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Americans eating less fast food!

Below is my latest blog post for Huffington Post.

You can also read it here.

The Center for Disease Control (CDC) reported some good news for nutrition activists and others hoping to help Americans eat healthier. A new study found that American adults are consuming fewer calories from fast food than they were several years ago.

In 2006, American consumed approximately 13 percent of calories from fast food. Data from 2010 found that adults consumed about 11 percent of their daily calories from fast food. This data included foods such as hamburgers and French fries, known for their high fat content. This is certainly a step in the right direction. Especially since two-thirds of American adults are either overweight or obese.

Here are some additional findings from the study:

  • Heavier people ate more calories from fast food than people who are normal weight.
  • Blacks consumed more fast food calories than both whites and Hispanics.
  • Black adults ages 20 to 39 had the highest rates of fast food consumption.
  • Americans 60 and over ate less fast food than younger adults ages 20 to 39.

During this time, caloric intake among adults did not change during these years.

A separate study reported that caloric intake among kids has decreased, revealing some more good news. This is the first decline in calorie intake among kids in more than 40 years.

Efforts such as first lady Michelle Obama’s Let’s Move! Campaign may be paying off.
As I told the Christian Science Monitor, “The take-home message is that public education messages to eat less [fast food] are working … We are shifting toward healthier options.”

Here are some thoughts that I share with USA Today, “Fast-food places continue to sell high-calorie items — many meals contain half a day’s worth of calories — but they are offering some lower-calorie items as well. Get the smallest size possible of everything from burgers to fries to soda so that you take in the fewest calories.”

Additional tips that I share with clients are:

  • Drink water instead of the soda.
  • Skip the double and triple burgers.
  • Order a salad with dressing on the side.
  • Share.
  • Eat slowly.
  • Enjoy your company.

You’d be surprised, but these small changes do add up.

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Back to the Future: A Return to Smaller Beverage Sizes

Here is my latest blog post for Huffington Post.

New York City’s Board of Health recently approved Mayor Bloomberg’s proposal to limit the sizes of sweetened beverages. The regulation restricts the sale of sugary drinks larger than 16 ounces in restaurants, movie theaters, sports arenas and delis.

I published an opinion piece in support of the proposal for the New York Daily News.
My piece, “Smaller sodas, healthier lives” can be found herehttp://soc.li/GHG9r5G

As I write: “This campaign makes sense at a time when the debate about soaring medical costs has taken center stage in the presidential election. Obesity is estimated to cost $190 billion a year.… The mayor’s proposal does nothing more than swing the pendulum back in favor of more modest food portions.

Those portions have increased steadily over the years, so much so that we have grown accustomed to oversize portions and have come to expect them.

Portion sizes are now two to five times larger than they were in the 1950s.”

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Just how big have food portions become? The timeline below, which is based on my research in my book The Portion Teller Plan, highlights how our frame of reference has shifted.

Select Dates in the Supersizing of American Fountain Drinks

1954                        Burger King offers a 12-oz Small and 16-oz Large soda.

1955                        McDonald’s offers a 7-oz soda.

1961                        McDonald’s adds 12-oz soda.

1962                        McDonald’s adds 16-oz soda.

1973                        McDonald’s adds 21-oz soda.

1988                        McDonald’s introduces 32-oz Super-Size.

1989                        Wendy’s adds the Super Value Menu including Biggie

drinks.

1999                      McDonald’s introduces 42-oz Super-Size.
The 32-oz Super-Size is downgraded to Large.

2001                       Burger King introduces a 42-oz King soda.

2004                      McDonald’s phases out the 42-oz Super-Size.
The largest size is the 32-oz Large.

2006                      Wendy’s add the 42-oz Large size.

Wendy’s drops the term Biggie for its 32-oz soda, calling it Medium.

2007                       McDonald’s offers a promotion of the 42 oz Hugo (previously called Super Size).

2011                        KFC introduces the 64-oz Mega Jug.

2012                      According to company websites, the following sizes are now available:

McDonald’s: 12-oz Kids, 16-oz Small, 21-oz Medium, and 32-oz Large.

Burger King: 16-oz Value, 20-oz Small, 30-oz Medium, 40-oz Large.

KFC: 16-oz Small, 20-oz Medium, 30-oz Large, and 64-oz Mega Jug.

Wendy’s: 12-oz Kids, 16oz Value, 20-oz Small, 30-oz Medium, 40-oz Large.

As I wrote in the NY Daily News,  “Bloomberg is not banning the sale of soda. Nor is he telling consumers that they can’t drink soda. Rather, he is calling attention to how much is a reasonable amount to drink at a time. Sixteen ounces is certainly more than reasonable — a full pint of sugar water. Instead of viewing this as a ban, let’s see it as an attempt to reset the norm for how much soda truly constitutes an appropriate portion.

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It is now time to return to the more reasonable sizes of the past, when obesity rates were much lower. Given the health consequences and enormous cost of our obesity epidemic, restricting large sizes of unhealthy sugary beverages is an excellent place to begin.

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Diet industry supports Mayor Bloomberg’s proposal to limit oversized beverages.

Here is my latest post for Huffington Post.

You can also read it below.

One week before the Board of Health is schedule to vote on Mayor Bloomberg’s proposal to limit the sizes of oversized drinks, Weight Watchers and other diet companies including The South Beach Diet, Jenny Craig and Bob Greene of The Best Life Diet are supporting the proposal.

I have previously written about my support for the proposal and also testified at the hearing.

As reported in the New York Times, David Burwick, the president of Weight Watchers North America said, “There’s been a lot of hand-wringing about obesity but very little action.”

As reported in Metro NY, Mayor Bloomberg said “As the size of sugary drinks has grown, so have our waistlines, and so have diabetes and heart disease.” And, Commissioner Dr. Thomas Farley added that “In a city with large sizes of high-calorie snack foods and beverages at your fingertips around the clock, it is no wonder many New Yorkers struggle to maintain a healthy weight.”

I could not agree more!

Here are 5 good reasons:

1. Portion sizes have exploded in recent years.

2. Large portions contain more calories than small portions.

3. Large portions encourage us to eat more.

4. Large portions encourage us to underestimate how much we are eating.

5. Sugary sweetened beverages are empty calories and have no nutrition benefits to offer.
The Board of Health is scheduled to vote on the ban on Thursday, Sept. 13 and would go into effect six months after, on March 13.

Stay tuned!

Your thoughts?!

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The Battle Against Big Soda Continues

Below is a blog post just published for Huffington Post on Mayor Bloomberg’s proposal on sugary beverages. Here is the link.

Several weeks ago, Mayor Bloomberg announced a plan to restrict the sale of sugary drinks larger than 16 ounces at restaurants, movie theaters, and food carts in an effort to help combat the obesity epidemic in New York City. The mayor’s Task Force on Obesity states that “Americans consume 200-300 more calories daily than 30 years ago, with the largest single increase due to sugary drinks.”

As both a researcher tracking the sizes of food portions (soda included — I have many oversized soda cups in my collection) and as a nutritionist counseling overweight patients, I continue to stay abreast of the latest developments in the proposed restriction on the sale of sodas and other sugar-sweetened beverages over 16 ounces.

It seems as if Mayor Bloomberg’s proposal may be contagious.

Inspired by Mayor Bloomberg, Henrietta Davis, the mayor of Cambridge, Mass. has proposed limiting the size of soda and sugar-sweetened beverages sold in city restaurants. Mayor Davis cited an increased risk of obesity and diabetes as reasoning behind the resolution.

Many of the nation’s physicians treating obesity-related illnesses also support the mayor’s proposal, citing that 46 percent of the nation’s intake of added sugars comes from beverages. The American Medical Association (AMA) also recently endorsed taxing sugar-sweetened beverages to a penny per ounce.

As I previously wrote for The Huffington Post, I support Mayor Bloomberg’s proposal for several reasons. Sugar-sweetened beverages are purely liquid calories and provide no nutrients, portion sizes of such foods have increased considerably over the last 50 years, and larger portions contain more calories than smaller portions and encourage overeating. I see it as a win-win situation.

The mayor of New York City is not banning the sale of soda. Nor is he telling consumers that they can’t drink soda. Rather, he is calling attention to how much should be considered a reasonable amount to drink at a time. And 16 ounces is certainly more than a reasonable — that is a pint-size worth of sugar water. I do not see the proposal as a ban, but rather as an attempt to reset the norm for how much drink constitutes an appropriate portion. This is a much needed proposal in an era of oversized portions.

Others, however, disagree. Some argue that Mayor Bloomberg’s proposal violates personal freedom and that the city should not dictate what size drinks people buy. The soda industry complained that soda is being singled out, and it has a website devoted to its case: www.letsclearitup.org.

At issue is just how large soda sizes have gotten. In the 1950s, McDonald’s offered just one size, 7 ounces, and Burger King offered a 12-ounce small and a 16-ounce large.

The following chart illustrates just how out of control portion sizes — and calories — of soft drinks have gotten in fast food establishments.

McDonalds

Kids 12 oz. — 120 calories
Small 16 oz. — 150 calories
Med 21 oz. — 210 calories
Large 32 oz. — 310 calories

Burger King

Value 16 oz. — 140 calories
Small 20 oz. — 190 calories
Medium 30 oz. — 290 calories
Large 40 oz. — 380 calories

KFC

Small 16 oz. — 180 calories
Medium 20 oz. — 230 calories
Large 30 oz. — 350 calories
Mega Jug 64 oz. — 780 calories

Looking at the above chart, it is clear that most sizes currently sold will not be marketed if Mayor Bloomberg gets his way. And, I will argue, for good reason. They contain mega calories. For example, the small size soda (and only size allowed according to the proposal) at KFC contains 180 calories, while the 64-ounce mega jug contains nearly 800 calories.

New Yorkers may or may not be able to purchase jumbo sodas next spring, but the mayor’s proposal has put supersized beverages on the line and is getting a dialogue going about portion size, soda consumption, and obesity. That, in and of itself, is progress. I commend Mayor Bloomberg for raising our awareness to the problem with oversized beverages. I am proud to be a New Yorker and look forward to the day when I will no longer be able to collect oversized cups.

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Will colored potato chips help us eat less?!

We are snacking now more than ever. So much that we eat, on average, 580 calories daily just from snacks. So what can we do about it?

A group of researchers have a novel idea. Offering subtle cues can help.  New research from Yale, University of Pennsylvania and Cornell University and published in the May issue of the Journal of Health Psychology suggests that inserting colored potato chips might help snackers actually eat less.

Researchers gave students one of two types of Stackable potato chips while they were watching a movie. One group was given a traditional stack of potato chips with no edible dividers. The other group was given a stack of chips with edible potato chips dyed red which served as dividers that were interspersed at several different intervals (and suggesting a serving to be from 5 to 14 chips.)

The researchers found was that inserting colored potato chips at regular intervals in the stacks caused people to eat fewer chips overall. The group given the red edible chips acting in a sense as dividers reduced their consumption by a whopping 50 percent! This translates into approximately 250 fewer calories according to Cornell researcher Dr. Brian Wansink.

Good news—It is time for the food industry to take note.

Or, better yet, just sell us smaller bags!

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Eat more with Ultimate Volumetrics

I have been a fan of Barbara Rolls’ work for years. Through her many research experiments, she has shown that the more food you give people, the more they eat. And they don’t report feeling any more full. Her solution is simple yet brilliant: choose foods low in calorie density (CD). Dr. Rolls is a professor of nutritional sciences at Pennsylvania  State University and has spent 20 years studying the science of satiety and how it affects obesity. She is the author of more than 250 research articles and several books, including The Volumetrics Eating Plan which I keep on my book shelf.

In her new book written with registered dietitian Mindy Hermann, Ultimate Volumetrics Diet (William Morrow, $27.50), Dr. Rolls shows you how to manage your weight. The book is based on solid research and is armed with solutions to give readers a guide as to how to control hunger and manage their weight. This book offers over a hundred new recipes as well as user-friendly tools to help you on our way to successful weight loss.

Unlike the many fad diet books on the shelves which make countless promises, and work mostly just for the short term, this book provides time tested tools and strategies to help you lose weight and keep it off. With the Ultimate Volumetrics Diet, you do not have to give up your favorite foods and you do not have to avoid entire food groups as many diet plans advise. Here you will get time-saving tips to lose weight for you and your family, a guide to eating out healthfully, and a grocery store guide which reviews shopping strategies. And better yet, you can eat MORE. As a nutritionist counseling clients on weight loss, this is a dieters dream!

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Want to lose weight? Eat Less.

Two thirds of Americans are overweight and succeeding at weight loss is quite a challenge for many dieters. A new study just published in the American Journal of Preventive Medicine (AJPM) reported that eating less, exercising more, and switching to healthier food worked best.

The researchers were from Beth Israel Deaconess Medical Center in Boston and looked at data collected as part of the dietary intake survey  National Health and Nutrition Examination Survey (NHANES). The authors wrote in the  study published online that “Liquid diets, nonprescription diet pills and popular diets showed no association with successful weight loss.”

The Los Angeles Times summarized what worked and what did not work for the dieters.

Here’s what the dieters tried that worked:

* 65% ate less food

* 44% ate less fat

* 41% switched to foods with fewer calories

* 4% took weight-loss medications that were prescribed by a doctor

* Joining a weight loss program was also helpful perhaps because of “the structure of being in a program.”

Here’s what the dieters tried that didn’t work:

* 41% drank more water

* 14% ate “diet foods or products”

* 10% used nonprescription diet pills, including herbal remedies

* 7% adopted a “liquid-diet formula.”

I was glad to see this study as I’ve been advocating eating less and moving more for years. While this old fashioned advice may not seem as sexy as some fad diets and supplements, it works for the long haul. And, it will save you money—no need to buy unneeded supplements.

Take home messages:

*  Skip the fad diets and practice portion control instead.

* Go out and exercise. Pick something you enjoy and stick to it.

*  Choose healthier and more nutrient dense foods. A good place to start is by eating more fruits and vegetables!

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Why Calories Count

Want to know more about calories? Most dieters are obsessed with calories, often counting them meticulously and incorrectly. They have no idea what a calorie actually is or how many calories they require.  My NYU colleague Dr. Marion Nestle and Cornell professor emeritus Dr. Malden Nesheim have just written a terrific new book Why Calories Count: From Science to Politics.

While the book isn’t officially out until April, it has already received wonderful write ups. Last week, two articles on the book were written for the New York Times, one by Jane Brody and the other by Mark Bittman. I’ve had a chance to read my copy and here are some excellent points worth sharing.

This is not another fad diet book telling you exactly what to eat or not eat. It also does not advise you to count calories. On the contrary, Marion and Mal dissuade readers from counting calories. It is a well-researched guide (with over 30 pages of references) on what you need to know about the “mysterious” calorie, the science behind the calorie, and the social implications of living in a society surrounded by too much food.

Marion and Mal begin by defining a calorie, reviewing its history, and discussing how scientists count and measure calories. They review some of the confusion surrounding the calorie and the struggle we have to estimate our intake. As a nutritionist researching portion sizes and counseling overweight individuals, what I found particularly important in the book is the discussions on obesity (two thirds of us are overweight or obese), weight gain, diets, and an in-depth look at the politics of calories, Marion and Mal tackle our “eat more” society, the role of the food industry, and the issues surrounding calorie labeling. They help readers understand the calorie in terms of food labeling, fad diets, and calorie myths. One such example is the concept of negative calories– which is wishful thinking, they write, unless of course you are drinking ice cold water!

Finally, the book concludes with a section on how to cope with our current calorie environment. Some simple and practical take away messages from the book: “Get organized. Eat less. Eat better. Move more. And, get political.”

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Chocolate bars on a diet?!

Last week, Mars, Inc. announced it will stop shipping chocolate bars that “exceed 250 calories per portion by the end of 2013.” The company has made the pledge as part of an agreement with Michelle Obama’s Partnership for a Healthier America. Mars and 16 other manufacturers have pledged to reduce 1.5 trillion calories by the end of 2015 by offering lower-calorie options and reducing portion sizes.

Mars, Inc. writes on its website:

  • “We are committed to making sure the products we offer, and the ingredients they contain, can fit into a balanced diet – whether whole grain rice or a delicious Mars chocolate bar. We are also committed to marketing and selling our products in a responsible way.”

This sounds like good news considering that Mars makes some of the top-selling brands of chocolate products in the world including Snickers, M&Ms, 3 Musketeers, Mars, and Twix. And all of these products come in king size portions as well as the regular size portions.  Currently, the regular size Snickers bar has 280 calories, while the king size has 510 calories.

Most consumers—myself included–took the announcement to mean that the company will stop marketing chocolate bars with more than 250 calories. So would that mean an end to king size bars?

Wishful thinking. The issue surrounds the definition of what constitutes a “portion.” Is a portion a “piece” or “the entire contents of what is in the package”? Most people that I know would say the latter.  After all, the package is marketed as one portion for one person.

After reading the fine print on Mars’ website, here is what the company intends to do. They write:

  • “We have committed not to ship any chocolate products that exceed 250 calories per portion by the end of 2013. In many markets, we have replaced SNICKERS® King Size — one large chocolate bar — with two smaller bars. The new product is called the SNICKERS® Duo, in the U.K, for example. In the U.S., our “2toGo” bars are packed in memory wrappers that can be twisted to close, giving people the choice to save one portion for later.”

As reported succinctly in the LA Times, “…it means packaging will change: hefty King Size portions will be subdivided into smaller “2toGo” sub-portions, designed to make it easier to put one serving aside for later.”

Good luck with that. Are most people really going to put the other piece aside for later?!  Perhaps, but probably just in theory.

Here are my thoughts:

If Mars were to actually stop selling chocolate bars with more than 250 calories, it would be a step in the right direction. Even though a 250 calorie chocolate bar is too caloric, it would still mean  progress, given the high calorie count in some of today’s candy bars.

But the company still plans to sell chocolate candy with more than 250 calories in one package—they are just going to “package” the contents differently.

On the website for the new bar, here is how Mars describes  the new Snickers 2toGo:

  • “It’s two pieces in one Snickers 2toGo. Enjoy twice the roasted peanuts, nougat, caramel, and milk chocolate wrapped in one resealable twist wrap package.”

And the new “2toGo” sub-portioned Snickers package weighs in at 3.3 ounces and  contains 440 calories! Yikes. It also looks pretty big to me when compared to the regular size 2.1 ounce bar. [See photo.]

While the 2toGo bar is an improvement from the 510 calorie king-size bar, it is still too big and contains far too many calories, especially for a candy bar.   While Mars’ efforts are a small step in the right direction, how about doing away with jumbo candy bars altogether?! Instead of selling “2toGo” bars in one package, why not sell each individual 1.7 ounce–and 220 calorie—“portion” as its own individually wrapped candy bar. Now that would be real progress and the portion would actually contain fewer than 250 calories.

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NYC’s Portion Campaign Continues

A month ago, the NYC Department of Health launched a new campaign on portion sizes–Cut Your Portions. Cut Your Risk–featuring ads on subways encouraging New Yorkers to trim their portions to reduce their risk of health problems. As I previously wrote , the city’s health department is very proactive in fighting obesity and other public health issues, and this campaign is urging New Yorkers to be more aware of portion sizes when deciding what to eat or drink. The campaign makes perfect sense at a time when food portions have increased and so have rates of obesity.

Not surprisingly, the campaign drew criticism from food industry groups selling the very foods the city’s health department is suggesting we limit. As reported in Crains, the American Beverage Association, called the ads “scare tactics.” They further indicated that they are offering “real solutions” including smaller portioned containers and calorie labels on the front of the package.

While several smaller sized containers have indeed been introduced, soft drinks marketed for individual consumption are still much too big. For example, 7-Eleven’s “Double Gulp” soda is 64-ounces, contains nearly 800 calories and 50 teaspoons of sugar, if you don’t add too much ice. While this soda is marketed for one person, it is really sized to be shared among eight people. Further, while the standard Coca-Cola bottle found in vending machines was once 6.5-ounces, today it is 20-ounces.

The Center for Consumer Freedom also took offense to the campaign. They wrote “By now you’ve probably heard of the latest round of food-fear ads from the New York City Department of Health and Mental Hygiene. … the City now implies that larger sodas and cheeseburgers are causing amputations, and people to ride obesity scooters.” They further indicate that The ads ignore decades of research into the causes of obesity, choosing instead to confuse correlation with causation. In that spirit, we tried our hand at irrationally demonizing products with the horror of upward-sloping lines.”

As reported in the New York Times, the city’s health department explained its approach with the following statement: “When science tells us that smoking does not cause lung cancer or that obesity is not driving an epidemic of Type 2 diabetes, we will stop depicting those facts in ads. Until then we are going to accurately convey the facts in our advertising — advertising that has helped to successfully reduce smoking in New York City to a historic low of 14 percent, saving thousands of lives.”

Recently, in the Huffington Post, Sandra Mullin and Nandita Murukutla from the World Lung Foundation wrote a compelling article “Hard Hitting Messages That Work: NYC’s Public Health Education Campaign” in response to the recent series of stories in the New York Times questioning the city’s efforts to combat obesity with a series of hard hitting messages. Their conclusion: “New York City’s efforts are grounded in rigorous message testing and a logical premise that years of deceitful marketing cannot be undone with feel-good messaging. To stem obesity and the tobacco epidemic, health departments need to build on what’s worked whether it is palatable or not. Good medicine is often hard to swallow.”

While the ads may make you look twice and it may not be pleasant to view (i.e. an amputee in a wheelchair), they do make one take notice of potential health implications of obesity and overeating.

The NYC health department has unveiled other such public health campaigns , and it appears that they may be working. Smoking has declined in New York City and so have rates of childhood obesity in NYC. I applaud the health department for its efforts in fighting to improve the public health of New Yorkers and hope other health departments around the country follow New York’s lead.

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