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nemours org growuphealthy healthy vending guide you and your organization can play an important role in supporting healthy eating habits by making healthy vending options available and attractive to children ...

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                                                                                                  Nemours.org/growuphealthy
            Healthy Vending Guide
        You and your organization can play an important role in supporting healthy eating habits by making  
        healthy vending options available and attractive to children, youth and adults. This guide will help you  
        choose healthier products by providing:
             Healthy vending guidelines for food and beverage products,
             Sample policies to support and sustain healthy vending, 
             arketing strategies to promote healthy options.
        Why promote healthy vending options? 
        In 2006, the vending industry generated close to $14 billion in food and beverage sales. Although vending machines 
                                                                                                                             1
        are a popular channel for convenient snac foods and beverages, they are often a source of lessthanhealthy products.  
        A great maority of options are high in calories, fat, and added sugars, and lo in nutrients. opular items include 
                                                  2,
        candy, soft drins, chips, cooies and caes.   he prevalence of un food and sugarseetened beverages in vending 
        machines does not support healthy nutritional choices and promotes the consumption of energydense foods and  
        beverages, hich has been lined to eight gain.4
                                                          
        ­urrently, 40€ of ‚elaare children ƒages 2 – 1… years† are overeight or obese, a prevalence that is among the highest 
                      ‡
        in the nation.  ˆiven the idespread nature and potential negative health impact of obesity, it is critical to support 
                                                                                    6
        healthy habits. ˆood nutrition is important in maintaining health for all ages ‰ therefore, offering healthy vending 
        options should be a priority. Šy replacing unhealthy options ith more nutritious, healthful foods, your organi‹ation 
        can mae it easier for children and parents to choose isely. Œstablishing nutritional standards for vended products 
        can support healthier eating by increasing access to healthy foods and beverages hile still serving the main purpose  
        of bringing in revenue.
        How do I know which foods and beverages are good to offer and which are bad?
        Žhile ‘emours encourages children and families to choose the healthiest foods and beverages most of the time, e  
        do not support labeling foods as “good” or “bad”. Že believe that all foods can fit into an overall healthy diet.  
        •or that reason, e categori‹e foods and beverages by their nutrient density as “                          …
                                                                                       GO,” “SLOW” and “WHOA”  foods. 
             GO foods and beverages are the healthiest options for the amount of calories they contain. Œat these foods and 
              drin these beverages most often, almost anytime.
             SLOW foods and beverages have added sugar or fat that maes them higher in calories.  hey should only be 
              consumed sometimes, several times a ee at most.
             WHOA foods and beverages are the highest in sugar and fat and the least healthy.  hey should be consumed ust 
              once in ahile.
        Že recommend that organi‹ations mae the maority of their vending options GO foods and beverages, recogni‹ing 
        there may be a need to offer a smaller selection of 
                                                          SLOW and WHOA foods and beverages as ell. –ee Appendix A for 
        a list of GO, SLOW and WHOA vending options.
           Nemours Health & Prevention Services                                                                          1
         SAL OLIIS 
         —rgani‹ations that serve children and families, such as schools, community centers, and child care facilities, can mae 
         it easier for children and families to mae healthier food choices by providing healthy food and beverage options in 
         vending machines. Adopting nutritional standards for vending machines as organi‹ational policy is a good place to 
         start. ˜ere are some sample policies to consider. ™ou can adapt them based on your vending offerings. Aim to mae 
         60100€ of your offerings GO foods and beverages, 0€ or less of your offerings SLOW foods and beverages, and 
         eep WHOA offerings to 10€ or less. 
                                                 
         Sample olicy ased on Go Slow Whoa
             At (insert name of your program), e are committed to helping children gro up healthy. Že support your child’s 
              healthy food choices by›
                  œaing (insert percentage) € of our options 
                                                                  GO or SLOW foods and beverages. 
                  žimiting 
                            WHOA foods and beverages to (insert percentage) € of our options.
                  romoting our 
                                   GO options first.
                  ˆently encouraging children to try the 
                                                           GO options and giving positive reinforcement hen they do. 
                   eaching children and parents about 
                                                         GO, SLOW and WHOA options through visual cues.
         Sample olicy for ­oods
             At least (insert percentage) € of our foods meet these nutrition standards›
                                                                                               6
                  ‘o more than ‡€ of calories from total fat ƒnot including nuts or seeds†
                                                                      6
                  ‘o more than 10€ of calories from saturated fat
                                                           ¢, £
                  Ÿero trans fat ƒ≤ 0.‡ grams per serving†
                  ‘o more than ‡€ of calories from total sugars ƒe¤cept yogurt ith no more than 0 grams of total sugar 
                                                  ¢
                   per ¢ o‹. portion as pacaged†
                                                                                  £
                  At least  grams of dietary fiber per serving in grain products
                                                                         ¢
                  ‘o more than 200 milligrams of sodium per pacage
                                                                        ¢
                  ‘o more than 200 calories per portion as pacaged
         Sample olicy for everages 
             At least (insert percentage) € of our beverages are chosen from this list›
                  Žater
                                                                                                   ¢, 10
                  •atfree or 1€ ƒlofat† plain or flavored mil ƒith up to 1‡0 calories¦¢ o‹.† 
                                                                               ¢, 11
                  100€ fruit or vegetable uice ƒportions limited to 4¢ o‹.†     
                                                                                    ¢, 10
                  ‘o or localorie beverages ith feer than 10 calories¦¢ o‹. 
                                                                                                  ¢, 10
             Ševerages ith greater than 66 calories¦¢ o‹. are sold in portions of 12 o‹. or less 
                                                            €
         Sample olicy for ricing and lacement Standards ‚
                  •oods and beverages that meet our nutrition standards must be sold at a price e§uivalent to or loer than 
                   similar items that do not meet the standards. 
                  •oods and beverages meeting the standards ill be placed ithin the vending machine so that they are visible 
                   at eye level.
           Nemours Health & Prevention Services                                                                               2
        Aƒ„…I†G S…ƒA…GIS 
        How can organi‡ations encoˆrage the selection of healthy vending options? 
                                                                                                            121…
        —rgani‹ations can use the traditional mareting “4s” of product, promotion, price, and placement.      
        rodˆct
        If you have healthy items to choose from, children, youth and adults ill mae better choices¨ œost vending products 
                                             1
        offered are of lo nutritional §uality.  —ne study surveyed the content of 1,420 vending machines in urban and rural 
        secondary schools across the country. —f the beverages available, …0€ ere high in sugar, such as soft drins, fruit 
        drins, iced tea, and sports drins. —nly 12€ of the vending slots ere for ater and only ‡€ ere for mil, ith 
        the maority ƒ‡…€† of mils offered being either hole or 2€ mil.  he proportion of snac slots offering nutritious 
        choices as also lo ƒ1€†.12 
             Action Step: —ffer a maority of healthy foods and beverages in your vending machines to mae it easier for 
              children and families to mae healthy choices.
         
        romotion 
        romotional efforts such as labels and motivational signs on vending machines can increase aareness and selection 
                                         1, 14, 1‡
        of healthier foods and beverages.       rominently maring lofat food items and “0 calorie, 0 sugar” beverages, as 
        ell as their prices, is an effective ay to increase the selection of healthy items. ­oupling that tactic ith a large  
        motivational sign on top of the vending machine encouraging the lofat food and nonsugarseetened beverage 
        selections has proven even more effective. It appears these strategies can bring about better choices ithout a loss of 
        revenue.1, 1‡
                      hus, mareting lofat items and nonsugarseetened beverages specifically can be an effective ay to 
        encourage the purchase of healthier vending options, ithout negatively affecting sales.
             Action Step: ©se visible prompts in and on vending machines in the form of labels, sticers, and posters to 
              identify and promote healthy options. 
        rice
                                                                                                                       14, 16 
        –elling healthy vending items at a loer price than other options can be an effective incentive for healthy eating.
        A study found that the sale of lofat snacs increased by ¢0€ during a ee period hen prices ere reduced by 
        ‡0€.16                                                                                             14
                œost importantly, these price reductions did not significantly affect overall vending revenue.   hus, reducing 
        the prices of healthy foods and beverages, or raising the prices of less healthy options, can be another ay to promote 
        healthier vending choices. 
             Action Step: —ffer healthy options at a loer price than unhealthy ones.
        lacement
         he placement of vending products shos promise in increasing healthier purchases.  he sales of healthier foods and 
        beverages can be increased by placing them in prime locations ithin a vending machine. 
                                                                                                                             1…
             Action Step: lace healthier options at eye level here they are most noticeable and more liely to be purchased.
        Applying the “4s” of mareting to promote healthier vending options ill increase the lielihood that customers ill 
        choose them. –ee Appendix C for e¤amples from around the country. 
         
           Nemours Health & Prevention Services                                                                           3
        ƒ‰†Š 
        an organi‡ations still make a profit from healthy vending options?
        œany organi‹ations use revenue generated from vending machines to support their programs and activities. –ome fear 
        that sales and profits ill suffer if they change their offerings to improve nutritional §uality. Although this is a legiti
        mate concern, loss of revenue does not occur in most cases. œany schools across the country—urban, suburban, rural, 
        elementary, middle, and high schools—have successfully sitched to offering healthier foods and beverages ƒcafeteria, à 
                                                                        1¢, 1£
        la carte, vending†, hile maintaining or even increasing revenue.    Although these studies only e¤amined the impact 
        of changes in schools, it is liely that there ould be similar results in other settings serving children and youth. 
         
        Œvidence shos that hen more healthful options are offered, students buy them. œany schools have found that they 
        can mae as much money, if not more, by selling healthy snac foods and beverages as opposed to less healthy options. 
         he ­‚­ e¤amined 1… schools and districts across the country that improved the nutritional §uality of foods and 
        beverages offered through à la carte lines, vending machines, snac bars, and student stores. After maing nutritional 
        improvements, most schools and districts increased ƒ…1€† or maintained ƒ24€† their revenue, demonstrating that  
                                                                20
        offering healthier items does not adversely affect profits.  In addition, results from pilot studies conducted in three 
        states ƒ­onnecticut, Ari‹ona and ­alifornia† shoed that healthy competitive food does not have to mean less revenue 
        ƒsee Appendi¤ ‚†.2124
                                hese studies suggest that organi‹ations can offer healthier food and beverage vending options 
        hile continuing to mae money. In fact, the change may actually increase profits. 
         
        WOƒ„I†G WI…H A†Š­A…ŠƒƒS A†Œ Sƒ‰I OƒA…OƒS 
        Which manˆfactˆrers and vending service operators coˆld we work with to change to healthier food and beverage options?
        Žith the high prevalence of obesity, a greater emphasis is being placed on healthy eating and overall health. It is no 
        surprise then that food and beverage manufacturers and vending service operators are offering healthier product  
        selections to meet demand. ­anteen ¬ending –ervices, the nation’s largest vending machine operating company, has  
        announced plans to offer healthier food choices. Žithin the ne¤t five years, in at least …,‡00 vending machines in do‹ens 
        of cities, they plan to offer 100€ betterforyou food choices and to increase the availability of nutritious products  
                 2‡
        by 1€.  A®AœA®¯ ®efreshment –ervices offers °ust4©, a vending program that helps customers identify, purchase 
        and enoy healthier snacs and beverages. A®AœA®¯ °ust4© products contain 100 or feer calories per serving‰  
        no more than ‡ grams of fat and less than 0€ of calories from fat per serving‰ and 1‡ grams of carbohydrates or less 
        per serving‰ and include ater or 100€ uice. °ust4© options are highlighted ith bold product identifiers, and easy
        tounderstand nutrition information is posted on the vending machine, alloing consumers to §uicly and easily find 
                                                         26
        the snacs and beverages that are right for them.
        Žith the increasing demand for vending products that suit healthier eating habits, food and beverage manufacturers 
        and vending service operators are beginning to understand these needs and striving to offer a ide selection of healthier 
        products. —rgani‹ations no have better options hen selecting foods and beverages to stoc in their vending  
        machines. œae sure to as about healthy options hen you are considering a vending contract, or as your current 
        vendor to or ith you to improve your selection of healthy items¨
         
           Nemours Health & Prevention Services                                                                           4
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