{"id":18354,"feature_order":3,"feature_code":null,"name":"Refined Ingredients","type":"O","intent":"Help individuals avoid highly processed foods and refined ingredients.","intervention":"This WELL feature requires adequately limiting sugar and refined grains in all foods and beverages.","issue":"Poor diets, characterized\r\nby highly processed foods with added sugars, refined grains and trans <\/i>fats, are the second-leading risk\r\nfactor for mortality and morbidity globally, accounting for 8% of all deaths\r\nand contributing to an estimated 9.6% of the global burden of disease.1<\/sup> Sugar consumption, especially added sugar, has\r\nbeen associated with poor diet quality, an increased risk of heart disease,\r\nobesity and tooth decay.2\u20134<\/sup> Refining grains removes most of their vitamins,\r\nminerals and dietary fiber. Dietary fiber has been linked to a lower risk of\r\nheart disease, stroke, hypertension, diabetes and obesity and is associated\r\nwith improved digestive health.5<\/sup>   
","evidence":"Increasing access to healthier food items includes increasing the availability of healthier alternatives, as well as limiting the availability of highly processed foods. Based on recommendations by the World Health Organization (WHO), on average, adults should consume no more than 25 grams of added sugar per day.2<\/sup> Limiting intake of sugar-sweetened beverages and sugary foods can help individuals meet the WHO sugar recommendations and reduce their daily sugar intake. Promoting the consumption of whole grains by increasing whole grain options can also help individuals increase their intake of dietary fiber.4,6<\/sup>
","implementation":"","impact":"","max_points":2,"concept_id":1736,"slug":"refined-ingredients","gbd_exists":null,"review_summary":null,"citations":"
  1. Gakidou E, Afshin A, Abajobir AA, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1345-1422. doi:10.1016\/S0140-6736(17)32366-8<\/li>
  2. World Health Organization. Guideline: Sugars intake for adults and children. 2015. http:\/\/www.who.int\/nutrition\/publications\/guidelines\/sugars_intake\/en\/.<\/li>
  3. Malik VS, Popkin BM, Bray GA, Despres J-P, Hu FB. Sugar-Sweetened Beverages, Obesity, Type 2 Diabetes Mellitus, and Cardiovascular Disease Risk. Circulation. 2010;121(11):1356-1364. doi:10.1161\/CIRCULATIONAHA.109.876185<\/li>
  4. Eckel RH, Jakicic JM, Ard JD, et al. 2013 AHA\/ACC guideline on lifestyle management to reduce cardiovascular risk: A report of the American College of cardiology\/American Heart Association task force on practice guidelines. Circulation. 2014;129(25 SUPPL. 1):S76-99. doi:10.1161\/01.cir.0000437740.48606.d1<\/li>
  5. Anderson JW, Baird P, Davis RH, et al. Health benefits of dietary fiber. Nutr Rev. 2009;67(4):188-205. doi:10.1111\/j.1753-4887.2009.00189.x<\/li>
  6. World Health Organization. Diet, nutrition and the prevention of chronic diseases-Report of the joint WHO\/FAO expert consultation. 2003. http:\/\/www.who.int\/dietphysicalactivity\/publications\/trs916\/intro\/en\/.<\/li>
  7. Food Service Guidelines Federal Working Group. Food Service Guidelines for Federal Facilities. 2017. Reference<\/a>.<\/li><\/ol>","deleted_at":null,"equivalency_count":1,"faq_count":7,"resource_count":0,"feature_full_name":"N03 Refined Ingredients","feature_faq_name":"N03 Refined Ingredients-v2","max_core_points":2,"parts":[{"id":30706,"name":"Limit Total Sugars","part_number":1,"points":1,"possible_points":null,"core_points":1,"possible_core_points":null,"min_points":0,"rer_points":0,"wor_points":0,"parent_part_id":null,"feature_id":18354,"note":"","slug":"1-limit-total-sugars-37","note_position_override":"top","new_core_shell":null,"existing_core_shell":null,"new_occupied":null,"existing_occupied":null,"education":null,"retail":null,"mfr":null,"others":null,"photographic_verification":null,"gbd_exists":null,"hospitality":null,"assisted_living":null,"cultural_institutions":null,"public_assembly":null,"deleted_at":null,"na_alternative":0,"na_alternative_text":null,"leed_well":0,"part_prefix":"N03.1","feature_name":"Refined Ingredients","parent":null,"sub_parts":[{"id":32999,"condition":"AND","part_id":30706,"deleted_at":null,"space_types_included":[{"id":1,"name":"All Spaces","name_plural":"all"}],"space_types_excluded":[],"options":[{"id":41900,"option_order":1,"name":null,"description":"

    Foods and beverages are sold or provided by (or under contract with) the project owner on a daily basis and meet the following requirements:<\/p>","description_alt":null,"space_property":null,"certification":null,"note":null,"sub_part_id":32999,"deleted_at":null,"note_position_override":"top","verification_note":null,"verification_condition":"AND","requirements":[{"id":120426,"option_id":41900,"requirement_order":1,"description":"

    Beverages do not contain more than 25 g of sugar per container or serving.2<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120427,"option_id":41900,"requirement_order":2,"description":"

    At least 25% of beverages contain no sugar per container or serving, or drinking water is available at no cost.<\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120428,"option_id":41900,"requirement_order":3,"description":"

    Non-beverage food items (except whole fruit) do not contain more than 25 g of sugar per serving.2<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0}],"verifications":[{"id":4,"name":"Policy and\/or Operations Schedule","chinese_name":"\u7ba1\u7406\u653f\u7b56\u548c\uff0f\u6216\u8fd0\u4f5c\u65f6\u95f4\u8868","is_auditable":0,"scale_type":"Shareable","note":null}],"pvgbs":[]}]}],"on_sites":[],"annotated_documents":[],"letter_of_assurances":[],"part_guidances":[{"id":33120,"part_id":30706,"category":"WELL Core","sub_category":null,"rating_note":null,"alignment_note":null,"doc_guidance":"

    Meet these requirements in non-leased spaces. WELL Core projects with food establishment tenants may use the tenant space to earn points toward this Nourishment optimization so long as the Nourishment preconditions are achieved within all food establishment tenant spaces.<\/p>","points":"0"}],"methods":[]},{"id":30714,"name":"Promote Whole Grains","part_number":2,"points":1,"possible_points":null,"core_points":1,"possible_core_points":null,"min_points":0,"rer_points":0,"wor_points":0,"parent_part_id":null,"feature_id":18354,"note":"","slug":"2-promote-whole-grains-36","note_position_override":"bottom","new_core_shell":null,"existing_core_shell":null,"new_occupied":null,"existing_occupied":null,"education":null,"retail":null,"mfr":null,"others":null,"photographic_verification":null,"gbd_exists":null,"hospitality":null,"assisted_living":null,"cultural_institutions":null,"public_assembly":null,"deleted_at":null,"na_alternative":0,"na_alternative_text":null,"leed_well":0,"part_prefix":"N03.2","feature_name":"Refined Ingredients","parent":null,"sub_parts":[{"id":33008,"condition":"AND","part_id":30714,"deleted_at":null,"space_types_included":[{"id":1,"name":"All Spaces","name_plural":"all"}],"space_types_excluded":[],"options":[{"id":41913,"option_order":1,"name":null,"description":"

    Grain-based foods are sold or provided by (or under contract with) the project owner on a daily basis and meet the following requirements:<\/p>","description_alt":null,"space_property":null,"certification":null,"note":"

    Projects must have at least one whole grain option at each food outlet (if grain-based foods are sold or provided) but the 50% calculation may be considered across the entire food service operation (per food category or total number of grain-based foods).<\/p>","sub_part_id":33008,"deleted_at":null,"note_position_override":"bottom","verification_note":null,"verification_condition":"AND","requirements":[{"id":120451,"option_id":41913,"requirement_order":1,"description":"

    In at least 50% of grain-based foods (foods that have a grain flour as the first ingredient or that contain ≥30% grain ingredients), a whole grain is the first ingredient.7<\/sup><\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0},{"id":120452,"option_id":41913,"requirement_order":2,"description":"

    If both whole-grain and refined-grain options are available, whole-grain options do not cost more than their refined-grain counterparts (e.g., brown rice does not cost more than white rice).<\/p>","description_alt":null,"deleted_at":null,"photographic_verification":0}],"verifications":[{"id":4,"name":"Policy and\/or Operations Schedule","chinese_name":"\u7ba1\u7406\u653f\u7b56\u548c\uff0f\u6216\u8fd0\u4f5c\u65f6\u95f4\u8868","is_auditable":0,"scale_type":"Shareable","note":null}],"pvgbs":[]}]}],"on_sites":[],"annotated_documents":[],"letter_of_assurances":[],"part_guidances":[{"id":33128,"part_id":30714,"category":"WELL Core","sub_category":null,"rating_note":null,"alignment_note":null,"doc_guidance":"

    Meet these requirements in non-leased spaces. WELL Core projects with food establishment tenants may use the tenant space to earn points toward this Nourishment optimization so long as the Nourishment preconditions are achieved within all food establishment tenant spaces. <\/p>","points":null}],"methods":[]}],"ihmes":[],"sdgs":[{"id":3,"name":"3: Good Health and Well-being","max_points":0}]}