Wednesday, July 16, 2008

Will Calories on the Menu Change Your Eating Habits?

First New York City passed a law requiring fast food places to post calories of their foods on the menu....then it was amended to include ANY chain restaurants with 15 or more locations.
Most of these places have had nutrition information available in pamphlets for years, and subsequently posted online. For example:
Blimpie
McDonald's
Panda Express
Starbucks Beveragesand Food
Now other cities are thinking about following the example of NYC. Why? Because obesity is fast becoming the nation's number ONE health problem (now that smoking has been banned in most all public places).

Today MSNBC posted an interesting article about the effect of calorie information on the menu? Will it open up some eyes and show the public WHY we're getting heavier? It's not the "carbs", it's not the "fat", it's not the "high fructose corn syrup"; IT'S THE CALORIES!!!!

New Yorkers try to swallow calorie sticker shock
600 calorie muffins? The first city to adopt law faces unappetizing surprises
By Roni Caryn Rabin, MSNBC contributor, Wed July 16, 2008

Nora Cara was flabbergasted.

She was about to order her usual morning coffee and muffin at Dunkin’ Donuts when she saw the new calorie labels. The chocolate chip muffin she had her eye on was 630 calories.

“I was blown away,” said Cara, a 27-year-old homemaker from Forest Hills in New York City. “I’m not a no-carb type of person, and I usually don’t even think about it. But you pick up a little muffin with your coffee, and it has 630 calories in it? That’s a bit extreme!”

New Yorkers have been in the throes of sticker shock since this spring when the Big Apple became the first city in the country to implement a law forcing chain restaurants to post the calorie count of each food in the same size and font as the price.

Restaurants have not exhausted their legal challenges, but the city will start fining violators up to $2,000 beginning Friday, say officials with the city’s Department of Health and Mental Hygiene.

While some sit-down chains and fast-food eateries are waiting until the last minute, coffee shops like Starbucks — home of the 470 calorie raspberry scone and 610 calorie cookie — have been replacing their menu boards and adding calorie tags to pastries in recent weeks. The result: Do a little eavesdropping in a New York City restaurant, and you may think you’ve stumbled into an Overeaters Anonymous meeting.

At T.G.I. Friday’s, one of the few sit-down chain restaurants to have already added calorie counts to menus, a group of young women gasped as they studied the menu, barely able to find a meal under 1,000 calories, never mind an appetizer or dessert. Both Stephanie Fowler and Lindsay Green asked about the suddenly popular Classic Sirloin — at 290 calories, it was one of the lowest calorie items on the menu — but learned the restaurant ran out by the time the dinner rush started.

Outside the Forest Hills’ Dunkin’ Donuts, Juan Restrepo, the 45-year-old owner of a construction company, said he was quitting corn muffins — 510 calories! — this time for good.

“My daughter warned me about them,” he lamented. “I just didn’t listen.”

Preventing diabetes
Putting the brakes on thoughtlessly inhaling calories is exactly the effect New York City health officials hoped the law would have. They say calorie labels could reduce the number of obese New Yorkers by 150,000 over the next five years, and prevent 30,000 cases of diabetes.

New York is not the only city pushing calorie labels. New laws in Seattle and California’s Santa Clara and San Francisco are scheduled to go into effect later this year, including some more stringent than New York’s, requiring restaurants to post information about sodium, carbs, fats and cholesterol in addition to calories.

Such laws have faced stiff opposition and legal challenges from the restaurant industry. A judge struck down New York City’s first calorie labeling law, which would only have applied to fast food restaurants that were already making calorie information available on Web sites or posters. The law was then revised to apply to all chain restaurants with 15 or more outlets nationwide.

“We’re still in court, but the ruling is in effect,” said New York City health department spokeswoman Jessica Scaperotti. Fines for the restaurants who haven't posted calorie counts by Friday will range from $200 to $2,000 depending on the violation, she said.

Scaperotti said she didn't know what impact the calorie labels have made on consumer choices or sales. But, she said, “We know nutritional information is effective. If you go to the Starbucks near our office in lower Manhattan, the little cookies that are 80 calories each — they’re the first ones to go.”

1,360 calorie salad
Many New Yorkers are finding that even the foods they thought were lower calorie really aren’t. Vicki Freedman, who lives in Manhattan, watches her weight and always tries to choose a light option when eating out. But the 26 year old just discovered that the Friday’s pecan-crusted chicken salad, served with mandarin oranges, dried cranberries and celery, has 1,360 calories.

“That surprised me the most because they market it as a healthy option,” she said. “It’s like false advertising. You think it’s better than the burger and the fries. It’s misleading.” (The cheeseburger served with fries is, indeed, 1,290 calories.)

Meals ordered at sit-down chain restaurants may have more calories than typical takeout fast-food, nutritionists say, because the portions are often larger and an entrée can be served on a plate smothered with French fries. In a takeout restaurant, the fries have to fit into a container, which limits the portion size.

Managers at some restaurants, including an Upper East Side Johnny Rocket’s and Outback Steakhouse, said new menus including calorie counts would be on tables by Friday, or shortly thereafter.

“We’re concerned,” acknowledged Eric Hagy, proprietor of Outback Steakhouse on Third Avenue in Manhattan. “I don’t know what effect it will have, but it will bring people’s attention to certain items that are high in calories, like the Bloomin’ Onion appetizer. It has over 2,000 calories, but it’s meant to be shared between two or three people.”

At a Starbucks on the Upper East Side of Manhattan, barista Bishoy Ayoub, 18, said he’s noticed many customers switching to smaller drinks or reduced-fat drinks since calorie labels were posted several months ago.

‘Take off the labels’
“Some people actually tell us we should take off the labels, because it discourages them from ordering what they want,” he said. “But I think honesty is the best policy.”

At a Wendy’s nearby, where calorie counts were just posted next to prices on the menu-boards behind the counter, customers didn’t flinch. “I figure I’ve got 1,350 calories here on my tray,” said Tristan Rowe, 26, who lives in Brooklyn, pointing to his lunch of a chicken club sandwich, junior bacon-cheeseburger, large fries and a large Coke (which actually added up to 1,680 calories). “It’s not going to change what I order — I’m not watching my waistline. I have a very active lifestyle.”

Despite the eye-opening revelations, whether New Yorkers will switch to lower calorie meals remains to be seen. They may just switch menus.

That’s what Fowler, the woman who was dining recently with her friends at T.G.I. Friday's, decided to do.

“I’m so upset,” she said, noting some entrees — like the Jack Daniels ribs and shrimp dinner — contain almost 2,000 calories, and the desserts were more of the same (the brownie obsession is 1,500 calories). “I wish they wouldn’t have done this.”

But then Fowler noticed that the waiter had handed her friend an old menu, which didn’t have calorie counts on it.

“You got a menu without anything on it?” she asked her friend. “Can I have yours?”

Roni Caryn Rabin is a health writer who lives in New York City.

© 2008 MSNBC Interactive
URL: http://www.msnbc.msn.com/id/25464987/

Tuesday, July 8, 2008

Food Records = Weight Loss Success

Myself and many other nutrition experts have been saying this for years - keeping a food journal helps people lose weight. Anne Fletcher, MS RD LD wrote about this tool in "Thin for Life" back in 1994. I've often recommended her books for people working on weight management.

Here's the Reuters article published on Yahoo News this morning. When the actual research article is available, I'll link it.

Study shows value of food diary in losing weight

By Will Dunham
Tue Jul 8, 3:25 AM ET

WASHINGTON (Reuters) - Keeping a food diary -- a detailed account of what you eat and drink and the calories it packs -- is a powerful tool in helping people lose weight, U.S. researchers said on Tuesday.

The study involving 1,685 middle-aged men and women over six months found those who kept such a diary just about every day lost about twice as much weight as those who did not.

The findings buttressed earlier research that endorsed the value of food diaries in helping people lose weight. Companies including Weight Watchers International Inc use food diaries in their weight-loss programs.

"For those who are working on weight loss, just writing down everything you eat is a pretty powerful technique," Victor Stevens of Kaiser Permanente's Center for Health Research in Portland said in a telephone interview.

"It helps the participants see where the extra calories are coming from, and then develop more specific plans to deal with those situations," said Stevens, who helped lead the study published in the American Journal of Preventive Medicine.

The technique also helps hold dieters accountable for what they are eating, Stevens said.

The study involved people from four U.S. cities: Portland, Oregon; Baltimore, Maryland; Durham, North Carolina; and Baton Rouge, Louisiana. Their average weight loss was about 13 pounds (6 kg). But those keeping food diaries six or seven days a week lost about 18 pounds (8 kg) compared to 9 pounds (4 kg) for those not regularly keeping a food diary.

The average age of people in the study was 55.

They were asked to eat less fat, more vegetables, fruit and whole grains, exercise 180 minutes a week mostly by walking, attend group meetings, and keep a detailed food diary.

Blacks made up 44 percent of the people in the study. The researchers noted that blacks Americans have a higher risk than whites for conditions linked to obesity including type 2 diabetes and heart disease.

"Keeping a food diary doesn't have to be a formal thing. Just the act of scribbling down what you eat on a Post-It note, sending yourself e-mails tallying each meal or sending yourself a text message will suffice," Dr. Keith Bachman, another Kaiser Permanente expert, said in a statement.

Interested in Nutrition