U.S. Spotlight Index

Global Index

India Spotlight Index

Global Index 2018

E. Lifestyles findings

Key findings

  • The average score increased to 3.4 from 2.5 in 2016, and Nestlé currently leads the ranking with a score of 8.0 points.
  • PepsiCo showed the largest improvement by increasing its score by more than 3 points, which is mostly related to clearer articulation of expected health and business outcomes in relation to the nutrition, diet and activity elements of its health and wellness program. Further, Pepsi has a new commitment in place to support and set up facilities for breastfeeding mothers at work and has a more explicit commitment in place to exclusively supporting educational programs developed and implemented by independent groups with relevant expertise.
  • Since the previous Index, companies’ support for healthy diets and active lifestyles overall has increased. The companies provided more evidence of commitments and programs to encourage their staff to adopt healthy diets and active lifestyles, as well as those to support new mothers to continue to breastfeed in the workplace. On the other hand, progress on developing well-designed and effective nutrition education and activity programs remains limited.

Key recommendations

Make H&W programs available to all employees and their families globally

Only eight companies offer their H&W programs to all employees. Companies are encouraged to offer H&W programs to all employees and extend the scope to employees’ families as well, globally. By extending the scope of these programs, companies can make an even bigger impact regarding healthy lifestyles. Healthy lifestyles not only contribute to corporate competitiveness through lower absenteeism and higher productivity, they also lower the likelihood of individuals developing non-communicable diseases.

Define health and business outcomes for programs focused on nutrition, diet and activity

By defining clear, expected health and business outcomes for their programs, companies give themselves the means to demonstrate both the health improvements and business benefits of those programs. This can help to demonstrate the value of making and maintaining such investments to senior management, investors, employees and other stakeholders. Currently, only five companies are able to provide health and business outcomes.

Commission more external evaluations

An area of weak performance across the board is the failure to commission external evaluations of the impact of H&W programs. Such evaluations can help to ensure that resources are being deployed wisely and illustrate how they can be improved to have the most meaningful health and business impact.

Increase transparency

Disclosure beyond commitments and a few examples of programs offered remains very limited. While employees’ personal data, many companies have scope to provide much more reporting on their targets, health and business outcomes and the results of evaluations. Additionally, companies that are able to demonstrate that their programs are effective have much to gain in terms of their corporate reputation and increasing their ability to attract and retain staff.

Develop a policy that excludes brand-level sponsorship of consumer-orientated programs

Only Mars and Nestlé, with limitations, commit not to use brand-level sponsorship in their nutrition education programs. Companies are encouraged to not associate any consumer-oriented programs they support with particular brands in order to clearly differentiate their marketing efforts from those genuinely focused on improving consumers’ diets, physical activity and well-being.

Support programs exclusively developed by independent third-parties with relevant expertise

Only two companies, Mondelez and PepsiCo, exclusively support programs designed and implemented by independent organizations. Delivering effective programs at scale requires multi-stakeholder collaboration around comprehensive, integrated initiatives designed and implemented by independent organizations with relevant expertise. Companies should seek to support these kinds of programs exclusively, rather than design programs that have commercial goals, and be more transparent about their role.

Commission independent evaluations and publicly disclose the results

Companies should follow the lead of Mondelez and embed independent evaluations into the design of all programs they support. Moreover, companies should publish the results of all evaluations they commission, including both the successes and challenges they have faced. Sharing lessons learned should lead to better approaches being adopted across the industry, more effective use of corporate resources and an understanding of which approaches are ineffective.

Improving nutrition for all

The Access to Nutrition Index rates food and beverage manufacturers´ nutrition-related policies, practices and disclosures worldwide on a recurring basis.


Access to Nutrition Foundation
Arthur van Schendelstraat 650
3511 MJ Utrecht
The Netherlands
+31 (0)30 410 09 16



Bill & Melinda Gates Foundation

Ministry of Foreign Affairs

Robert Wood Johnson Foundation




© Copyright Access to Nutrition Foundation. All rights reserved. | Disclaimer | Legal | Privacy policy