navigating the fast food maze. highly accessibleless accessible convenientless convenient great...
TRANSCRIPT
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Navigating the
Fast Food Maze
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Highly accessible Less accessible
Convenient Less convenient
Great tasting Not as good tasting
Promoted heavily Not promoted
Inexpensive More expensive
Fast Foods Healthy Foods
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Percent of Food Spending Used on Fast Food
25%
40%
20%
25%
30%
35%
40%
45%
50%
1970 1995
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Total Food Spending Is Increasing (billions)
0
50
100
150
200
250
300
350
400
450
500
1960 1965 1970 1975 1980 1985 1990 1995 2000
Away from home
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Number of Fast Food Restaurants in the U.S.
0
50,000
100,000
150,000
200,000
250,000
1970 1980 1990 2001
Paeratakul, JADA 2003:103:1332-8
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Percent of adults who are overweight or obese
45%
50%
55%
60%
65%
70%
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2/3 of adults are overweight orobese
67%
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Life Expectancy in the U.S.
40
45
50
55
60
65
70
75
80
1900
1910
1920
1930
1940
1950
1960
1970
1980
1990
2000
2010
2020
2030
2-5 year declinein life expectancy
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Is Fast Food to Blame?
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People Who Eat Fast Food:
Eat more fat Eat more saturated fat Eat fewer fruits and vegetables Have more body fat
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People who live near fast food restaurants are more likely to eat more fast food.
People who have more fast food restaurants in their neighborhood are more likely to have heart disease and die early.
States with the most fast food outlets per square mile have the highest rates of obesity
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Calories Children Eat with Fast Food or at Home
770
420
0
100
200
300
400
500
600
700
800
Fast food meal Home meal
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The most common vegetable consumed?
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25% of all vegetables eaten in the U.S.
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Fast Food Reaches Africa
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COMPUTERS Reach Africa
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Nintendo Reaches Africa
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“We always, always have kid-related programs.”
Mary Miller, McDonald’s VP
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Childhood Obesity 27% of children are overweight (CDC, 2003)
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Food quantity has changed (serving sizes)
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8 oz 12 oz 16 oz 20 oz 34 oz
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16 oz 32 oz 44 oz 52 oz 64 oz
48 Teaspoons Sugar
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French FriesFrench Fries
20 Years Ago Today
210 Calories2.4 ounces
610 Calories6.9 ounces
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Turkey SandwichTurkey Sandwich
20 Years Ago Today
320 calories 820 calories
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Courtesy of Dr. Kelly Brownell
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U.S. government’s entire budgetfor nutrition education is one-fifth theadvertising budget for…
Nestle, 2002
Altoids mints
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Courtesy of Dr. Kelly Brownell
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Texas Double Whopper
Calories 1050
Saturated fat 26 grams
130% of daily
Fat grams 69 grams
106% of daily
Sodium 1910 mg
80% of daily
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A Few Fast Food Facts
Everyone eats fast food Fast food is marketed everywhere It is almost impossible to avoid it We need to learn to live with it
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Calories.. Who’s counting?
0
500
1000
1500
2000
2500
3000
3500
McDonald’s hamburger
McDonald’s Big Mac
O’Charley’s chicken tenders dinner
Shoney’s deluxe pancake plate
Lone Star Steakhouse Lone Star wings
Denny’s mini burgers w/ onion rings
Chili’s awesome blossom
Nathan’s Famous seafood sampler
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How about dinner and dessert?
2,270
1,760
0
500
1000
1500
2000
2500
Romano’s Macaroni Grill New York cheesecake with caramel fudge sauce
Romano’s Macaroni Grill Spaghetti & Meatballs dinner
4,030
Both
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Start Walking
0
2
4
6
8
10
12
McDonald’s hamburger
McDonald’s Big Mac
O’Charley’s chicken tenders dinner
Shoney’s deluxe pancake plate
Lone Star Steakhouse Lone Star wings
Denny’s mini burgers w/ onion rings
Chili’s awesome blossom
Nathan’s Famous seafood sampler
hour
s
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Food Marketing = $25 Billion
5-a-day = $1 million
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Ronald McDonald is recognized by nearly 96% of American children
A child's first request for a product typically occurs at about 24 months of age
Ad agencies acknowledge that toddlers and preschool children have considerable purchase influence through “nag factor”
Children influence nearly half of McDonald’s visits
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Pres., National Restaurant Assn
“Personal responsibility is a very important part of this because we can’t look at someone else to solve our problems.”
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Former DHHSSecretary
Tommy Thompson
“… we have to continue to work hard to spread the gospel of personal responsibility.”
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Surgeon General
“It’s about personal responsibility”
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So, What’s Wrong With Fast Food?
It tastes great It’s very convenient It’s relatively inexpensive
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Western Diet Pattern
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Prudent Diet Pattern
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Western vs Prudent
A Western diet has significantly higher risk of: Type II diabetes Cancer Cardiovascular disease Premature death
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How the Stop & Go Fast Food Nutrition Guide was
Developed
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Red
Any food with more than 1 gram of trans fats
Any food with more than 13 grams of saturated fat
Any food with processed meats
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Green
Foods not red with whole grains, fresh fruits, vegetables,
Healthy oils (french fries fried in healthy oils)
Many deli type sandwiches
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Yellow
Foods not green and not red Sodium and cholesterol content
can push the food to green or red
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Good Guys (trans fat free)
Wendy’s Au Bon Pain Jason’s Deli Panera Bread California Pizza Kitchen Ruby Tuesday Chick-Fil-A
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Bad Guys (have expressed no desire to remove trans fats)
Starbucks, Friendly’s Popeyes Taco Bell KFCs getting sued
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WORSTBreakfast specialtyTraditional fast food with trans fatsMexicanItalianPizzaTraditional fast food without trans fatsHealthy Asian foods Sandwich shops
BEST
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WORSTDenny’s, Waffle HouseBurger King, KFC, McDonald'sTaco Bell, Del Taco, Taco John’sSbarroPizza HutChick-Fil-A, In-N-OutPanda ExpressSubway, Blimpies, Boston Market
BEST
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Will Making Healthy Selections Make Any
Difference?
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Lifestyle Change Program
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Fruit and Vegetable Servings
4.5
5
5.5
6
6.5
7
7.5
Baseline 6 weeks 6 months
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Whole Grain Servings
4
4.5
5
5.5
6
6.5
Baseline 6 weeks 6 months
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Percent of Calories from Fat
25
27
29
31
33
35
37
Baseline 6 weeks 6 months
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Grams of Saturated Fat
12
14
16
18
20
22
24
26
28
Baseline 6 weeks 6 months
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Sodium (mg)
2300
2400
2500
2600
2700
2800
2900
3000
Baseline 6 weeks 6 months
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Total Calories
1500
1600
1700
1800
1900
2000
2100
Baseline 6 weeks 6 months
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BMI
-1
-0.08
-1.3-1.6
-1.6
-1.4
-1.2
-1
-0.8
-0.6
-0.4
-0.2
0
underweight
normal overweight
obese
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Systolic Blood Pressure Reductions mm/Hg
-3.6
-12.9
-28.8-30
-25
-20
-15
-10
-5
0
ideal high dangerous
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Diastolic Blood Pressure Reductions mm/Hg
-3.5
-10.4
-14-14
-12
-10
-8
-6
-4
-2
0
ideal high dangerous
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Total Cholesterol Reductions mg/dl
-15.8
-28.8
-47.3
-50-45-40-35-30-25-20-15-10
-50
normal boderlinehigh
high risk
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Glucose Reductions mg/dl
0.3
-9
-46
-50-45-40-35-30-25-20-15-10
-505
normal I FG diabetes
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www.fastfoodbook.com