1. Navigating the Fast Food Maze

2. Highly accessibleLess accessible ConvenientLess convenient Great tastingNot as good tasting Promoted heavilyNot promoted InexpensiveMore expensive Fast FoodsHealthy Foods

3. Percent of Food Spending Used on Fast Food

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

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

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

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

8. Is Fast Food to Blame?

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

10. l People who live near fast food restaurants are more likely to eat more fast food. l People who have more fast food restaurants in their neighborhood are more likely to have heart disease and die early. l States with the most fast food outlets per square mile have the highest rates of obesity

11. Calories Children Eat with Fast Food or at Home

12. The most common vegetable consumed?

13. 25% of all vegetables eaten in the U.S.

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

15. Childhood Obesity l 27% of children are overweight (CDC, 2003)

16. Food quantity has changed (serving sizes)

17. 8 oz12 oz16 oz20 oz34 oz

18. 16 oz32 oz44 oz52 oz64 oz 48 Teaspoons Sugar

19. French Fries 20 Years AgoToday 210 Calories 2.4 ounces 610 Calories 6.9 ounces

20. Turkey Sandwich 20 Years AgoToday 320 calories 820 calories

21. Courtesy of Dr. Kelly Brownell

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

24. Texas Double Whopper Calories1050 Saturated fat26 grams 130% of daily Fat grams69 grams 106% of daily Sodium1910 mg 80% of daily

25. A Few Fast Food Facts l Everyone eats fast food l Fast food is marketed everywhere l It is almost impossible to avoid it l We need to learn to live with it

26. Calories.. Who’s counting? McDonald’s hamburger McDonald’ s Big Mac O’Charley’s chicken tenders dinner Shoney’s deluxe pancake plate Lone Star Steakhouse Lone Star wings Denny’s mini burgers w/ onion rings Chili’s awesome blossom Nathan’s Famous seafood sampler

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

28. Start Walking McDonald’s hamburger McDonald’s Big Mac O’Charley’s chicken tenders dinner Shoney’s deluxe pancake plate Lone Star Steakhouse Lone Star wings Denny’s mini burgers w/ onion rings Chili’s awesome blossom Nathan’s Famous seafood sampler hours

29. Ronald McDonald is recognized by nearly 96% of American children A child's first request for a product typically occurs at about 24 months of age Ad agencies acknowledge that toddlers and preschool children have considerable purchase influence through “nag factor” l Children influence nearly half of McDonald’s visits

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

31. Western Diet Pattern

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

33. Red l Any food with more than 1 gram of trans fats l Any food with more than 13 grams of saturated fat l Any food with processed meats

34. Green l Foods with whole grains, fresh fruits, vegetables, l Healthy oils (french fries fried in healthy oils) l Many deli type sandwiches

35. Yellow l Foods not green and not red l Sodium and cholesterol content can push the food to green or red

36. Good Guys (trans fat free) l Wendy’s l Au Bon Pain l Jason’s Deli l Panera Bread l California Pizza Kitchen l Ruby Tuesday l Chick-Fil-A

37. Bad Guys (have expressed no desire to remove trans fats) l Starbucks, l Friendly’s l Popeyes l Taco Bell l KFCs getting sued