NuVal : Shopping by Numbers Nutrition Made Easy

1. NuVal: Shopping by Numbers Nutrition Made Easy Tyra M. Carter, PhD, RD, LD Corporate Dietitian United Supermarkets, LLC August 2010

2. Quiz – Peanut Butter Nutrition Q. Which one of these products is the more nutritious choice?

3. Quiz – Peanut Butter Nutrition A. Regular Jif Creamy

4. Introducing NuVal • The NuVal System is a food scoring system that will help you see at a glance the nutritional value of the food you buy. • The system scores food on a scale of 1 to 100. • The higher the score, the more nutritious the product. • The scores are displayed directly on shelf price tags and other in-store signage. Should you buy wheat or oatmeal bread? Are pretzels more nutritious than tortilla chips? These are the decisions that NuVal Scores can help you make – in seconds – as you’re walking down the supermarket aisle.

5. 20 7 Remember the Peanut Butter Example? Let’s take a closer look . . .

6. 7 20 A Closer Look NuVal Score

7. The Health of America

8. Sounding the Alarm Frightening rise in obesity holds deadly implications for health. OBESITY TRENDS AMONG U.S. ADULTS 1990-2008 1998 1990 2008 Obesity contributes to the risk of all major diseases. Jia H, Lubetkin EI "Trends in quality-adjusted life-years lost contributed by smoking and obesity" Am J Prev Med 2010; DOI: 10.1016/j.amepre.2009.09.043.

9. The Development The algorithm that powers the NuVal system was developed over two years by a scientific expert panel, chaired by Dr. David Katz, Director of the Yale Prevention Research Center. The Scientific Expert Panel included leading health and nutrition experts including Presidents of the American Diabetes Association, American Dietetic Association, and the American Cancer Society. Dr. David Katz, Yale University School of Medicine Developed independently from food manufacturers or retailers

10. How it Works

11. The ONQI Algorithm . Numerator ÷ Denominator = Score of 1 to 100 • Fiber • Folate • Vitamin A • Vitamin C • Vitamin D • Vitamin E • Vitamin B12 • Vitamin B6 • Potassium • Calcium • Zinc • Omega-3 fatty acids • Total bioflavonoids • Total carotenoids • Magnesium • Iron • Saturated fat • Trans fat • Sodium • Sugar • Cholesterol Generally Favorable Nutrients Generally Less Favorable Nutrients = NuVal Score Why these Nutrients? They have the biggest impact on your health and risk of certain diseases like cancer and heart disease.

12. The Strengths of NuVal Independence Developed with no commercial ties. Comprehensive Measure Considers more nutrients than any other system, as well as the relationship to health outcomes. Broadest Guidance Allows for scoring all products within and across categories Nutritional Dollar Value The proximity of the score to price allows consumers to see “nutrition for the dollar”

13. Where can you find NuVal in stores?

14. Categories and Ranges 4 91 Scores as of April 2010

15. How it’s Used

16. Good Value and Good Nutrition Can Go Hand in Hand The standardized scoring process acrosscategories allows you to have multiple choices in maximizing nutrition while managing costs.

17. Simple-to-use Scores Allows shoppers to compare products within a category.

18. Frozen Pizza 23 3 12 Lean Cuisine Deluxe Pizza Lean Cuisine Pepperoni Pizza Totinos Party Pizza Program that assign a graded rating symbol or score that allows relative comparison to other products. Water, Enriched Flour (Wheat Flour, Niacin, Reduced Iron, Thiamine Mononitrate, Riboflavin, Folic Acid), Reduced Fat Mozzarella Cheese (Cultured Milk And Non-Fat Milk, Modified Corn Starch*, Salt, Vitamin A Palmitate, Enzyme), Cooked Italian Sausage (Pork, Water, Spices, Salt, Sugar, Flavorings, Bha, Bht, Citric Acid), Tomato Paste, Pepperoni (Pork, Beef, Salt, Spices, Dextrose, Lactic Acid Starter Culture, Oleoresin Of Paprika, Flavorings, Sodium Ascorbate, Natural Smoke Flavor, Sodium Nitrite, Bha, Bht, Citric Acid), Mushrooms (Mushrooms, Water, Salt, Citric Acid, Ascorbic Acid), 2% Or Less Of Seasoning (Maltodextrin, Modified Food Starch, Sugar, Salt, Dextrose, Spices, Natural Flavors, Dehydrated Garlic, Citric Acid, Xanthan Gum), Yeast, Roasted Red Bell Pepper, Roasted Green Bell Pepper, Roasted Onion, Grated Parmesan, Romano Made From Cow's Milk, And Asiago Cheeses (Cultured Milk, Salt, Enzymes), Soybean Oil, Sugar, Soluble Corn Product, Dehydrated Garlic, Garlic Powder, Basil. ENRICHED FLOUR (WHEAT FLOUR, NIACIN, FERROUS SULFATE, THIAMIN MONONITRATE, RIBOFLAVIN, FOLIC ACID), WATER, CHEESE BLEND (M0ZZARELLA CHEESE SUBSTITUTE (WATER, PARTIALLY HYDR0GENATED SOYBEAN OIL, RENNET CASEIN, POTATO STARCH, VITAL WHEAT GLUTEN, SODIUM ALUMINUM PHOSPHATE, SALT, POTASSIUM CHLORIDE, CITRIC ACID, POTASSIUM SORBATE (PRESERVATIVE), SODIUM PHOSPHATE, SODIUM CITRATE, TITANIUM DIOXIDE (ARTIFICIAL COLOR), MALTODEXTRIN, MAGNESIUM OXIDE, ZINC OXIDE, VITAMIN A PALMITATE, RIBOFLAVIN, VITAMIN B12), LOW MOISTURE PART SKIM MOZZARELLA CHEESE (PART SKIM MILK, CHEESE CULTURES, SALT, ENZYMES), REHYDRATED PASTEURIZED PROCESS NONFAT MOZZARELLA CHEESE (WATER, NONFAT MILK, CHEESE CULTURES, SALT, ENZYMES, CITRIC ACID, VITAMIN A PALMITATE, VITAMIN B6, SODIUM ALUMINUM PHOSPHATE, SODIUM CITRATE, SODIUM PHOSPHATE), REHYDRATED ENZYME MODIFIED CHEESE (WATER, MILK, CHEESE CULTURES, SALT, ENZYMES)), TOMATO PUREE (WATER, TOMATO PASTE), PARTIALLY HYDROGENATED SOYBEAN OIL, SUGAR, MODIFIED CORN STARCH, SALT, DRY YEAST, DEFATTED SOY FLOUR, DEXTROSE, SPICE, MONOCALCIUM PHOSPHATE, SODIUM BICARBONATE, ARTIFICIAL COLOR, XANTHAN GUM, CITRIC ACID, MALIC ACID, RED PEPPER, NATURAL FLAVOR, SORBITAN MONOSTEARATE, ASCORBIC ACID, Crust (Enriched Flour [Wheat Flour, Niacin, Reduced Iron, Thiamin Mononitrate, Riboflavin, Folic Acid], Water, Sugar, Soybean Oil, Yeast, Natural Flavor), Water, Reduced Fat Mozzarella Cheese (Cultured Milk & Nonfat Milk, Modified Cornstarch*, Salt, Vitamin A Palmitate, Enzymes [*An Ingredient Not In Regular Mozzarella Cheese]), Pepperoni (Pork, Beef, Salt, Spices, Dextrose, Lactic Acid Starter Culture, Oleoresin Of Paprika, Flavors, Sodium Ascorbate, Natural Smoke Flavor, Sodium Nitrite, Bha, Bht, Citric Acid), Tomato Paste, Grated Parmesan, Romano Made From Cow's Milk Asiago Cheeses(Cultured Milk, Salt, Enzymes), Seasoning (Maltodextrin, Modified Food Starch, Sugar, Salt, Dextrose, Spices, Natural Flavors, Dried Garlic, Citric Acid, Xanthan Gum, Sodium Benzoate), Garlic Powder, Spices.

19. Apple Example 96 30 15 The score drops even more when all positive nutrients are take out and negative ingredients are added, such as sugar.

20. Nutrition Education:Grocery Shopping • Trade-Up for Higher Scoring Foods • Nutrition Quality and Cost Management

21. Nutrition guidance you can count on. www.unitedtexas.com

22. How does your Nutrition Know-How STACK UP?

23. High Mid Barilla Plus Pasta Multi Grain Spaghetti Creamette Wide Egg Noodles Barilla Pasta Rotini Low

24. High 91 Mid 61 Low 23

25. High Mid Wheat Thins Multi Grain Ritz Bits Peanut Butter Sandwich Crackers KeeblersWheatable Crackers Low

26. High 28 Mid 25 Low 5

27. High Mid Egg Beaters Egg Substitute Brown Eggs Egg Beaters 100% Liquid Egg Whites Low 27

28. High 58 Mid 33 Low 26 28

29. High Mid Birds Eye SteamfreshCauliflower with special seasoning Green Giant Simple Steam Frozen Broccoli and Carrots with Sauce Green Giant Frozen Cauliflower & Three Cheese Sauce Low

30. High 82 Mid 65 Low 42

31. High Mid Boneless chicken Breast Bottom Round Porterhouse Low 31

32. High 39 Mid 34 Low 27 32

33. High Mid Potato Barilla Orzo Green Giant Cut Green Beans Low 33

34. High 93 Mid 61 Low 52 34