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The NEEDNT Foods List: Non-Essential Energy Dense Nutritionally Deficient Foods. Jane Elmslie, Ria Schroder Doug Sellman, Franc e s Carter . What is the NEEDNT Foods List?. A list of 50 non-essential, energy dense, nutritionally deficient foods Key money makers for the food industry

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the neednt foods list non essential energy dense nutritionally deficient foods

The NEEDNT Foods List: Non-Essential Energy Dense Nutritionally Deficient Foods

Jane Elmslie, Ria Schroder Doug Sellman, Frances Carter

what is the neednt foods list
What is the NEEDNT Foods List?
  • A list of 50 non-essential, energy dense, nutritionally deficient foods
  • Key money makers for the food industry
  • Foods high in fats and added sugars, which together with salt, are the food components most commonly associated with food addiction
why was it developed
Why was it developed?
  • Need identified from :
    • Clinician and consumer focus groups
    • WW vs OA study
    • Desire to test abstinence/moderation paradigm without compromising nutritional health
    • Lack of movement on traffic light labelling
clinician and consumer perspectives of obesity
Clinician and Consumer Perspectives of Obesity
  • Lifestyle change crucial
  • Confusing/misinformation unhelpful
  • Treatment must address the emotional component of overeating
  • Addictive component should be acknowledged. A role for abstinence?
weight watchers vs overeaters anonymous methodology
Weight Watchers vs Overeaters Anonymous Methodology
  • 27 obese participants
  • Attended 6 WW meetings and 6 OA meetings
  • Randomized order
  • Asked what they thought of them?
  • Asked what they thought about the concept of “problem food”?
weight watchers vs overeaters anonymous n 27
Weight Watchers vs Overeaters Anonymous (n=27)
  • Majority not satisfied with either
  • WW – “too structured”, “too complex”, “become obsessed by counting points”, “not sustainable”, “too commercial – too much hard sell of products”
  • OA – “I’m not as bad as them”, “not comfortable with the Higher Power”, “not practical enough” “too touchy feely” suggesting that differences between OA & WW go beyond abstinence vs moderation
  • All able to identify 3-4 problem foods
  • Problem foods only part of the problem
what to do now
What to do now?
  • Simplify
  • Clarify which foods contain empty calories
  • Encourage healthy eating
medscape news july 19 th 2011
Medscape News July 19th 2011
  • “Each day, the average American adult consumes roughly 22 teaspoons, 90 g, or 355 calories, of added sugars, well above health guidelines. Caloric sweeteners in beverages are a key source of excess calories.”
  • “New U.S. dietary guidelines recommend drinking water instead sugary drinks. Food and beverage companies say they are being unfairly singled out.”
  • “At various times, states and localities have considered taxing sugary beverages to cover obesity-related health costs.”
  • In 2009 and 2010, as such proposals became more frequent, the ABA, Coke and Pepsi collectively spent $60 million on lobbying, up from $8 million in 2007 and 2008, according to data collected by the Center for Responsive Politics' OpenSecrets.org.”
barriers to change in clinical practice
Barriers to change in clinical practice
  • “But aren’t sugar and fat the same thing?”
  • “The citrus slice saga”
  • “I’m having muesli bars now”
developing the list
Developing the list
  • Compiled using:
    • National Heart Foundation and Diabetes New Zealand “Foods to Avoid”, “Stop Eating” and “Optional Foods” lists
    • CDHB “Supermarket Shopping Guide”
    • USDA population guidance on discretionary calories.
  • Foods and beverages were included if they:
    • contained alcohol,
    • saturated fat,
    • added sugar,
    • were prepared using a high fat cooking method
    • contained a large amount of energy relative to their essential nutrient value.
feedback to date
Feedback to Date
  • Current research participants
    • Appreciate the clarity
    • Have been surprised at some inclusions
    • Useful as an individual guide to work out own most problematic areas
    • Useful to choose 5-10 most problematic NEEDNT foods to stop eating completely or focus on reducing significantly
    • Gives additional focus beyond portion size
  • Current patients
    • Appreciate the clarity
    • Have expressed the view that they are “addicted” to some foods on the list
    • Have used the list to prioritise non essential energy dense food consumption.
    • Have achieved their weight loss goals
feedback to date1
Feedback to Date
  • Colleagues working in obesity treatment
    • Think the list is a valuable tool
    • Would like to use it with their clients
    • Agree with the items included on the list
  • Medical Students
    • Helps reduce confusion
    • Makes sense
    • Easy to use and talk about
  • Members of Overeaters Anonymous
    • What they would refer to as ‘top shelf’ food
    • OA members in recovery would never eat any of these foods
where to from here
Where to from here

Obesity Treatment

  • Simple tool to help health professionals initiate conversations about food consumption patterns which may promote and maintain obesity

Research

  • Abstinence vs. Moderation – appropriate list of foods to test this paradigm
  • Kia Akina – a new concept for participants to contemplate/try in their weight loss journey
  • NEEDNT Food List Moderation Guidelines
  • NEEDNT Food List FFQ
acknowledgements
Acknowledgements
  • Ria Schroder
  • Doug Sellman
  • Frances Carter
  • Jim Mann
ad