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July 28, 2011

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Calorie counts encourage healthy diets for some

LIKE any fitness program, it works only if you pay attention to it.

A new study on New York City's effort to encourage healthy eating by posting calorie counts on menus shows that it worked for about one in six customers - or those who paid heed to them. Those who ignored the numbers or didn't see them ordered whatever they wanted, regardless of how fattening it was.

City health officials who conducted the study said that's good news. Customers who looked at the counts generally ordered about 100 fewer calories than those who didn't, according to the results of the study published on Tuesday in the British medical journal BMJ.

In 2008, New York became the first municipality in the US to require chain restaurants to post the counts, and other places including California and Seattle followed suit. Starting next year, a federal law will require all chains with 20 or more locations to print calorie counts on menus. British fast-food restaurants are set to introduce a similar but voluntary initiative.

The study was the first large-scale look at the initiative's success at several different chains. Lynn D Silver, director of the Office of Science and Policy at the city's Department of Health and Mental Hygiene and one of the study's authors, said it showed modest gains in getting people to order lower-calorie meals. But she said the law also led restaurants to widen their offerings of healthier food, such as salads.

"Calorie labeling alone won't cure the obesity epidemic but it is one part of trying to address it," said Silver, a medical doctor.

About a third of adults in the US are obese, the Centers for Disease Control and Prevention said.

The study looked at lunchtime purchases at 11 fast-food chains around New York in 2007, before the city law was passed, and then again in 2009. Researchers asked nearly 16,000 customers for their receipts and spoke to them about their orders. There was no significant change overall. But customers did order fewer calories, on average, at three major chains: McDonald's, Au Bon Pain and KFC. The study notes that those restaurants also introduced healthier choices around the same time the law was passed.

Meanwhile, the sandwich shop Subway showed a big increase in the average calorie count of a lunch order, which the authors linked to the popularity of its "US$5 foot-long" deal, introduced nationally in 2008.

The study found that more than 20 percent of customers at Subway and Au Bon Pain paid attention to the calorie counts, an increase from the overall average of 15 percent. Women were more likely to use them when deciding what to order, as were people in wealthier neighborhoods.




 

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