This study evaluated the Overall Nutritional Quality Index (ONQI) scoring system and its ability to predict chronic disease risk using data from two large prospective cohorts, the Nurses' Health Study and Health Professionals Follow-Up Study. The researchers calculated ONQI scores for foods in the cohorts' food frequency questionnaires and found that higher ONQI scores, indicating better nutritional quality, were associated with lower risk of chronic diseases like cardiovascular disease and cancer, as well as lower mortality rates. The ONQI scoring system showed promise in ranking foods according to their relationship to chronic disease outcomes.
Monitoring, evaluation and learning and summary of baselines for the LIVES pr...ILRI
Presented by Berhanu Gebremedhin, Dirk Hoekstra and Aklilu Bogale at the LIVES Commodity Value Chain Development Inception Workshop, Addis Ababa, 21–24 January 2013
Monitoring, evaluation and learning and summary of baselines for the LIVES pr...ILRI
Presented by Berhanu Gebremedhin, Dirk Hoekstra and Aklilu Bogale at the LIVES Commodity Value Chain Development Inception Workshop, Addis Ababa, 21–24 January 2013
The food exchange list refers to the food items on each list which may be substituted with any other food item on the same list. A grouping of commonly consumed foods according to similarities in composition so that the foods may be used interchangeably in diet planning.
<p>Whether at the alcoholic drink hour or throughout the function, we enjoy the personalization and also selections that a hearty food station provides, and also the interactive experience it stimulates, allowing guests to blend and also mingle much more. And the options are limitless. For a breakfast wedding celebration, you can't fail with a bacon bar or waffle bar (with choice of garnishes obviously).</p>
Place matters for health! A growing body of research over the last several decades has shown the connections between place and health. From obesity and chronic disease to depression, social isolation, or increased exposure to environmental toxins and pollutants, a person’s zip code can be a more reliable determinant of health than their genetic code.
In 2016, Project for Public Spaces compiled a report of peer-reviewed research that found key factors linking pubic spaces and peoples’ health. And public spaces are more than just parks and plazas – our streets represent the largest area of public space a community has!
This webinar will introduce participants to the placemaking process, the research behind the findings linking place and health, and how to envision streets as places – not just their function in transporting people and goods, but the vital role they play in animating the social and economic life of communities.
Using case problems, this webinar will give attendees real-world examples of workplace wellness situations and help attendees learn from those situations so that they can design and implement a compliant wellness program. Through case problems, attendees will review compliance mistakes concerning HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws. Participants will learn how to use those laws to build a better workplace wellness program.
Learning Objectives:
* Understand how to apply laws to specific factual situations.
* Identify red flags in certain common workplace wellness practices.
* Learn the basics of HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws as those laws relate to workplace wellness programs.
The food exchange list refers to the food items on each list which may be substituted with any other food item on the same list. A grouping of commonly consumed foods according to similarities in composition so that the foods may be used interchangeably in diet planning.
<p>Whether at the alcoholic drink hour or throughout the function, we enjoy the personalization and also selections that a hearty food station provides, and also the interactive experience it stimulates, allowing guests to blend and also mingle much more. And the options are limitless. For a breakfast wedding celebration, you can't fail with a bacon bar or waffle bar (with choice of garnishes obviously).</p>
Place matters for health! A growing body of research over the last several decades has shown the connections between place and health. From obesity and chronic disease to depression, social isolation, or increased exposure to environmental toxins and pollutants, a person’s zip code can be a more reliable determinant of health than their genetic code.
In 2016, Project for Public Spaces compiled a report of peer-reviewed research that found key factors linking pubic spaces and peoples’ health. And public spaces are more than just parks and plazas – our streets represent the largest area of public space a community has!
This webinar will introduce participants to the placemaking process, the research behind the findings linking place and health, and how to envision streets as places – not just their function in transporting people and goods, but the vital role they play in animating the social and economic life of communities.
Using case problems, this webinar will give attendees real-world examples of workplace wellness situations and help attendees learn from those situations so that they can design and implement a compliant wellness program. Through case problems, attendees will review compliance mistakes concerning HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws. Participants will learn how to use those laws to build a better workplace wellness program.
Learning Objectives:
* Understand how to apply laws to specific factual situations.
* Identify red flags in certain common workplace wellness practices.
* Learn the basics of HIPAA, ACA, GINA, ADA, FLSA, data privacy and tax laws as those laws relate to workplace wellness programs.
Looking for a healthier investment strategy? A new study by The Health Project (THP) finds that a portfolio of stock in companies that have won the prestigious C. Everett Koop National Health Award -- recognizing effective workplace health promotion programs -- has significantly outperformed the Standard & Poor's (S&P) 500 Index over the past 14 years. Since 2000, investing in Koop Award winners would have produced more than double the returns of the S&P 500, according to the new research led by THP President and CEO Dr. Ron Goetzel. Tune in to this webinar to hear more about this and related studies.
This webinar will discuss the prevalence of pre-diabetes and it’s contributing factors and the initial efforts to translate the National Diabetes Prevention Program to public health. We will also look at new approaches to providing interventions.
Learning objectives:
Scope and scale of pre-diabetes and what factors contribute to it.
Review initial efforts to translate the DPP to public health.
New approaches to providing interventions.
About The Presenter
Dr. Marrero received a B.A. (1974), M.A. (1978) and Ph.D. (1982) in Social Ecology from the University of California, Irvine. He joined the IU School of Medicine in 1984 and became the J.O. Ritchey Professor of Medicine in 2004. He was a member of the Diabetes Research & Training Center and served as Director of the Diabetes Prevention and Control Division. He is currently the Director of the Diabetes Translational Research Center. Dr. Marrero is an expert in the field of clinical trails in diabetes and translation research which moves scientific advances obtained in clinical trails into the public health sector. He helped design the Diabetes Prevention Program and the TRIAD study, which evaluated strategies to improve diabetes care delivery in managed care settings. His research interests include strategies for promoting diabetes prevention, care settings, improving diabetes care practices used by primary care providers, and the use of technology to facilitate care and education. Dr. Marrero was twice awarded the Allene Von Son Award for Diabetes Patient Education Tools by the American Association of Diabetes Educators, nominated to Who’s Who in Medicine and Health care in 2000, served as Associate Editor for Diabetes Care (1997-2002) and is currently the Associate Editor for Diabetes Forecast. He was selected as Alumni of the Year for University of California Irvine in 2006 and The Outstanding Educator in Diabetes in 2008 by the American Diabetes Association. He is the current President of the American Diabetes Association.
John Weaver, Psy.D. is a Licensed Psychologist who received his Doctor of Psychology degree from the Wisconsin School of Professional Psychology. He also has a Master of Science degree in Clinical Psychology from Marquette University and a Master of Divinity degree from St. Francis School of Pastoral Ministry.
CDC will provide an overview of their WorkLife Wellness Office services and describe how they used the HealthLead accreditation process to provide a framework to assess the comprehensiveness of their new office and existing programs and processes. Also, how the scoring of framework identified strengths and weaknesses and how the assessment plan of action is used for future strategic planning to drive new connections, data sources, and programmatic gaps as they strive to achieve HealthLead Silver. CDC will share specific examples of what was required and shared as part of the HealthLead audit during the presentation.
The way you communicate, and what you communicate, shapes how your employees feel about working there. Yet organizations often fail to prioritize corporate communication, to the detriment of their entire workplace culture.
Regular communication with employees sends the message that you value them as whole people. And consistent, meaningful communication can strengthen the employee-employer relationship. And when that relationship is strong, everyone wins: the employees, the employer, and the customers, clients, or patients.
You’ll come away from this webinar with immediately-useful tips and insider tricks from our 30+ years of experience producing engaging employee communications and leave with a blueprint of how to produce your own communications, or evaluate a vendor’s options, plus creative options.
We are reminded of the risk of workplace violence every time we hear of a tragic shooting on the news. As wellness professionals, we often have a broad contact with individuals who are struggling and with the structures of organizations that can have an influence on whether those individuals get help or act out their anger and frustration. In this session we will look at risk factors that can be identified to indicate that an individual needs additional assessment and help and at the organizational structures that can be implemented to reduce the risk of violence in your workplace. It is important that, as wellness professionals, we look at how to address this extreme form of unhealthy behavior.
Wellness is who we are, not what we do. As Oklahoma State University’s Chief Wellness Officer, Dr. Suzy Harrington shares a comprehensive, evidence based, wellness strategy model, driving America’s Healthiest Campus®. This model is transferrable to any setting to strategize the collaboration and vision for students, employees, and in the communities in which we live, learn, work, play, and pray. In addition to the model, Dr. Harrington will share the foundational structures that must be in place to support a sustainable culture of wellness.
Have you ever wondered why it is that even people who desperately want to adopt healthier lifestyles don’t stick with them once their initial burst of motivation fades? This provocative webinar will discuss the surprising reasons this is true and also showcase a new science-based paradigm to motivate healthy behavior so it is maintained over time. Dr. Michelle Segar will explain why logic-based reasons for behavior change (e.g., better heath, disease prevention, etc.) keep people stuck in cycles of starting and stopping but not behavioral sustainability. Using story and science, she will describe an easy-to-adopt, novel approach to promoting health, wellness, and fitness behaviors that leading organizations are starting to adopt. Attendees will leave this webinar with a more strategic way to communicate about and promote the sustainable behavior necessary for achieving improved health and well-being.
This webinar will discuss the major federal laws that impact workplace wellness program design, including the Affordable Care Act/HIPAA Nondiscrimination rules on the use of financial incentives, the Americans with Disabilities Act (ADA), the Genetic Information Nondiscrimination Act (GINA), federal tax laws as well as recent EEOC action such as the proposed ADA rules and lawsuits against Honeywell, Flambeau and Orion Energy Systems. Through case examples, the speaker will explain how each of these laws interact with one another, who enforces these laws, what to expect in terms of future guidance, and how health promotion professionals can use these laws as tools in designing more effective and inclusive workplace wellness programs.
Are you looking to refresh your current workplace wellness program or have you thought about starting a workplace wellness program and don't know where to begin? Check out Workplace Wellness 2.0. In 60 minutes, you'll learn the 10 easy steps to create an inexpensive, community-based, volunteer-managed, thriving wellness initiative. Hope Health's managing editor, Jen Cronin, will walk you through the effective strategy based on the custom publisher's 30-plus years of working with hundreds of organizations and their workplace wellness efforts.
Learning Objectives:
How to begin a new program, or add new life to an existing wellness program, with the Workplace Wellness 2.0 concepts
How to take advantage of inexpensive, free and readily available resources to power your wellness program
How to create a program WITH employees vs. FOR employees.
About The Presenter
Jen Cronin
Managing Editor
Hope Health
An avid runner and foodie, Jen's goal is to help others embrace — and enjoy — a healthful lifestyle by creating inspiring, engaging, and fun content that focuses on simple ways people can take care of their mind, body, and spirit. Jen has more than 18 years of writing, editing, and communications project management experience. She has worked as a health reporter, a public relations specialist at a major medical school, and a marketing communications consultant for a Blue Cross Blue Shield affiliate before coming to HOPE Health in 2009.
Samantha Harden discuss provides an overview of the RE_AIM framework which evaluates the effectiveness of interventions based on the following five dimensions:
Reach into the target population
Effectiveness or efficacy
Adoption by target settings, institutions and staff
Implementation - consistency and cost of delivery of intervention
Maintenance of intervention effects in individuals and settings over time.
We will also practice using RE-AIM in planning, implementation, and evaluation and share resources available on RE-AIM.org.
Learning Objectives
1. Understand the five RE-AIM dimensions
2. Practice using RE-AIM for planning, implementation, and evaluation
3. Explore available resources found at RE-AIM.org
Simply applying knowledge we have reliably in hand, we could prevent fully 80% of all chronic disease and premature death in modernized and modernizing countries. Standing between us and that prize is an obstacle course of competing claims, false promises, and profit-driven, pop culture nonsense. The case will be made for True Health Coalition to rally diverse voices to the cause of using what we know, even as we pursue what we do not. The challenges, operations, and promise of the endeavor will be discussed.
Shannon Polly will lead a webinar on teaching tangible techniques and exercises that help people cultivate presence. The hour-long webinar will also include information on what science is telling us about presence. Shannon Polly brings both her expertise as a professional actor, playwright and Broadway producer and her background in positive psychology as a teacher, facilitator and coach to this somatic approach to well-being and thriving.
“It’s a common myth that you either have ‘executive presence’ – that essence that helps you to command a room – or you don’t”, says Polly, “but that is simply not true. As an actor, I know there are tricks and techniques, and as a Positive Psychology Expert, I also know that how you carry yourself physically has a big impact.”
More from HPCareer.Net / State of Wellness Inc. (20)
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Executive Directors Chat Leveraging AI for Diversity, Equity, and InclusionTechSoup
Let’s explore the intersection of technology and equity in the final session of our DEI series. Discover how AI tools, like ChatGPT, can be used to support and enhance your nonprofit's DEI initiatives. Participants will gain insights into practical AI applications and get tips for leveraging technology to advance their DEI goals.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Introduction to AI for Nonprofits with Tapp Network
Nu val Making Good Nutrition Easy
1. NuVal™
& the Overall Nutritional Quality Index (ONQI)
-knowledge to power-
David L. Katz, MD, MPH, FACPM, FACP
Associate Professor, adjunct, Public Health Practice
Director, Prevention Research Center
Yale University School of Medicine
www.davidkatzmd.com
Webinar
6/4/10
2. we live where good advice…
“Eat food, not too much, mostly plants.”
Michael Pollan
…can be hard to swallow!-
3.
4.
5.
6.
7. Even when clear where “there” is-
-it may seem…
you can’t get there from here:
8. The case for skill power,
not just will power.
9. Because people need to know things-
they never knew they never knew!…
Sodium content per 100 calories?
19. With what…FDA or IOM should have done:
July, 2003
Katz DL. A food supply for dummies. Op-Ed: Hartford Courant;
NY Newsday; etc. 10/03
Feb, 2006: If you want something done…
and the rest is history…
20. ONQI Scientific Expert/Development Panel
Chair: Dr. David Katz, Yale University School of Medicine
Dr Keith Ayoob, Albert Einstein College of Medicine
Dr Leonard Epstein, University of Buffalo; inventor, Traffic Light Diet
Dr David Jenkins, University of Toronto; inventor, Glycemic Index
Dr Francine Kaufman, USC; Past President, American Diabetes Association
Dr Robert Kushner, Northwestern University
Dr Ronald Prior, Arkansas Children’s Nutrition Center, USDA HNRC
Dr Rebecca Reeves, Past President, American Dietetic Association
Dr Barbara Rolls, Pennsylvania State University
Dr Sachiko St. Jeor, University of Nevada
Dr John Seffrin, President & CEO, American Cancer Society
Dr Walter Willett, Harvard University
16 invitations extended; 14 acceptances
Project Coordinators: Debbie Kennedy, PhD; Zubaida Faridi, MD, MPH: PRC
Statistician/Data Analyst: Valentine Njike, MD, MPH: PRC
Dietitians: Judy Treu, MS, RD; Lauren Rhee, MS, RD: PRC
Others consulted
21. The ONQI Algorithm-
•Macronutrient Adjustors
Numerator Denominator Fat quality
Protein quality
Fiber Saturated fat Glycemic load
Folate Trans fat Energy density
Vitamin A Sodium
Vitamin C Sugar
Vitamin D Cholesterol •Trajectory Scores
Vitamin E •Weighting Coefficients
Vitamin B12
Vitamin B6
Potassium Categorical stipulations
Calcium
Zinc • Pure foods vs.
Omega-3 fatty acids processed
Total bioflavanoids • Intrinsic vs. added
Total carotenoids sugars
Magnesium • Artificial sweeteners
Iron • Etc.
22. ONQI formula
Something like:
(1+UA1)×(1+UA2)×(1+ WP1×WS1×WR1×(adjustedTS1)+ ------------------ +WP16× WS16×
WR16×(adjustedTS16 ))
__________________________________________________________________
GL×ED×(1+WP1×WS1×WR1×(adjustedTS1)+ ---- +WP5×WS5×WR5×(adjustedTS5))
Variables in Formula
TS = trajectory score
Wp = weighting coefficient, prevalence
Ws = weighting coefficient, severity
Wr= weighting coefficient, relative impact
UA1= adjuster for biological quality of fat
UA2= adjustor for biological quality of protein
ED= energy density adjuster
GL= glycemic load adjuster
Adjusted= pertinent mathematical transformations
And in all its (gore or) glory: 20 pages of mind-numbing computer programming
23. Vrrrooommm-
Under the Hood:
undeniable (& distinctly advantageous) complexity
At the User Interface:
turnkey simplicity
24. A Sampling of Scores
Beef & Poultry
Turkey Breast (skinless) 48
Chicken Breast (boneless) 39
Seafood
Pork Tenderloin 35 Atlantic Salmon Fillet 87
Bottom Round Roast (Beef) 34 Atlantic Halibut Fillet 82
Flank Steak (Beef) 34 Catfish Fillet 82
Breast 31 Cod Fillet 82
Veal Chop 31 Tilapia Fillet 82
Veal Leg Cutlet 31 Oysters 81
Beef Tenderloin 30 Swordfish Steak 81
Chicken Drumstick 30 Prawns 75
Ground Sirloin (Beef 90/10) 30 Shrimp 75
Pork Chop (boneless center) 28 Clams 71
Chicken Wings 28 Monkfish Fillet 64
Ground Round (Beef 85/15) 28 Bay Scallops 51
Lamb Chops (loin) 28 Turbot Fillet 51
Leg of Lamb 28 Lobster 36
Ham (whole) 27
Ground Chuck (Beef 80/20) 26
Pork Ribs, Country Style 25
Beef Spareribs 24
Pork Baby Back Ribs 24
25. Canned Vegetables
Del Monte Fresh Cut French Style Green Beans No Salt 100
Del Monte Fresh Cut Whole Leaf Spinach 76
Del Monte Fresh Cut Sweet Corn Cream Style No Salt Added 67
Produce Del Monte Fresh Cut Whole Green Beans
Green Giant Extra Long Tender Green Asparagus Spears
59
56
Apricots 100 Green Giant Cut Green Beans 52
Asparagus 100 Del Monte Organic Whole Kernel Corn 50
Beans 100 Green Giant Sweet Peas 50% Less Sodium 48
Blueberries 100 Le Sueur Very Young Small Sweet Peas 43
Broccoli 100 Green Giant Super Sweet Yellow & White Whole Kernel Corn 42
Cabbage 100 Del Monte Organic Sweet Peas 39
Cauliflower 100 Veg-All Homestyle Large Cut Vegetables 35
Kiwi 100 Del Monte Fresh Cut Sweet Corn Cream Style 32
Lettuce 100 Green Giant Niblets Whole Sweet Corn 27
Mustard Greens 100 Progresso Artichoke Hearts 18
Okra 100 Aunt Nellie's Whole Ruby Red Pickled Beets 3
Orange 100
Spinach 100
Strawberries
Turnip
100
100
Frozen Vegetables
Carrots 99 Birds Eye Frozen Cauliflower Floret plastic bag 100
Grapefruit 99 Birds Eye Frozen Chopped Spinach box 100
Pineapple 99 Green Giant Frozen Broccoli Cuts steamable bag 100
Plums 99 Green Giant Frozen Cut Green Beans steamable bag 100
Mango 93 Birds Eye Frozen Peas polybag 96
Potatoes 93 La Choy Frozen Snow Pea Pods box 96
Red onions 93 Birds Eye Steamfresh Frozen Brussels Sprouts steamable bag 94
Tangerines 93 Birds Eye Frozen Cooked Winter Squash box 91
Bananas 91 Green Giant Frozen Mixed Vegetables steamable bag 87
Corn 91 Birds Eye Frozen Asparagus Stir Fry plastic bag 82
Grapes 91 Birds Eye Frozen Green Beans & Lightly Toasted Almonds box 68
Honeydew Melon 91 Green Giant Frozen Cauliflower & 3 Cheese Sauce plastic bag 42
Rhubarb 91 Green Giant Frozen Creamed Spinach in Low-Fat Sauce box 34
Iceberg Lettuce 82 Birds Eye Steamfresh Specially Seasoned Southwestern Corn 33
Bok Choy 81 Green Giant Frozen Sweet Baby Peas and Low-Fat Butter Sauce 30
Passion Fruit 78 Green Giant Frozen Honey Glazed Carrots box 26
Coconut 24 Green Giant Frozen Green Bean Casserole box 23
26. Cereal Salty Snacks
Hodgson Mill Unprocessed Wheat Bran 100 Garden of Eatin No Salt Blue Tortilla Chips 52
Post Shredded Wheat Original 91 Terra unsalted potato chips barbecue 41
Kashi 7 Whole Grain Puffs 91 Garden of Eatin Blue Tortilla Chips 40
Kellogg's All-Bran 76 Terra Gold Original Potato Chips 33
Kellogg's Special K Protein Plus 60 Snyder's Multigrain Pretzel Sticks Lightly Salted 31
Quaker Shredded Wheat 56 Guiltless Gourmet Chili Lime Tortilla Chips 30
General Mills Fiber One 52 Tostitos Light Restaurant Style 28
Kashi Golean High Protein & High Fiber 47 Utz Baked Potato Crisps Original 27
General Mills Cinnamon Toast Crunch 40 Good health peanut butter filled pretzels 26
Quaker Instant Oatmeal Original 39 Doritos Baked Nacho Cheese 25
General Mills Cheerios 34 Frito-Lay Sun Chips Harvest Cheddar 25
Post Shredded Wheat Frosted 31 Lay's Baked Potato Crisps 25
Kellogg's All-Bran 31 Baked Ruffles Cheddar & Sour Cream 24
Post HealthyClassics Grape-Nuts 30 Newman's Own Organic Pretzel Rounds Unsalted 24
Post Honey Bunches Of Oats with Almonds 29 Ruffles Thick Cut Original 24
Kashi 7 Whole Grain Flakes 29 Doritos Cool Ranch 23
General Mills Kix 29 Lay's Potato Chips Classic 23
General Mills Wheaties 28 Snyder's Pretzels Honey Wheat o 23
General Mills Whole Grain Total Raisin Bran 27 Sunshine cheez-it party mix 20
Post Healthy Classics Raisin Bran 26 Newman's Own Organic Pretzel Rounds Salted 19
Kellogg's Frosted Flakes 26 Fritos Corn Chips Original 16
Kellogg's Corn Flakes 25 Cheetos Puffs 14
Post Fruity Pebbles 24 Rold Gold Petzels Rods 14
Kellogg's Mueslix 24 Chex Mix Traditional 13
General Mills Corn Chex 24 Doritos Nacho Cheese 10
Cream Of Wheat Instant Hot Cereal 24 Rold Gold Pretzel Sticks Fat Free 10
Quaker Natural Granola Oats, Honey & Raisins 23 Pringles Reduced Fat Original 9
Kellogg's Rice Krispies 23 Ruffles Cheddar & Sour Cream 9
General Mills Basic 4 23 Cheetos Crunchy 5
General Mills Lucky Charms 23 Utz Potato Chips Barbecue 4
Kellogg's Corn Pops 20 Combos Pretzel Cheddar Cheese 3
Kellogg's Froot Loops 17 Bugles Original Corn Snack 2
Kashi Strawberry Fields 11 Glutino Pretzel Twists Gluten Free 1
Cap'n Crunch 10
Quaker Instant Grits Butter Flavor 6
27. NuVal con tempo
>45,000 foods scored and audited
in 600 supermarkets in 21 states; rolling out to hundreds more this year
Recently adopted by Kroger, largest independent grocer in U.S.
Searchable on-line database in May, 2010
28.
29. NuVal is going to school…
Independence School District, MO
New Haven, CT
Palm Beach County, FL
30. …But has already been tested:
proof in the pudding
(and everywhere else)
31. A quick DASH toward validation-
7 days of DASH study meal plan at 2300mg Na level
Composite recipe scoring technique
Mean ONQI score: 46* (95% CI: 40 to 53)
NHANES 2003-2006 cohort (n = 15,900)
Composite recipe scoring technique
Mean ONQI score: 26.5* (95% CI: 26.4 to 26.6)
Correlation with quartiles of HEI-2005: R = 0.52; p<0.0001
*p<0.01
Katz DL, Njike VY, Rhee LQ, Reingold A, Ayoob KT. Performance characteristics of NuVal and the Overall
Nutritional Quality Index (ONQI). Am J Clin Nutr. 2010 Feb 24. [Epub ahead of print]
32. Do nutrition rating systems promote a healthy diet?
An evaluation of the Overall Nutritional Quality Index (ONQI) and risk of chronic disease
Laura Sampson1, Stephanie E. Chiuve1,3 and Walter C. Willett1,2,4
Departments of Nutrition1 and Epidemiology2, Harvard School of Public Health; Division of Preventive Medicine3 and Channing Laboratory4, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA
BACKGROUND RESULTS SUMMARY
Nutrient profiling is a system of ranking or classifying foods based on nutrient Food Category* FFQ Foods (number) The mean (SD) of the ONQI score was 23.0 (7.3) in the
composition. These profiles can be used to communicate the nutritional men and 24.3 (6.9) in the women
quality of a food product to consumers. Vegetable 22, no added salt Women: 20,005 chronic disease events (4,433 CVD,
Nearly Pure Vegetable 1, added salt 11,249 cancer, 5,265 diabetes and 2,994 deaths)
Symbols aim to rank foods on the basis of health effects, however they have
not been evaluated with respect to chronic disease risk. Milk & Nearly Pure Dairy 4, no added salt or hydrogenated oil (H) Men: 13,532 chronic disease events (4,195 CVD, 4,939
Nearly Milk 4, added salt, no H cancer, 2,407 diabetes and 1,928 deaths)
OBJECTIVE
Cooking Oil 2 excluding trans oils ONQI scores were inversely associated with risk of total
To develop the Overall Nutritional Quality Index (ONQI) score for two large chronic disease and mortality among men and women
Grains 6 including 5 cereals
ongoing prospective cohorts, the Nurses Healthy Study’s (NHS) and Health (Table 1, Figure 2)
Professional Follow Up Study’s (HPFS) 1986 food frequency questionnaires Pure Meats 12
The ONQI score was most strongly associated with lower
(FFQ) and test the ability of ONQI to predict major chronic disease risk. Nearly Pure Meats 2, added salt risk of CVD and diabetes among women and men (Figure
Cold Beverages 3, sugar substituted 2)
NuVal™ SCORING SYSTEM Fruits 9 men, 11 women LIMITATIONS
Figure1. The components of the Overall Nutritional Quality Index *Remaining ONQI categories are not applicable
ONQI algorithm and NuVal system designed to measure
nutritional quality at the food level, and not for an overall
Numerator Denominator NuVal™ Score diet evaluation
Folate, Potassium, Saturated Fat
Figure 2. Multivariate- adjusted relative risk of disease comparing the highest to
FFQ is not brand specific and does not distinguish food
Fiber, Calcium,
lowest quintile of the Overall Nutritional Quality Index
Zinc, Magnesium, ● Trans Fat 1.2 WOMEN * p<0.05 comparing quintile 5 to quintile 1
preparation (ie canned, frozen, fresh)
Analysis based on single measure of diet at baseline
Sodium
●
Omega-3 Fat, MEN 1.02 1.04 These limitations lead to non-differential misclassification
Flavonoids, Iron, 1
Sugar
0.91* 0.89* of the ONQI score and bias the results towards the null
Carotenoids 0.88*
Relative risk of disease
0.85*
0.80* 0.79*
VitaminsA/C/D/E/
Cholesterol 0.8
STRENGTHS
B6/B12
The NuVal™ Nutritional Scoring System, based on the Overall Nutritional 0.6
Quality Index (ONQI) algorithm is found in 6 supermarket chains, and over
Use of an aggregate total chronic disease outcome, which
is a valuable measure to evaluate the healthfulness of
550 stores, in the US currently
0.4 nutrient profiling systems
ONQI algorithm includes >30 nutrients and food properties
ONQI algorithm is a single summative score that balances
The algorithm also incorporates measures of energy density and 0.2 complex trade-offs between the beneficial and detrimental
macronutrient quality and coefficients are weighted based on strength of nutrients within a food
association disease risk
0 ONQI algorithm is applied to all foods, which allows for
METHODS comparison within and across food groups
CVD Diabetes Cancer Total
Mortality CONCLUSIONS
Study populations: 62,287 women from the NHS and 42,559 men from
HPFS, free of disease at baseline in 1986, were followed for 20 years
Diets comprised of foods with higher average ONQI
Outcome Measurement: Total major chronic disease: initial occurrence of scores, which incorporates over 30 nutrients, food
CVD, diabetes or cancer or non-trauma-related death from 1986 to 2006 Risk factors associated with ONQI score
properties and magnitude of association with disease, is
ONQI score assessment: Dietary data collected through food frequency associated with lower risk of total chronic disease and
questionnaires at baseline (1986) , categorized according to 24 different food Direct association with: Inverse association with:
total mortality
categories. 100 point scale was applied, multiplied by frequency of - Exercise - BMI
Future research on nutrient profiles should use similar
consumption, summed for all foods and then weighted by total servings. - Alcohol intake - Smoking techniques to validate the healthfulness of scoring
Statistical Analysis - Hypertension - Regular aspirin use schemes against health outcomes
Multivariate Cox proportional hazard models - Hypercholesterolemia Any scoring scheme regulated or adopted by the FDA for
Acknowledgements standardized front-of-package labeling on supermarket
This study was supported by research grants HL34594, HL60712, CA87969, and CA58895 from the NIH - Menopausal hormone use
shelves should be based upon the best available scientific
CONTACT: schiuve@hsph.harvard.edu
evidence and predict risk of chronic disease
33. Eating to live…
RR of all-cause mortality, top vs. bottom quintile of
NuVal scores
NHS: RR = 0.88; p<0.001 (n ~ = 70,000)
HPFS: RR = 0.87; p = 0.001 (n ~ = 40,000)
Chiuve S, Willett WC et al. Harvard School of Public Health
Experimental Biology 2010
34. Money where mouths are? It’s a
SNAP
Directly link measure of nutritional quality to purchasing power of
food stamps
In any given food category (e.g., bread), use NuVal scores to stratify
into quartiles
For foods purchased in bottom quartile of overall nutritional quality,
$1 of vouchers would be worth $1
$1.25 in next quartile
$1.50 in next quartile
$2 in top quartile
Concept applicable to any assistance program or to public at
large via public/private partnership involving retailers and
loyalty card programs
35. Thank you!
David L. Katz, MD, MPH, FACPM, FACP
Director, Yale Prevention Research Center
President, Turn the Tide Foundation, Inc.
130 Division St.
Derby, CT 06418
(203) 732-1265
David.katz@yale.edu
www.davidkatzmd.com