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Food consumption data point to an even bigger challenge to improving diet quality: away-from-home foods now account for one-third of daily caloric intake, and they are not as healthful as at-home foods. New Government and private industry initiatives to make food labels and point-of-purchase information more relevant, understandable, and motivating may help consumers choose more healthful foods. In 1980, the Federal Government issued the Dietary Guidelines for Americans, a guide to healthy eating for consumers. Measured against the Dietary Guidelines recommendations, two recent ERS studies find that consumers are underspending on vegetables, fruit, whole grains, and low-fat dairy and overspending on refined grains, fats, sweets, and convenience foods in the grocery store. ERS researchers compared grocery store purchases as recorded by Nielsen Homescan panelists in 1998-2006 with USDA food plan recommendations. Spending patterns of Homescan participants were compared with recommendations in the Liberal food plan, designed for households facing the least restrictive budget constraints. Findings reveal that consumer spending came close to matching USDA food plan recommendations for only 1 of the 23 food categories examined--potatoes. Panelists overspent on other foods such as refined grains, fruit juices, regular dairy products (including whole milk and butter), and meats.
Food Spending Patterns Changed Little Over TimeThe average quarterly grocery cart did not improve noticeably in healthfulness between 1998 and 2006, with the exception of an increase in the share of spending on whole grains, coupled with a decreased share of spending on refined grains.
On a less positive note, Homescan panelists allocated less of their food budgets to fruits and vegetables and more to packaged and processed foods and beverages in 2006 than in 1998.
Eating Out Requires Smart Choices, TooDespite this discouraging picture, ERS analyses of food consumption surveys find that the nutritional content of food prepared at home is superior in many ways to the foods we eat away from home. ERS researchers analyzed the foods people reported eating in two national surveys conducted in 1977-78 and 2005-08. According to the surveys, Americans have made some positive nutrition changes at home but less so when eating out. In 2005-08, USDA researchers expanded the nutrient analysis to include estimates of the amounts of saturated fat, sodium, and dietary fiber in at-home and away-from-home foods. Overall, Americans obtained 11.4 percent of their calories from saturated fat in 2005-08, on average, slightly higher than the recommended 10 percent.
Low intakes of dietary fiber--typically found in fruit, vegetables, and whole grains--have been identified as a public health concern. Fiber densities for food prepared at home, restaurant foods, school foods, and foods from other away-from-home sources. Source: USDA, Economic Research Service analysis using data from the 2005-08 National Health and Nutrition Examination Survey.
Can Expanded Information and Product Innovation Improve Food Choices?Clearly, there is room for improvement in Americans’ food choices both at home and away from home. Supply and demand both play a role in influencing consumer food choices, as illustrated by the recent trend toward increased availability and purchases of whole grains. Despite the benefits to overall diet quality, it can be difficult to convince consumers to change food preferences.
New Government and private industry initiatives are striving to make food labels and point-of-purchase information more relevant to consumer interests, readily comprehensible, and motivating. Some food retailers have already begun using shelf tags and front-of-package labels to help consumers identify more healthful food products. Efforts such as these by retailers may encourage food companies to reformulate their products to make them more healthful.
Marketing efforts may also need to address factors other than nutrition that prompt consumer food choices.
Menu Labeling May Change Away-From-Home ChoicesThe limited amount of nutrition information provided for foods offered at restaurants, fast food establishments, and other away-from-home locations may explain why consumers tend to choose less nutritious items at these places. Though the Dietary Guidelines have been widely promoted and updated every 5 years to keep pace with advances in nutrition knowledge, Americans still make poor dietary choices. USDA food plans provide spending guidelines for obtaining a diet that meets the Dietary Guidelines. The average income of the Homescan panel households was between $45,000 and $50,000 per year for 1998-2006, compared with the national median household income of $43,318 in 2003.
Refined grains--which include non-whole grain crackers, cookies, breads, and pasta--accounted for 17 percent of the panelists’ spending instead of the 5 percent recommended in the USDA food plan.
This difference in healthfulness is the result of what type of food is offered, what food is selected, how the food is prepared, and how much of the food is eaten. Nutrient data for those foods were computed by USDA researchers using recipes that best met food descriptions supplied by survey respondents, including information on the source of food (home foods versus foods from restaurants, fast food places, and other away-from-home locations), method of preparation (such as fried versus grilled), quantity consumed, and accompaniments (for example, sour cream and butter on a baked potato versus just salt and pepper). Again, away-from-home foods were less consistent with dietary recommendations than at-home foods and were higher in saturated fat and sodium and lower in dietary fiber. USDA’s Healthy Eating Index-2005 identifies intakes of 1,100 mg of sodium per 1,000 calories as appropriate for meeting this recommendation. The Institute of Medicine’s recommended adequate intake (AI) of dietary fiber is 14 grams per 1,000 calories.

At the grocery store, consumers are underspending on vegetables, fruit, whole grains, and low-fat dairy and overspending on refined grains, fats, sweets, and convenience foods.
Increased emphasis on the health benefits of whole grains likely caught the attention of both the food industry and consumers.
The perceived high cost of healthy foods is often cited by consumers as a deterrent to purchasing them, yet recent ERS research found that healthy foods like fruits and vegetables can cost less per portion than less healthy foods. General nutrition education messages that illustrate the types and quantities of food that should be eaten every day can increase consumer awareness of the basics of a healthy diet. For example, in the Guiding Stars program now found in many supermarkets, shelf tags display one, two, or three stars based on a product’s nutrition profile.
ERS researchers found that adding trans fat content information to the Nutrition Facts panel in 2006 spurred both the use of front-of-package claims publicizing foods that were trans fat free and the introduction of new trans fat-free products. The nutritional benefits of vegetables and fruits are well known, yet, as shown in the ERS analysis of Homescan purchases, expenditures declined for these products between 1998 and 2006 and rose for packaged foods, suggesting that preferences for nutrition and convenience may be in conflict. A 2010 Federal law requires restaurant and fast food chains with at least 20 locations to post calorie information on menu boards or in menus and to make additional nutrition information, such as saturated fat and sodium content, available on request.
For example, if a restaurant’s “meal deal” includes a large beverage, a customer may be inclined to take it even if he or she typically orders a smaller beverage. It Depends on How You Measure the Price, by Andrea Carlson and Elizabeth Frazao, USDA, Economic Research Service, May 2012The Decline in Consumer Use of Food Nutrition Labels, 1995-2006, by Jessica Todd and Jayachandran Variyam, USDA, Economic Research Service, August 2008New Food Choices Free of Trans Fats Better Align U.S. Compared with recommendations, most Americans consume too few fruits, vegetables, and whole grains and too much saturated fat and sodium.
Policies that promote healthy foods and make them easier to identify on store shelves and in restaurants may expand both demand for and supply of healthy food options. There are different versions of the USDA food plans (Thrifty, Low cost, Moderate cost, and Liberal) adapted to spending patterns of consumers at different income levels and tailored to the number and age of individuals in a given household. Dietary guidance suggests limiting added fats and sugars, and USDA food plan expenditure levels are correspondingly low, but the Homescan panelists’ expenditures for these categories were well above recommendations. But, are there subgroups of Americans who are especially unlikely to meet the recommendations? Differences in household scores across racial groups, regions of the country, and income groups are relatively small, and all groups are in need of improvement. For example, baked potatoes are more commonly eaten at home, while less nutritious fried potatoes are a restaurant staple. The saturated fat content of foods obtained from fast food restaurants (13.5 percent of calories) was higher than that from other away-from-home sources. Neither at-home nor away-from-home food consumption met this recommended level in 2005-08, although at-home foods came closer than away-from-home foods. For the total diet, fiber density in 2005-08 averaged slightly more than half the recommended level--7.2 grams per 1,000 calories. This pattern is reflected in dietary intakes that are high in saturated fat and sodium and low in dietary fiber. This growing interest in whole grains led food companies to expand supply by offering a wider range of whole grain products, and consumers, in turn, increased purchases.
Nevertheless, consumers may need to shift purchases away from foods for which they are overspending relative to the USDA food plans to free up funds for purchases of healthful, underconsumed foods. In addition, nutrition labeling of specific items and point-of-purchase messages can provide more specific information and top-of-mind awareness at the moment consumers make actual food choices.
Food and Drug Administration, which regulates nutrition labeling of foods, has announced its intention to propose changes to existing practices. NuVal, another shelf-labeling system, rates foods from 1 to 100 based on overall nutritional characteristics. If consumers respond to shelf tags and logos highlighting healthier items, more such products will likely be developed.
While the final regulations for menu labeling are not yet in place, some restaurants and fast food establishments have already begun to provide nutrition information for their menus.
To harness the power of defaults, public health advocates have urged restaurants and fast food places to make their healthier options, such as low-fat milk and apple slices, the default choice in children’s meals, and several restaurants and fast food establishments have done so. Poor diets contribute to obesity, heart disease, stroke, cancer, diabetes, osteoarthritis, and other health conditions that impose economic costs through increased health care expenditures and lost productivity, making dietary improvement an important public priority.
For example, they spent only 0.5 percent of their food budgets on dark green vegetables, while the food plan recommended 7 percent.
Spending on convenience options, such as frozen or refrigerated entrees, was also higher than recommended. To compare overall purchasing patterns of households in different economic and demographic subgroups, researchers calculated an overall score for each Homescan household based on how its shopping habits, on a quarterly basis, compared with USDA-recommended expenditure shares.
For example, scores rose slightly with household income, and at the extreme ends of the income distribution (annual incomes below $12,000 and above $200,000), average scores differed by 18 percent.
In 2005, the Dietary Guidelines recommended that whole grains should account for half of all grain consumption, and the food industry responded by providing more whole grain products.

The fiber density of food at home was higher than that of food away from home, mostly due to the low fiber density of fast food. Food prepared away from home--at restaurants, fast food places, and other locations--tends to be even further away from Federal dietary recommendations.
Further success in changing dietary habits may depend on increasing consumer demand for healthful foods and the ability of industry to find products with improved health characteristics that also meet consumer preferences for convenience and taste.
Nutrition labeling of packaged foods sold in the grocery store has been mandatory since the mid-1990s and may have influenced the decline in fat content of home-prepared foods. These include modifying the Nutrition Facts panel that appears on packaged foods to make it more useful to consumers and exploring how front-of-package labeling can help consumers choose more healthful diets.
And Walmart places its “Great for You” logo on packaged foods in its “Great Value” line that meet nutrition standards based on the Dietary Guidelines. Panelists also underspent on whole grains, whole fruit, lower fat dairy, nuts, poultry, and fish. Nevertheless, both groups’ scores indicated food purchasing patterns that were far from ideal when compared with recommendations. In 2005-08, Americans consumed 32 percent of their daily calories away from home, up from 18 percent in 1977-78.
For each 1,000 calories consumed at home, Americans increased their calcium intake from 425 milligrams (mg) to 559 mg.
However, an ERS analysis of Federal consumer surveys conducted in 1995-96 and 2005-06 found that use of nutrition labels declined between the two time periods, especially among young adults. ERS researchers organized over 60,000 different products into the 23 USDA food plan categories. Over the same period, the calcium density of food away from home grew only slightly, from 452 mg to 460 mg per 1,000 calories. The data did not permit identification of the reasons for this decline; the authors suggested that young adults might use nutrition labels less, in part, because they were not exposed to the informational campaigns that introduced the labels.
A handful of categories--frozen or refrigerated entrees and dinners, refined grains, whole grains, dairy products, and soups--contain most of the processed products in the grocery cart, while the other categories are composed of fresh or minimally processed products like frozen green beans or canned tomatoes. The beverage category includes soft drinks, fruit drinks, and other beverages but not milk or fruit juice. If you are baking them for someone else you’ll have a hard time wanting to gift them after all =). If you wanted to go all out with these cookies you could even toss in some semi-sweet chocolate chips and toasted nuts. In the bowl of an electric stand mixer fit with a paddle attachment, whip together butter, granulated sugar and light-brown sugar on medium-high speed until pale and fluffy, about 4 minutes. With mixer set on low speed, slowly add in dry ingredients and mix just until combine.Scoop dough out 2 tbsp at a time and roll into a ball. Press one caramel into the center, sprinkle top of caramel with a small pinch of coarse sea salt then fold cookie dough around caramel and salt (make sure the caramel is fully covered with dough around all sides).
Align cookies on Silpat lined or buttered cookie sheets and bake in preheated oven 11 - 13 minutes.
Allow to cool on cookie sheet for 5 minutes before transferring to a wire rack to cool (note that the caramel will set after it cools, I liked these cookies best warm for soft gooey caramel). Store in an airtight container.*I gave my cookies a generous coating of the powdered sugar before baking, but when they baked a lot of the powdered sugar baked and dissolved into the cookie anyway. So I found you can coat the top again with powdered sugar after baking (which is not pictured) to get a prettier cookie. If doing so roll in powdered sugar once before baking (doesn't need to be generously), then bake them and allow to cool and dip the tops of cookies in a fresh batch of powdered sugar (so there is no cross contamination) and shake off some of the excess. December 23, 2015 at 10:36am ReplyAnonymous: does the caramel stay soft and stretchy (like in your picture) when the cookies have cooled?
I think rolos have softer caramel so if you wanted to add a rolo instead that would also be wonderful.
November 30, 2012 at 11:29am ReplyAnonymous: could you also use pre-made caramel that comes in a jar?
What I would recommend is just using a softer caramel than the kraft or Rolos would work well.
I want to bring these to work and I am worried with Kraft caramel, people will be breaking their teeth when they bite in. For Rolos- do I just plop the chocolate filled caramel in and it will just melt around the caramel inside the cookie?
I actually made them with Splenda and rollos, (I know counter-productive), because that’s what my parents had in the cupboard.

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