You’re Drinking What? Beverages Our Clients Are BuyingByTracy BeckmannOSU Dietetic InternFebruary 2013

About TodayNew products are introduced

every daySome ‘old’ products are still

being push-marketedMany WIC clients purchase and

use themA good understanding of these

products allows us to better educate our clients

Will be discussing “new” or “very popular” beverages

OverviewBeverages on the marketMarketing claims and selling

pointsNutrition content – how healthy

are they?Possible alternativesTools WIC clients can use

Product #1: KickstartWhat: 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

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 vitaminsAvailable nationwide February

25, 2013

NutritionIn one 16 oz can:

◦80 calories◦0 fat◦19g sugar◦92 mg caffeine

In Comparison (per 16oz)

Mountain Dew:◦72mg caffeine (a little less than

Kickstart)◦0g fat◦62g sugars (about 3x more than

Kickstart)

In Comparison (per 16oz)Orange Juice:

◦220 calories (about 3x more than Kickstart!)

◦0g fat◦48g sugar (about 2.5x more then

Kickstart)

In Comparison (per 16oz)Coffee:

◦4 calories (MUCH less)◦about twice as much caffeine as

Kickstart

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 wellDoes this product help us do that?

Possible AlternativesWhole 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 morningsMore filling than soda, and better for you!

Product #2: Vitamin WaterWhat: 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

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 WaterSome confusion regarding its

“health” claims

NutritionPer 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

In Comparison, per 20ozCoca-Cola:

◦240 calories (2x as much as Vitaminwater)

◦65g sugar (2x as much as Vitaminwater)

In Comparison, per 20ozGatorade:

◦130 calories (same as Vitaminwater)◦34g sugar (same as Vitaminwater)

How Healthy Is It?Summary: Vitaminwater

◦Has vitamins◦May be tolerated by pregnant women with

nausea/vomiting/diarrheaBut…

◦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 wellDoes this product help us do that?

Possible AlternativesTap 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

Product #2: YanultWhat: 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

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!”

NutritionPer 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 casei Shirota

bacteria

In Comparison: YogurtGoGurt 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.

In Comparison: YogurtDan-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

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 wellDoes this product help us do that?

Possible AlternativesYakult 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)

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 ownHow can we help?Give them the tools they need!

Tools WIC Clients Can UseQ: 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

Possible Teaching ToolDoes this food or beverage come from one of the food

groups?

No

This food may be a

“sometimes” food.

Consider saving it for a special day.

Maybe

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.

Yes

This food is an

“everyday” food and the right serving

size should be eaten each

day.

SummaryToday 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

Final ThoughtsThank 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!

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 casei Shirota on respiratory symptoms and influenza vaccination immune response: a randomized, double-blind, placebo-controlled trial in healthy elderly nursing home residents. Am J Clin Nutr. 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