rethink your drink healthcare
TRANSCRIPT
Gemma Saylor, RD, CDN
Director Rethink Your Drink @ Work
Rethink Your Drink is a grant program funded by the New York State Department of Health – Healthy Heart Program. The program is facilitated by Mather Hospital and ends March 2015.
◦ The free program is available to any private business located in Suffolk county with 25+ employees.
The purpose of the grant is to create healthy workplaces/spaces where the healthy beverage choice is the easy choice.
It is about making the best choice (water, seltzer) the most visible and the most accessible beverage.
Because what you drink matters.
Sugary drinks are
the single
biggest contributor
to the nation’s
obesity epidemic.
Why do we care about healthier beverage choices?
Are You Pouring on the Pounds? How to cut back on soda, juice and other sugary beverages. New York City Health Department, June 2010.
Source: Bleich, SN, Wang YC, Wang Y, Gortmaker SL: Increasing consumption of sugar-sweetened beverages among US adults: 1988-1994 to 1999-2004. Am J Clin Nutr 2009; 89: 372:381.
In NYS, the numbers are alarming
Now 6 in 10 New York State adults are either overweight
or obese.
Obesity now costs Americans more in healthcare than smoking
• Total obesity-related healthcare costs in New York State are more than $11.8 billion annually
Up from $7.6B in 2009.
Diabetes
Heart disease
High blood pressure
Asthma
Infertility
Stroke
Arthritis
Liver disease
Cancer
Depression
Are You Pouring on the Pounds? How to cut back on soda, juice and other sugary beverages. New York City Health Department, June 2010.
Obesity contributes to many
serious health problems
Consumption of sweet beverages and type 2 diabetes incidence in
European adults: results from EPIC-InterAct. Diabetologia. 2013
Jul;56(7):1520-30. doi: 10.1007/s00125-013-2899-8. Epub 2013 Apr 26.
Warning!Daily intake of sugar
for an adult woman
should be no more
than 6 teaspoons (tsp)
and no more than 9
tsp for adult men.
Warning!Just one 20 oz bottle of Pepsi has
17 tsp of sugar, which far exceeds
the American Heart Association’s
daily maximum intake levels.
Classifying Drinks: Red, Yellow, Green
Drink Rarely, If at all
Drink Occasionally
Drink Plenty
Drink Plenty
Water
Seltzer water
Skim or 1% milk
Drink Rarely, If at all
Are You Pouring on the Pounds? How to cut back on soda, juice and other sugary beverages. New York City Health Department, June 2010.
Soda
Energy drinks
Sweetened iced tea
Sweetened coffee drinks
Lemonade
Fruit drinks or punch
Sports drinks
Powdered drinks
Sweetened flavored waters
Malt drinks
100% juice
Diet (artificially sweetened) soda and drinks
Low-calorie, low sugar drinks
Diet Drinks:While there is strong evidence to support cutting back on sugary drinks, the science is not as clear when it come to diet (artificially sweetened) drinks and weight control. In fact, regular consumption of diet beverages may even be associated with weight gain.
Diet drinks may be useful as a transition step away from sugar sweetened beverages, but consumption is not encouraged over the long term.
Choose drinks that are naturally free of added sugars, and artificial sweeteners, most often.
Drink Occasionally
Sugary drinks are available everywhere. ◦ Where are they not available?!
Marketers advertise them heavily.◦ In 2010 alone, The Coca-Cola Company spent
$2.9 billion on advertising*
Portion sizes keep growing.
Are You Pouring on the Pounds? How to cut back on soda, juice and other sugary beverages. New York City Health Department, June 2010* Business Insider - http://www.businessinsider.com/facts-about-coca-cola-2011-6?op=1
Stock the fridge with seltzer, unsweetened tea, low-fat milk and other low-calorie drinks.
Serve cold tap water during meals. NYS tap water is delicious, clean and free!
Read labels. Choose drinks with no more than 40 calories per container.
If you buy fruit juice, make sure it’s 100% juice. Serve it in a small glass or dilute with water.
… But we spend most of our day at WORK!
Examples of changes worksites can consider:◦ Encourage water consumption
◦ Provide healthy beverages at meetings
◦ Increase the number of healthy options
in vending options
◦ Limit sale of sugar sweetened beverages
in cafeterias and other places where food is available
◦ Adjust pricing to make healthy beverages more affordable
◦ Hang educational posters by vending machines / in cafeterias.
This is a poster, provided by Rethink Your Drink @ Work,
that would be placed by vending machines or in
areas where sugary drinks are available for sale.
Hospitals are role models for health
Hospitals are committed to a culture of health and wellness (Putting the care back in HealthCARE)
Community Service Plan focusing on obesity prevention
Boston Medical Center
Brigham and Women’s Hospital
Carney Hospital
Cleveland Clinic
Children’s Hospital Boston
Dana Farber Cancer Institute
Dartmouth - Hitchcock
Fairview Hospital
Faulkner Hospital
Holy Family Hospital
Lucille Packard Children’s
Hospital
22
Massachusetts General Hospital
Merrimack Valley Hospital
Morton Hospital
Nashoba Valley Medical Center
Norwood Hospital
Quincy Medical Center
Saint Anne’s Hospital
Seattle Children’s Hospital
St. Elizabeth’s Medical Center
St. Luke’s
Tufts Medical Center
Vanguard Health Chicago (4
Hospitals)
“While we respect individual choice, selling sugar-sweetened beverages at our facility does not support our mission and vision”
Dartmouth-Hitchcock Medical Center
“This is not a ban on the personal consumption of sugar-sweetened
beverages, but a sales phase-out at our facility, consistent with our role as a health
promoting hospital” Knysh (Food Service Director, Fairview)
In January 2014 The New York State Department of Health released new food and beverage standards for hospitals◦ The “Rethink Your Drink” program offers technical
assistance to hospitals as they implement the beverage standards
Machine
panels now
Aquafina
2 slots water
at eye level
2 slots
sugary
drinks
(12oz)
Before After
Complete a brief survey that will be forwarded to you by email
Vote on which changes, if any, you would like to see at your hospital
The Rethink Your Drink program will then help your
hospital implement the changes that you choose.
Nutrition Division
of the Department of
Family Medicine at
Stony Brook Medicine