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June, 2003

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Fast food and obesity
Study links fast food to overall poor nutrition and obesity risk

Fast food consumption has risen 500 percent since 1970 and today pervades nearly every segment of society, including some public school cafeterias. At the same time, obesity among children has tripled„yet the fast food industry insists it bears no responsibility for the epidemic. In January, however, researchers led by David Ludwig, MD, director of the Optimal Weight for Life Program, published a study in the journal Pediatrics that strengthens the scientific footing of that link.

Supersize it?
Typical fast food meals are high in refined starch and added sugar, resulting in a high glycemic index„that is, a rise in blood glucose occurring after consumption of a food containing carbohydrates, which may contribute to excessive weight gain. In addition, some studies have shown that high glycemic load meals increase hunger and thus food consumption over the course of a day.

The goal of the study was to look at patterns of fast food consumption in children and determine whether fast food adversely affects diet quality in ways that might increase risk for obesity. The study used data from 6,212 children and adolescents surveyed in the Department of Agriculture's Continuing Survey of Food Intake and the Individual Supplemental Children's Survey. The surveys found that children who ate fast food consumed more total and saturated fat, more total carbohydrates and added sugars, less dietary fiber, and more calories per gram of solid food than children who did not eat fast food. In addition, they consumed less milk and fiber, and fewer fruits and non-starchy vegetables.

Thirty percent of the children in the survey ate fast food on any given day during the survey, and they ate an average of 187 calories a day more than those who did not eat fast food. These additional calories could account for an extra six pounds of weight gain per year, according to Dr. Ludwig. Study co-authors include other Children's obesity researchers and collaborators from the U.S. Department of Agriculture and the Harvard School of Public Health.


For more information on Children's Optimal Weight for Life (OWL) Program visit: www.childrenshospital.org/owl.

Related links
What is obesity?
Abstract of the Pediatrics study discussed in this article
Media Watch: Fast Food Linked To Child Obesity CBSNews.com
Obesity study seeks novel solutions
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