these resources and others for elementary and high school students. 14 Step 5: List of Ingredients • Listed by weight • Whole, natural ingredients should be listed first • Can be used for disease prevention and food allergy awareness The fifth step is to review the package’s ingredients list. Ingredients are listed in order by weight, from most to least. In this food label, whole grain rolled oats are listed first. This could be a healthy choice because whole grains are high in fiber, vitamins, and minerals. If enriched flour was listed first, there would be less fiber, vitamins, and minerals. Another reason for listing ingredients on the food label is to help families and consumers avoid reactions due to food allergies. Always consider the list of ingredients when choosing a healthy food item. It will tell you a lot. 15 Use the Ingredients List to Find Whole Grains • MyPlate recommends to make half of your grains whole grains. • Use the ingredients list to identify whole grain foods. The ingredients list can be especially helpful for finding whole-grain options. The 2010 Dietary Guidelines for Americans and MyPlate recommend making half of your grain choices come from whole grains. How do you find whole-grain products? Use the food label to check the first three ingredients on the ingredients list. If it says 100 percent whole wheat, whole oats, or whole grain, you know you are getting the nutrient and fiber benefits of a whole-grain product. Food packaging can be misleading; even when the package advertises that it is whole wheat it may not be 100 percent whole wheat, so check the ingredients list to more accurately compare products. Select the Whole Grain Comparison handout link and review the ingredients lists for some common food products. How many of the choices shown in the handout are whole grain? Did you find a total of five whole-grain options on the handout? 16 A Guide to Percent Daily Value The Five and Twenty Rule (5 & 20) 5 percent or less is LOW 20 percent or more is HIGH Now that we know the five steps to reading food labels, there is one more tool to consider when making a healthy eating decision. On the right hand side of the Nutrition Facts label is a column for Percent Daily Value. It helps you interpret the numbers (grams and milligrams) by putting them all on the same scale, from 0 to 100 percent of the Daily Value. The percent of each nutrient is based on the daily requirements for that nutrient. Using the five and twenty rule as a guide will help simplify comparing foods and making healthy decisions. The rule is that foods that have 5 percent or less of a nutrient are low in that nutrient. Foods that have 20 percent or more of a nutrient are high in that nutrient. For example, this label shows that the iron content per serving is low and the calcium content is high. 17 A Closer Look at the Five and Twenty Rule Think About Your Cereal • Check the Percent Daily Value • Use the five and twenty rule • Which choice is a good source of fiber? Cereal 1 Cereal 2 Let’s look at breakfast cereal as an example. You would want to find a breakfast cereal that has a good amount of fiber in order to reach your daily recommendation. How do these cereals compare to the daily fiber recommendations? Check the labels of these two cereals. Cereal one is a popular honey oat cereal and cereal two is a raisin and flake cereal. Which has the highest Percent Daily Value of fiber? Cereal two has seven grams of fiber per serving which is 26 percent of the daily fiber recommendation. When you look at the label, aim for a high percent for fiber, vitamin A, vitamin C, calcium, and iron to help meet the daily recommended amounts. Although cereal two has more sugar, most is probably from natural sugar from the raisins. This is another good reason to consider the ingredients list. The ingredients list can tell you if the source of sugar is from added sugars or from the raisins. Now, think about your favorite hamburger from a local fast-food restaurant. That burger may have 60 percent of your daily recommendation for fat. Using the five and twenty rule, would this be a healthy choice? Not when you consider the Percent Daily Value. You do not want just one meal to be over half of the daily recommended amount of fat. Look for a lower percent for nutrients that we need to limit, such as fat, saturated fat, and sodium. 18 Your Turn to Practice the Five and Twenty Rule Which is the healthiest fundraising Item? Caramel Corn Chocolate Bar Brownies Berry Smoothies Let’s try the five and twenty rule to plan for a healthy fundraising event. You started an after school outdoor nature troop. Students want to sell snacks to raise money for the troop. Which of these four snack choices would make the healthiest sales item: the brownie, chocolate bar, caramel corn, or berry smoothie? 19 Healthier Fundraising Items Which is the healthiest fundraising Item? Caramel Corn Chocolate Bar Brownies Berry Smoothies Most of these choices are common school day and school club fundraising items. Using the five and twenty rule, you and your students discover that the chocolate bar and brownies have the highest grams of fat and saturated fat, with the chocolate bar delivering more than 30 percent of the Percent Daily Value for saturated fat. Although the caramel corn and berry smoothie are lower in fat and saturated fat, the berry smoothie is the best choice. It not only has lower Percent Daily Values of total fat, saturated fat, and sodium, it also has over 20 percent of the daily value for vitamin C. You can support your school and after school program fundraising efforts by involving the students in checking the labels of potential sales items and choosing healthier options. Check the resources section for other fun and creative fundraising ideas. 20 Interpreting Health Claims • Nutrient Claim • Health Claim • Structure and Function Claim Whole grain, low-fat, light, and sodium-free are only some of the health claims included on food packaging. So how can you be a smart shopper? First, be sure to check the health claim against the food label. Next, consider if it is an allowable claim. The United States Food and Drug Administration (F.D.A.) oversees food labeling and allows companies to use three types of claims. Nutrient Claims are claims that describe the amount of a nutrient in the food. For example, to use the claim good source, a food must contain 10 to 19 percent of the Daily Value. A food labeled as light must have fewer calories or less fat compared with a representative sample of the same food. Health claims establish a connection between the nutrient in the food and a disease or health problem. Health claims require a high level of scientific proof and must be approved by the F.D.A. A sample health claim is: 3 grams of soluble fiber from oatmeal daily in a diet low in saturated fat and cholesterol may reduce the risk of heart disease. This cereal has 2 grams of soluble fiber per serving. Structure and function claims describe the role of a nutrient or dietary ingredient and its relationship to normal human structure or function. An example is: calcium builds strong bones. The claim may describe how a nutrient or dietary ingredient acts to maintain structure or function, for example: antioxidants maintain cell integrity. There are many more examples of food label claims and how the F.D.A. approves them in the resources section list of Web sites. 21 Think About Your Drink Activity • Maximize nutrients. • Keep sugar low. • Keep caffeine low. Let’s pull all the steps together. At the convenience store, Alex is looking for a cold drink before he heads home. He is considering chocolate milk or an energy drink that his friends tell him is great. Help him use the food label to maximize the nutrients and to keep his sugar and caffeine low. 22 Putting the Food Label Pieces Together Ingredients: Low-fat milk, sugar, cocoa, starch, dextrose, salt, vanilla, vitamin A and vitamin D added. Ingredients: High-fructose corn syrup, water, artificial color, artificial flavor, guarana, caffeine, ginseng. These are examples of food labels from the drink choices that Alex is considering. Which would you recommend to Alex? 23 Think About Your Drink Answer 1. Serving size 2. Know your calorie recommendations 3. Limit sugar 4. Increase vitamins and minerals 5. Check ingredients and use the five and twenty rule to compare products After checking all the components of the food label, the chocolate milk is the best match for Alex’s goal of limiting sugar and caffeine and is a healthier recommendation. He uses the Nutrition Facts label to discover that the drinks have a similar amount of calories per serving and both contain sugar. The energy drink has two and half servings per container and would give Alex 300 calories and over 100 grams of sugar for the container. That is equal to 25 teaspoons of sugar! In addition, the milk contains a greater variety of vitamins and minerals and doesn’t include extra caffeine as is listed on the ingredients list of the energy drink. Guarana and ginseng are also listed on the energy drink ingredients list. Like caffeine, these herbs are stimulants; choosing milk will help Alex avoid the effects of these herbs and the caffeine. 24 Resources to Teach Your Students • The parts of the Nutrition Facts label • Key sections • How to compare • Practice decision-making skills • Use a variety of situations and examples In review, show students that using food labels is not as hard as they may think and it can help them make informed comparisons and choices when shopping for food. When teaching the five steps to reading the food label, emphasize the importance of checking the serving size and servings per container sections of the Nutrition Facts label. Help students appreciate the health benefits of limiting total grams of fat, cholesterol, and sodium and reaching the recommended amounts of fiber, vitamins, and minerals. Teaching youths to read the Nutrition Facts label develops accessing valid information skills. Use resources like Nutrition to Grow On, CATCH, Empowering Youth, and others listed in the resources section of this training to give students lots of practice using the key sections of the food label to compare their favorite foods and beverages. Students will make some shocking discoveries and be better able to use the food label and the five and twenty rule to make healthier decisions. Continue to encourage students to use their food label knowledge and skills in a variety of situations to create a healthy, well-balanced diet. 25 Integrating Lessons with the Nutrition Facts Label • Practice mathematics calculations. • Practice investigative science skills. • Reinforce reading functional text. Reading food labels may be used in other subject areas to make learning fun and increase comprehension. Encourage students to bring in food labels from foods that they commonly eat or drink. Use the label to practice mathematics skills and connect mathematics to real-life applications. Many foods have several servings in the container which allows for multiplication practice. Use the Percent Daily Value to practice adding or subtracting percentages. For upper-grade students, the food label can even be used for algebra equations and statistics. Additionally, the label can be used in language arts to practice reading and interpreting functional text or text that is used to inform the consumer. Use the label to reinforce science investigation skills. For example, students can explore compounds in processed foods, such as sugar. Have them practice converting grams of added sugar in foods to teaspoons, then weigh and measure sugar to provide visual models of the amount of sugar in different foods and beverages. Be sure to include discussions regarding how food choices can impact body systems and overall health. If there is a specific label your students would like to explore, visit one of the Web sites on the resources section for label information. In addition to these ideas and the resources available from the California Healthy Kids Resource Center, there are several handouts at the end of this training with additional activity ideas, resources, and Web sites. 26 Training Objectives Review • Identify the main components of the food label. • Use the food label to choose foods that contribute to a healthy diet. • Access lessons and resources to support students in making healthy food choices. Now that you have completed this training, you have learned the five main components of the food label and how to use them to make a healthy choice. We practiced using the food label and ingredients list to choose foods that contribute to a healthy diet. And, most importantly, you now know where to access lessons and resources to support your students as they build label reading skills to make healthier choices. 27 Congratulations! Partner: Californi California Department Department of Education, Nutri Nutrition Ser Servi vices ces Divis Divisiion This material was produced by the California Department of Public Health’s Network for a Healthy California with funding from USDA SNAP, known in California as CalFresh (formerly Food Stamps). These institutions are equal opportunity providers and employers. CalFresh provides assistance to low-income households and can help buy nutritious foods for better health. For CalFresh information, call 1-877-847-3663. For important nutrition information, visit www.cachampionsforchange.net. Congratulations! You have reached the end of the Foundations of Nutrition: Five Things Students Need to Know to Read the Food Label training. You will now have the opportunity to take a quiz to test the knowledge you have acquired in this training. If you receive a passing score, a completion certificate will be e-mailed to you at the e-mail address you provided. If you do not receive a passing score, you will have the opportunity to take the quiz again at any time. Following the quiz, you will be asked to complete a brief feedback survey. After you complete the survey, you will be able to access sample California Healthy Kids Resource Center library resources and additional information about the Nutrition Facts label and ingredients list. You may start the quiz by selecting the quiz link. Congratulations again and thank you for your participation. 28