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Obesity in America… Specialty Medical  Gregory Schaeppi
 
 
 
 
 
 
 
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is Obesity? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source:  Centers for Disease Control
What is Obesity? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source:  Centers for Disease Control 127 mm Americans 9 mm Americans 60 mm Americans
Percent of U.S. Adults Overweight 64.5% 56.0% 46.0% 30.5% 23.0% 14.4% Source:  Centers for Disease Control
Childhood Obesity in the U.S. Source:  Centers for Disease Control 6.5% 5% 11.3% 10.5% 15.3% 15.5%
Food Expenditures – Nominal Dollars Total Food At Home Food Away From Home Source:  USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm
Food Expenditures – Constant Dollars Total Food At Home Food Away From Home Source:  USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm
Food Expenditures as a percent of Disposable Income Total Food At Home Food Away From Home Source:  USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm
Food Expenditures as a % of Disposable Income vs. Prevalence of Adult Overweight / Obesity Source:  USDA Economic Research Service / CDC NHSC http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm Obesity is defined as a BMI of 30+ % Overweight % Obese
Food Expenditures as a % of Disposable Income vs. Rate of Overweight Children in U.S. Food Away From Home Food At Home Total Ages 6-11 Ages 12-19
Foodservice Sales by Type of Outlet All Other Lodging Source:  USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table17.htm Full Service QSR Education
Calorie Supply Per Capita Per Day Total Vegetable Animal Source:  USDA Economic Research Service (Adult male requires 2800 calories)
Total Supply: Calories vs. Other Components Calories Grams Source:  USDA ERS Per Capita Supply Per Day Carbohydrates +27% Calories +15% Total Fat +3% Protein +16%
Cost Per Calorie Current Prices 1988 Prices Source:  USDA Economic Research Service Total Supply  / Per Capita Expenditures
Cost Per Calorie Some studies suggest that the low cost of highly processed “unhealthy” calories contributes strongly to the obesity epidemic, particularly among lower-income segments. 580 $0.99 Big Mac 710 $0.99 Original Whopper 190 $.19 Ramen Chicken Vegetable 390 $.79 Kraft Macaroni & Cheese 150 $3.85 Fruity Pebbles AVG. COST PER CAL 80 $2.49 Wonder Light Wheat Bread 80 $0.69 Red Delicious Apple 230 $2.69 Atkins Advantage Bar 35 $1.59 Beefsteak Tomato  Calories Cost Item
Cost Per Calorie Source:  The Hale Group, Ltd.
Obesity Trends* Among U.S. Adults BRFSS, 1985 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1986 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1987 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1988 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1989 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1990 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1991 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1992 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1993 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1994 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1995 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1996 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1997 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1998 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 1999 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 2000 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al.  J Am Med Assoc   1999;282:16,  2001;286:10.
Health Risks of Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Risks of Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],$93 Billion in Health Care Costs Cost of healthcare for obese people estimated to be 37% greater than normal weight people, adding $732 per capita each year to healthcare costs.
Weight Loss:  A Significant Concern Source:  NMI 2002 Health conditions the general population is trying to manage / treat: Weight Loss-Appearance Cholesterol Level Weight Loss-Health Fat Intake Sugar Intake Salt Intake Carbohydrate Intake Lactose Intolerance Food Allergies Protein Intake 44.8% 39.9% 38.8% 33.8% 31.1% 28.7% 14.3% 9.7% 9.6% 9.1%
Causes of Obesity Calories Consumed Calories Burned
Causes of Obesity Source:  The Hale Group, Ltd. More Calories Consumed than Burned Declining Food Costs Food Supply Chain Over-Capacity New Realities of Society, Family and Education Consumer Confusion – Diet Fads, Food Pyramid
Tobacco, Alcohol Set Examples? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tobacco History 1800 2000 Early 1800s – Cigarettes first introduced to U.S. 1864 – First Federal tax imposed WWI – Doctors praise cigarettes for helping soldiers relax and ease their pain Late ’40s – Early ’50s – Smoking first linked to lung cancer, other diseases
Tobacco History 1800 2000 1964 – S.G. report concludes smoking is a cause of lung cancer 1965 – Congress requires health warnings on cigarette packs 1969 – TV and radio ads banned 1973 – AZ first state to restrict smoking in public places 1979 – Smoking restricted in gov’t facilities 1988 – Smoking banned on short domestic flights 1990 – Smoking banned on all domestic commercial flights 1993 – Smoking banned in White House
Tobacco History 1800 2000 1994 – US tobacco manufacturers testify nicotine is not addictive and they do not manipulate nicotine in cigarettes 1994 – Mississippi is first state to sue industry seeking to recover medicated costs (settled 1997) 1996 – Liggett offers to settle class action suit by taking financial responsibility for related disease and death for first time 1998 – Industry approves 46-state Master Settlement Agreement for $206 billion (paid through 2025)
U.S. Cigarette Consumption Source: U.S. Tobacco Production, Consumption, and Export Trends, Report for Congress, Updated June 3, 2003 (Primary data source: USDA, ERS
Per Capita Alcohol Consumption (gals.) Source: USDA ERS 1980: MADD established
Per Capita Alcohol Consumption (gals.) Source: USDA ERS 1982: Presidential Commission  on Drunk Driving
Per Capita Alcohol Consumption (gals.) Source: USDA ERS 1984: Federal “21” minimum drinking age enacted
Yet, Alcohol Succeeds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: Adams Beverage Group
Implications For Food System So, who will voluntarily trim sales to accommodate lower calorie requirements?
Implications for Food System ,[object Object],[object Object],[object Object],[object Object],All could add significant cost to food system, but could also lead to new opportunities.
Litigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Legislation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Federal Legislation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
R&D / Innovation ,[object Object],[object Object],[object Object],[object Object],Food Pyramid ,[object Object],[object Object],[object Object],[object Object],7-10 Servings of Starch (carbs) How does this evolution affect current R&D platforms and investment? What needs to change to meet new diet reality?
Innovation Innovation . . . a winning strategy to create sustainable profitable growth 1982 1995 Market Value Top Tier Innovators 24.5% Return S&P 500 Bottom Tier Innovators  8% Return The Innovation Premium  Historical Market Value
Sales & Marketing ,[object Object],[object Object],[object Object],[object Object],[object Object]
“Our Drive-Thru Fancy Feast” Source:  USAToday, 15 October 2003
Source:  USAToday, 15 October 2003
Americans Avoid Cookie Jar Kraft Loses as Americans Avoid Cookie Jar ,[object Object],[object Object],[object Object],Source:  LA Times, 20 October 2003
Fastest Growing Category in Foodservice
Expectations Exceed Growth For many manufacturers, growth mandates targeted acquisitions and alliances . . . Growth Expectations 8 – 10% Growth Gap 3 - 7% Foodservice Industry 2 - 5% 10% 5% 1990 1995 2002 Years Change in Sales Growth Source:  The Hale Group, Ltd.
The Strategic Planning Matrix Existing New Existing New Products Customers Status Quo Innovation Customer  Acquisition Acquisitions  & Alliances A Useful Framework to Structure Strategic Thinking $$$ Future Goal
Spending On Food Away From Home ,[object Object],[object Object],[object Object],25% 44% 53% 1955 1995  2005 Foodservice as Percent of Total  Food Expenditures 1955 - 2010 Source:  US Census Bureau 58% 2010
Change Agents ,[object Object],Who they are, What they have, What they want … What they eat, When they eat, Where they eat ... Defines Source:  The Hale Group, Ltd.
Consumer Driven ,[object Object],[object Object],[object Object],[object Object],[object Object],Planned Occasions On-The-Go Occasions Manufacturers’ Foodservice Solutions Source:  The Hale Group, Ltd.
The Foodservice Manufacturer Response Internal Strategies Contain costs & maximize revenue Shift focus from obesity to wellness Source:  The Hale Group, Ltd. Customer Strategies Product Strategies
Customer Strategies ,[object Object],[object Object],[object Object],[object Object],Source:  The Hale Group, Ltd.
Product Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],Source:  The Hale Group, Ltd.
Internal Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],Source:  The Hale Group, Ltd.
Obesity in America… Specialty Medical  Gregory Schaeppi

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American Idle...Obesity in the USA.

  • 1. Obesity in America… Specialty Medical Gregory Schaeppi
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  • 12. Percent of U.S. Adults Overweight 64.5% 56.0% 46.0% 30.5% 23.0% 14.4% Source: Centers for Disease Control
  • 13. Childhood Obesity in the U.S. Source: Centers for Disease Control 6.5% 5% 11.3% 10.5% 15.3% 15.5%
  • 14. Food Expenditures – Nominal Dollars Total Food At Home Food Away From Home Source: USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm
  • 15. Food Expenditures – Constant Dollars Total Food At Home Food Away From Home Source: USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm
  • 16. Food Expenditures as a percent of Disposable Income Total Food At Home Food Away From Home Source: USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm
  • 17. Food Expenditures as a % of Disposable Income vs. Prevalence of Adult Overweight / Obesity Source: USDA Economic Research Service / CDC NHSC http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table7.htm Obesity is defined as a BMI of 30+ % Overweight % Obese
  • 18. Food Expenditures as a % of Disposable Income vs. Rate of Overweight Children in U.S. Food Away From Home Food At Home Total Ages 6-11 Ages 12-19
  • 19. Foodservice Sales by Type of Outlet All Other Lodging Source: USDA Economic Research Service http://www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/table17.htm Full Service QSR Education
  • 20. Calorie Supply Per Capita Per Day Total Vegetable Animal Source: USDA Economic Research Service (Adult male requires 2800 calories)
  • 21. Total Supply: Calories vs. Other Components Calories Grams Source: USDA ERS Per Capita Supply Per Day Carbohydrates +27% Calories +15% Total Fat +3% Protein +16%
  • 22. Cost Per Calorie Current Prices 1988 Prices Source: USDA Economic Research Service Total Supply / Per Capita Expenditures
  • 23. Cost Per Calorie Some studies suggest that the low cost of highly processed “unhealthy” calories contributes strongly to the obesity epidemic, particularly among lower-income segments. 580 $0.99 Big Mac 710 $0.99 Original Whopper 190 $.19 Ramen Chicken Vegetable 390 $.79 Kraft Macaroni & Cheese 150 $3.85 Fruity Pebbles AVG. COST PER CAL 80 $2.49 Wonder Light Wheat Bread 80 $0.69 Red Delicious Apple 230 $2.69 Atkins Advantage Bar 35 $1.59 Beefsteak Tomato Calories Cost Item
  • 24. Cost Per Calorie Source: The Hale Group, Ltd.
  • 25. Obesity Trends* Among U.S. Adults BRFSS, 1985 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 26. Obesity Trends* Among U.S. Adults BRFSS, 1986 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 27. Obesity Trends* Among U.S. Adults BRFSS, 1987 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 28. Obesity Trends* Among U.S. Adults BRFSS, 1988 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 29. Obesity Trends* Among U.S. Adults BRFSS, 1989 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 30. Obesity Trends* Among U.S. Adults BRFSS, 1990 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 31. Obesity Trends* Among U.S. Adults BRFSS, 1991 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 32. Obesity Trends* Among U.S. Adults BRFSS, 1992 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 33. Obesity Trends* Among U.S. Adults BRFSS, 1993 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 34. Obesity Trends* Among U.S. Adults BRFSS, 1994 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 35. Obesity Trends* Among U.S. Adults BRFSS, 1995 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 36. Obesity Trends* Among U.S. Adults BRFSS, 1996 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 37. Obesity Trends* Among U.S. Adults BRFSS, 1997 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 38. Obesity Trends* Among U.S. Adults BRFSS, 1998 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 39. Obesity Trends* Among U.S. Adults BRFSS, 1999 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 40. Obesity Trends* Among U.S. Adults BRFSS, 2000 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
  • 41. Obesity Trends* Among U.S. Adults BRFSS, 2001 Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
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  • 44. Weight Loss: A Significant Concern Source: NMI 2002 Health conditions the general population is trying to manage / treat: Weight Loss-Appearance Cholesterol Level Weight Loss-Health Fat Intake Sugar Intake Salt Intake Carbohydrate Intake Lactose Intolerance Food Allergies Protein Intake 44.8% 39.9% 38.8% 33.8% 31.1% 28.7% 14.3% 9.7% 9.6% 9.1%
  • 45. Causes of Obesity Calories Consumed Calories Burned
  • 46. Causes of Obesity Source: The Hale Group, Ltd. More Calories Consumed than Burned Declining Food Costs Food Supply Chain Over-Capacity New Realities of Society, Family and Education Consumer Confusion – Diet Fads, Food Pyramid
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  • 48. Tobacco History 1800 2000 Early 1800s – Cigarettes first introduced to U.S. 1864 – First Federal tax imposed WWI – Doctors praise cigarettes for helping soldiers relax and ease their pain Late ’40s – Early ’50s – Smoking first linked to lung cancer, other diseases
  • 49. Tobacco History 1800 2000 1964 – S.G. report concludes smoking is a cause of lung cancer 1965 – Congress requires health warnings on cigarette packs 1969 – TV and radio ads banned 1973 – AZ first state to restrict smoking in public places 1979 – Smoking restricted in gov’t facilities 1988 – Smoking banned on short domestic flights 1990 – Smoking banned on all domestic commercial flights 1993 – Smoking banned in White House
  • 50. Tobacco History 1800 2000 1994 – US tobacco manufacturers testify nicotine is not addictive and they do not manipulate nicotine in cigarettes 1994 – Mississippi is first state to sue industry seeking to recover medicated costs (settled 1997) 1996 – Liggett offers to settle class action suit by taking financial responsibility for related disease and death for first time 1998 – Industry approves 46-state Master Settlement Agreement for $206 billion (paid through 2025)
  • 51. U.S. Cigarette Consumption Source: U.S. Tobacco Production, Consumption, and Export Trends, Report for Congress, Updated June 3, 2003 (Primary data source: USDA, ERS
  • 52. Per Capita Alcohol Consumption (gals.) Source: USDA ERS 1980: MADD established
  • 53. Per Capita Alcohol Consumption (gals.) Source: USDA ERS 1982: Presidential Commission on Drunk Driving
  • 54. Per Capita Alcohol Consumption (gals.) Source: USDA ERS 1984: Federal “21” minimum drinking age enacted
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  • 56. Implications For Food System So, who will voluntarily trim sales to accommodate lower calorie requirements?
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  • 62. Innovation Innovation . . . a winning strategy to create sustainable profitable growth 1982 1995 Market Value Top Tier Innovators 24.5% Return S&P 500 Bottom Tier Innovators 8% Return The Innovation Premium Historical Market Value
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  • 64. “Our Drive-Thru Fancy Feast” Source: USAToday, 15 October 2003
  • 65. Source: USAToday, 15 October 2003
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  • 67. Fastest Growing Category in Foodservice
  • 68. Expectations Exceed Growth For many manufacturers, growth mandates targeted acquisitions and alliances . . . Growth Expectations 8 – 10% Growth Gap 3 - 7% Foodservice Industry 2 - 5% 10% 5% 1990 1995 2002 Years Change in Sales Growth Source: The Hale Group, Ltd.
  • 69. The Strategic Planning Matrix Existing New Existing New Products Customers Status Quo Innovation Customer Acquisition Acquisitions & Alliances A Useful Framework to Structure Strategic Thinking $$$ Future Goal
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  • 73. The Foodservice Manufacturer Response Internal Strategies Contain costs & maximize revenue Shift focus from obesity to wellness Source: The Hale Group, Ltd. Customer Strategies Product Strategies
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  • 77. Obesity in America… Specialty Medical Gregory Schaeppi