Navigating the Fast Food Maze

1. Navigating the Fast Food Maze

3. Highly accessible Less accessible Convenient Less convenient Great tasting Not as good tasting Promoted heavily Not promoted Inexpensive More expensive Fast Foods Healthy Foods

4. Percent of Food Spending Used on Fast Food

5. Total Food Spending Is Increasing (billions) Away from home

6. Number of Fast Food Restaurants in the U.S. Paeratakul, JADA 2003:103:1332-8

7. Percent of adults who are overweight or obese 67% 2/3 of adults are overweight or obese

8. Life Expectancy in the U.S. 2-5 year decline in life expectancy

9. Is Fast Food to Blame?

10. People Who Eat Fast Food: • Eat more fat • Eat more saturated fat • Eat fewer fruits and vegetables • Have more body fat

12. 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

13. Calories Children Eat with Fast Food or at Home

14. The most common vegetable consumed?

15. 25% of all vegetables eaten in the U.S.

16. Fast Food Reaches Africa

17. COMPUTERS Reach Africa

18. Nintendo Reaches Africa

19. “We always, always have kid-related programs.” Mary Miller, McDonald’s VP

20. Childhood Obesity • 27% of children are overweight (CDC, 2003)

21. Food quantity has changed (serving sizes)

22. 8 oz 12 oz 16 oz 20 oz 34 oz

23. 48 Teaspoons Sugar 16 oz 32 oz 44 oz 52 oz 64 oz

24. French Fries 20 Years Ago Today 610 Calories 6.9 ounces 210 Calories 2.4 ounces

25. Turkey Sandwich 20 Years Ago Today 320 calories 820 calories

26. Courtesy of Dr. Kelly Brownell

27. Altoids mints U.S. government’s entire budget for nutrition education is one-fifth the advertising budget for… Nestle, 2002

28. Courtesy of Dr. Kelly Brownell

36. Texas Double Whopper

37. 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

38. Calories.. Who’s counting? 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

39. 4,030 How about dinner and dessert? Romano’s Macaroni Grill Spaghetti & Meatballs dinner Romano’s Macaroni Grill New York cheesecake with caramel fudge sauce Both

40. Start Walking hours 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

41. 5-a-day = $1 million Food Marketing = $25 Billion

43. Ronald McDonaldis 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

44. 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.”

45. Former DHHS Secretary Tommy Thompson “… we have to continue to work hard to spread the gospel of personal responsibility.”

46. Surgeon General “It’s about personal responsibility”

47. So, What’s Wrong With Fast Food? • It tastes great • It’s very convenient • It’s relatively inexpensive

48. Western Diet Pattern

49. Prudent Diet Pattern

50. Western vs Prudent A Western diet has significantly higher risk of: • Type II diabetes • Cancer • Cardiovascular disease • Premature death