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Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

The publics' understanding of daily caloric recommendations and their perceptions of calorie posting in chain restaurants

Authors: Sara N Bleich, Keshia M Pollack

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Calorie posting in chain restaurants has received increasing attention as a policy lever to reduce energy intake. Little research has assessed consumer understanding of overall daily energy requirements or perceived effectiveness of calorie posting.

Methods

A phone survey was conducted from May 1 through 17, 2009 with 663 randomly selected, nationally-representative adults aged 18 and older, including an oversample of Blacks and Hispanics in the United States. To examine differences in responses by race and ethnicity (White, Black, and Hispanic) and gender, we compared responses by conducting chi-squared tests for differences in proportions.

Results

We found that most Americans were knowledgeable about energy requirements for moderately active men (78%) and women (69%), but underestimated energy requirements for inactive adults (60%). Whites had significantly higher caloric literacy and confidence about their caloric knowledge than Blacks and Hispanics (p < 0.05). As compared to their counterparts, Blacks, Hispanics and women reported a significantly higher likelihood of eating at a chain restaurant and of selecting lower calorie foods where caloric information was posted. Most Americans favored the government requiring chain restaurants to post calorie information on menus at the point of purchase (68%). Support for government mandated calorie posting in chain restaurants was significantly higher among Blacks, Hispanics and women as compared to their counterparts. The public was divided about the mode of caloric information that would best help them make a lower calorie decision; a third favored number of calories (35%) which is the current standard mode of presenting caloric information in chain restaurants, a third favored a physical activity equivalent (26%), and a third favored percentage of total energy intake (39%).

Conclusion

Mandating calorie posting in chain restaurants may be a useful policy tool for promoting energy balance, particularly among Blacks, Hispanics and women who have higher obesity risk.
Literature
1.
go back to reference Kopelman PG: Obesity as a Medical Problem. Nature. 2000, 404: 635-643.PubMed Kopelman PG: Obesity as a Medical Problem. Nature. 2000, 404: 635-643.PubMed
2.
go back to reference Cohen DA: Obesity and the built environment: changes in environmental cues cause energy imbalances. Int J Obes (Lond). 2008, 32 (Suppl 7): S137-142. 10.1038/ijo.2008.250.CrossRef Cohen DA: Obesity and the built environment: changes in environmental cues cause energy imbalances. Int J Obes (Lond). 2008, 32 (Suppl 7): S137-142. 10.1038/ijo.2008.250.CrossRef
3.
go back to reference Booth KM, Pinkston MM, Poston WS: Obesity and the built environment. J Am Diet Assoc. 2005, 105 (5 Suppl 1): S110-117. 10.1016/j.jada.2005.02.045.CrossRefPubMed Booth KM, Pinkston MM, Poston WS: Obesity and the built environment. J Am Diet Assoc. 2005, 105 (5 Suppl 1): S110-117. 10.1016/j.jada.2005.02.045.CrossRefPubMed
4.
go back to reference Robert Wood Johnson Foundation: State Action to Promote Nutrition, Increase Physical Activity and Prevent Obesity. 2008, Princeton, NJ: Robert Wood Johnson Foundation Robert Wood Johnson Foundation: State Action to Promote Nutrition, Increase Physical Activity and Prevent Obesity. 2008, Princeton, NJ: Robert Wood Johnson Foundation
5.
go back to reference Triggle N: Calorie information on menus call. BBC News London. 2009 Triggle N: Calorie information on menus call. BBC News London. 2009
6.
go back to reference Baranowski T, Cullen KW, Nicklas T, Thompson D, Baranowski J: Are current health behavioral change models helpful in guiding prevention of weight gain efforts?. Obesity Research. 2003, 11: 23S-43S. 10.1038/oby.2003.222.CrossRefPubMed Baranowski T, Cullen KW, Nicklas T, Thompson D, Baranowski J: Are current health behavioral change models helpful in guiding prevention of weight gain efforts?. Obesity Research. 2003, 11: 23S-43S. 10.1038/oby.2003.222.CrossRefPubMed
7.
go back to reference Keystone Forum in Away-From-Home Foods: Opportunities for Preventing Weight Gain and Obesity. 2006, Washington DC: Keystone Center Keystone Forum in Away-From-Home Foods: Opportunities for Preventing Weight Gain and Obesity. 2006, Washington DC: Keystone Center
8.
go back to reference Sturm R: Stemming the global obesity epidemic: what can we learn from data about social and economic trends?. Public Health. 2008, 122 (8): 739-746. 10.1016/j.puhe.2008.01.004.CrossRefPubMedPubMedCentral Sturm R: Stemming the global obesity epidemic: what can we learn from data about social and economic trends?. Public Health. 2008, 122 (8): 739-746. 10.1016/j.puhe.2008.01.004.CrossRefPubMedPubMedCentral
9.
go back to reference Bowman SA, Vinyard BT: Fast food consumption of U.S. adults: impact on energy and nutrient intakes and overweight status. J Am Coll Nutr. 2004, 23 (2): 163-168.CrossRefPubMed Bowman SA, Vinyard BT: Fast food consumption of U.S. adults: impact on energy and nutrient intakes and overweight status. J Am Coll Nutr. 2004, 23 (2): 163-168.CrossRefPubMed
10.
go back to reference Prentice AM, Jebb SA: Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev. 2003, 4 (4): 187-194. 10.1046/j.1467-789X.2003.00117.x.CrossRefPubMed Prentice AM, Jebb SA: Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev. 2003, 4 (4): 187-194. 10.1046/j.1467-789X.2003.00117.x.CrossRefPubMed
11.
go back to reference Backstrand J: Fat Chance. 1997, Washington, DC: Center for the Public Interest Backstrand J: Fat Chance. 1997, Washington, DC: Center for the Public Interest
12.
go back to reference Burton S, Creyer EH, Kees J, Huggins K: Attacking the obesity epidemic: the potential health benefits of providing nutrition information in restaurants. Am J Public Health. 2006, 96 (9): 1669-1675. 10.2105/AJPH.2004.054973.CrossRefPubMedPubMedCentral Burton S, Creyer EH, Kees J, Huggins K: Attacking the obesity epidemic: the potential health benefits of providing nutrition information in restaurants. Am J Public Health. 2006, 96 (9): 1669-1675. 10.2105/AJPH.2004.054973.CrossRefPubMedPubMedCentral
13.
go back to reference Krukowski RA, Harvey-Berino J, Kolodinsky J, Narsana RT, Desisto TP: Consumers may not use or understand calorie labeling in restaurants. J Am Diet Assoc. 2006, 106 (6): 917-920. 10.1016/j.jada.2006.03.005.CrossRefPubMed Krukowski RA, Harvey-Berino J, Kolodinsky J, Narsana RT, Desisto TP: Consumers may not use or understand calorie labeling in restaurants. J Am Diet Assoc. 2006, 106 (6): 917-920. 10.1016/j.jada.2006.03.005.CrossRefPubMed
14.
go back to reference Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-2004. Journal of the American Medical Association. 2006, 295 (13): 1549-1555. 10.1001/jama.295.13.1549.CrossRefPubMed Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-2004. Journal of the American Medical Association. 2006, 295 (13): 1549-1555. 10.1001/jama.295.13.1549.CrossRefPubMed
15.
go back to reference Blendon RJ, Altman DE, Benson JM, Brodie M: Health care in the 2004 presidential election. New England Journal of Medicine. 2004, 351 (13): 1314-1322. 10.1056/NEJMsa042360.CrossRefPubMed Blendon RJ, Altman DE, Benson JM, Brodie M: Health care in the 2004 presidential election. New England Journal of Medicine. 2004, 351 (13): 1314-1322. 10.1056/NEJMsa042360.CrossRefPubMed
16.
go back to reference Blendon RJ, Benson JM, DesRoches CM, Weldon KJ: Using opinion surveys to track the public's response to a bioterrorist attack. Journal of Health Communication. 2003, 8 (Suppl 1): 83-92.CrossRefPubMed Blendon RJ, Benson JM, DesRoches CM, Weldon KJ: Using opinion surveys to track the public's response to a bioterrorist attack. Journal of Health Communication. 2003, 8 (Suppl 1): 83-92.CrossRefPubMed
17.
go back to reference Curtin R, Presser S, Singer E: The effect of response rate changes on the Index of Consumer Sentiment. Public Opinion Quarterly. 2000, 64: 413-428. 10.1086/318638.CrossRefPubMed Curtin R, Presser S, Singer E: The effect of response rate changes on the Index of Consumer Sentiment. Public Opinion Quarterly. 2000, 64: 413-428. 10.1086/318638.CrossRefPubMed
18.
go back to reference Keeter S, Miller C, Kohut A, Groves RM, Presser S: Consequences of reducing non-response in a national telephone survey. Public Opinion Quarterly. 2000, 64: 125-148. 10.1086/317759.CrossRefPubMed Keeter S, Miller C, Kohut A, Groves RM, Presser S: Consequences of reducing non-response in a national telephone survey. Public Opinion Quarterly. 2000, 64: 125-148. 10.1086/317759.CrossRefPubMed
19.
go back to reference Traugott MW: Assessing poll performance in the 2000 campaign. Public Opinion Quarterly. 2001, 65: 389-419. 10.1086/322850.CrossRefPubMed Traugott MW: Assessing poll performance in the 2000 campaign. Public Opinion Quarterly. 2001, 65: 389-419. 10.1086/322850.CrossRefPubMed
20.
go back to reference Department of Health and Human Services and U.S. Department of Agriculture: Dietary Guidelines for Americans. 2005, Washington DC: HHS and USDA Department of Health and Human Services and U.S. Department of Agriculture: Dietary Guidelines for Americans. 2005, Washington DC: HHS and USDA
21.
go back to reference WHO: Obesity: Preventing and managing the global epidemic--report of a WHO consultation on obesity. 1988, Geneva: WHO WHO: Obesity: Preventing and managing the global epidemic--report of a WHO consultation on obesity. 1988, Geneva: WHO
22.
go back to reference Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006, 13: 1549-1555. 10.1001/jama.295.13.1549.CrossRef Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM: Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006, 13: 1549-1555. 10.1001/jama.295.13.1549.CrossRef
23.
go back to reference Grunert KG: Food quality and safety: consumer perception and demand. European Review of Agricultural Economics. 2005, 32 (3): 369-391. 10.1093/eurrag/jbi011.CrossRef Grunert KG: Food quality and safety: consumer perception and demand. European Review of Agricultural Economics. 2005, 32 (3): 369-391. 10.1093/eurrag/jbi011.CrossRef
24.
go back to reference Glanz K, Mullis RM: Environmental interventions to promote healthy eating: a review of models, programs, and evidence. Health Educ Q. 1988, 15 (4): 395-415.CrossRefPubMed Glanz K, Mullis RM: Environmental interventions to promote healthy eating: a review of models, programs, and evidence. Health Educ Q. 1988, 15 (4): 395-415.CrossRefPubMed
25.
go back to reference Cowburn G, Stockley L: Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr. 2005, 8 (1): 21-28. 10.1079/PHN2005666.CrossRefPubMed Cowburn G, Stockley L: Consumer understanding and use of nutrition labelling: a systematic review. Public Health Nutr. 2005, 8 (1): 21-28. 10.1079/PHN2005666.CrossRefPubMed
26.
go back to reference Bassett MT, Dumanovsky T, Huang C, Silver LD, Young C, Nonas C, Matte TD, Chideya S, Frieden TR: Purchasing behavior and calorie information at fast-food chains in New York City, 2007. Am J Public Health. 2008, 98 (8): 1457-1459. 10.2105/AJPH.2008.135020.CrossRefPubMedPubMedCentral Bassett MT, Dumanovsky T, Huang C, Silver LD, Young C, Nonas C, Matte TD, Chideya S, Frieden TR: Purchasing behavior and calorie information at fast-food chains in New York City, 2007. Am J Public Health. 2008, 98 (8): 1457-1459. 10.2105/AJPH.2008.135020.CrossRefPubMedPubMedCentral
27.
go back to reference Elbel B, Kersh R, Brescoll VL, Dixon LB: Calorie labeling and food choices: a first look at the effects on low-income people in New York City. Health Aff (Millwood). 2009, 28 (6): w1110-1121. 10.1377/hlthaff.28.6.w1110.CrossRef Elbel B, Kersh R, Brescoll VL, Dixon LB: Calorie labeling and food choices: a first look at the effects on low-income people in New York City. Health Aff (Millwood). 2009, 28 (6): w1110-1121. 10.1377/hlthaff.28.6.w1110.CrossRef
28.
go back to reference Miles S, Scaife V: Optimistic bias and food. Nutrition Research Reviews. 2003, 16 (1): 3-19. 10.1079/NRR200249.CrossRefPubMed Miles S, Scaife V: Optimistic bias and food. Nutrition Research Reviews. 2003, 16 (1): 3-19. 10.1079/NRR200249.CrossRefPubMed
29.
go back to reference Ezzati M, Martin H, Skjold S, Hoorn SV, Murray CJ: Trends in national and state-level obesity in the USA after correction for self-report bias: analysis of health surveys. Journal of the Royal Society of Medicine. 2006, 99: 250-257. 10.1258/jrsm.99.5.250.CrossRefPubMedPubMedCentral Ezzati M, Martin H, Skjold S, Hoorn SV, Murray CJ: Trends in national and state-level obesity in the USA after correction for self-report bias: analysis of health surveys. Journal of the Royal Society of Medicine. 2006, 99: 250-257. 10.1258/jrsm.99.5.250.CrossRefPubMedPubMedCentral
30.
go back to reference Merrill RM, Richardson JS: Validity of self-reported height, weight, and body mass index: findings from the National Health and Nutrition Examination Survey, 2001-2006. Prev Chronic Dis. 2009, 6 (4): A121-PubMedPubMedCentral Merrill RM, Richardson JS: Validity of self-reported height, weight, and body mass index: findings from the National Health and Nutrition Examination Survey, 2001-2006. Prev Chronic Dis. 2009, 6 (4): A121-PubMedPubMedCentral
31.
go back to reference Thomas SB, Fine MJ, Ibrahim SA: Health disparities: the importance of culture and health communication. Am J Public Health. 2004, 94 (12): 2050-10.2105/AJPH.94.12.2050.CrossRefPubMedPubMedCentral Thomas SB, Fine MJ, Ibrahim SA: Health disparities: the importance of culture and health communication. Am J Public Health. 2004, 94 (12): 2050-10.2105/AJPH.94.12.2050.CrossRefPubMedPubMedCentral
32.
go back to reference National Center for Health Statistics: Healthy People 2000 Review, 1998-99. 1999, Hyattsville, Maryland: Public HealthService National Center for Health Statistics: Healthy People 2000 Review, 1998-99. 1999, Hyattsville, Maryland: Public HealthService
33.
go back to reference US Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2000, Washington, DC: U.S. Government Printing Office, 2 US Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2000, Washington, DC: U.S. Government Printing Office, 2
34.
go back to reference Brownson RC, Boehmer TK, Luke DA: Declining rates of physical activity in the United States: what are the contributors?. Annual Review of Public Health. 2005, 26 (421): 443- Brownson RC, Boehmer TK, Luke DA: Declining rates of physical activity in the United States: what are the contributors?. Annual Review of Public Health. 2005, 26 (421): 443-
Metadata
Title
The publics' understanding of daily caloric recommendations and their perceptions of calorie posting in chain restaurants
Authors
Sara N Bleich
Keshia M Pollack
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-121

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