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Environmental Factors II
Fast Food Impact
Fast Food
 In 2012, fast food restaurants spent $4.6
billion in total on all advertising, an 8%
increase over 2009. For context, the
biggest advertiser, McDonald’s, spent 2.7
times as much to advertise its products
($972 million) as all fruit, vegetable,
bottled water, and milk advertisers
combined ($367 million).
Fast Food and Children
Fast Food and Children
 89% of parents report taking their child to
a fast food restaurant at least once the
past week
 No longer a “special treat”
 49% of parents - child asks to go to
McDonald’s at least once a week
 15% of preschoolers ask to go McDonald’s
every day
Fast Food Facts and Children
 In 2011–2012, just over one-third of children and
adolescents consumed fast food on a given day.
 In 2011–2012, children and adolescents consumed on
average 12.4% of their daily calories from fast food
restaurants.
 Caloric intake from fast foods was higher in adolescents
aged 12–19 years than in children aged 2–11 years.
 Non-Hispanic Asian children had significantly lower
caloric intake from fast food compared with non-Hispanic
white, non-Hispanic black, and Hispanic children.
 No significant differences in caloric intake from fast food
were noted by sex, poverty status, or weight status.
http://www.cdc.gov/nchs/data/databriefs/db213.htm
Portion Sizes
Portion Size
 Between 1977 and 1996, food portion
sizes increased by about 60% both inside
and outside the home.
Nielson SJ et al, Patterns and trends in food portion sizes, 1977-1998. JAMA 2003; 289(4):450-3
Changing Portion Sizes
National Geographic, August 2004
2004
20042004
2004
2004
Portion Size Matters
 Short-term studies show that people eat
more when they are confronted with
larger portion sizes.
Portion Size and Snacks
Study
 Participants received snacks of potato chips in identical
bags increasing in size (from 28g to 170g)
 Men and women, intake increased significantly as
package size increased
 Women ate 18% more and men 37% more from the
170g bag than when served an 85g bag
 Participants did not adjust their intakes at dinner to
compensate for the differences in snack intake
 Combined calorie intake was much greater when they
consumed the larger snack
Rolls et al. Appetite 2004
Snacks
 Over the last 30 years, the average number of
snacks consumed per day doubled, and the
percentage of adults snacking on any given day
rose from 59 to 90 percent.
 Higher snacking frequency is associated with
higher total calorie intake. Adults who have 4 or
more snacks in a day consume almost one and
one-half times as many calories as do adults
who report no snacks
Snacks
 The average snack has more calories than the
average breakfast
 Snacks provide on average about one-fourth of
daily calories, greater proportions of alcohol,
carbohydrates and total sugars, and lesser
proportions of most other nutrients
 Snacks 1977-78 to 2007-08
Change
Males 261cal/d 586 cal/d >200%
Females 186 cal/d 421 cal/d >200%
https://www.ars.usda.gov/SP2UserFiles/Place/80400530/pdf/DBrief/4_adult_snacking_0708.pdf
Current Sugar Sweetened
Beverage Intake
 Heavy total SSB consumption (more than 500 calories per day)
increased among children between 1999-2008, although it
decreased among adolescents and young adults.
 Soda was the most heavily consumed SSB in all age groups except
for young children.
 While soda consumption decreased, heavy sports and energy drink
consumption tripled among adolescents.
 Black children and adolescents were more likely to be heavy fruit
drink consumers versus whites.
 Low-income children and adults were more likely to have higher
energy intake from total SSBs and fruit drinks.
 Sugar-sweetened beverages make up nearly 16 percent of children
ages 12-19 total caloric consumption.
Han, E., Powell, L.M. (2013). Consumption patterns of sugar sweetened beverages in the US. J Acad Nutr Diet , 113,
43 – 53
Wang YC, Bleich SN, and Gortmaker SL. Increasing caloric contribution from sugar-sweetened
beverages and 100 percent fruit juices among U.S. children and adolescents, 1988-2004. Pediatrics,
121(6): 1604-14, 2008.
.

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Environmental Factors II

  • 3. Fast Food  In 2012, fast food restaurants spent $4.6 billion in total on all advertising, an 8% increase over 2009. For context, the biggest advertiser, McDonald’s, spent 2.7 times as much to advertise its products ($972 million) as all fruit, vegetable, bottled water, and milk advertisers combined ($367 million).
  • 4. Fast Food and Children
  • 5. Fast Food and Children  89% of parents report taking their child to a fast food restaurant at least once the past week  No longer a “special treat”  49% of parents - child asks to go to McDonald’s at least once a week  15% of preschoolers ask to go McDonald’s every day
  • 6. Fast Food Facts and Children  In 2011–2012, just over one-third of children and adolescents consumed fast food on a given day.  In 2011–2012, children and adolescents consumed on average 12.4% of their daily calories from fast food restaurants.  Caloric intake from fast foods was higher in adolescents aged 12–19 years than in children aged 2–11 years.  Non-Hispanic Asian children had significantly lower caloric intake from fast food compared with non-Hispanic white, non-Hispanic black, and Hispanic children.  No significant differences in caloric intake from fast food were noted by sex, poverty status, or weight status. http://www.cdc.gov/nchs/data/databriefs/db213.htm
  • 8. Portion Size  Between 1977 and 1996, food portion sizes increased by about 60% both inside and outside the home. Nielson SJ et al, Patterns and trends in food portion sizes, 1977-1998. JAMA 2003; 289(4):450-3
  • 9. Changing Portion Sizes National Geographic, August 2004 2004 20042004 2004 2004
  • 10. Portion Size Matters  Short-term studies show that people eat more when they are confronted with larger portion sizes.
  • 11. Portion Size and Snacks Study  Participants received snacks of potato chips in identical bags increasing in size (from 28g to 170g)  Men and women, intake increased significantly as package size increased  Women ate 18% more and men 37% more from the 170g bag than when served an 85g bag  Participants did not adjust their intakes at dinner to compensate for the differences in snack intake  Combined calorie intake was much greater when they consumed the larger snack Rolls et al. Appetite 2004
  • 12. Snacks  Over the last 30 years, the average number of snacks consumed per day doubled, and the percentage of adults snacking on any given day rose from 59 to 90 percent.  Higher snacking frequency is associated with higher total calorie intake. Adults who have 4 or more snacks in a day consume almost one and one-half times as many calories as do adults who report no snacks
  • 13. Snacks  The average snack has more calories than the average breakfast  Snacks provide on average about one-fourth of daily calories, greater proportions of alcohol, carbohydrates and total sugars, and lesser proportions of most other nutrients  Snacks 1977-78 to 2007-08 Change Males 261cal/d 586 cal/d >200% Females 186 cal/d 421 cal/d >200% https://www.ars.usda.gov/SP2UserFiles/Place/80400530/pdf/DBrief/4_adult_snacking_0708.pdf
  • 14. Current Sugar Sweetened Beverage Intake  Heavy total SSB consumption (more than 500 calories per day) increased among children between 1999-2008, although it decreased among adolescents and young adults.  Soda was the most heavily consumed SSB in all age groups except for young children.  While soda consumption decreased, heavy sports and energy drink consumption tripled among adolescents.  Black children and adolescents were more likely to be heavy fruit drink consumers versus whites.  Low-income children and adults were more likely to have higher energy intake from total SSBs and fruit drinks.  Sugar-sweetened beverages make up nearly 16 percent of children ages 12-19 total caloric consumption. Han, E., Powell, L.M. (2013). Consumption patterns of sugar sweetened beverages in the US. J Acad Nutr Diet , 113, 43 – 53 Wang YC, Bleich SN, and Gortmaker SL. Increasing caloric contribution from sugar-sweetened beverages and 100 percent fruit juices among U.S. children and adolescents, 1988-2004. Pediatrics, 121(6): 1604-14, 2008. .