California Raisins: Small Fruit, Mighty Nutrition Research Highlights, Practical Uses

1. California Raisins: Small Fruit, Mighty NutritionResearch Highlights, Practical Uses February 20, 2013

2. Presenters • Expert on weight management, nutrition and behavioral eating with more than 30 years of experience as a registered dietitian • Eastern Illinois University • Member of the Academy of Nutrition and Dietetics and the Society for Nutrition Education • Nutrition Research Director for the California Raisin Marketing Board James Painter, Ph.D., R.D. Eastern Illinois University jimpainterphd@gmail.com

3. Presenters • Award-winning registered dietitian and Cordon Bleu Chef • Healthy recipe columnist and nationally recognized nutrition expert • Author of Clean Eating for Busy Families (Fair Winds Press, December 2012) • President of the Arizona Academy of Nutrition and Dietetics, Member of the Academy of Nutrition and Dietetics, International Association of Culinary Professionals and Les Dames d’ Escoffier Chef Michelle Dudash, R.D. michelle@dudashnutrition.com

4. Presentation Overview • California Raisins At-A-Glance • California Raisins Research • Blood Pressure • Blood Glucose • Satiety in Children • Dental Health • Abdominal Obesity • Running Performance • Athletic Endurance • Consumer Trends, Practical Applications • Stealth Health – Flavorful Tips for Reducing Added Sugar, Salt • California Raisins Recipes • Q&A

5. California Raisins At-A-Glance

6. California Raisins At-A-Glance • California Raisins are an all-natural, dried-by-the-sun fruit. • The ingredient label says it all:Raisins. • USDA: #1 most economical dried fruit. • California Raisins have concentrated nutrients. • When grapes undergo the simple, sun-dried process to become raisins, some nutrients are concentrated. In particular, calcium and potassium levels increase. Fiber also increases. • California Raisins come by their sweetness naturally. • California Raisins contain no added sugars. In fact, raisins can proudly carry the Produce for Better Health Foundation’s Fruit & Veggies — More Matters logo because they are 100% fruit. • California Raisins are a wise choice. • The USDA’s Food-A-Pedia website shows that a serving of raisins contributes no empty calories – because they contain no added sugar.

7. California Raisins – A Look at the Label ¼ Packed Cup = Serving of Fruit Fat Free NA, NA, NA… Naturally Low in Sodium Oh, K! Potassium Rocks WeFiber Naturally Sweet

8. California Raisins Research

9. California Raisins and… • High systolic blood pressure is considered a risk factor for cardiovascular disease • A recent study suggests eating raisins three times a day may significantly lower the mean value of post-meal systolic blood pressure among individuals with prehypertension when compared to consuming popular, pre-packaged non-fruit snacks • Raisins significantly reduced systolic blood pressure at weeks four, eight and 12, ranging from -4.8 to -7.2 percent or -6.0 to -10.2 mmHg • Within group analysis, raisins significantly reduced mean diastolic blood pressure at all study visits, with changes ranging from -2.4 to -5.2 mmHg Bays H, Anderson J. A Randomized Study of Raisins Versus Alternative Snacks on Cardiovascular Risk Factors American Diabetes Association Abstract, June 2012 Key Take-Away: Raisins have dietary fiber, potassium associated with cardio-protective benefits. Research conducted at L-MARC & announced at the American College of Cardiology’s 61st Annual Scientific Session, March 2012. Blood Pressure Levels

10. California Raisins and… • High glucose levels are considered a risk factor for cardiovascular disease and diabetes • A recent study suggests eating raisins three times a day may significantly lower the mean value of post-meal glucose levels for individuals with pre-hypertension when compared to consuming popular pre-packaged non-fruit snacks of equal caloric value • Raisins significantly decreased mean post-meal glucose levels by 16 percent • Compared to baseline within group paired analysis, raisins significantly reduced mean hemoglobin A1c by 0.12 percent Bays H, Anderson J. A Randomized Study of Raisins Versus Alternative Snacks on Cardiovascular Risk Factors. American Diabetes Association Abstract, June 2012 Key Take-Away: Raisins have a relatively low glycemic index and contain fiber which contribute to blood sugar control. Research conducted at L-MARC & presented at the American Diabetes Association Annual Meeting, June 2012. Post-Meal Glucose Levels

11. California Raisins and… • A controlled study that looked at after-school snacking and satiety among children found: • Eating raisins and grapes as an after-school snack prevents excessive calorie intake and increases satiety – or feeling of fullness – as compared to other commonly consumed snacks • Potato chips and cookies resulted in ~ 81 percent and 121 percent higher calorie intake compared to raisins, respectively • Cumulative calorie intake (breakfast + morning snack + lunch + after-school snack) was 17-25 percent higher respectively, after raisin consumption compared to chips and cookies Key Take-Away: All-natural, no-sugar added raisins may help promote healthy weight maintenance in school-age children. Research conducted at the University of Toronto & presented at the Canadian Nutrition Society Annual Meeting , May 2012. Satiety in Children

12. California Raisins and… • A recent study found that raisins contain antimicrobial phytochemicals that inhibit bacteria (Streptococcus mutans and Porphyromonas  gingivalis) that cause cavities and gum disease • Raisins do not have a negative impact on mouth pH, a key indicator for dental cavity development • Raisins – when consumed on their own – were shown to be almost completely cleared from tooth surfaces within five minutes after chewing and swallowing DentalHealth Key Take-Away: Re-think what you have may have heard about raisins and dental health; science shows raisins have properties that inhibit cavity-causing bacteria.

13. California Raisins and… • Data suggests raisin and dried fruit consumption are associated with a decreased likelihood of abdominal obesity • The analysis examined the association between dried fruit consumption and body weight and waist circumference in adults, using NHANES data from 1999 to 2004 • Dried fruit eaters were defined as those eating greater than or equal to 1/8 cup of fruit equivalent per day either out of hand or contained as an ingredient within other foods Abdominal Obesity Key Take-Away: Eating dried fruit, such as California Raisins, is associated with a smaller waistline and less belly fat.

14. California Raisins and… • Research conducted at the University of California – Davis & published in the Journal of the International Society of Sports Nutrition • Eating raisins provides the same workout boost as sports chews • Runners that ingested raisins or sports chews ran their 5k on average one minute faster than those that consumed only water Time of Completion, Rate of Perceived Exertion and Heart Rate (value/10) during the 5K time trial. Values are means ± SEM for 11 men. *, significantly different from water (p ≤ 0.05). Too B et al. UC Davis ACSM 2012 Key Take-Away: A recent study shows raisins provide the same workout boost as sports chews, at the fraction of the cost – while also delivering important nutrients Running Performance

15. California Raisins and… • Raisins were shown to be a good alternative to sports gels in a recent study conducted with endurance athletes • Endurance-trained cyclists (4 males and 4 females) completed two feeding-performance trials where changes in metabolism and cycling performance were compared after consumption of raisins (a moderate to low glycemic index food) versus a commercial sports gel (a high glycemic index food) • There were no differences in performance in the 45-minute cycling trial (at 75% VO2max) between raisins and sports gel consumption Athletic Endurance Antioxidants Key Take-Away: Consumption of all-natural California Raisins resulted in the same performance output as sports gels.

16. Consumer Insights, Trends & Practical Applications

17. National Survey Response • We Asked More Than 1,000 Moms About Their Snacking Choices… • 86% of moms believe natural foods are healthier than highly processed choices • Nearly two-thirds (64%) of moms are concerned their kids are consuming too much added sugar in their snacks • 87% of moms feel it is important when they buy snacks that have no or as little added sugar as possible • Top three reasons they would put a snack back on the shelf • Trans- and saturated- fats (52%) • Added sugars (47%) • Artificial dyes and colors (46%) Key Take-Away: California Raisins are a wise choice for today’s nutrition-minded, health aware moms. California Raisin Marketing Board phone survey among 1,003 moms, December 2011.

18. Sources of Added Sugars in U.S. Diet Figure 3-6. Sources of Added Sugars in the Diets of the U.S. Population Ages 2 Years and Older, NHANES 2005-2006

19. Stealth Health • Likely Culprits: • Salad dressings • Sauces • Yogurt • Solution: • Replace some or all sugar with fruit in recipes • Reduce the amount of sugar in recipes • Often be cut by 1/4 or 1/3 (up to 1/2 if fruit is added) • Enhance flavor with vanilla, cinnamon or nutmeg Freedigitalphotos.net/ Grant Cochrane Watch for Hidden Added Sugar

20. Stealth Health • About 4 in 10 Americans say they regularly watch their sodium intake • - HealthFocus International • Fewer actively avoid high-sodium food items such as frozen meals and salty snacks • Factors influencing food, beverage purchase decisions • Taste (84%) • Price (70%) • Healthfulness (62%) • Convenience (55%) • - International Food Information Council Foundation Freedigitalphotos.net/Carlos Porto Key Take-Away: It all boils down to taste Consumer Trends

21. Sources of Sodium in U.S. Diet Figure 3-2. Sources of Sodium in the Diets of the U.S. Population Ages 2 Years and Older, NHANES 2005-2006

22. Stealth Health • Techniques: • Herbs and spices • Seasonal ingredients • Pops of intensely flavorful ingredients • Preparation techniques Reduce Sodium, Maximize Flavor

23. Stealth Health • Americans eat only about half of the daily recommended potassium • Common Sources: • Baked white and sweet potatoes • Plain yogurt • White beans • Tomato puree • Orange juice • And, as an everyday snack, raisins have 9% DV of potassium The Other Side of the Sodium Equation

24. Stealth Health • Sun-dried tomatoes in eggs, vegetables, pasta • Toasted nuts in grains, salads • Caramelized onions in soups, sauces • Citrus zest in marinades, baked goods • Bit of capers and olives go a long way • Add an acid Bursts of Flavor

25. Stealth Health • Stews, chili • Trail mix • Smoothies & sauces • Salads • Snack bars • Cookies & desserts • Taco meat, meatballs, burgers • Nut butter spreads & toppings • Cheese pairing • Use California Raisins in… Bursts of Flavor

26. Stealth Health • California Raisin flavor affinities: • Nuts • Cereals, oats • Cinnamon, ginger • Desserts • Lemon, orange • Rum • Vanilla, almond extract • Wine • Plus endless possibilities! California Raisins versatility

27. Putting it all Together

28. California Raisin Recipes

29. California Raisin Recipes

30. More California Raisin Resources LoveYourRaisins.com LoveYourRaisins.com Facebook.com/California Raisins Pinterest.com/CalRaisins

31. Q&A

32. References • Produce for Better Health Foundation. (2012). Fruits & Veggies—More Matters Brand Guidelines. Retrieved • fromhttp://www.pbhfoundation.org/pdfs/licensing/gra/fvmm/2012_Brand_Guidelines.pdf USDA Center for Nutrition Policy and Promotion. (2012). Food-A-Pedia SuperTracker. Retrieved from www.choosemyplate.gov/SuperTracker USDA Economic Research Service. (2011). Economic Information Bulletin 71, February 2011. Bays, H., et. al. Raisins and Blood Pressure: A Randomized, Controlled Trial. Poster session presented at: American College of Cardiology’s 61st Annual Scientific Session; 2012 March 24-27; Chicago, IL. Bays, H., et. al. Raisins and Blood Glucose: A Randomized, Controlled Trial. Poster session presented at American Diabetes Association’s 72nd Annual Scientific Session; 2012 June 8-12; Philadelphia, PA. Bellissimo, N., et. al., An After-School Raisin Snack Reduces Subjective Appetite and Energy Intake and Increases Satiety in Normal Weight Children. Poster session presented at: Canadian Nutrition Society Annual Meeting; 2012 May 23-25; Vancouver, British Columbia. Rivero-Cruz, J.F., Zhu, M., Kinghorn, A., D., Wu, C. D. (2008). Antimicrobial Constituents of Thompson Seedless Raisins(Vitis vinifera) Against Selected Oral Pathogens. Phytochemistry Letters, 1(3): 151Keast, D. R., O’Neil, C., E., Jones, J., M. (2011). Dried Fruit Consumption Associated with Improved Diet Quality and Reduced Obesity in U.S. Adults: NHANES, 1999-2004. Nutrition Research, 31(6):460-7. Too, B.W., Cicai, S., Hockett, K., R., Applegate, E., Davis, B., A., Casazza, G., A. (2012). Natural Versus Commercial Carbohydrate Supplementation and Endurance Running Performance. Journal of the International Society of Sports Nutrition, 15; 9(1):27.