The Updated Nutrition Facts Label

The Updated Nutrition Facts Label:Information for Health EducatorsRobin McKinnon, PhD and Blakeley Fitzpatrick, MPH RDCenter for Food Safety and Applied NutritionFood and Drug AdministrationSeptember 24, 2019

Agenda FDA Food Responsibilities The Updated Nutrition Facts Label Materials and Resources Staying in touch with FDA

FDA Food Responsibilities 20 of every consumer dollar in theUnited States is spent on FDAregulated products FDA regulates safety & labeling of 75% of all food consumed in theUnited States– Ensures that consumers are providedwith accurate and useful information infood labeling– Encourages food product reformulationto create healthier products Close collaboration with CDC, NIH,USDA, and other federal partners 75%of food supplyregulated by FDA

Current Eating Patterns in the United StatesPercent of the U.S. Population Ages 1 Year and Older Who AreBelow,At, or Above Each Dietary Goal or LimitNote: The center (0) lineis the goal or limit. Formost, those representedby the orange sections ofthe bars, shifting towardthe center line will improvetheir eating pattern.Data Source: What WeEat in America, NHANES2007-2010 for averageintakes by age-sex group.Healthy U.S.-Style FoodPatterns, which varybased on age, sex, andactivity level, forrecommended intakesand limits.

Number of Deathsand Percentage ofDisability-AdjustedLife-Years Relatedto the 17 LeadingRisk Factors in theUnited States, 2016Source:The State of US Health,1990-2016 Burden ofDiseases, Injuries, andRisk Factors Among USStates JAMA. 2018;319(14):1444-1472.doi:10.1001/jama.2018.0158

Conceptual FrameworkFDA & Nutrition

FDA’s Nutrition Innovation StrategyGoal: Reduce the burden of chronic disease through improved nutrition Empower consumers with information Facilitate industry innovation toward healthier foods that consumersare seekingKey Elements Modernizing claims Modernizing Standards ofIdentityReducing sodiumImplementing Menu Labelingand the Nutrition Facts labelConsumer n/ucm602651.htm

The Nutrition Facts LabelKey Dates 1990: Nutrition Labeling and Education Act passed (PL 101535) 1993: Nutrition Facts label required on packaged foods 2006: Trans fats declaration required 2014: Proposed rule to update the Nutrition Facts label 2016: Final rule to update the Nutrition Facts labelCompliance Dates for the Updated Label: January 1, 2020 for manufacturers with 10 million or more inannual food sales. January 1, 2021 for manufacturers with less than 10 million inannual food sales.

Calories and Serving Sizes Updated to focus attention on informationthat is important for addressing currentpublic health problems like obesity Increased the type size of “Calories,”“servings per container,” and the “Servingsize” declaration Reversed the order of “Serving size” and“servings per container” Bold the “Calories” and the “Serving size”declaration

Dietary Fiber Definition for declared dietary fiberin the updated Nutrition Facts rule:– Fiber that is intact and intrinsic toplants is automatically included inour new fiber definition– Isolated or synthetic fiber must havea beneficial physiological effect tohuman health (e.g. improvedlaxation, lower cholesterol levels) The new definition of dietary fiberaligns with the 2005recommendations from theNational Academies of Science,Engineering, and Medicine(formerly known as the Institute ofMedicine)

Added Sugars Changed “Sugars” to “Total Sugars” Added “Includes” to help clarify that “addedsugars” is a subcomponent of “total sugars” Removed part of the hairline between “totalsugars” and “added sugars” Added sugars includes sugars that areeither added during processing of foods, orare packaged as such, and includes: syrupsbrown sugarhigh fructose corn syrupinvert sugarmaltosetrehalose honeymolassessucroselactosemaltose sugarconcentrated fruit juice**Sugars from concentrated fruit or vegetable juices in excess of what would beexpected from 100 percent fruit or vegetable juice. Excludes fruit or vegetablejuice concentrated from 100 percent fruit juice that is sold to consumers (e.g.,frozen concentrated orange juice).

Added Sugars Cont’dLabels on foods/beverages with Example Label on Food/Beveragewith Added Sugarsadded sugars will list: Number of grams of TotalSugarsNumber of grams of AddedSugarsPercent Daily Value for AddedSugarsException!Packages and containers ofsingle-ingredient sugars andsyrups will list: Number of grams of TotalSugarsPercent Daily Value for AddedSugarsMay include footnote withinformation on grams and %DVfor Added Sugars (EnforcementDiscretion Date: July 1, 2021)Example Single-Ingredient Sugaror Syrup

Updated Daily Values Using most recent science Changes in DVs may make the%Daily Value look different Continue to use the populationcoverage approach for Vitaminsand Minerals Total Fat: 6578 g Total Carbohydrate: 300 Dietary Fiber: 25 Sodium: 2,400 Potassium: 3,500 Calcium: 1,000 Vitamin D: 400 IUs (10 mcg)275 g28 g2,300 mg4,700 mg1,300 mg20 mcg

Updated Units of MeasureNutrientOriginal Daily Value /Unitsof MeasureUpdated Daily Value/Unitsof MeasureFolate400 mcg400 mcg DFENiacin*20 mg16 mg NEVitamin A5000 IU900 mcg RAEVitamin D*400 IU20 mcgVitamin E30 IU15 mg α-tocopherolUnits of Measure Keymg milligramsmcg microgramsmg NE milligrams of niacin equivalentsmcg DFE micrograms of dietary folate equivalentsmcg RAE micrograms of retinol activity equivalentsIU international unitsmg α-tocopherol milligrams of alpha-tocopherol*Daily Value also changed

5/20 % Daily Value GuidelineMore often choosefoods that are low(5%DV or less) inthese nutrientsMore often choosefoods that are high(20%DV or more)in these nutrients Saturated Fat Dietary Fiber Sodium Added Sugars Vitamin D Calcium Iron Potassium

Nutrients of Public Health Significance Original Label includes: Vitamin A, Vitamin C,Calcium and Iron New Label includes: Vitamin D, Calcium, Ironand Potassium Vitamins A and C are no longer mandatoryon the label, but can be declared voluntarily Vitamin D and Potassium are now mandatory onthe label Calcium and Iron remain on the label In addition to % Daily Value, the label nowincludes absolute amounts for nutrients ofpublic health significance

Additional Nutrient Change:Calories from Fat

Updated Footnote Updated footnote better explainsthe % Daily Value and helps putcalories in context of the dailydiet

Serving Sizes Per the Nutrition Labeling and Education Act, servingsizes are calculated based on the Reference AmountsCustomarily Consumed (RACCs) and are required onthe Nutrition Facts label Approximately 30 out of 158 RACCs changed, e.g. Carbonated beverages from 8 ounces to 12 ounces Yogurt from 8 ounces to 6 ounces

Serving Size Changes

Labeling Single-Serving PackagesFor single-serving packages, which typically provide less than 2servings per container, calories and other nutrients must be declaredfor the entire package rather than per serving because people typicallyconsume the package in one sitting.

Dual Column Labeling Required on packages that canbe consumed in one or multiplesittings Nutrition information presentedper serving and per package For packages that contain200% and up to and including300% of the RACC (ReferenceAmount CustomarilyConsumed) A 3 oz (90 g) bag of chips wouldbe labeled per serving [1oz (30 g)]and per package [90 g]

Examples of Label Formats

Consumer Education Campaign FDA is working on a consumer nutritioneducation campaign to raise awareness andunderstanding of Menu labeling and theupdated Nutrition Facts label. Priority educational topics include:––––CaloriesServing sizePercent Daily Value (%DV)Added Sugars, including in the context of the entirelabel (and the importance of reading the entire labelgenerally)

Nutrition Education Resourceswww.fda.gov/nutritioneducationIncluding: New Nutrition Facts label materials Read the Label – Resources for tweens,parents and health educators Science and Our Food Supply – Freecurricula for Middle and High SchoolTeachers Nutrition Facts Label Continuing MedicalEducation Program – Resources forhealthcare professionalsAnd more!For educational materials on the NutritionFacts label and other nutrition topics and tosubscribe to the CFSAN News for EducatorseNewsletter

Read the LabelResources for children, families, and community leadersUpdated with the NewNutrition Facts label: InfographicTips for KidsTips for ParentsFamily ActivityWord Search ActivityCommunity Educator’sOutreach Manual Leaders Guide Training Guide

Implementing Menu Labeling May 7, 2018: Menu labeling compliance date; FDA released finalguidance that provides flexibility on how covered establishments canprovide calorie information in ways that meet various business models.The new measures, for the first time, create a national and uniformstandard for the disclosure of calorie information on menus at chainrestaurants and other retail establishments

Menu Labeling –Additional Nutrition Information A statement is required on menus and menu boardsdeclaring “additional nutrition information available uponrequest." The following written nutrition information is required tobe available to consumers upon their request:Total caloriesTotal fatSaturated fatTrans fatCholesterolSodiumTotal carbohydratesFiberSugarsProtein The statement regarding the availability of the additionalwritten nutrition information must be posted prominentlyand in a clear and conspicuous manner.

New Resources: Menu LabelingUpdated Consumer Websitewww.fda.gov/caloriesonthemenu

Menu Labeling – Awarenesswww.fda.gov/caloriesonthemenu

Menu Labeling –Make the Best Choice for Youwww.fda.gov/caloriesonthemenu

Staying Connected with FDA Twitter @FDAFood @DrMayneFDAFood Pinterest USFDA Facebook @FDASubscribe to: FDA Consumer tes FDA Constituent cfsan-constituent-updates

Contact CFSAN:1-888-SAFEFOOD (1-888-723-3366) orcfsan.force.com/InquirypageVisit our Website:www.fda.gov/nutritioneducation

The Nutrition Facts Label. Key Dates 1990: Nutrition Labeling and Education Act passed (PL 101-535) 1993: Nutrition Facts label required on packaged foods 2006: rans. T. fats declaration required 2014: Proposed rule to update the Nutrition Facts label 2016: Final rule to update the Nutrition Facts label