KSU Speech1

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Efforts to Improve the American Diet: Reflections, Challenges andamp; Opportunities Elizabeth Pivonka, Ph.D., R.D. President Produce for Better Health Foundation

Challenges: 

Challenges

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Challenges

Leading Causes of Death Today: 

Leading Causes of Death Today 1. Heart Disease 699,700 2. Cancer 553,200 3. Stroke 163,600 4. Obstructive Pulmonary Disease 124,000 5. Accidents 97,700 6. Diabetes 71,300 7. Influenza andamp; pneumonia 62,100 8. Alzheimer’s Disease 53,700 9. Nephritis 39,700 10. Septicemia 32,300 Source: National Vital Statistics Reports 3/14/2003: 51(5)

Factors Contributing to Death: 

Factors Contributing to Death 1990 2000 PCT Change # Deaths 1. Tobacco Use 400,000 435,000 9% 2. Diet andamp; Inactivity 300,000 400,000 33% 3. Alcohol Misuse 100,000 85,000 -15%

Number of Americans Affected by Diet-and Inactivity-Related Diseases : 

Number of Americans Affected by Diet-and Inactivity-Related Diseases Seriously Overweight/Obese 129,250,000 High Blood Pressure 50,000,000 Diabetes 17,000,000 Coronary Heart Disease 12,900,000 Osteoporosis 10,000,000 Cancer 8,900,000 Stroke 4,700,000

Economic Cost Comparisons: 

Economic Cost Comparisons National Institutes of Health, 1998 in Food Policy 24(1999)145-162

Spending on Prevention vs. Treatment : 

Spending on Prevention vs. Treatment National spending for population-based prevention

Factors influencing gain in life expectancy: past 100 years: 

Factors influencing gain in life expectancy: past 100 years Public Health and Preventive Measures 83.4% + 25 Years to Life Curative Measures 16.6% + 5 Years to Life

Percentage of U.S. Population Over 65 Years of Age: 

Percentage of U.S. Population Over 65 Years of Age

Fruits and Vegetables Play Preventative Role In … : 

Fruits and Vegetables Play Preventative Role In … Cancer Heart Disease Stroke Hypertension Birth Defects Cataracts Obesity Diverticulosis Diabetes Mellitus COPD Osteoporosis Alzheimers Skin Wrinkling

Health Benefits: 

Health Benefits

Marketing Dollars: 

Marketing Dollars

Advertising/Marketing Expenditures: 

Advertising/Marketing Expenditures PepsiCo $ 2,210,000,000 McDonald’s $ 1,195,000,000 Coca-Cola Company $ 903,000,000 General Mills $ 884,000,000 Mars Inc. $ 615,000,000 Kellogg Company $ 422,000,000 Hershey Foods Corp $ 366,000,000 US dairy producers/processors $ 330,000,000 CDC’s Division of Nutr andamp; Phys. Act. $ 45,000,000 PBH’s Budget $ 6,000,000 Advertising Age, June 24, 2002

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Obesity Trends Among U.S. AdultsBRFSS, 1985: 

Obesity Trends Among U.S. Adults BRFSS, 1985

Obesity Trends Among U.S. AdultsBRFSS, 1986: 

Obesity Trends Among U.S. Adults BRFSS, 1986

Obesity Trends Among U.S. AdultsBRFSS, 1987: 

Obesity Trends Among U.S. Adults BRFSS, 1987

Obesity Trends Among U.S. AdultsBRFSS, 1988: 

Obesity Trends Among U.S. Adults BRFSS, 1988

Obesity Trends Among U.S. AdultsBRFSS, 1989: 

Obesity Trends Among U.S. Adults BRFSS, 1989

Obesity Trends Among U.S. AdultsBRFSS, 1990: 

Obesity Trends Among U.S. Adults BRFSS, 1990

Obesity Trends Among U.S. AdultsBRFSS, 1991: 

Obesity Trends Among U.S. Adults BRFSS, 1991

Obesity Trends Among U.S. AdultsBRFSS, 1992: 

Obesity Trends Among U.S. Adults BRFSS, 1992

Obesity Trends Among U.S. AdultsBRFSS, 1993: 

Obesity Trends Among U.S. Adults BRFSS, 1993

Obesity Trends Among U.S. AdultsBRFSS, 1994: 

Obesity Trends Among U.S. Adults BRFSS, 1994

Obesity Trends Among U.S. AdultsBRFSS, 1995: 

Obesity Trends Among U.S. Adults BRFSS, 1995

Obesity Trends Among U.S. AdultsBRFSS, 1996: 

Obesity Trends Among U.S. Adults BRFSS, 1996

Obesity Trends Among U.S. AdultsBRFSS, 1997: 

Obesity Trends Among U.S. Adults BRFSS, 1997

Obesity Trends Among U.S. AdultsBRFSS, 1998: 

Obesity Trends Among U.S. Adults BRFSS, 1998

Obesity Trends Among U.S. AdultsBRFSS, 1999: 

Obesity Trends Among U.S. Adults BRFSS, 1999

Obesity Trends Among U.S. AdultsBRFSS, 2000: 

Obesity Trends Among U.S. Adults BRFSS, 2000

Obesity Trends Among U.S. AdultsBRFSS, 2001: 

Obesity Trends Among U.S. Adults BRFSS, 2001

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Obesity Trends Among U.S. Adults BRFSS, 2002 (*BMI 30, or ~ 30 lbs overweight for 5’4' person)

Obesity Trends Among U.S. AdultsBRFSS, 2003: 

Obesity Trends Among U.S. Adults BRFSS, 2003

Percentage of young people who are obese : 

Percentage of young people who are obese

Per capita consumption of fruit and vegetables: 

Per capita consumption of fruit and vegetables Includes all fruit, vegetables, potatoes eaten ‘as is’ (excluding French fries, hash browns, and chips), 100% juice, salad Includes in-home and away-from-home consumption; Excludes fruit, vegetables and potatoes used as ingredients Note: measures an ‘eating occasion’ - does not represent volume consumed Annual Total Fruit/Vegetable Eatings per Capita* Excl. French Fries/ Chips

Average daily servings of fruits/ vegetables = roughly 4 per day.: 

Average daily servings of fruits/ vegetables = roughly 4 per day. 4.2 3.6

Opportunities: 

Opportunities

Number of Fruit & Vegetable Servings Consumed by Level of Color Way Awareness: 

Number of Fruit andamp; Vegetable Servings Consumed by Level of Color Way Awareness

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National 5 A Day Partnership Structure: 

National 5 A Day Partnership Structure National Steering Committee Communications Industry Policy andamp; Advocacy Research andamp; Evaluation State, Regional, Community State/Region/Community Partners

PBH Core Purpose: 

PBH Core Purpose To motivate people to eat more fruits and vegetables to improve public health.

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Retailers

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Suppliers

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Partners

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Target QSR and Quick Casual restaurant chains to increase f/v menu offerings Commercial Foodservice Operators

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International Symposium International

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International 5 A Day Programs

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USDA child nutrition programs WIC, Free F/V Program, School Lunch Federal nutrition policies Dietary Guidelines, Pyramid CDC’s division of nutrition and physical activity Policy Makers

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Free F/V School Program Advocacy Public Health Advocacy

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andamp; Phytochemical Analysis Research

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Media TV Public Service Announcements Public Relations Consumer column

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Educators andamp; Health Professionals

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www.5aday.org

Challenges/Opportunities : 

Challenges/Opportunities Strong Link: Fruits/Vegetables/Health Aging Population Rising Health Care Costs Obesity Epidemic Industry/Public Health Alliance 2005 Dietary Guidelines

It takes more than willpower…: 

It takes more than willpower… Policy + Education + Environmental Change = Healthier Eating

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Foodservice Behavior Change

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Societal Norms do Change…

Discussion: 

Discussion