nutrition at work - qchealthinitiative.org file•“the consumption of sugar-sweetened beverages...

NUTRITION AT WORKHow to Change the Culture of Food at Your Workplace

Chrissy Watters, MS, RD, LDNRegistered DietitianRock Island Hy-Vee

The Registered Dietitian

Registered dietitian (RD)Food and nutrition expertCompleted specific academic and supervised practice requirementsPassed national registration examMaintains requirements for recertification

NutritionistDefinition and requirements varySome states have licensure laws that define the scope of practice

Academy of Nutrition and Dietetics. www.eatright.org.

http://www.eatright.org/

Session Objectives

• Evaluate the culture of food at your own workplace

• State at least three ways to change the culture of food at your workplace

• Identify healthier food choices for the workplace

• Describe three nutrition information resources to share with employees

Test Your Knowledge1. This morning you grab a 20 oz. bottled sweetened tea beverage and hit the road. How much sugar did you consume?

a) a little more than ¼ cup

b) 2 Tbsp.

c) 3 Tbsp.

2. A 20 oz. soda from the vending machine may seem like a tasty option, but do you know approximately how much sugar is dissolved in that bottle?

a) 1/3 cup

b) 65 g

c) All of the above

Test Your Knowledge

3. How many baby carrots (containing natural sugar) would you have to eat to equal the amount of sugar in one cinnamon bun?

a) 50

b) 115

c) 85

4. Did you realize that if you swapped out water for a 12 oz. can of soda every day, you would save ____ amount of sugar from your diet?

a) 0.6 pounds of sugar per week

b) 5.5 cups per month

c) All of the above

Test Your Knowledge

5. What is the maximum added sugar allowance the American Heart Association recommends for women and men?

a) 6 tsp/day for women and 9 tsp/day for men

b) 9 tsp/day for women and 12 tsp/day for men

c) 12 tsp/day for women and 15 tsp/day for men

Sugar and Chronic Disease

• “The consumption of sugar-sweetened beverages has been linked to risks for obesity, diabetes and heart disease.”

• “The well-documented adverse physiological and metabolic consequences of a high intake of refined carbohydrates such as sugar include the elevation of triglyceride levels and of blood pressure and the lowering of high-density lipoprotein cholesterol levels, which would be expected to increase the risk of coronary heart disease.”

Brownell K, Farley T, Willett W, et al. The Public Health and Economic Benefits of Taxing Sugar-Sweetened Beverages. N Engl J Med. 2009; 361:1599-1605.

What is your food culture?

• Meetings

• Vending

• General/Desk Time

• Cafeteria/Food Cart

• Break Room

• Special Events

Worksite Nutrition AssessmentLocation Point to Consider Evaluation

Yes No Yes, but needs improvement.

Meetings

If food is provided, healthy choices are served.

Healthy choices might include fruit, vegetables,

whole grains, cheese sticks or low-fat yogurt.

If beverages are provided, healthy choices are

served. Healthy choices might include water,

unsweetened tea, coffee and low-fat milk.

If tea and coffee are served, healthy flavorings are

provided. This might include lemons, sugar

alternatives and low-fat milk.

Additional

comments:

Vending

Food vending machines offer healthy choices such

as nuts, sunflower seeds, popcorn (not heavily

buttered), trail mix, healthier granola bars or dried

fruit.

Less healthy choices such as cookies, candy, chips

and snack crackers are limited or absent.

Drink vending machines offer all zero and low-

calorie options such as water, flavored water, low-

fat milk and unsweetened tea.

A cold food vending machine is also available and

offers choices such as cheese sticks, low-sugar

yogurts, fruit, vegetables, hard-boiled eggs and

whole grain sandwiches or wraps.

Additional

comments:

Cafeteria/

Food Cart

The cafeteria offers healthy food choices at a

reasonable price.

The cafeteria offers healthy drink choices at a

reasonable price.

The cafeteria takes input from employees on

preferred healthy choices to increase purchases.

The cafeteria’s hours of operation make the facility

accessible to all employee shifts. There is a

substitute healthy food source available to

employees working shifts when the cafeteria is

closed.

Additional

comments:

Break Room Water is available free of charge to all

employees. This may be a water fountain,

water cooler or faucet.

An employee fridge is available to all

employees.

An employee microwave is available to all

employees.

Comfortable seating is available to all

employees.

If coffee and hot tea are provided, sugar

alternatives are provided for flavoring.

If food is provided, it consists of healthy

choices.

The room is free of candy dishes or other

“tempting” choices.

Additional

comments:

General/

Desk Time

There are no candy dishes on desks. There are

no boxes of donuts or homemade cookies

sitting out on a regular basis.

Additional

comments:

Special Events Healthy meals and snacks are provided at

special events such as company cookouts,

holiday gatherings and parties. It is ok to offer

treats at special events as long as healthy

choices are also present.

Additional

comments:

Lactation

Support

There is a private and comfortable area with

easy access to electricity for lactating

mothers.

Management is supportive of necessary

pumping breaks for lactating mothers.

Additional

comments:

Meetings

Meetings

If food is provided, healthy choices are

served. Healthy choices might include

fruit, vegetables, whole grains, cheese

sticks or low-fat yogurt.

If beverages are provided, healthy choices

are served. Healthy choices might include

water, unsweetened tea, coffee and low-

fat milk.

If tea and coffee are served, healthy

flavorings are provided. This might include

lemon wedges, sugar alternatives and low-

fat milk.

Location Point to Consider EvaluationYes No Yes, but needs improvement.

Donut vs. Banana & Cheese Stick

DONUT

• $0.83 each

• 400 calories

• 60 g carbohydrate

• 26 g sugar

• 16 g fat

• 390 mg sodium

• 1 g fiber

BANANA & CHEESE STICK

• $0.18 + $0.33 = $0.51

• 185 calories


• 14 g sugar

• 6 g fat

• 200 mg sodium

• 3 g fiber

• 420 mg potassium + 20% DV Calcium

Pizza vs. Pizza

TRADITIONAL PEPPERONI

• $0.87/slice

• 250 calories


• 11 g fat

• 550 mg sodium

THIN CANADIAN BACON

• $0.87/slice

• 160 calories


• 6 g fat

• 360 mg sodium

Cookie vs. Cookie

REGULAR CHOCOLATE CHIP COOKIE

• 150 calories


• 13 g sugar

• 7 g fat

• 140 mg sodium

LUNCHBOX CHOCOLATE CHIP COOKIE

• 70 calories


• 6 g sugar

• 3.5 g fat

• 70 mg sodium

Other Meeting Options

FOOD

• Whole grain toast + Peanut butter/Nut butter

• Trail mix

• Cereal “bar”

• Hard-boiled eggs

• Fresh fruit

• Granola bars

• Oatmeal “bar”

• Fruit & yogurt parfaits

• Sandwiches on whole grain bread with low-sodium meats; veggies or fruit available for sides

DRINKS

• Water

• Zero or low-calorie flavored waters, pop and other drinks

• Low-fat milk

• 100% juice in small portions

• Unsweetened tea

• Coffee

• Offer a sugar alternative, low-fat milk and/or lemon wedges

Vending

Vending

Food vending machines offer healthy choices

such as nuts, sunflower seeds, popcorn (not

heavily buttered), trail mix, healthier granola

bars or dried fruit.

Less healthy choices such as cookies, candy,

chips and snack crackers are limited or absent.

Drink vending machines offer all zero and low-

calorie options such as water, flavored water,

low-fat milk and unsweetened tea.

A cold food vending machine is also available

and offers choices such as cheese sticks, low-

sugar yogurts, fruit, vegetables, hard-boiled

eggs and whole grain sandwiches or wraps.


Candy Bar vs. Peanuts

CANDY BAR

• $0.59

• 290 calories


• 13 g protein

• 25 g fat

• 170 mg sodium

• 4 g fiber

• 25% DV vitamin E, 15% DV iron, 30% DV niacin, 20% DV thiamin, 20% DV magnesium

PEANUTS

• $1.79

• 250 calories


• 4 g protein

• 12 g fat

• 120 mg sodium

• 1 g fiber

General/Desk TimeLocation Point to Consider Evaluation


General/

Desk Time

There are no candy dishes on desks.

There are no boxes of donuts or

homemade cookies sitting out on a

regular basis.

Candy Dish vs. True Lemon Dish

CANDY DISH

• $0.06/piece

• 23 calories


• 3 g sugar

TRUE LEMON DISH

• $0.14/packet

• 0 calories

• <1 g carbohydrate

• 0 g sugar

• Extras: 25% DV vitamin C

Cafeteria/Food Cart

Cafeteria/

Food Cart

The cafeteria offers healthy food choices

at a reasonable price.

The cafeteria offers healthy drink choices

at a reasonable price.

The cafeteria takes input from employees

on preferred healthy choices to increase

purchases.

The cafeteria’s hours of operation make

the facility accessible to all employee

shifts. There is a substitute healthy food

source available to employees working

shifts when the cafeteria is closed.


Salad Bar vs. Salad BarLess Healthy Salad Bar

• Iceberg lettuce, diced ham, croutons, cucumber, ranch dressing, pasta salad, pudding

• 510 calories


• 26 g sugar

• 15 g protein

• 19 g fat

• 1107 mg sodium

• 5 g fiber

• 71% DV vitamin A, 52% DV vitamin C, 67% DV vitamin K

Healthy Salad Bar• Mixed greens, hard-boiled egg, kidney beans,

sunflower seeds, tomatoes, green and red bell peppers, oil and vinegar, mixed berries

• 520 calories


• 16 g sugar

• 14 g protein

• 38 g fat

• 315 mg sodium

• 10 g fiber

• 133% DV vitamin A, 160% DV vitamin C, 209% DV vitamin K

Analysis performed using www.nutritiondata.com on October 23rd, 2014.

http://www.nutritiondata.com/

Other Cafeteria Options

FOOD

• Grilled or baked, not fried

• Fruits and vegetables

• Whole grains

• Offer one or two healthier dessert choices

• Portion size

• Calorie and other nutrient information available

DRINKS

• Water

• Zero or low-calorie flavored waters, pop and other drinks

• Low-fat milk

• 100% juice in small portions

• Unsweetened tea

• Coffee

• Offer a sugar alternative, low-fat milk and/or lemon wedges

Break RoomLocation Point to Consider Evaluation


Break Room Water is available free of charge to all

employees. This may be a water fountain,

water cooler or faucet.

An employee fridge is available to all

employees.

An employee microwave is available to all

employees.

Comfortable seating is available to all

employees.

If coffee and hot tea are provided, sugar

alternatives are provided for flavoring.

If food is provided, it consists of healthy

choices.

The room is free of candy dishes or other

“tempting” choices.

Sugar vs. Stevia

SUGAR

• $0.02/packet

• 15 calories


• 4 g sugar

STEVIA

• $0.05/packet

• 0 calories


• <1 g sugar

Creamer vs. Milk

CREAMER

• $0.04/1 tbsp serving

• 10 calories

• 0 g protein

• 0.5 g fat

• Extras: Corn syrup solids, hydrogenated vegetable oil

1% MILK

• $0.04/2 tbsp serving

• 13 calories

• 1 g protein

• 0.3 g fat

• Extras: Calcium, vitamin D, riboflavin, phosphorus, protein, potassium, vitamin A, vitamin B12, niacin

Special EventsLocation Point to Consider Evaluation


Special Events Healthy meals and snacks are provided at

special events such as company cookouts,

holiday gatherings and parties. It is ok to

offer treats at special events as long as

healthy choices are also present.

Nutrition Information Library

• Choose MyPlate - USDA• www.choosemyplate.gov

• Eat Right – Academy of Nutrition and Dietetics• www.eatright.org

• Kids Eat Right – Academy of Nutrition and Dietetics• www.kidseatright.org

• Fruits and Veggies More Matters• www.fruitsandveggiesmorematters.org

• Healthier Worksite Initiative Toolkit - CDC• http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/index.htm

• Healthy Vending• http://www.nems-v.com/NEMS-VWhyInvest.html

http://www.choosemyplate.gov/

http://www.eatright.org/

http://www.kidseatright.org/

http://www.fruitsandveggiesmorematters.org/

http://www.cdc.gov/nccdphp/dnpao/hwi/toolkits/index.htm



http://www.nems-v.com/NEMS-VWhyInvest.html






Hy-Vee Registered Dietitians

• Healthy snack planning and/or shopping

• Nutrition education presentations• NuVal™ Nutritional Scoring System

• Cooking demonstrations

• Hands-on cooking classes

• BEGIN Lifestyle Management Program

• BEGIN Basics

• BEGIN 4 Kids

Hy-Vee Registered Dietitians

• Store Tours (Group or Individual)

• Individual Medical Nutrition Therapy

• Biometric Screenings

• Resting Metabolic Rate (RMR) Testing

• Cotinine (Nicotine) Testing

Questions?Contact Chrissy at the Rock Island Hy-Vee:

[email protected]

309-793-0684

mailto:[email protected]



nutrition at work - qchealthinitiative.org file•“the consumption of sugar-sweetened beverages...

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