You’re Drinking What? Beverages Our Clients Are Buying

1. You’re Drinking What? Beverages Our Clients Are Buying By Tracy Beckmann OSU Dietetic Intern February 2013

2. About Today • New products are introduced every day • Some ‘old’ products are still being push-marketed • Many WIC clients purchase and use them • A good understanding of these products allows us to better educate our clients • Will be discussing “new” or “very popular” beverages

3. Overview • Beverages on the market • Marketing claims and selling points • Nutrition content – how healthy are they? • Possible alternatives • Tools WIC clients can use

4. Product #1: Kickstart • What: Sparkling juice beverage by Mountain Dew (Pepsi) • Why: Consumer demand for alternatives to traditional morning beverages • Who: Consumers of energy drinks AND consumers of morning beverages

5. Marketing Claims • “Refreshing” • An alternative to juice or coffee that combines the best of both! • “Combines the great taste of Mountain Dew with 5% real fruit juice and just the right amount of caffeine” • Also contains B and C vitamins • Available nationwide February 25, 2013

6. Nutrition • In one 16 oz can: • 80 calories • 0 fat • 19g sugar • 92 mg caffeine

7. In Comparison (per 16oz) • Mountain Dew: • 72mg caffeine (a little less than Kickstart) • 0g fat • 62g sugars (about 3x more than Kickstart)

8. In Comparison (per 16oz) • Orange Juice: • 220 calories (about 3x more than Kickstart!) • 0g fat • 48g sugar (about 2.5x more then Kickstart)

9. In Comparison (per 16oz) • Coffee: • 4 calories (MUCH less) • about twice as much caffeine as Kickstart

10. How Healthy Is It? • Summary: Kickstart has • Less sugar than soda and OJ per 16oz • Less caffeine than coffee per 16oz • Added vitamins • But… • Offers no other nutrition • Not a real food • Will it be eaten with breakfast or by itself? • Our goal: to help WIC clients eat well • Does this product help us do that?

11. Possible Alternatives • Whole Orange • Fewer calories, less sugar, FIBER! • (watered-down orange juice also works, but varying amounts of fiber – only if there’s pulp) + • 12-24 almonds • Protein and healthy fats • Fast, good for on-the-go mornings • More filling than soda, and better for you!

12. Product #2: Vitamin Water • What: beverage that combines vitamin C and several B vitamins with water • Why: easy to ingest, tastes better than water • Who: anyone interested in getting more vitamins • Pregnant women with severe nausea & vomiting may be drinking it

13. Marketing Claims • “Nutrient Enhanced Water Beverage” • Supports people in their “healthy, active, on-the-go lifestyle” • “Great tasting choice for hydration” • Also known as Energy Water • Some confusion regarding its “health” claims

14. Nutrition • Per 20oz bottle: • 125 calories • 33g sugar • Some bottles may have added caffeine or herbs, depending on flavor • Lower-calorie versions are available • Vitaminwater Zero has no calories, <1g sugar

15. In Comparison, per 20oz • Coca-Cola: • 240 calories (2x as much as Vitaminwater) • 65g sugar (2x as much as Vitaminwater)

16. In Comparison, per 20oz • Gatorade: • 130 calories (same as Vitaminwater) • 34g sugar (same as Vitaminwater)

17. How Healthy Is It? • Summary: Vitaminwater • Has vitamins • May be tolerated by pregnant women with nausea/vomiting/diarrhea • But… • May be ‘hidden’ source of sugar • Offers no other real nutrition • Good to ask why client is drinking it – purpose? • OK for children? • Our goal: to help WIC clients eat well • Does this product help us do that?

18. Possible Alternatives • Tap Water • Zero calories • Good hydration • Most pregnant women also take prenatal vitamins • Can add lemon, mint, splash of juice for flavor • Fruits and vegetables • Contain water • Contain vitamins and other nutrients such as FIBER – also good for pregnant women

19. Product #2: Yanult • What: a probiotic drink • Probiotics are “microorganisms normally found in the body…when delivered in adequate amounts…provide a health benefit” • Why: Much research has been done on these “healthy bacteria” and have shown many health benefits • Reduced instances of colds, allergies and diarrhea • Who: everyone – adults and children

20. Marketing Claims • “Drinking Yakult daily may help balance your digestive system” • Contains billions of live and active “good bacteria” • “Make your body happy – drink Yakult everyday!”

21. Nutrition • Per 2.7oz bottle • 50 calories • <1g protein • 11g sugars • Also available in a “light” version sweetened with Stevia that has 4g sugars • 4% Calcium • 8 billion Lactobacillus caseiShirota bacteria

22. In Comparison: Yogurt • GoGurt 2.25oz packages • 70 calories (40% more than Yakult) • 2g protein (twice as much) • 10g sugars (about the same) • 10% calcium (2.5 times as much) • Unknown amount of Lactobacillus sp.

23. In Comparison: Yogurt • Dan-o-nino 1.76oz containers • 60 calories (15% more than Yakult) • 3g protein (3 times as much) • 7g sugars (40% less) • 20% calcium (5 times as much) • No probiotic cultures added

24. How Healthy Is It? • Summary: Yakult has • Reasonable number of calories • Probiotic cultures • Comparable amount of sugar to other probiotic products • But… • Number of “healthy bacteria” may not be enough to offer protective benefits • Less protein and calcium than yogurt comparisons • Our goal: to help WIC clients eat well • Does this product help us do that?

25. Possible Alternatives • Yakult may be a fine beverage to consume, but keep in mind • Beverages may fill up little tummies when they should be eating food • Alternatively, beverages (drinkable calories) may not be very filling and end up being unnecessary calories in diet • Doesn’t offer other nutrients that yogurts do (protein, extra calcium)

26. How Can WIC Clients Decide? • We can help advise clients on beverages when we know the facts and can help educate them • BUT… • Clients need skills so they can do this on their own • How can we help? • Give them the tools they need!

27. Tools WIC Clients Can Use • Q: So, how can we encourage healthy choices for our clients? • A: Explaining what foods and beverages make up good eating habits, or fact-based nutrition education • Q: How can we best help our clients? • A: By teaching them skills they can use on their own • Q: How can we help clients develop these skills? • A: Keep it simple! Show them it all comes down to the food groups

28. Possible Teaching Tool Does this food or beverage come from one of the food groups? No Maybe Yes This food may have come from a food group, but has lots of sugar, salt or oil added. It may be a “sometimes” food. Consider saving it for a special day. This food may be a “sometimes” food. Consider saving it for a special day. This food is an “everyday” food and the right serving size should be eaten each day.

29. Summary • Today we reviewed some new and/or popular beverage products • We discussed why they seem healthy and if we think they really are healthy • Came up with possible alternatives • Considered tools we can give our clients so they can help themselves

30. Final Thoughts • Thank you for your participation today! • You care a great deal for your clients and want them to take good care of themselves and their family • Keeping informed about new items helps you do this • If you have any nutrition questions or see the need for nutrition education training, ask a dietitian!

31. References • Choi C. Mountain Dew Kickstart: Soda Giant Unveils New Breakfast Drink. Huffington Post online. February 11, 2013. Accessed at http://www.huffingtonpost.com/2013/02/11/mountain-dew-kickstart-breakfast-drink_n_2661188.html • PepsiCo Website. Discover An Entirely New Way To Do Mornings With Kickstart, An Entirely New Beverage From Mountain Dew®. February 11, 2013. Accessed at http://www.pepsico.com/PressRelease/Discover-An-Entirely-New-Way-To-Do-Mornings-With-Kickstart-An-Entirely-New-Bever02112013.html • Center for Science in the Public Interest. Coke Sued for Fraudulent Claims on Obesity-Promoting “VitaminWater.”Jan. 15, 2009. Accessed on February 18, 2013 http://www.cspinet.org/new/200901151.html • PepsiCo Website. Nutrition Information for Gatorade. Accessed on February 18, 2013 at http://www.pepsicobeveragefacts.com/infobyproduct.php?prod_type=1026&prod_size=20&brand_fam_id=1043&brand_id=1002&product=Gatorade+Orange • Van Puyenbroeck K et al. Efficacy of daily intake of Lactobacillus caseiShirota on respiratory symptoms and influenza vaccination immune response: a randomized, double-blind, placebo-controlled trial in healthy elderly nursing home residents. Am J ClinNutr. 2012 May;95(5):1165-71. doi: 10.3945/ajcn.111.026831. • Kazuyoshi T & Okumura K. Effects of a Fermented Milk Drink Containing Lactobacillus casei Strain Shirota on the Human NK-Cell Activity J. Nutr. March 2007 vol. 137 no. 3 791S-793S • Coca-Cola Website. Vitaminwater nutrition information. Accessed on February 18, 2013 at http://productnutrition.thecoca-colacompany.com/products/glaceau-vitaminwater-focus • Yakult Probiotic Drink Nutritional Information. Accessed February 25, 2013 at www.yakultusa.com/yakult-nutrition-information.php • Dan-o-nino Yogurt Nutritional Information. Accessed February 25, 2013 www.dannon.com/pages/rt_ourproducts_danonino_cups.htm • Go-Gurt Yogurt Nutritional Information. Accessed February 25, 2013 at www.yoplait.com/products