Nestlé in society Creating Shared Value and meeting our commitments 2015

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Nestlé in society: Creating Shared Value Nutrition, health and wellness Rural development Water Environmental sustainability Human rights and compliance Our people Customer health and safety G4-DMA Understanding more about brain health Epigenetics NRC hosted its 12 th Nestlé International Nutrition Symposium on Cognition and Brain Health in October 2015. The event, held at Nestlé’s headquarters in Vevey, Switzerland, focused on two key areas: the role of nutrition during infant brain growth and the development of nutritional thinking to address the increase of neurodegenerative disease. Academics from around the world participated, including Nobel laureate Professor Eric Kandel, and data on a new infection hypothesis for Alzheimer’s disease was presented. The event also included an address from Nestlé chairman Peter Brabeck-Letmathe. Learn more about our educational symposia. Innovative nutrition in South Africa Morogo is a plant similar to spinach, native to South Africa, which traditionally formed part of a staple diet. However, increased urbanisation and changing attitudes to food have reduced its popularity. NRC in Lausanne, Switzerland, has developed a new variety of Maggi noodles that contains morogo, which is high in protein, vitamins and minerals, in the ‘tastemaker’ sachet used to flavour and fortify the noodles. The noodles were developed as a partnership between NRC and the South African Council for Scientific and Industrial Research (CSIR) and Agricultural Research Council (ARC) to research native plants with clear health benefits for everyday use. Taste, nutritional quality and abundance were three things sought by the scientists in an ingredient. Morogo was chosen as it could be processed as a food, provide farmers with income and appealed to millions of South Africans. Nestlé and its partners worked closely with farmers to identify prospective species of morogo, refining the amaranthus species into a powder that was trialled – first on an artificial gut, and then on people. These trials led to the production of Maggi 2 Minute Noodles in Babelegi, north of Pretoria, and the product launch in October 2015. If the noodles prove successful, the morogo supply chain will be expanded across South Africa. NRC is intensifying its research into epigenetics, the science of how environmental factors, such as nutrition and eating behaviours, impact our genes and health, and that of our offspring and future generations. In 2014, Nestlé announced an investment of CHF 22 million and an extension of our collaboration with EpiGen, which brings together leading researchers from academic institutions in New Zealand, the UK and Singapore. In 2015, Nestlé and EpiGen scientists jointly published one of the first comprehensive reports of whole grain intake in an Asian population, and in pregnant women. The study showed that whole grain intake among expectant mothers in Singapore is below the recommended dietary guidelines. Nutritional interventions for the metabolic health of mothers and infants A nutritious diet and healthy eating behaviour during pregnancy reduce the risks of complications and metabolic disease in offspring. NRC is dedicated to developing nutritional concepts and educational programmes that promote maternal and offspring health, with a focus on reducing the risk of developing obesity later in life. To this end, NRC is conducting a multi-centre clinical intervention trial of a specific blend of nutrients and probiotics in pregnant women, in collaboration with researchers from EpiGen and the National University Hospital, Singapore. We believe that this is the first study to examine the impact of specific nutrients, from before conception and during pregnancy, on both maternal and infant metabolic health. The study, entitled ‘Nutritional Intervention Preconception and during Pregnancy to maintain healthy glucosE levels and offspRing health’ (NiPPeR), will assess the effects of a nutritional solution, consumed both before and during pregnancy, on maintaining healthy blood sugar, vitamin and mineral levels in the mother, sustaining a healthy pregnancy and on promoting healthy growth and development of her infant. The trial, which began in July 2015, will include 1800 women in Southampton, Singapore and Auckland. Nestlé in society – Creating Shared Value and meeting our commitments 2015 54
Nestlé in society: Creating Shared Value Nutrition, health and wellness Rural development Water Environmental sustainability Human rights and compliance Our people Healthy and affordable food G4-DMA, Customer health and safety G4-DMA Research to improve cardiovascular health A key focus of NRC’s work is cardiovascular health. In 2015, the NRC published a meta-analysis of 15 existing studies in the Journal of Hypertension on the benefits of potassium intake for people with normal or high blood pressure who were not taking medication for their condition. The WHO guidelines recommend that individuals consume less than 2 g of sodium and more than 3.5 g of potassium per day. The study concluded that modifying diets to lower sodium and increase potassium intake could be effective in preventing high blood pressure and could be a cost-effective method of delaying the onset of hypertension or mitigating its severity. Higher potassium intakes can be achieved through eating more fruit, vegetables, pulses and nuts – which Nestlé encourages – and through foods fortified with potassium as a substitute for sodium. Researching children’s nutrition We seek to continually improve our understanding of eating habits, particularly during the crucial first 1000 days of life. One important element of this is understanding what influences children’s diet, lifestyle and health, which we achieve through a series of dedicated studies that are shared publicly. By establishing the right feeding practices early in childhood, we believe that children can be encouraged to pursue healthy eating and hydration throughout their lives, allowing their development to proceed along the optimal blue line. Our commitment Our objective Build knowledge leadership in children’s nutrition By 2016 – Launch large-scale research projects in at least 10 countries across the globe, including the United States, Mexico, China and Russia to expand understanding of children’s nutrition and inform our own product and service development. and Mexico, while a new study in the United States was initiated in 2015. By the end of 2016, we expect to launch the FITS in Russia. FITS is complemented by the KNHS, which focuses on children at the next life stage, from 4 to 12 years old. Many of the dietary and activity habits that influence health across life are formed at this stage. KNHS explores the food and nutrient intakes of children and their relationship to lifestyle and behaviour patterns. This information can be used to help inform healthcare providers and policy-makers concerned with children’s nutrition and health. KNHS is currently being conducted in the United States, China and Mexico, and in 2016 will be initiated in Russia. Findings from FITS and KNHS have so far revealed the following: • Breastfeeding rates are too low; • Cow’s milk and complementary foods are introduced too early, including some less nutritious complementary foods, such as rice and tortillas; • Infants do not consume sufficient levels of iron, as shown in China and Mexico; • Infants consume high levels of salt (sodium) and saturated fats, particularly in the United States and China; and • Fruit and vegetable intake is low, with children more likely to receive sweets and sweetened beverages from an early age. FITS results are already influencing the foods and beverages we are developing to address nutritional gaps for children and toddlers. For example, our Gerber Graduates range in the United States, aimed at pre-schoolers, now contains a greater quantity of vegetables. Other areas in which we have seen an increased impact thanks to FITS and KNHS include: encouraging children to consume whole grain pasta; adding healthy oils to infant dinners; and providing more convenient packaging for fruit and vegetables in snacks. We expect this impact to steadily increase. Read more on encouraging vegetable consumption. In 2013, Nestlé committed to build knowledge leadership in children’s nutrition through a deeper understanding of their dietary intakes and lifestyle habits. It remains a top research priority for our teams, with plans to launch large-scale research initiatives in at least 10 countries by the end of 2016. The results of these studies help define our product formulation, consumer communication and educational programmes. The period from birth to four years old is vital, as it sees a transition from an all-milk diet to solid foods. Our FITS was designed to improve understanding of the eating patterns of infants and toddlers at this stage and their associated nutritional intake. Initially conducted in the United States in 2002 and 2008, the FITS has now been launched in China – known as the Maternal Infant Nutrition Growth (MING) study – Helping parents adopt healthier attitudes to nutrition A new article based on results from the FITS (2008) in the United States has illustrated the need to support parents in the development of healthy feeding practices in their children from a young age. The article, published in the CDC’s Preventing Chronic Disease journal in September 2015, indicated that although parents thought that their children consumed enough fruits and vegetables, only 30% of pre-schoolers met the recommendation of five daily servings. The research also indicated that about half of toddlers (56%) and pre-schoolers (52%) met the recommendation to limit consumption of sugar-sweetened beverages. For further information and access to the article, please click here. Nestlé in society – Creating Shared Value and meeting our commitments 2015 55
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Nestlé in society Creating Shared Value and meeting our commitments 2015

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