15994.1-Wood County Health Dept Concessions Toolkitgetactive.co.wood.wi.us/Portals/0/15994 1-Wood County Health Dept... · • Trans fats are found in processed products like boxed

Join the movement. Support health in our community.www.getactivewoodcounty.org

Cause. Community. Change.

Toolkit Objectives

Rationale: Why Make Changes?

Tools to Create Your Healthy Concessions Tips for getting started

Healthy Foods for Concessions Identifying healthy choices “GO SLOW WHOA” Evaluation Chart Healthy Snack Tip Sheet Healthy Beverage Tip Sheet

Next Step – Concession Meal Makeover Providing healthy meal options Food Safety Tip Sheet

Success Stories

Reading Nutrition Labels (Appendix A) Your guide to reading and understanding nutrition labels

Nutritional Guide for Concession Stands (Appendix B) This chart provides the calories, fat, sugar, sodium and fiber for popular

concession items

Comment Cards (Appendix C) Print the cards provided and set them out at your stand asking for customer

feedback on what they like, don’t like and would like to possibly see at your concession stand

Menu Stickers Use the stickers provided to show the customers which items on your menu are

considered healthy options (“GO” foods would fall into this category)

Posters Use the provided poster to let people know you are a healthy concession stand

TOOLKIT CONTENTS

Working together to build a stronger,healthier community.

ConcessionsToolkit

For more information, contact Wood County Health Department: 420 Dewey Street, 4th Floor, Wisconsin Rapids, WI 54494 | 715-421-8911




Do you find it ironic that while we promote children and adults to be active, most concession stands only serve unhealthy foods like sugary drinks and candy? We are inviting you to teach children early on about being active and eating healthy, while positively impacting the health of your community. Together we can make the healthy choice, the easy choice!

Through the use of this toolkit, you will be able to:

• Understand our national problem with obesity and how concessions can contribute to healthier lifestyles

• Evaluate menu items and compare to healthier choices

• Cater to the wants and needs of customers for healthier options

• See what other concession vendors are doing to be successful in offering healthier options

• Advertise and sell healthier items to customers

TOOLKIT OBJECTIVES




RATIONALE: WHY MAKE CHANGES?

Selling unhealthy food contradicts the school’shealthy lifestyle message.

• Wisconsin schools are required to teach about healthy lifestyles in the classroom

• When school organizations sell unhealthy food to make money, they are going against the message being taught in the classroom

Athletes and musicians are purchasingitems from your stand.

• Performers and athletes need snacks or meals between competitions and shows

• They benefit from eating healthy snacks as unhealthy snacks can hinder performance

If we don’t act today…

….Obesity will increase.• Today’s children are likely to be the first generation to have a shorter lifespan

than their parents

• In the past 30 years, the incidence of childhood obesity has more than tripled among children and adolescents putting them at risk for serious health concerns such as diabetes, cardiovascular disease and elevated cholesterol and blood pressure levels

• 31% of Wisconsin children (ages 10-17) are overweight or obese

• 23% of teens in WI drink soda at least once per day

• 68% of teens in WI eat LESS than 2 fruits per day

• 88% of teens in WI eat LESS than 3 vegetables per day

It is important to support the healthy lifestyle message taught in the classroom! It is just as important for individuals to have options to maintain a healthy lifestyle at all times. By creating social support for healthy lifestyles, such as offering healthy food and beverages, youth and families can make better choices when eating at concession stands.




TIPS FOR GETTING STARTED:

✔ Decide to make a change • This includes discussing changes with concession stand organizers and

food buyers

✔ Based on healthy food guidelines, determine what changes you will make right now to offer healthier food and beverages

✔ Start by adding a few healthy items to your menu

✔ Advertise healthy options • Use the poster provided to show that you

are a healthy choice concession stand • Use the GO labels to make it easy for

customers to purchase healthy items

✔ Ask customers for suggestions • Asking customers for their opinion shows

that your care about their thoughts • Provide a comment card so buyers feel

comfortable sharing feedback (see Appendix C)

✔ Track sales and profits for a month • Knowing what sells well and what doesn’t will help you with your sales • Begin increasing the amount of healthy options available based on

what sells the best • Over time, decrease the amount of “junk” (WHOA) food items available

✔ Enlist others in the community to support your efforts to offer healthier foods and beverages – city leaders, media, other youth organizations, local grocery/food industry partners

✔ Communicate your healthy concession stand to others, incorporate marketing materials, and plan a kick-off to unveil your new and improved concession stand




We recommend following these guidelines when selecting food and beverages for your concession stand:

FOODS:• < 200 calories per portion as packaged

• No more than 35% fat from calories

• No more than 10% saturated fat from calories

• No hydrogenated or partially hydrogenated oils (trans fat)

• No more than 35% of calories from sugars, except for yogurt with no more than 30g total sugars per 8 oz portion package

• No more than 400 mg of sodium

BEVERAGES:• Plain water (without additives or carbonation)

• 100% juice or 100% low sodium vegetable juice (8oz serving)

• Skim or 1% milk (8oz serving)

• Low fat or nonfat flavored milk with no more than 22g total sugars

• No more than 35% of calories from total sugar

• Caffeine-free with exception of natural occurring

Tips for choosing healthy items: • Best choices include fresh fruits and vegetables, whole-grains and non-fat

or low-fat dairy products

• Keep in mind it is important to read nutrition labels and consider serving sizes when selecting foods and beverages for your concessions

For more information on how to read a nutrition label, see Appendix A.

IDENTIFYING HEALTHY FOOD OPTIONS

GOeat often; low in fat, added

sugar and calories

SLOWeat less often; higher in fat, added sugar and calories

WHOAeat once in a while; very high in fat, added sugar, and/or calories

Fresh Fruit Canned fruit in fruit juice

100% Fruit juice Dried fruit Canned fruit in light syrup

Canned fruit in heavy syrup Fruit snacks with added sugar

Carrot sticks Celery Broccoli Cauliflower

Baked potato with toppings (low-fat sour cream, veggies) Salsa Marinara Sauce

French Fries Onion Rings Other deep-fried veggies

Whole grain bread Whole grain pita bread Whole grain tortillas

White Bread Granola Taco Shells

Muffins Doughnuts

Skim or 1% milk Plain fat-free or low-fat yogurt Fat-free or low-fat cheese

2% milk Low-fat ranch dressing Low-fat ranch dip

Whole Milk Whole-milk yogurt Whole-fat cheese Chocolate Milk Cheese sauce

Grilled chicken breast Lean pulled pork Extra lean ground beef taco meat

Low-fat hot dogs Ham Broiled or grilled hamburgers

Hot dogs Chicken Nuggets Lunch Meat Pepperoni SausageBrats

See GO fruits and veggies Low-fat yogurt (w/ fresh fruit) Whole-grain cereals Light popcorn

Regular popcorn Pretzels Baked Chips Peanut Butter Nuts 95% fat-free beef jerky Unsalted soft pretzel-no butter Dark Chocolate

Candy Most cookies and bars Buttered popcorn Cheesecake Regular Chips Nachos and Cheese Pizza Buttered and salted soft pretzel Caramel Apple Dip

Water Fat-free milk 1% milk 100% vegetable juice (V8) Flavored water

Diet soda 2% milk Diet iced tea Diet lemonade

Regular soda Fruit drinks with less than 100% juice Sweetened iced teas & lemonade Sports Drinks

Use this chart to evaluate concession offerings and to get ideas of healthy items to add to your stand.The color-coded identification allows youth and parents to easily identify the healthy

choices (GO) - making the healthy choice the easy choice!

For nutrition information on popular concession foods, see Appendix B

**This chart is a modified version of the We Can! Go Slow Whoa Foods Chart to fit concessions**http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/eat-right/choosing-foods.htm

FoodGroups

Fruits

Vegetables

Grains

Milk

Meats

Sweets &Snacks

Beverages

“GO SLOW WHOA” Evaluation Chart




GENERAL INFORMATION• A majority of snacks found at concession stands are major sources of

empty calories, supplying a high number of calories but a low amount of nutrients per serving

• Trans fats are found in processed products like boxed cookies and chips and pose a higher risk for heart disease.

• Fruits and vegetables are naturally low in fat, calories, and salt, and are important sources of many essential nutrients including potassium, dietary fiber, folic acid, and vitamin A, as well as antioxidant vitamins C and E.

IMPROVEMENTS• Add fresh fruit and vegetables to your menu, from a local source if possible

• Substitute buttered popcorn with air-popped popcorn without butter

• Eliminate or decrease the amount of candy, cookies, and bars on your menu and offer baked goods with whole wheat flour rather than white flour

• Substitute chips with baked chips

• Increase the amount of whole grain snacks offered on your menu

• Substitute nachos with unsalted tortilla chips and fresh salsa

• Add low-fat dairy products to your menu like string cheese and low-fat yogurt

Snacks to Avoid Snacks to Include• Soft pretzels with cheese dip • Fresh fruits and vegetables• Nachos and cheese dip • Unsweetened applesauce• Buttered popcorn • Unsalted nuts and seeds• Cookies and bars • Tortilla chips and fresh salsa• Candy • Low-fat yogurt• Chips • Light popcorn • Baked chips • String cheese

HEALTHY SNACK TIP SHEET




GENERAL INFORMATION• Beverages can make significant contributions to nutrient and calorie intake

• Intake of sugar-sweetened beverages has doubled in the last decade Soda and other sugar-sweetened drinks, including fruit drinks, sports drinks,

energy drinks, and sweet teas account for more than 27% of Americans' beverage consumption and can account for an additional 500 calories per day

• The high amounts of added sugar in these beverages can have short- and long-term effects on health including developing tooth decay, hypertension, high cholesterol, insulin resistance, and weight gain

IMPROVEMENTS• Offer healthier beverage choices such as water,

low-fat milks, unsweetened teas, and 100% fruit juices

• Limit or eliminate the variety of sugar-sweetened beverages on your menu

• Price healthier choices such as low-fat milk and 100% juices competitively to sugary sodas and drinks

• Offer meal options that include water, milk, or 100% fruit juice instead of a sugar sweetened beverage like soda or Hi-C.

• Consider offering sports drinks only at concession stands held during sporting events

Beverages to Avoid Beverages to Include• Soda or Pop • Fat-free and 1% milk• Fruit Drinks (Fruit Punch, Sunny Delight, Hi-C, etc) • Water and flavored water• Energy Drinks • 100% fruit or vegetable juices• Sweetened Iced Teas and Lemonade • Unsweetened Iced Tea• Kool-Aid • Low-sugar sports drinks

HEALTHY BEVERAGE TIP SHEET




Interested in going a step further to add healthy choices? Why not consider adding a healthy option value meal to your menu? Ideas include: sandwich, apple, and water

• Brats, hot dogs, and sandwiches are very common meal options at concession stands. These food items are easy to make, appealing to people of all ages, and easy to eat on the go. A few simple changes can make your brats, hot dogs, and sandwich section a little healthier for your customers

MEAT:• Substitute regular hot dogs and brats with low-fat, low-sodium

alternatives, such as turkey hot dogs and brats• For sandwiches, use lean meats and add veggies

PIZZA:• Use pizza with whole grain crust• Include healthier toppings on the pizza (peppers, onions, pineapple,

tomatoes, Canadian bacon, ham, chicken, etc)• Thin crust pizza has fewer calories than thick crust pizza

EXTRAS:• Use whole-grain buns and bread• Provide sides that add to the nutritional value

(tomatoes, onions, peppers)• Provide low-fat cheeses and dressings for

sandwiches

SIDES:• Offer fresh fruit and vegetables as a side• Allow customers to substitute potato chips

and/or a pickle for fresh fruit and veggies

NEXT STEP: CONCESSION MEAL MAKEOVER




Temperatures• Proper cooking temperatures for common concession items are:

Poultry: 165oF for 15 seconds Ground meat and brats: 155oF for 15 seconds Beef and pork: 145oF for 15 seconds Eggs: 145oF for 15 seconds Hotdogs: 140oF for 15 seconds

• Re-heated foods must reach an internal temperature of 165oF for 15 seconds

• The food held at hot temperatures must be at 140oF or above

• The food held in cold storage must have an internal temperature of 41oF

• When using ice to cool foods, make sure it surrounds the entire product

Food Protection• Thaw foods prior to cooking in a refrigerator or cook them from frozen

state. Never thaw foods at room temperature

• Keep cooked foods away from raw foods and the utensils contaminated by raw foods

• Keep food covered to prevent contamination from insects and dust

• Condiments must be served from individual packages, plastic squeeze bottles, pump dispensers, or served by food service employees

Personal Hygiene• All personnel must wash hands thoroughly before handling food and when

hands become contaminated

• Do not use hand sanitizer as a substitute for hand washing

• Do not touch ready to eat foods with bare hands

• Food handlers should not be ill or have open sores

• Food preparation personnel should wear hair restraints such as a hair net or baseball cap

FOOD SAFETY TIP SHEET

SUCCESS STORIES

Merrill, WI Band Boosters:Merrill Band Boosters is leading the way to healthier options for school-based concessions • Offered baked chips and SunChips rather than regular chips • Many customers are buying salsa for nachos rather than cheese dip • Carrots with fat-free dip have been well received by customers at

football games, Solo & Ensemble, and the October Competition • Fresh fruit is enjoyed by many at Solo & Ensemble and the October

Competition • Noted that water sells better than soda

Rudyard High School, MI:http://www.mihealthtools.org/schoolsuccess/default.asp?tab=readstories&storyid=204&usemenu=false&printerfriendly=true

• Provided fewer candy choices • Added fresh fruit, carrots, celery and low-fat ranch dip, pickles, and

low-calorie granola bars • Well received by event attendees

Clague Middle School-“Cougar Den”, MI: http://www.mihealthtools.org/schoolsuccess/default.asp?tab=readstories&storyid=139&usemenu=false&printerfriendly=true

• Substituted fruit snacks, oat bars, sugar free gum and water for candy, snack cakes and pop

Methods for Success: • Surveying student body for healthy food preferences • Visibly displaying healthy foods (healthy foods were not bought when

out of site) Reaching full potential: • INITIALLY profits decreased • NOW profits are increasing and are at or above where they used to be



READING NUTRITION LABELS

Learning how to read nutrition labels is the key to making healthier food choices. Follow the steps below to understand all the information a nutrition label can give you, and read the details of how to use that information on the next page.

Macaroni and Cheese

Ingredient List

7 Ingredients: ENRICHED MACARONI PRODUCT (WHEAT FLOUR, NIACIN, FERROUS SUL-FATE [IRON], THIAMIN MONONITRATE [VITAMIN B1], RIBOFLAVIN [VITAMIN B2], FOLIC ACID); CHEESE SAUCE MIX (WHEY, MILKFAT, MILK PROTEIN CONCENTRATE, SALT, SODIUM TRIPOLYPHOSPHATE, CONTAINS LESS THAN 2% OF CITRIC ACID, LACTIC ACID, SODIUM PHOSPHATE, CALCIUM PHOSPHATE, MILK, YELLOW 5, YEL-LOW 6, ENZYMES, CHEESE CULTURE). CONTAINS WHEAT, MILK.

Appendix A




READING NUTRITION LABELS

Serving size.Be careful to note the serving size and number of servings per container! It may surprise you that the package contains 2 or 3 servings. “Do the math” (i.e. doubling for 2 servings, tripling for 3, etc.) when calculating accurate nutrient amounts.

Calories.2/3 of Americans are overweight or obese because they consume more calories than they need. Counting calories can help manage weight. FDA’s general guidelines are that 40 calories per serving is low, 100 is moderate and 400 is high. Fat-free does not mean calorie-free.

Limit These Nutrients.Although we need some fats, cholesterol and sodium in our diets, eating too much can lead to heart disease, high blood pressure, and even some cancers. Health experts recommend limiting intake of these as much as possible and avoiding trans fats completely.

Get Enough of these Nutrients.Eating enough of the nutrients in the blue section can help reduce the risk of some diseases and conditions. Your daily goal is to consume at least the %DV.

% Daily Value.The %DV on food packages tells you how much one serving contributes to the total amount you need per day. 5% of DV or less per serving is considered low; 20% or more is high.

Ingredient List.Ingredients are listed in order of weight from highest to lowest. Limit or exclude certain things from your diet by making sure they are not listed or are at the end of the list:

• Sugars to limit/avoid: corn sweetener, corn syrup, dextrose, fructose, fruit juice concentrates, glucose, high-fructose corn syrup, honey, invert sugar, lactose, maltose, malt syrup, molasses, raw sugar, sucrose, sugar, syrup

• Trans fats to avoid: partially-hydrogenated or hydrogenated fats

For more information, visit:http://www.fda.gov/Food/LabelingNutrition/ConsumerInformation/ucm078889.htm

Appendix A

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Nutritional Guide for Concession StandsReference this chart for calories, total fat, sugar, sodium, and fiber amounts (per serving) for

popular concession items.

*see next page for more nutritional information*

FiberDomino’s Lg. hand-tossed cheese pizza, 1 slice 290 9 g 3 g 470 mg 2 g

Domino’s Lg. hand-tossed “Meatzza” pizza, 1 slice 380 31 g 4 g 820 mg 2 g

Domino’s Lg. hand-tossed veggie pizza, 1 slice 270 9 g 3 g 570 mg 4 g

Pizza Hut Lg. hand-tossed cheese pizza, 1 slice 320 12 g 2 g 920 mg 2 g

Pizza Hut Lg. hand-tossed meat lover’s pizza. 1 slice 440 23 g 4 g 1270 mg 2 g

Pizza Hut Lg. hand-tossed veggie lover’s pizza, 1 slice 330 15 g 3 g 690 mg 2 g

Papa John’s Lg. original crust cheese pizza, 1 slice 290 10 g 4 g 720 mg 2 g

Papa John’s Lg. original crust “The Meats” pizza, 1 slice 370 17 g 5 g 1050 mg 2 g

Papa John’s Lg. original crust veggie pizza, 1 slice 280 9 g 5 g 700 mg 2 g

Papa Murphy’s Lg. regular crust cheese pizza, 1 slice 270 10 g 6 g 560 mg 2 g

Papa Murphy’s Lg. regular crust 5-meat pizza, 1 slice 370 16 g 6 g 900 mg 2 g

Papa Murphy’s Lg. regular crust veggie combo pizza, 1 slice 260 11 g 6 g 675 mg 1 g

Little Caesar’s Lg. cheese pizza, 1 slice 200 6.5 g 3 g 320 mg 2 g Little Caesar’s Lg. Meat pizza, 1 slice 280 12.9 g 3 g 630 mg 2 g Little Caesar’s Lg. Veggie pizza, 1 slice 270 10 g 6 g 530 mg 2 g

FOOD ITEM-Condiments CALORIES TOTAL FAT SUGAR Sodium FiberAuntie Anne’s Melted Cheese Dip (2oz) 150 12 g 4 g 850 mg 0 g Auntie Anne’s Marinara Sauce (2oz) 45 1 g 4 g 240 mg 2 g Salsa, (Wendy’s) 1 packet (1/3 – ½ c) 30 0 g 4 g 440 mg 0 g Marzetti caramel apple dip (2 tbsp) 140 6 g 18 g 75 mg 0 g Marzetti fat-free caramel apple dip (2 tbsp) 100 0 g 19 g 105 mg 0 g

Granola bar, Nature Valley, 1 bar 180 6 g 12 g 160 mg 2 g Hidden Valley Ranch Dressing (2tbsp) 140 14 g 1 g 260 mg 0 g Hidden Valley Light Ranch (2tbsp) 80 7 g 1 g 280 mg 0 g Hidden Valley Fat-free Ranch (2tbsp) 30 0 g 3 g 310 mg 0 g

TOTAL FATCALORIESFOOD ITEM-Pizza Sodium SUGAR

Appendix B

Nutritional Guide For Concession Stands

FOOD ITEM-Quick Meals CALORIES TOTAL FAT SUGAR Sodium FiberArmour Hot Dog, 1 (without bun and condiments 150 13 g 1 g 550 mg 0 g

Oscar Mayer Hot Dog (without bun and condiments 130 12 g 1 g 540 mg 0 g

Ball Park Hot Dog (without bun and condiments) 180 16 g 3 g 550 mg 0 g

Subway 6” subs on 9-grain wheat bread with lettuce, tomatoes, onions, green peppers and cucumbers: Black forest ham

290 4.5 g 7 g 1200 mg 5 g

g5gm0371g7g02054)tucdloc(TMBnailatIg5gm029g6g5.3082tsaerbyekruT

Taco Bell Fiesta Taco salad: crispy tortilla filled w/ seasoned ground beef, seasoned rice, cheddar cheese, beans, lettuce, tomatoes, red tortilla strips, sour cream and salsa

770 41 g 8 g 1650 mg 12 g

Taco Bell Fiesta Taco Salad w/o tortilla shell 460 24 g 7 g 1430 mg 11 g

Superpretzel soft pretzel w/ cheese sauce 569 10 g 1 g 2363 mg 2.6 g

Superpretzel cheese-filled soft pretzels, 2 sticks 140 2.5 g 1 g 250 mg 1 g

Superpretzel Soft pretzel 180 1 g 1 g 140 mg 2 g FOOD ITEM-Snacks CALORIES TOTAL FAT SUGAR Sodium Fiber

Popcorn, Lg. tub “movie popcorn” oil-popped, no butter 1200 60 g 0 g 980 mg 13 g

Popcorn, Lg. tub “movie popcorn” oil-popped, with butter 1640 126 g 0 g 1240 mg 17 g

g5gm024g0g23084llams,nrocpoPCereal Bar, Special K, 1 bar 90 2 g 9 g 110mg <1 g Cereal bar, Kashi Blackberry graham bar, 1 bar 110 3 g 9 g 125 mg 3 g

Apple slices – 1 med. apple 65 0 g 13 g 1 mg 3 g 01,elkciPgiB -12 0 g 2 g 833 mg 0 g

Gatorade-Lemon Lime (8oz) 50 0 g 14 g 110 mg 0 g G2- g0gm011g5g002)zo8(emiLnomeLPropel- g0gm08g2g001)zo8(yrreBPowerade-Lemon Lime (8oz) 50 0 g 14 g 100 mg 0 g Powerade Zero-Lemon Lime (8oz) 0 0 g 0 g 100 mg 0 g

g0gm02g82g0001)zo8(ispePg0gm52g0g00)zo8(ispePteiD

BEVERAGES CALORIES TOTAL FAT SUGAR Sodium Fiber

Appendix B

Congratulations on making the change to healthier foods and beverages for your concession stand and for

improving the health of your community!

Resources:1. Criteria for Coding Foods, NEMS-V, Nutrition Environment Measures Survey for

Vending, Iowans Fit for Life Active and Eating Smart, Iowa State University Extension. March 1, 2010. http://www.nems-v.com/attachments/CriteriaforColorCodingFood.pdf

2. Youth Sports Concessions that are Healthy and Profitable, Turning out a Profit while turning out Healthier Kids, Lyle McCoon Jr, Athletics Director, Nicholasville/ Jessamine County, Kentucky, Parks and Recreation. April 2007. http://guelphbasketball.com/documents/mikemackay/Healthy%20Eating%20Sports%20Concessions.ppt

3. Article - The Negative Impact of Sugar-Sweetened Beverages on Children’s Health, Robert Wood Johnson Foundation, November 2009. http://www.healthyeatingresearch.org/images/stories/her_research_briefs/her_ssb_synthesis_091116.pdf

CONGRATULATIONS!

Contact Information:

Wood County Health Department 420 Dewey Street4th FloorWisconsin Rapids, WI 54494 Phone: 715-421-8911



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Documents

15994.1-Wood County Health Dept Concessions Toolkitgetactive.co.wood.wi.us/Portals/0/15994 1-Wood County Health Dept... · • Trans fats are found in processed products like boxed