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Contradictory Trends

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Contradictory Trends. Outline. Trends in body weight in the U.S. Causes of obesity Images of beauty in our society. Obesity Trends* Among U.S. Adults BRFSS, 1985. (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person). No Data

TRANSCRIPT

Page 1: Contradictory Trends

Contradictory Trends

Outline

bull Trends in body weight in the USbull Causes of obesitybull Images of beauty in our society

Obesity Trends Among US AdultsBRFSS 1985

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Source Centers for Disease Control (2009) Retrieve from httpwwwcdcgovobesitydatatrendshtml

Obesity Trends Among US AdultsBRFSS 1986

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1987

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1988

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 2: Contradictory Trends

Outline

bull Trends in body weight in the USbull Causes of obesitybull Images of beauty in our society

Obesity Trends Among US AdultsBRFSS 1985

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Source Centers for Disease Control (2009) Retrieve from httpwwwcdcgovobesitydatatrendshtml

Obesity Trends Among US AdultsBRFSS 1986

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1987

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1988

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 3: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1985

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Source Centers for Disease Control (2009) Retrieve from httpwwwcdcgovobesitydatatrendshtml

Obesity Trends Among US AdultsBRFSS 1986

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1987

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1988

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 4: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1986

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1987

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1988

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 5: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1987

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1988

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 6: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1988

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 7: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1989

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 8: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1990

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 9: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1991

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 10: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1992

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 11: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1993

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 12: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1994

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 13: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1995

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 14: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1996

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 15: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1997

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 16: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1998

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 17: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 1999

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 18: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2000

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 ge20

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 19: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2001

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 20: Contradictory Trends

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

Obesity Trends Among US AdultsBRFSS 2002

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 21: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2003

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 22: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2004

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 ge25

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 23: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2005

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 24: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2006

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 25: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2007

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 26: Contradictory Trends

Obesity Trends Among US AdultsBRFSS 2008

(BMI ge30 or ~ 30 lbs overweight for 5rsquo 4rdquo person)

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 27: Contradictory Trends

1999

Obesity Trends Among US AdultsBRFSS 1990 1999 2008

(BMI 30 or about 30 lbs overweight for 5rsquo4rdquo person)

2008

1990

No Data lt10 10ndash14 15ndash19 20ndash24 25ndash29 ge30

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 28: Contradictory Trends

Why do you think Americans have gained so much weight

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 29: Contradictory Trends

Reason 1 2 and 3

bull More fast food advertisingbull More time spent in front of the TVbull Less time spent outside engaged in

physical activity

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 30: Contradictory Trends

Effects of Fast-Food Restaurant Advertising on Children

bull TVrsquos Effectsndash Takes time away from physical activityndash Encourages eating unhealthy foodsndash Advertisements

bull candy (32 percent of all childrenrsquos ads)bull cereal (31 percent)bull fast-food restaurants (9 percent)

bull Ban on advertising would reduce the number of overweight adolescents by 14

Source Chou SY Rashad I (2006) Fast-food restaurant advertising on television and its Influence on childhood obesity Retrieved November 4 2009 from httpwwwaeaweborgannual_mtg_papers20070106_1015_2004pdf

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 31: Contradictory Trends

Children and Commercials

0

5000

10000

15000

20000

25000

30000

35000

40000

Number of commericals viewed annually

Late 1970s

Late 1980s

Late 1990s

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 32: Contradictory Trends

Reason 4

bull Portion sizes are much much larger

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 33: Contradictory Trends

Coffee20 Years Ago

Coffee (with whole milk and sugar)

Today

Mocha Coffee (with whole milk and mocha syrup)

A standard cup of coffee 20 years ago was 8 ounces and had 45 calories Now itrsquos up to about 350 for an average sized cup

Source National Institutes of Health Portion Distortion Interactive Quiz httphp2010nhlbihinnetportion

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 34: Contradictory Trends

Muffins20 Years Ago

Blueberry Muffin

Today

Blueberry Muffin

A muffin 20 years ago was 15 ounces and had 210 calories Now itrsquos up to about 5 ounces and 500 calories

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 35: Contradictory Trends

Food Consumption is Different

bull More soda and sugary beveragesbull More eating out (food eaten out usually

has more calories)bull More processed foodsbull More sweets and junk food available

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 36: Contradictory Trends

Why is skinny attractive

Or is it

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 37: Contradictory Trends

Ana Carolina Reston 5rsquo8rdquo 88 pounds

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 38: Contradictory Trends

Where do we go from here

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid
Page 39: Contradictory Trends

httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid=7049560]

  • Contradictory Trends
  • Outline
  • Obesity Trends Among US Adults BRFSS 1985
  • Obesity Trends Among US Adults BRFSS 1986
  • Obesity Trends Among US Adults BRFSS 1987
  • Obesity Trends Among US Adults BRFSS 1988
  • Obesity Trends Among US Adults BRFSS 1989
  • Obesity Trends Among US Adults BRFSS 1990
  • Obesity Trends Among US Adults BRFSS 1991
  • Obesity Trends Among US Adults BRFSS 1992
  • Obesity Trends Among US Adults BRFSS 1993
  • Obesity Trends Among US Adults BRFSS 1994
  • Obesity Trends Among US Adults BRFSS 1995
  • Obesity Trends Among US Adults BRFSS 1996
  • Obesity Trends Among US Adults BRFSS 1997
  • Obesity Trends Among US Adults BRFSS 1998
  • Obesity Trends Among US Adults BRFSS 1999
  • Obesity Trends Among US Adults BRFSS 2000
  • Obesity Trends Among US Adults BRFSS 2001
  • Slide 20
  • Obesity Trends Among US Adults BRFSS 2003
  • Obesity Trends Among US Adults BRFSS 2004
  • Obesity Trends Among US Adults BRFSS 2005
  • Obesity Trends Among US Adults BRFSS 2006
  • Obesity Trends Among US Adults BRFSS 2007
  • Obesity Trends Among US Adults BRFSS 2008
  • Slide 27
  • Why do you think Americans have gained so much weight
  • Reason 1 2 and 3
  • Effects of Fast-Food Restaurant Advertising on Children
  • Children and Commercials
  • Reason 4
  • Slide 33
  • Slide 34
  • Food Consumption is Different
  • Why is skinny attractive
  • Slide 37
  • Where do we go from here
  • httpwwwdoveusfeaturesvideosdefaultaspx[cp-documentid