june12

Friday, January 20, 2012

Junk food consumption drops with ad bans: study


With mounting concerns over childhood obesity and its associated health risks in the U.S., would a ban on junk-food advertising aimed at children be more effective than the current voluntary, industry-led ban? According to published research from a University of Illinois economist, advertising bans do work, but an outright ban covering the entire U.S. media market would be the most effective policy tool for reducing fast-food consumption in children.
Kathy Baylis, a professor of agricultural and consumer economics, studied the ban on junk-food advertising imposed in the Canadian province of Quebec from 1984 to 1992 and its effect on fast-food purchases.
By comparing English-speaking households, who were less likely to be affected by the ban, to French-speaking households, Baylis and co-author Tirtha Dhar, of the University of British Columbia, found evidence that the ban reduced fast-food expenditures by 13 percent per week in French-speaking households, leading to between 11 million and 22 million fewer fast-food meals eaten per year, or 2.2 billion to 4.4 billion fewer calories consumed by children.
“Given the nature of Quebec’s media market and demographics, a ban would disproportionately affect French-speaking households, but would not affect similar households in Ontario or households without children in either province,” Baylis said.
Baylis says the study is applicable to the U.S., although the results wouldn’t be quite as robust if bans were instituted state by state.
“What we found is that advertising bans are most effective when children live in an isolated media market, and it’s only because they’re in an isolated media market that they’re getting these effects,” she said. “If any state on their own decided to do this, it would be problematic. If the U.S. as a whole decided to do it, our research indicates that such a ban could be successful. The comparison is a strongly regulated system in Quebec to a less strongly regulated system in Ontario, and we still found an effect. If anything, our study is finding a lower-bound of that effect.” The big caveat to the study, according to Baylis, is that it’s based on data from the 1980s and ’90s.
“Obviously, the Internet has exploded since then, and computer games have also risen in popularity,” she said. “So we don’t know how well a television ban would work when children are spending an increasing amount of time online rather than watching TV. So it would be very hard to enforce an Internet ban, and the only way to tackle it would be how they’re doing it in Quebec, which is to prohibit advertising websites for junk food during cartoons, or even on product packaging in stores. But if a 10-year-old is searching for ‘Lucky Charms’ on the Internet, that would be hard to police on its own.”
Baylis says one policy tool that’s being revisited in the U.S. is the voluntary agreement that some prominent food companies have signed to limit advertising to kids.
“There’s been a lot of concern that this voluntary agreement isn’t working,” she said. “The FCC has considered stepping in and doing more formal regulation. Our research indicates that this might be the way to go. The folks on the other side of the debate are always saying: ‘Don’t go down that road. It’s a dead-end. Absolute bans don’t work and a voluntary approach to self-regulation is better.’ Well, that’s not true, and this research is more ammunition for the FCC.”
Although the advertising lobby would like to deny that advertising to kids works, Baylis notes that about $11 billion per year is spent on advertising aimed at that audience.
“Fast food is one of the most highly advertised product categories, but what’s interesting is the amount of discussion around having tighter regulations on advertising directed at children, or when countries look to impose a junk-food advertising ban,” Baylis said.
“The advertising lobby is very fond of saying bans don’t work, that regulations don’t work. There’s been a huge policy debate as to whether advertising bans work, and that’s why we decided to study the Quebec example, because it was brought up a lot by advertisers as proving their point. And what we discovered is, if you’re just averaging overall kids, if you don’t control for anything, you’re just throwing in enough noise so that it’s not statistically significant. When we started controlling for things, we realized that there was something else going on.”
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Tuesday, January 17, 2012

We’re still quite fat



There has not been significant change in the prevalence of obesity in the U.S., with data from 2009-2010 indicating that about one in three adults and one in six children and teens are obese; however, there have been increases in certain demographics, according to two studies being published by JAMA. The studies are being released online first because of their public health importance.
Katherine M. Flegal, Ph.D., Cynthia L. Ogden, Ph.D., M.R.P., and colleagues with the Centers for Disease Control and Prevention, Hyattsville, Md., analyzed data from the 2009-2010 National Health and Nutrition Examination Survey (NHANES) to determine rates of obesity in the U.S. In the analysis for prevalence among adults, rates of obesity (defined as a body mass index [BMI] of 30 or greater) were compared with data from 1999-2008. NHANES includes measured heights and weights for 5,926 adult men and women from a nationally representative sample of the U.S. population in 2009-2010 and for 22,847 men and women in 1999-2008.
In 2009-2010, the age-adjusted average BMI was 28.7 for men and women. The researchers found that overall, the age-adjusted obesity prevalence was 35.7 percent. Among men, the prevalence was 35.5 percent, and within race/ethnicity groups, prevalence ranged from 36.2 percent among non-Hispanic white men to 38.8 percent among non-Hispanic black men. There were significant increases in obesity for men over the period 1999-2000 through 2009-2010.
For women, the prevalence of obesity was 35.8 percent, and the range was from 32.2 percent among non-Hispanic white women to 58.5 percent among non-Hispanic black women. Over the period from 1999 through 2010, obesity showed no significant increase among women overall, but increases were statistically significant for non-Hispanic black women and Mexican American women. For both men and women, the most recent 2 years (2009-2010) did not differ significantly from the previous 6 years (2003-2008).
The age-adjusted prevalence of overweight and obesity combined (BMI 25 or greater) was 68.8 percent overall, 73.9 percent among men, and 63.7 percent among women.
“Obesity prevalence shows little change over the past 12 years, although the data are consistent with the possibility of slight increases,” the authors write.
Among Children and Teens, Prevalence of Obesity is About 17 Percent
The examination of obesity among U.S. children and adolescents (birth through 19 years of age) included a representative sample (n = 4,111 [1,376 non-Hispanic white, 792 non-Hispanic black, and 1,660 Hispanic]) with measured heights and weights from NHANES 2009-2010. Among the measures analyzed were the prevalence of high weight-for-recumbent length (95th percentile or greater on the growth charts) among infants and toddlers from birth to 2 years of age and obesity (BMI 95th percentile or greater of the BMI-for-age growth charts) among children and adolescents ages 2 through 19 years. There were analyses of trends in obesity by sex and race/ethnicity, and analyses of trends in BMI within sex-specific age groups for 6 survey periods (every 2 years) from 1999 to 2010.
The researchers found that among children and adolescents ages 2 through 19 years, 16.9 percent were obese in 2009-2010 and 31.8 percent were either overweight or obese. The prevalence of obesity among males (18.6 percent) was significantly higher than among females (15.0 percent). There was no difference in obesity prevalence among males or females between 2007-2008 and 2009-2010, but there was a significant increase in prevalence between 1999-2000 and 2009-2010 (per 2-year survey cycle) in male children and adolescents but not in females. “Significant differences in obesity prevalence by race/ethnicity were found. In 2009-2010, 21.2 percent of Hispanic children and adolescents and 24.3 percent of non-Hispanic black children and adolescents were obese compared with 14.0 percent of non-Hispanic white children and adolescents.”
The prevalence of high weight-for-recumbent length among infants and toddlers was 9.7 percent in 2009-2010. The prevalence did not change between 1999-2000 and 2009-2010. When the data from these time periods were analyzed together, there were significant differences by race/ethnicity, with Mexican Americans being significantly more likely to have high weight-for-recumbent length than non-Hispanic whites.
The authors also found that there was a significant increase in BMI among adolescent males ages 12 through 19 years but not among any other age group or among females.
“Many efforts both at the national level and at state and local levels focus on reducing childhood obesity. Yet results from NHANES indicate that the prevalence of childhood obesity in the United States remains unchanged at approximately 17 percent; although increases in obesity prevalence may he occurring among males,” the researchers write.
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