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Nutrition Environment Measures Study (NEMS)
Original tools developed to assess the nutrition environment of restaurants, grocery stores, and convenience stores
Developed by Emory University with funding from the Robert Wood Johnson Foundation
http://www.sph.emory.edu/nems
NEMS-V
Tool developed to assess vending machines that mirrors the other NEMS tools
Developed by Iowa State University Extension and Iowa Dept. of Public Health with funding through Wellmark Foundation grant (2008-2010)
NEMS-V
Category DescriptionBeverages/drinksFruits and vegetablesRefrigerator/frozen (ie. yogurt/ ice cream) Salty snack (ie: chips, nuts)Sweet snacks/pastries/candyEntrees and sandwiches
Green
Provides at least one serving of fruit, vegetable, and/or whole grains or non-fat/low-fat dairy products and meets the Dietary Guidelines for Americans.
Must also meet all of the following criteria: ¨ ≤200 calories per portion as packaged ¨ No more than 35 percent of total calories from fat ¨ <10 percent of total calories from saturated fat ¨ Zero trans fat (less than or equal to 0.5 grams per serving ¨ ≤35 percent of calories from total sugars, except for yogurt with no more than 30
grams of total sugars, per 8 oz portion as packaged ¨ Sodium content of 200 mg or less per portion as packaged Rationale¨ Foods in this category are considered Tier 1 foods according to the
Institute of Medicine (IOM) guidelines and are consistent with the 2005 Dietary Guidelines for Americans.
Additional green guidelines for sweet and salty snacks, pastries and candy: ¨ Portion size ≤1.5 oz and ≤3 grams fat per serving or portion size as
packaged
Yellow
Does not provide at least one serving of fruit, vegetable, and/or whole grains or non-fat/low-fat dairy products, but does meet the Dietary Guidelines for Americans. Must also meet all of the following criteria:
¨ ≤200 calories per portion as packaged ¨ No more than 35 percent of total calories from fat ¨ <10 percent of total calories from saturated fat ¨ Zero trans fat (less than or equal to 0.5 grams per serving ¨ ≤35 percent or less of calories from total sugars ¨ Sodium content of 200 mg or less per portion as packaged Rationale¨ Food in this category are considered Tier 2 foods according to the
IOM guidelines and are consistent with the 2005 Dietary Guidelines for Americans.
Additional yellow guidelines for sweet and salty snacks, pastries and candy: ¨ ≤200 calories, ≤7 grams fat, and ≤17 grams sugar per portion as
packaged
NEMS-V Tool
Directions Vending Location Cover Page Individual Machine Cover Page Food and Beverage Coding Summary Sheets Rationale Food and Beverage Recording page Food Reference Sheet
NEMS-V Features
Website toolkit Online recording Award recognition for individual machines
and vending location Computer generated report for vending
location and suggestions for next steps to improve vending food choices
Mini-grant and award recognition through Live Healthy Iowa
Website Features
Vendor Communication Red to Green Foods Color Coded Foods and Beverages Rationale for Foods and Beverages Promotional Ideas Success Stories Vending Assessment Tool Resources
Recognition – Machine and Location
Machine Bronze – 30% of vending slots are yellow or
green foods/beverages Silver – 40% of vending slots are yellow or
green foods/beverages Gold – 50% of vending slots are yellow or
green foods/beverages
Location – all vending machines have 30%, 40% or 50% yellow or green foods/beverages
Vending Report Card
Will include a summary of all machines at each location
Will tell how many yellow or green foods need to be added to each machine to achieve an award recognition level
Will identify next steps to improve vending choices