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    ENVIRONMENTALWORKINGGROUP

    SUGAR IN CHILDRENS CEREALS:POPULAR BRANDS PACK MORE SUGAR THANSNACK CAKES AND COOKIES

    by Paul Pestano, M.S., Research Analyst, Etan Yeshua, J.D.,

    Stabile Law Fellow, and Jane Houlihan, M.S.C.E., Senior Vice

    President for Research

    Most parents say no to dessert for

    breakfast, but many childrens cereals havjust as much sugar as a dessert!!"!or more

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    Acknowledgements

    For reviewing the ndings of this study, we thank Andrew Weil, MD, founder and director of the

    integrative medicine program at the University of Arizona College of Medicine and Professor of Medicine anPublic Health; and Center for Science in the Public Interests Margo Wootan, D.Sc., Director, Nutrition Policy,and Bethany Pokress, M.S., Nutrition Policy Associate. Contributors to the study included EWGs Sonya LundM.P.H, Senior Scientist; Dawn Undurraga, R.D., Nutritionist; and David Andrews, Ph.D., Senior Scientist. Thereport was designed by Aman Anderson, and the accompanying website was designed by Tylan Yalniz, EWGWeb Designers. Special thanks to EWGs Elaine Shannon, Editor-in-Chief and Publisher, and Nils Bruzelius,Executive Editor and Vice President of Publications.

    EWGs Sugar in Childrens Cereal report was made possible through the generosity of many privatecharitable foundations and EWGs community of online supporters and individual donors (http://www.ewg.orabout/funding).

    The opinions expressed in this report are those of EWG and do not necessarily reect the views ofreviewers and supporters listed above. EWG is responsible for any errors of fact or interpretation contained ithis report.

    Copyright December 2011 by Environmental Working Group. All rights reserved.

    EWG is a nonprot research and advocacy organization with ofces in Washington DC, Oakland Calif.and Ames Iowa. EWG uses the power of information to educate the public and decision-makers about a widrange of environmental issues, especially those affecting public health.

    www.ewg.org

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    Table of ContentsExecutive Summary Sugar in childrens cereals .........................................................................................4

    EWG Healthy Breakfast Tips ..........................................................................................................................5

    Section 1 Study ndings .............................................................................................................................9

    Section 2 The politics of nutrition and childrens food ...........................................................................13

    Section 3 The science of sugary breakfasts .............................................................................................15

    Section 4 Study methodology ..................................................................................................................16

    Table 84 childrens cereals assessed by EWG .........................................................................................19

    References .....................................................................................................................................................22

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    Parents have good reason to worry aboutthe sugar content of childrens breakfast cereals,according to an Environmental Working Groupreview of 84 popular brands.

    Kelloggs Honey Smacks, at nearly 56 percentsugar by weight, leads the list of high-sugar cereals,

    according to EWGs analysis.A one-cup serving of Honey Smacks packs

    more sugar than a Hostess Twinkie, and one cup ofany of 44 other childrens cereals has

    more sugar than threeChips Ahoy! cookies.

    Most childrens

    cereals fail to meet the federal governmentsproposed voluntary guidelines for foods nutritiousenough to be marketed to children. Sugar is thetop problem, but many also contain too muchsodium or fat or not enough whole grain.

    The bottom line: Most parents say no to

    dessert for breakfast, but many childrens cerealshave just as much sugar as a dessert or more. Thebest simple-to-prepare breakfasts for children arefresh fruit and high-ber, lower-sugar cereals. Betteryet, pair that fruit with homemade oatmeal.

    Summary Sugar in Childrens Cereals

    More sugar than a TwinkieOne cup of any of three popular childrens cereals contains more sugar than a Twinkie: Kelloggs Honey SmacPost Golden Crisp, and General Mills Wheaties Fuel.

    More sugar than Chips Ahoy!One cup of any of 44 childrens cereals including Honey Nut Cheerios, Apple Jacks, and Capn Crunch contains more sugar than 3 Chips Ahoy! cookies,.

    Source: EWG analysis of product nutrition labels.

    18 grams of sugar

    More sugar than Chips Ahoy!

    12 grams of sugar

    11 grams of sugar

    A one-cup serving of Honey Smacks packsmore sugar than a Hostess Twinkie, and one cup ofany of 44 other childrens cereals hasmore sugar than threeChips Ahoy! cookies.Most childrens

    More sugar than a Twinkie

    20 grams of sugar

    fresh fruit and high-ber, lower-sugar cereals. Betteryet, pair that fruit with homemade oatmeal.

    grams of sugar

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    10 Worst Childrens Cereals

    Kelloggs Honey Smacks 55.6%

    Post Golden Crisp 51.9%

    Kelloggs Froot Loops Marshmallow 48.3%

    Quaker Oats Capn Crunchs OOPS! All Berries 46.9%

    Quaker Oats Capn Crunch Original 44.4%

    Quaker Oats Oh!s 44.4%

    Kelloggs Smorz 43.3%

    Kelloggs Apple Jacks 42.9%

    Quaker Oats Capn Crunchs Crunch Berries 42.3%

    Kelloggs Froot Loops Original 41.4%

    Source: EWG analysis of nutrition labels for 84 childrens cereals.

    EWGs Healthy Breakfast Tips1

    2

    Avoid cereals that dont meet nutrition guidelines

    Percent sugarby weightBased on percent sugar by weight

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    Best and Good CerealsAll cereals on this list pass proposed federal guidelines* on sugar, sodium, fat and whole-grain content. They

    are free of articial avors, colors and articial sweeteners such as aspartame and sucralose.

    Choose healthy cereals

    Best CerealsThese cereals are also free of pesticides and genetically modied ingredients:

    Ambrosial Granola: Athenian Harvest Muesli

    Go Raw: Live Granola, Live Chocolate Gra-nola, and Simple Granola

    Grandy Oats: Mainely Maple Granola, Ca-shew Raisin Granola, and Swiss Style Muesli

    Kaia Foods: Buckwheat Granola Dates &Spices and Buckwheat Granola Raisin Cin-namon

    Laughing Giraffe: Cranberry Orange Granola

    Lydias Organics: Apricot Sun, Berry Good,Grainless Apple, Sprouted Cinnamon, and

    Vanilla Crunch.

    Natures Path Organic: Optimum Banana

    Almond, Optimum Cranberry Ginger, CornPuffs, Kamut Puffs, Millet Puffs, and RicePuffs.

    10 Worst Childrens Cereals

    Source: EWG analysis of nutrition labels for 84 childrens cereals.

    1 Avoid cereals that dont meet nutrition guidelines

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    6 Good Big-Brand Childrens CerealsThese meet nutrition guidelines* and are easy tond but may include ingredients that are geneti-cally modied or grown with pesticides:

    Kelloggs Mini-Wheats: Unfrosted Bite-Size, Frosted Big Bite, Frosted Bite-Size,Frosted Little Bite

    General Mills Cheerios Original**

    General Mills Kix Original**

    Other AlternativesWhile not considered childrens cereals, thesecereals meet the federal governments nutri-tion guidelines* and are good options for the

    breakfast table. They may contain geneticallymodied grains and ingredients grown withpesticides.

    Post Shredded Wheat (all varieties)

    Post Grape-Nuts Flakes**

    Quaker Oats Oatmeal Squares Cinna-mon**

    Post Bran Flakes**

    Post Honey Bunches of Oats with VanillaBunches**

    Source: EWG analysis of nutrition labels for 84 childrens cereals.* The federal Interagency Working Group proposed voluntary guidelines for sugar, sodium, saturated fat and whole grain content (IWG 2011).** These meet the Interagency Working Groups interim 2016 sodium guideline but not the nal guideline scheduled to take effect in 2021 (IWG 2011).

    Look for three things on cereal labels3

    EWGs Healthy Breakfast Tips continued

    Some cereals are better than others. When selecting cereals, nutrition expert Marion Nestle recommendsparents look for:

    Cereals with a short ingredient list (added vitamins and minerals are okay).

    Cereals high in ber.

    Cereals with few or no added sugars, including honey, molasses, fruit juiceconcentrate, brown sugar, corn sweetener, sucrose, lactose, glucose, high-fructose corn syrup and malt syrup (USDA 2006a).

    Cereals that meet these criteria can usually be found on the top shelves ofthe cereal aisle. They are harder to reach and not at eye level but often lessexpensive (Nestle 2006).

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    4

    Recipe 1Hot oatmeal (not instant, cooked without salt)

    Calories: 376 (24 percent of daily requirement), Protein: 17 g (grams)

    Saturated Fat: 2.8 g, Fiber: 6 g, Sugar:0 g of added sugar; 22 g of total sugar (fruit and

    milk), Total sugar content will vary depending on the type of milk used (unsweetened

    soy milk = 1 g, 1 percent low fat milk = 12 g)., Calcium: 332 mg (26 percent of daily

    requirement), Sodium: 386 mg

    Time-saving tips: Make oatmeal in advance, refrigerateand heat it up in the morning. Or prepare oatmeal in themicrowave -- mix cup old-fashioned oats, cup milk

    cup water; microwave for 2-3 minutes on high; let cool; addfresh chopped fruit and nuts.

    1 cup regular oatmeal

    Chopped walnuts (about 7)

    Fresh chopped fruit

    (organic berries or half an apple, depending on the season, are perfect)

    1 cup of low- or non-fat milk or dairy-free calcium-fortied milk

    Make a good breakfast at home*

    EWG recommends other quick, delicious and nutritious ways to start your childs day right, including:

    Recipe 2 Smoothie with a twist

    1 medium banana

    1/2 cup frozen berries

    1/4 cup old-fashioned rolled oats (adds nutrients, ber, and keeps your child

    fuller longer)

    1 cup unsweetened soy milk

    Celery with unsalted nut or seed butter (peanut, almond, sunower or tahini)

    Give celery for breakfast a try. Time-saving tip: Ask children to ll their owncelery while you make dinner the night before. Kids often enjoy helping outin the kitchen and are more likely to eat something they made themselves

    Calories: 380 (21 percent of daily requirement), Protein: 16 g, Saturated Fat: 3.6 g

    Fiber: 8 g, Sugar: 1 g of added sugar; 18 g of total sugar (fruit), Calcium: 333 mg (25 percent of

    daily requirement), Sodium: 196 mg

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    Recipe 3Scrambled egg and veggies wrap

    2 medium eggs, scrambled

    cup chopped fresh tomatoes

    cup chopped spinach or chopped broccoli

    Fresh shredded Swiss cheese

    Wrap in a corn or whole wheat tortilla

    1 medium apple on the side

    Calories: 306 (19 percent of daily requirement), Protein: 17 g, Saturated Fat: 5.6 g,

    Fiber: 5 g, Sugar: 0 g of added sugar; 3.3 g of total sugar, Calcium: 247 mg (19 percent

    of daily requirement), Sodium: 235 mg

    *EWGs recommendations include eggs, nuts and nut butters, which are among the food groups that provide a meaningful contribution to a healthful diet according toPrinciple A of the federal Interagency Working Groups proposed voluntary guidelines. The saturated fat, sodium and sugar content of these foods are naturally occurring(intrinsic); the limits for added fats, sugars and sodium in the federal proposed guidelines are not applicable (IWG 2011). Nutritional content for these recommendationsare from the USDA MyPyramid Tracker and Nutrient Data Laboratory (USDA 2011a and USDA 2011b).

    Follow four steps for a healthy morning

    EWGs Healthy Breakfast Tips continued

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    Foods with ber or protein will sustain your child until the nextmeal or snack.

    Include a serving of seasonal fresh fruit or vegetables (frozen worksas well).

    Skip the fruit juicejust eat the fruit!

    Dont be afraid of dinner for breakfast. Many cultures includehearty options on breakfast menus.

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    Section 1 Study Findings

    1. Summary ofndingsMany childrens breakfast cereals arent healthy

    enough to be marketed to children under thefederal governments proposed nutrition guidelines,according to an Environmental Working Group review

    of 84 popular brands.EWG assessed childrens cereals manufactured

    by Kelloggs, Post, General Mills and Quaker Oats,including iconic favorites such as Froot Loops, CapnCrunch, and Apple Jacks.

    Overall, only one in four childrens cerealsmeets the voluntary guidelines proposed earlierthis year by the federal Interagency Working Groupon Food Marketed to Children#, a panel of federalnutrition scientists and marketing experts convenedby Congress in response to the childhood obesityepidemic.

    These guidelines would cover all foods marketedto children. For ready-to-eat cereals, the guidelinesrecommend no more than 26 percent added sugar byweight.

    Studies suggest that children who eat high-sugar breakfasts have more problems at school. Theybecome more frustrated and have a harder time

    working independently than kids who eat lower-sugarbreakfasts. By lunchtime they have less energy, arehungrier, show attention decits and make moremistakes on their work (Warren 2003, Ingwersen 2007,Benton 2007).

    Laboratory studies suggest that sugar is habit-forming, stimulating the same brain responses as

    opiates (Avena 2008). A case can be made that sugaracts as a drug, enticing kids to eat more and more.Healthy breakfasts for kids do not include cereals withcopious amounts of added sugar.

    Cereal makers and other food, beverage, andentertainment companies are lobbying to kill thepanels proposal. In a cynical attempt to counter thefederal panels efforts to improve the nutritional valueof foods marketed to children, the food industryhas come up with its own so-called standards,and unsurprisingly, they give most kids cereals apass. The big cereal makers dont take even these

    standards seriously. Cases in point: Apple Jacks andFroot Loops, which Kelloggs markets aggressivelyto children, contain more sugar than the industrysrecommended 38 percent limit.+

    Fully 21 childrens cereals contain more sugarthan the limit recommended by the industrys ownnutrition initiative (CFBAI 2011a).

    Sugar 56 cereals contain more than 24 to 26 percent sugar by weight**

    Sodium(interim 2016 guideline) 10 cereals contain more than 210 milligrams

    Sodium(nal 2021 guideline) 71 cereals contain more than 140 milligrams

    Saturated fat 7 cereals have more than 1 gram

    Whole grain At least 26 cereals are not predominantly whole-grain***

    Source: EWG analysis of nutrition labels for 84 childrens cereals.

    *Proposed government guidelines (IWG 2011) specify limits per 50 grams for lighter cereal and 55 grams for denser cereals, except for the 2016 sodium limit, which i sbased on the exact serving size listed on the product label (serving sizes range from 26 to 59 grams for the cereals assessed by EWG). All limits would be effective in 2016except for the 2021 sodium limit. The IWG limi t for sugar is 13 grams, which equates to 24-26 percent of the product by weight.

    **Nutrition labels list total sugar content added plus intrinsic. For the purposes of this study, EWG assumed negligible intrinsic sugar in cereals that were assessed, basedon: 1) a review of label ingredients that identied no ingredients with substantial intrinsic sugar; and 2) USDA ready-to-eat cereal testing showing that 99-to-100 percent ofthe sugar in corn and oat cereals was added, not intrinsic. (USDA 2006b).

    ***Whole grain content is not listed on labels. Twenty-six cereals assessed by EWG do not list whole grain as therst ingredient and thus fail the greater than 50 percentwhole grain IWG criteria, per FDAs food labeling guidance (FDA 2006). Other cereals may also fail, but the data are not publicly available.

    #One in four childrens cereals meets proposed IWG interim guidelines effective in 2016.

    +Industrys recommended sugar limits are published by the Better Business Bureaus Childrens Food and Beverage Advertising Initiative (CFBAI 2011). These guidelinesallow 10 grams of sugar per serving size listed on the label, which can be as little as 26 grams for childrens cereal. This translates to a maximum allowable sugar content of38 percent by weight.

    Childrens cereals fail proposed government nutrition guidelines*

    Whats in a serving? Of 84 childrens cereals assessed by EWG.

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    The federal Interagency Working Groupsguidelines could be stronger. For instance, theyshould limit sugar content in cereal to no more

    than 15 percent, a bar already met by a number ofchildrens cereals, not the 26 percent cap currentlyproposed. They should be mandatory, not voluntary.Cereal makers should strive to meet the guidelinesinstead of lobbying to weaken or kill them.

    Few parents would agree that a cereal that is

    one-quarter sugar by weight is the best that cerealmakers can do for children.

    2. Study methodologyThe Environmental Working Group assessed

    nutrition label facts for 84 cereals sold by GeneralMills, Post, Kelloggs and Quaker Oats, plus severalthat are marketed more widely but are likely to beeaten by children, such as Cheerios and Frosted

    Too much sugar. Childrens cereals exceed recommended limits.Many childrens cereals fail to meet the governments proposed sugar limit* (up to 26 percent by weight) as well as theeven weaker industry guidelines** (up to 38 percent by weight).

    Source: EWG analysis of nutrition labels for 84 childrens cereals.* Interagency Working Group on Food Marketed to Children (IWG 2011). Guidelines allow 13 grams of sugar per 50-55 gram serving of cereal, or up to 26 percent sugar bweight.

    ** Better Business Bureaus Childrens Food and Beverage Advertising Initiati ve (CFBAI 2011a). Guidelines allow 10 grams of sugar per serving size listed on the label, whic

    is as small as 26 grams for childrens cereal. This translates to an allowable 38 percent sugar by weight.

    8456

    21

    All Childrens Cereals

    General Mills

    Kelloggs

    Post

    Quaker Oats

    Number of Childrens Cereals

    39

    Total Number of Childrens Cereals Assessed

    Number Failing Federal Sugar Guideline*

    Number Failing Industry Sugar Guideline**

    272

    25

    0 10 20 30 40 50 60 70 80 90

    1410

    9

    94

    116

    5

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    Mini-Wheats. EWG obtained label data from themanufacturers ofcial websites.

    EWG analysts compared the information onlabels with the federal Interagency Working Groupsproposed guidelines for foods nutritious enough

    to be marketed to children (IWG 2011) and with theweaker, voluntary guidelines developed by the BetterBusiness Bureaus Childrens Food and BeverageAdvertising Initiative, which will go into effect onJanuary 1, 2014 (CFBAI 2011a).

    In nearly three dozen popular childrens cereals,sugar makes up more than one-third of the productby weight. Fully three-fourths of the 84 cereals EWGassessed fail the proposed federal guidelines fordetermining what foods are suitable for marketingto children. Fifty-six childrens cereals are more than26 percent sugar by weight the recommendedmaximum. Many also contain more sodium thanthe guidelines recommend. The proposed federalguidelines are morerestrictive than those of thefood industry, but they shouldbe strengthened and mademandatory

    3. Five top prob-lems in childrens

    cereals

    1. Too much sugar a

    big problemThe proposed federal

    guidelines cover ve factors added sugar, sodium,saturated fat, trans-fat andPrinciple A, which, in thecase of cereal, means wholegrain content.

    Two-thirds of thechildrens cereals assessedby EWG contain more sugarthan the federal guidelinesconsider acceptable. The baris low: the guidelines permit

    as much as one-quarter of the cereal by weight to besugar.

    One in eight cereals contains more sodium thanthe proposed federal guidelines target for 2016, andnine in 10 exceed the nal sodium target that would

    take effect in 2021.

    2. Seven cereals fail three nutrition

    guidelinesSeven childrens cereals perform especially poorly

    against the proposed federal nutritional guidelineseffective in 2016, EWGs analysis found. Each fails onthree criteria: too much sugar and saturated fat, andtoo little whole grain content. They are: KelloggsCocoa Krispies, Post Cocoa Pebbles and FruityPebbles, three varieties of Quaker Oats Capn Crunch(Original, Crunch Berry and Peanut Butter Crunch),and Quaker Oats Oh!s. By 2021, when the stricter

    Too much sugar, sodium and fat childrens cerealsexceed recommended limits

    Many exceed nutrition criteria in proposed federal guidelines*

    Source: EWG analysis of nutrition labels for 84 childrens cereals.

    *Interagency Working Group on Food Marketed to Children (IWG 2011), proposed limits for sugar, sodium, saturatedand trans fat, and whole grains, effective 2016.

    Total Number of Childrens

    Cereals Assessed

    Number failing 1 orMore Guidelines

    Number failing 2 orMore Guidelines

    Number failing 3 orMore Guidelines

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    0 10 20 30 40 50 60 70 80 90

    28

    64

    84

    Number of Childrens Cereals Assessed

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    sodium guideline becomes effective, these samecereals would fail four criteria altogether.

    3. Cereal companies ght proposed fed-

    eral guidelinesMore than three-quarters of childrens cereals donot meet the federal Interagency Working Groupsproposed nutrition guidelines for 2016. Far moremeet the industrys standards for foods nutritiousenough to be marketed to children.

    Eighty-two percent of General Mills childrenscereals dont meet the federal guidelines, but only 5percent fail to meet the industrys standards.

    Not surprisingly, General Mills has joined otherfood, media, and entertainment companies in callingto replace the government proposal with industrys

    more lenient guidelines.But major cereal makers dont even take their

    own industrys targets seriously; one-fourth ofchildrens cereals contain too much sugar.

    4. More sugar than junk-food des-serts

    EWG compared the sugar content of childrenscereals with the amounts in several well-known junkfood desserts. The results are startling:

    t One cup of each of three popular childrens

    cereals (KelloggsHoney Smacks,Post Golden Crispand General MillsWheaties Fuel) hasmore sugar (18.7 to 20grams) than a HostessTwinkie (17.5 grams).

    t One cup of any of 44 childrens cereals,including Honey Nut Cheerios, has moresugar than three Chips Ahoy! cookies (11grams).

    t One cup of 56 different childrens cereals,

    including Froot Loops, has more sugar thantwo Oreo cookies (9.3 grams).

    Childrens cereals compared poorly with somehomemade desserts. A typical batch of 30 sugarcookies contains about a cup of sugar, while PostGolden Crisp packs more than one cup of sugar into a15-serving box.

    5. Not all Cheerios are alikeEWG found a wide range in sugar content for

    eight brands:tGeneral Mills Cheerios Cheerios Original is3.6 percent sugar. Apple Cinnamon Cheerios,Chocolate Cheerios, Fruity Cheerios are 33percent sugar.

    tKelloggs Rice Krispies - Gluten Free variety is3.3 percent sugar. Frosted Krispies is 40 percentsugar.

    tGeneral Mills Chex Rice Chex is 7 percentsugar. Honey Nut Chex is 28 percent sugar.

    tKelloggs Mini-Wheats Unfrosted Bite-Size is1.7 percent sugar. Frosted Mini-Wheats Maple &

    Brown Sugar is 25 percent sugar.tGeneral Mills Kix Kix Original is 10 percent

    sugar. Berry Berry Kix is 21 percent sugar.tQuaker Oats Capn Crunch Peanut Butter

    Crunch is 33 percent sugar. OOPS! All Berriescontains 47 percent sugar.

    tGeneral Mills Wheaties Wheaties Original is15 percent sugar. Wheaties Fuel is 25 percentsugar.

    ENVIRONMENTAL WORKING GROUPNVIRONMENTAL WORKING GROUP

    One cup of each of three popular childrenscereals (KelloggsHoney Smacks,Post Golden Crispand General MillsWheaties Fuel) hasmore sugar (18.7 to 20grams) than a HostessTwinkie (17.5 grams).

    More sugar than sugary dessertsA box of Post Golden Crisp has more than one cup of sugar for 15servings. A batch of 30 homemade sugar cookies only requires onecup of sugar.

    Source: EWG analysis of product nutrition labels.

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    tKelloggs Frosted Flakes Reduced Sugarvariety is 27 percent sugar. Original variety is 37percent sugar.

    Section 2 - The politics of nutrition

    and childrens foodAmerican children need help. Only one in ve

    children eats enough fruits and vegetables (Eaton2010). Foods high in sugar, saturated fat, and salt,including pizza, soda, potato chips, French friesand desserts like cookies and ice cream accountfor 25 percent of the calories consumed by childrenbetween the ages of 4 and 8 (NIH 2010).Teenagersget 33 percent of their calories from those same fatty,

    salty and sugary foods (NIH 2010).In the 1970s, alarmed by growing rates of

    childhood obesity, consumer protection groups,including the Center for Science in the Public Interestand Consumers Union, petitioned the federalgovernment to regulate food marketing to children(FTC 1978, FTC 1981). The Federal Trade Commissionpublished proposed restrictions on child-targetedadvertising in 1978 (FTC 1978).

    Over the next three years, advocates and industrybattled it out, ling 60,000 pages of public commentswith the FTC (Westen 2006). In 1980, after aggressivelobbying by the food and advertising industries,Congress passed a law that effectively stripped theFTC of its authority to regulate childrens advertising

    Few childrens cereals meet all 5 nutrition criteria for foods healthy enough

    to be marketed to children*

    Many childrens cereals that dont meet the proposed federal guidelines do meet industry standards, whichcereal makers want the government to adopt.

    Source: EWG analysis of nutrition labels for 84 childrens cereals.

    * Interagency Working Group on Food Marketed to Children (IWG 2011), proposed limits for sugar, sodium (interim guideline), saturated and trans fat, and whole grains.

    ** Industry guidelines: Better Business Bureaus Childrens Food and Beverage Advertising Initiative (CFBAI 2011a).

    84

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    All Childrens Cereals

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    Kelloggs

    Post

    Quaker Oats

    Number of Childrens Cereals

    39

    Total Number of Childrens Cereals Assessed

    Number Failing Federal Guideline*

    Number Failing Industry Guideline**

    322

    25

    0 10 20 30 40 50 60 70 80 90

    1510

    9

    94

    118

    5

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    (Westen 2006, FTC Improvements Act 1980).As a

    result, the FTC abandoned its efforts in 1981 (FTC1981).

    For the next two decades, childhood obesityrates climbed while advertisers found new ways toreach youth markets. The U.S. Surgeon Generalissued a call to action on childhood obesity in 2001(DHHS 2001). In 2003, an expert panel convened bythe World Health Organization and the Food andAgricultural Organization both branches of theUnited Nations recommended that people avoideating food high in sugar and limit added sugarto no more than 10 percent of total calories (WHO

    2003). The international bodies acted on the basis ofconsiderable evidence that sucrose and other freesugars contribute to the global epidemic of obesity(Mann 2004). The sugar and processed food industriesstrenuously objected.

    Also in 2003, Congress requested additionalresearch into the effects of advertising on childrenshealth. The resulting study from the Institute ofMedicine linked food and beverage advertising tooverweight and obesity in children and teens. It saidthat if voluntary efforts by industry failed to stimulateadvertising for healthier foods for children, Congressshould mandate such a shift. The report concluded:Marketing works (IOM 2006).

    In 2005, amid calls for congressional andexecutive action, Sens. Tom Harkin (D-Iowa), and SamBrownback (R-Kan.) convened major food companies,public health advocates and regulatory agencies.Harkin warned that where corporate responsibility is

    absent, federal regulation of food marketing directedat children will be necessary (Harkin 2005).

    The food industry responded by proposing theChildrens Food and Beverage Advertising Initiative(CFBAI 2006), an effort at voluntary self-regulation.It allowed each company to set its own nutrition

    and advertising standards. The industry plan lackeduniformity and ultimately disappointed child advocacygroups that hoped for more effective measures. By2007, food and beverage companies were spendingan estimated $2.0 billion a year on advertising tochildren on television, in movies, online and via socialmedia (FTC 2008), and childhood obesity rates hadmore than tripled since 1980 (Nihiser 2007).

    In 2008, urged by advocacy groups, Harkin andBrownback inserted language into the scal 2009appropriations bill instructing the U.S. Food and DrugAdministration, the Centers for Disease Control andPrevention, the Department of Agriculture and theFederal Trade Commission to form the InteragencyWorking Group to recommend standards for themarketing of food and beverages to children(Appropriations Act 2009).

    The Interagency Working Group assessed thegrowing body of scientic literature suggesting thatfood and beverage advertising plays a central role inchildhood obesity.

    While the IWG study progressed, the AmericanHeart Association recommended that people limit

    consumption of added sugars, citing evidencefor links between sugar consumption and insulinresistance, obesity, hypertension, dyslipidemia andtype 2 diabetes (Johnson 2009). The USDA alsorecommended that people limit their intake of addedsugars, suggesting that calories from added sugarand solid fat account for no more than 14 percent ofdaily calories (USDA and DHHS 2010).

    In April 2011, the Interagency Working Grouppublished a draft of its report to Congress andrequested comments from the public and interestedstakeholders (IWG 2011). The report proposed that

    food companies voluntarily limit their advertisingto children to those foods that make a meaningfulcontribution to a healthful diet and contain onlymoderate amounts of fat, sugar and sodium. Itset target dates for implementation of 2016 and2021 to allow food manufacturers time to makegradual product reformulations. Medical groups and

    Food industry spokesman to Congress: Why we

    oppose the governments voluntary guidelines

    Congress would now be on record as sayingthat the vast majority of all of the advertising of all

    of these companies, the restaurant industry, thebeverage industry, the food industry was doingwas inappropriate and unhealthy for childrenand that clearly was going to put all sorts of differ-ent pressures on us...

    -- Dan Jaffe (Sensible Food Policy Coali-tion spokesman/Assoc. of Natl Advertis-ers), testifying at Congressional hearing10/11/11.

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    public health advocates expressed support for theguidelines and provided feedback about makingthem more effective (FTC 2011).

    Food, beverage and media companies, on theother hand, citing their own self-imposed advertisingguidelines, opposed the proposal (FTC 2011). The

    Childrens Food and Beverage Advertising Initiativereleased a new set of uniform guidelines that itsmember companies agreed to follow (CFBAI 2011b).The industry-backed standards would allow nearly 50percent more sugar than the Interagency WorkingGroups proposed guidelines.

    Section 3 The science of sugary break-

    fastsThere is ample evidence that skipping breakfast

    is not healthy for children or adults (Deshmukh-Taskar2010). Children who eat breakfast consume morecalories overall but are less likely to be overweightthan those who skip breakfast (Rampersaud 2005). Butnot all breakfasts are equal.

    Some laboratory studies suggest that sugar ishabit-forming, stimulating the same brain responsesas opiates (e.g., Avena 2008). If so, sugar could act asa drug, enticing kids to eat more.

    Studies also suggest that children who eathigh-sugar breakfasts have more problems atschool (Benton 2007). They become more frustrated

    during the day and have a harder time workingindependently (Benton 2007). By lunchtime they haveless energy, are hungrier, show attention decits andmake more mistakes on their work (Warren 2003,Ingwersen 2007, Benton 2007). They also eatmore, for both breakfast and lunch (Warren2003).

    Cereal giants fund and publicizeresearch showing that children who eatcereal for breakfast have a lower BodyMass Index, on average, than kids whoskip breakfast or eat other foods, evenfor cereals with signicant amounts ofadded sugar (Albertson 2011, Kosti2007).

    This may seem reassuring forfamilies with sugary cereals inthe pantry, but a closer look

    suggests otherwise. Whatever benets result fromeating high-sugar cereal may be due to the cerealswhole-grain content, not to the empty caloriesprovided by unnecessary sugar (Kosti 2010). Adisturbing reality of the American food supply is that,as EWGs analysis shows, if youre eating grains from

    cereals, youre probably also eating a lot of addedsugar.

    The research teams conducting industry-backedstudies did not differentiate between childrenregularly eating high-sugar cereal (one-third to morethan one-half sugar) and those eating similar amountsof moderately or lightly sweetened cereals. These arevery different foods.

    Several studies have found benets from eatinglow-sugar or high-ber cereals or other foods forbreakfast. These foods provide sustained energy, helpavoid a blood sugar crash and are healthier for

    diabetics (Warren 2003, Ingwersen 2007, Benton 2007Silva 2011).

    Overall, cereals marketed to children areless healthy than others. A 2006 study led by YaleUniversity researchers found that compared to non-childrens cereals, childrens cereals were denser inenergy, sugar and sodium but were less dense in berand protein (Schwartz 2008).

    Collectively, the scientic literature demonstratesthe benets of eating breakfast and whole grains butdoes not support adding copious amounts of sugar to

    childrens cereals.

    SUGAR IN CHILDRENS CEREALS

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    Industry and Government-Proposed Criteria for Cereals Marketed to Children

    Guideline Cereal type* Measure Nutrition Component toMaximize

    Nutrients to Limit

    Calories Sugars(grams)

    Sodium(milli-grams)***

    Satu-rated Fat(grams)

    TransFat(grams

    CFBAI(industry)

    Lighter cereals Perlabeledservingsize

    50% whole grain by weight(encouraged)or 10% Daily Value of any es-

    sential nutrient (calcium,ber,potassium, iron, or vitamins

    D, A, or C)

    150 10 (totalsugars)

    290 1.5 N/A

    CFBAI(industry)

    Denser cereals Perlabeledservingsize

    Same as above > 150 200

    12 (totalsugars)

    360 2 N/A

    IWG (govt) Lighter cereals Per 50 g 50% whole grain by weight N/A 13(addedsugars)

    210(2016)**; 140 (2021)

    1 and 15% ofcaloriesfrom satu-rated Fat

    0

    IWG (govt) Denser cereals Per 55 g Same as above N/A Same as

    above

    Same as

    above

    Same as

    above

    Same a

    aboveSource: EWG analysis of criteria listed in IWG (2011) and CFBAI (2011a).*Cereal type reects the distinction between lighter and denser cereals specied by the Food and Drug Administration, which under i ts RACC (Reference Amount Cus-tomarily Consumed) criteria considers lighter cereals to be those that weigh between 20 and 43 grams per cup and denser cereals to be those that weigh more than thatper cup (FDA 2001).**The 2016 IWG interim guideline for sodium is measured per labeled serving size.*** EWG estimates that the industry guidelines allow up to four times more sodium in lighter childrens cereals than the IWG government guidelines, and three times moresodium for denser cereals. These estimates are based on the nal IWG sodium criterion and EWGs review of serving sizes listed on childrens cereals, which were as low as26 grams per serving (General Mills Cookie Crisp). Using this minimum serving size, we calculate that the industry guidelines allow up to 558 milligrams of sodium per 50gram serving.

    Section 4 Study Methodology

    EWG obtained nutrition information for 84 ready-to-eat breakfast cereals for children, including avorsand varieties of products, from the ofcial websites of

    the four major cereal brands: General Mills, Kelloggs,Post Cereals and Quaker Oats. The nutrition facts forCapn Crunch cereals, a Quaker Oats brand, were foundon a separate Capn Crunch website.

    For the purposes of this study, EWG considereda cereal to be for children if it met one or more criteriafrom a 2006 study by Yale Universitys Rudd Centerfor Food Policy and Obesity: the use of a licensedcharacter or a cartoon drawing on the cereal box,and the companys own categorization of a cereal asa childrens food on its website (Schwartz 2008). EWGincluded among its 84 childrens cereals a few additional

    brands commonly marketed with commercials featuring

    children, or marketed more broadly but likely to beeaten by children, such as Cheerios and Frosted Mini-Wheats.

    EWG assessed the childrens cereals against twosystems of nutrition guidelines for foods marketed to

    children: the Childrens Food and Beverage AdvertisingInitiatives uniform nutrition criteria (an industry-backedinitiative of the Better Business Bureau); and thegovernmental Interagency Working Groups proposedvoluntary guidelines.

    Summary of the Interagency Working Group (IWG) Pro-posed Guidelines for Food Marketed to Children

    The Interagency Working Group on FoodMarketed to Children, composed of representativesfrom the Federal Trade Commission, the Centers forDisease Control and Prevention, the Food and Drug

    Administration and the United States Department of

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    Agriculture, was convened by Congress to develop aset of nutrition recommendations and media denitionsto guide industry in determining what foods areappropriate to market to children. The IWGs proposedguidelines are based on two principles: foods marketedto children must make a meaningful contribution toa healthful diet (Principle A) and must minimize theamounts of nutrients that could have a negative impacton health or weight (Principle B).

    The IWGs proposed guidelines focus on tencategories of food products that are most commonlymarketed to children and adolescents, which includebreakfast cereals.

    Nutrition Principle A: Meaningful Contribution to aHealthful Diet

    Foods marketed to children should include a

    signicant amount of at least one of the followingfood groups: fruit, vegetable, whole grain, fat-freeor low-fat milk products, sh, extra lean meat orpoultry, eggs, nuts and seeds, or beans. Ready-to-eatbreakfast cereals may contribute to a healthful diet aswhole grains.

    IWG has proposed two approaches by whichfood manufacturers may meet Principle A.

    tOption 1: Food marketed to children shouldcontain at least 50 percent by weight of one ormore of the food groups listed above.

    tOption 2: Specic minimum contributions for each

    of the food groups. For individual foods, theproduct should contain the specied amountof at least one, or a proportionate combinationof more than one, of the listed food groupsper FDAs Reference Amount CustomarilyConsumed (RACC). The specied amount forwhole grains is 0.75 ounces of 100 percentwhole grain.

    For EWGs analysis, childrens cereals wereassessed against Principle A using Option 1. Cerealnutrition labels do not provide the whole graincontent, but any cereal listing a whole grain as the

    rst ingredient was assumed to meet the IWG criteria;this assumption likely overestimates the number ofcereals that meet the criteria.

    Nutrition Principle B: Nutrients to LimitThis principle limits the amount of sodium,

    saturated fat, trans-fat and added sugars in foods

    marketed to children. The amounts of these nutrientsare limited per FDAs Reference Amounts CustomarilyConsumed (RACC), not the serving size listed on thenutrition label. Ready-to-eat breakfast cereals thatweigh between 20 grams and 43 grams per cup havea RACC of 30 grams. Denser breakfast cereals thatweigh more than 43 grams per cup have a RACC of 55grams (FDA 2001).

    IWGs criteria are as follows:t Saturated fat: 1 gram or less per RACC and 15

    percent or less of calories from saturated fatt Trans-fat: 0 (

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    www.ewg.org

    criteria, half a serving or more of ready-to-eatbreakfast cereals must be either fruit, vegetable,dairy product or whole grains. An alternative measurerequires that the food provide more than 10 percentof the Daily Value of any of the following essential

    nutrients: calcium, ber, potassium, iron, or vitaminsD, A, or C (CFBAI 2011a).

    For the Nutrients to Limit criteria, CFBAI createdsubcategories with varying limits for ready-to-eatbreakfast cereals: lighter cereals with RACCs of 30grams or less should not exceed 150 calories, 1.5grams of saturated fat, 290 milligrams of sodium, and10 grams of total sugars per labeled serving size; fordenser cereals, each serving size must not exceed 200calories, 2 grams or saturated fat, 360 milligrams ofsodium, and 12 grams of total sugars (CFBAI 2011a).

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