Beach Body or Healthy Body

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As the weather starts to warm up, the side walks become more crowded and plans of boating, beaching, and vacationing are added to the calender, a small sense of anxiety creeps in about putting on a bathing suit. Its the season of last minute dieting and crunch time (no pun intended) for getting “fit”. As health is our primary mission as practitioners for our clients and ourselves, we too can get caught in the madness of what our real goal is. Health has a different definition for each individual but things that can make it blurry are numbers on the scale, how clothes you love look on others, what we see in the mirror, “health” tips…from pintrest, facebook, twitter etc. Why is it so hard to aim for healthy and so easy to set our sights and expectations for slim, skinny, and the unreachable perfect?

We propose a challenge. This summer, lets set our focus towards action, socially responsible causes that make us feel good, engaging in fun social events, becoming mindful about nutrition and fitness. Overall lets respect our bodies and find comfort, meditation, and enjoyment in our emotional, physical and mental health.

Here is what is on our TO DO list:

  1. Volunteer
  2. Participate in an organized charitable event (races, obstacle courses, walks, city initiatives)
  3. Get at least 30 minutes of activity in a day
  4. Eat for fuel and nutritional value (no crazy restrictions or pills needed, just food from mother earth!)
  5. Soak up some Vitamin D
  6. Take time to breathe, relax, and meditate 
  7. Constantly evaluate and set short and long term goals ( and write them down, or tell a friend!)
  8. Ask for help
  9. Reflect on the positive
  10. Find comfort in uncomfort- take risks and seek the reward (sometimes a sense of accomplishment can feel like a million bucks).

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We want to feel good about ourselves; we want to be our ideal size, weight, have healthy relationships, eat right, and sleep right. Unfortunately there is not one way. Life can be lived focused on a beach body or your beach body can come from enjoying an active, healthy and fulfilled lifestyle.

One size cannot fit all.

I have spent the last ten years of my life physically training, mentally preparing, and exploring the world of nutrition for races, competitions, games, professional and personal development. In my “research” the most difficult challenge is seeking truth and the right program leading to the best results for my goals. I also constantly wonder when the “health craze” will no longer be a craze but a way of life for a majority of the world.

I find myself eaves dropping on the latest “best paleo meal”, “super foods” discussions, “the best burn, barre workout ever”, a “quick trick”, fast “fix”, “best results”, “juice cleanse”, that “actually works”! How many times do we have to put ourselves through misery before we find happiness with ourselves amongst all the chaos and chatter of what works?

News on health cartoon

As we battle through the headlines and celebrity answers there are certified professionals claiming they know what is best. More likely than not it is the professionals with the credentials that will persuade us their way is the only way to be healthy.

At a recent health promotion event the objective of raising awareness for disease prevention and spreading the word on healthy living was masked by professionals gloating about their products and programs, but more so themselves. Humans are constantly changing and growing, its not possible to have a definitive end to all means. New disease is found everyday. Records are broken all the time, and there is always a heroic underdog story, so how can we say one way is the right way

    It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is the most adaptable to change.

Charles Darwin

One size does not fit all. As humans, there is not one body that is exactly similar to the other. Even identical twins carry out different thought processes, flock to different interests, and have relationships with different people. Today the words fix, trick, and diet can grab the attention of anyone looking for quick results. Credentials and degrees can easily persuade us even when we have no idea what they mean. The world of marketing is impressive and as we become more aware of our health, the market for health products, activities, and promotions has started to become overwhelmingly confusing. It is important to look out for yourself

(Disclaimer: Even this blog post is written from one perspective).

  1. Be open to other ideas, but do not take them as exclusive solutions
  2. Continue to work on self-awareness. Know thyself and be confident with your goals in order to find the lifestyle the fits for you
  3. Consult with a doctor you trust and are comfortable with.
  4. Make sure you are seeking credible research

Tips for assessing the credibility of online information

  • Does the Web site provide references for research that can be independently verified?
  • Are authors identified? Are their affiliations, credentials, and contact information provided?
  • Who owns or is responsible for the Web site? Is a physical address and complete contact information provided?
  • Does the site describe its mission? Are staff members identified?
  • Does the site carry advertising? If it is run by a not-for-profit organization, are its sources of funding identified?
  • Is the site professional in appearance and quality? How recently has it been updated? Is it free from typographical and grammatical errors?
  • Based on  Stanford Guidelines for Web Credibility

In the long history of humankind (and animal kind, too) those who learned to collaborate and improvise most effectively have prevailed.

Charles Darwin

 

As a practice specializing in sport and health, at CBM wee to keep our minds and eyes open for new research, we must remain adaptable and accepting to new findings and experience. It would be ignorant to have one method to apply to everyone’s challenges. We work to understand each of our clients individually through their unique experiences, perspectives, developments, challenges, and skill sets. And at the end of the day we grow more aware of the overwhelming health market that could turn anyone’s tail in between their legs.

human-evolution

Its important to remember that we are an ever changing culture. Through growth and new discoveries we find more risk but also breakthroughs leading us to develop further hypotheses. Health is a constant priority, not a trend or craze to focus on and then forget. There are infinite ways to address health, thanks to the complex brain we have developed. We must be capable of collaborating for most efficient and effective terms of creating solutions for each other to promote our ideal healthy world.

The missing link?

We are driven by the unique interaction of our personal experiences, emotions, thoughts, with which we then act. In our ever-lasting hunger for self-satisfaction, it seems we as a human race continually get knocked down from what feels like a failure to lose weight, be healthy, stay fit, and live actively. There must be at least five headlines everyday devoted to heath and weight. We have driven ourselves into debilitating disease in which our loved ones and ourselves are suffering from obesity, diabetes, high blood pressure, extreme physical, mental and emotional stress that leaks into all realms of lifestyle.

We are entertained by reality series on weight loss, spend money on diets, and fitness plans, yet it is all too easy to get back into the “old way”; the easy way to eat, purchase or save money, not exercise, stay in bed longer, “take a load off” with drinking or staying out too late, and losing track of our intake. The common missing link in this pattern is management, support, and continual self-awareness. Behavioral Counseling for sustainable change is the essential piece to achieving that over-used, over-heard term “wellness”.

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In a recent study on the work-place it was found that employees in a worksite-based weight loss intervention lost weight and maintained with behavioral counseling (Tufts University, 2013). The participants in the experimental group had a counselor with training in both nutrition and behavior modification with whom they met with one to two times a week. Education on strategies for planning, portions, hunger, and stress were discussed along with weekly email support. They followed a reduced calorie diet (low-glycemic, high fiber) in which they were responsible for purchasing their own food. The participants were also offered to enroll in a six-months structured maintenance program. Results showed obese and overweight participants of the intervention lost three pounds compared to control site employees who gained two pounds.

obesity

What a refreshing research intervention demonstrating the necessity of behavior management in order to achieve sustainable lifestyle change. We are habitual creatures and comfort is difficult to escape. When it comes to diet and fitness, things get uncomfortable first. The time and energy needed for lifestyle change is unique to the individual’s goals and current state. With support and guidance in the approach to changing behaviors toward health the positive result is almost inevitable. Setting the goal along with continued self-awareness and regulation can be obtained with proper behavioral counseling.

Not oddly enough, the Chicago Sunday news featured another effort to combat obesity. The Healthy Initiative is putting on a “Celebrate Yourself Healthy” event March 9th. The Healthy Initiative in Chicago is led by Shea Vaughn to educate and raise awareness in disease prevention for building healthy lives. The number one take-away from this presentation was Shea Vaughn’s comment on the missing mental and emotional piece to accomplishing a sustainable healthy lifestyle.

Getting “our ducks in order” may require reaching out for counseling; stepping out of our comfort zone is an inevitable piece for change. However, when support (behavioral counseling) is there, the transition can be smoother, the result positive and sustainable, and the journey well worth the discomfort. A longer life is worth the healthy lifestyle change.

So the missing link… behavioral counseling.

Tufts University (2013, February 20). Employees shed pounds in worksite-based weight loss intervention with behavioral counseling. ScienceDaily. Retrieved February 24, 2013, from http://www.sciencedaily.com­ /releases/2013/02/130220163557.htm

An inspiring evening with Girls in the Game

Celebrate yourself and others will follow.

Girls in the Game

Last night we attended Girls in the Game’s annual Field of Dreams Gala. We are so grateful to have been among so many influential role models, giving girls the opportunity to follow their dreams. Girls in the Game is a nonprofit organization, which provides and strongly promotes sports, leadership, fitness, health, and nutrition for girls in the Chicago area. There is so much attrition in graduation rates in Chicago as well as an increase in childhood obesity and inactivity in the country as a whole. Girls are continuously placed in the back seat due to funding, stereotypes, and lack of positive attention. Girls in the Game is devoted to making a positive impact for the developing generation of girls who don’t have access to the resources to help them strive in a system that seems to be working against our countries youth.

We were reminded about the importance of sport and health in a girls life as we listened to the graduating girls (among the small 55% of Chicago Public School graduation rate) tell their stories of teamwork, leadership, commitment, discipline, and growth, which they learned in their experience with Girls in the Game. We were star struck by Brandi Chastain, the keynote speaker, and emotionally moved by her stories about celebration. Brandi told a story about sharing the emotional drive of celebrating yourself and the impact believing in girls has on their future growth in the world. Her story about teaching a soccer camp of girls the power of celebration moved the room. “Thank you for believing in me”, a girl influenced by Brandi’s passion for soccer and celebration told her.

The other Girls in the Game  2013 Champion’s included, Alison Felix, USA Track All-star and Health Champion, Swin Cash, WNBA Sky All-star and Teamwork champion, Toni Preckwinkle, Cook County Board President and Leadership Champion, and Sarah Spain, ESPN Anchor and Life Champion. It was a night filled with compassion and energy towards making a difference in girls’ lives. We hope to pay it forward as we continue to spread lessons of sport, fitness and health as they apply to life’s challenges, commitments, and achievements.

 

GET IN THE GAME!

http://http://www.girlsinthegame.org

Human Instincts – Possible Causes of Obesity and Other Problems

According to Deirdre Barrett, a clinical professor of psychology at Harvard Medical School, our primal urges have contributed to creating the obesity epidemic, social isolation, poor risk-assessment tendencies and sex addiction. She discusses the link between our impulses and how it relates to living in the modern world.

CANWEST NEWS SERVICE

APRIL 4, 2010 12:02 PM

The evolutionary impulses that allowed our ancestors to survive on the Savannah are sabotaging us in the modern world, finds groundbreaking new research.

According to Deirdre Barrett, a clinical professor of psychology at Harvard Medical School, our lingering primal urges have helped give rise to the obesity epidemic, social isolation, poor risk-assessment tendencies and sex addiction, among countless other things. All because our biology hasn’t caught up to the way we live.

“We still have Stone-Age brains inside contemporarily clothed bodies,” says Barrett, author of the new book Supernormal Stimuli. “So we can’t really trust our instincts; we need to trust our intellects.”

The problem, of course, is that most of us don’t. And according to Barrett’s studies, it’s because we’re governed by the same knee-jerk behaviour as so-called “dumb animals.”

Just as a songbird has been shown to prefer fake eggs over its own real ones, simply because the phonies offer an exaggerated version of reality — brighter colours, embellished markings, larger in size — so, too, are humans duped by their own instincts.

“When we see animals trying to mate with a little cardboard cylinder just because it has the right stripes on the side, it looks really silly to us,” says Barrett. “But magazine pornography isn’t any less unrealistic a depiction of a real woman.”

Because most big genetic changes take 10,000 years or more to pass, she says humans are still coded to respond to their environment in very primitive ways. Once-scarce fat, salt and sugar, for instance, is still pursued today, to the point of excess, despite the fact it’s become widely available.

“Our genes haven’t had time to stop craving those things and start craving green, leafy vegetables, which were around us all the time on the Savannah and didn’t need to be prioritized,” says Barrett.

Our social instincts are as easily fooled — and again, to our detriment — by TV’s exaggerated versions of things we naturally seek out.

“We have very attractive actors smiling at us, and laugh tracks playing, and funny quips coming faster than they ever could in real life,” says Barrett. “All the things that are meant to pull us into a social interaction but, in fact, are pulling us toward a television set.”

Even our ability to detect threats is affected, with Barrett noting people are likelier to gasp at a horror movie or picture of a giant gorilla than news of global warming, which wasn’t an obvious danger to our ancestors.

Because evolution won’t ever catch up to our changing times, she says the best we can do is to recognize what’s happening and try to behave logically.

“We have the tools to handle this, with our superior intellect and brain power,” says Barrett. “The problem is that we act reflexively most of the time.”

Fighting the ‘Fatso Gene’ by Exercising for an Hour a Day

It is not news that exercise and eating healthy can help to combat obesity. Additonally, according to lead author Jonatan Ruiz of the Karolinska Institute in Sweden, in a new European Study, one hour of moderate to vigorous exercise a day can help teenagers beat the effects of a common obesity related gene. The study appears in the April edition of Archives of Pediatrics and Adolescent Medicine. According to another study’s lead author, Evadnie Rampersaud of the University of Miami, and co-author, Dr. Alan Shuldiner of the University of Maryland, who studied Amish adults said the new findings are “very interesting” because they suggest one hour daily spent exercising can be enough for teenagers at risk. University of Miami researchers now are studying adults in an employee wellness program to see what it takes for them to overcome the fatso gene, Rampersaud said.

By CARLA K. JOHNSON
The Associated Press
Monday, April 5, 2010; 4:33 PM

CHICAGO — One hour of moderate to vigorous exercise a day can help teens beat the effects of a common obesity-related gene with the nickname “fatso,” according to a new European study.

The message for adolescents is to get moving, said lead author Jonatan Ruiz of the Karolinska Institute in Sweden.

“Be active in your way,” Ruiz said. “Activities such as playing sports are just fine and enough.”

The study, released Monday, appears in the April edition of Archives of Pediatrics and Adolescent Medicine.

The research supports U.S. guidelines that tell children and teenagers to get an hour or more of physical activity daily, most of it aerobic activity such as running, jumping rope, swimming, dancing and bicycling.

Scientists are finding evidence that both lifestyle and genes cause obesity and they’re just learning how much diet and exercise can offset the inherited risk.

One gene involved with obesity, the FTO gene, packs on the pounds when it shows up in a variant form. Adults who carry two copies of the gene variant – about 1 in 6 people – weigh on average 7 pounds more than people who don’t.

In the new study, 752 teenagers, who had their blood tested for the gene variant, wore monitoring devices for a week during waking hours to measure their physical activity.

Exercising an hour or more daily made a big difference for the teens who were genetically predisposed to obesity. Their waist measurements, body mass index scores and body fat were the same, on average, as the other teenagers with regular genes.

But the teens with the gene variant had more body fat, bigger waists and higher BMI if they got less than an hour of exercise daily. The results were similar for boys and girls.

The teens lived in Greece, Germany, Belgium, France, Hungary, Italy, Sweden, Austria and Spain. The study was funded by the Spanish and Swedish governments and the European Union.

The new study found that most of the teenagers had at least one copy of the variant gene. Only 37 percent had regular genes. The rest had either one of two copies of the pesky fatso gene.

An earlier study in Amish adults in Lancaster County, Pa., found they needed three to four hours of moderate activity daily to beat the gene. The adults in that study did things like brisk walking, housecleaning and gardening.

The teens in the new study may have exercised more vigorously than the Amish adults, Ruiz said. The new analysis was designed to see whether the current U.S. guidelines – which specify a moderate to vigorous level of exercise for an hour a day – made a difference for kids.

The lead author of the Amish study, Evadnie Rampersaud of the University of Miami, said the new findings are “very interesting” because they suggest one hour daily spent exercising can be enough for teenagers at risk.

University of Miami researchers now are studying adults in an employee wellness program to see what it takes for them to overcome the fatso gene, Rampersaud said.

“The message is clear: genes are not destiny,” said Dr. Alan Shuldiner of the University of Maryland, a co-author of the Amish study. “Those with obesity susceptibility genes should be especially motivated to engage in a physically active lifestyle.”

A Different Obesity Timeline

It would appear that everyone is aware of the obesity epidemic by this point. It is portrayed as a recent occurrence, but this is not the case. John Komlos and Marek Brabec find that obesity rates began rising a long time ago and explain factors that may have contributed to this precursor to today’s obesity epidemic.

By FREAKONOMICS

New York Times

The obesity epidemic is generally portrayed as a relatively recent phenomenon, but new research paints a different picture.  John Komlos and Marek Brabec find that obesity rates actually began rising in the early 20th century, with significant upsurges after the two World Wars.  The authors point out that “the ‘creeping’ nature of the epidemic, as well as its persistence, does suggest that its roots have been embedded deep in the social fabric and are nourished by a network of disparate sources…”  Komlos and Brabec point to factors like the industrialization of food production, the spread of automobiles, the spread of the media, the IT revolution, and the growing culture of consumption in America to explain the trend.

HERE is the source from the National Bureau of Economic Research:

The Trend of Mean BMI Values of US Adults, Birth Cohorts 1882-1986 Indicates that the Obesity Epidemic Began Earlier than Hitherto

John KomlosMarek Brabec

NBER Working Paper No. 15862*
Issued in April 2010 NBER Program(s):   HE

The trend in the BMI values of the US population has not been estimated accurately because time series data are unavailable and because the focus has been on calculating period effects. In contrast to the prevailing strategies, we estimate the trend and rate of change of BMI values by birth cohorts stratified by gender and ethnicity born 1882-1986. We use loess additive regression models to estimate age and trend effects of BMI values of US-born black and white adults measured between 1959 and 2006. We use all the NHES and NHANES survey data and find that the increase in BMI was already underway among the birth cohorts of the early 20th century. The rate of increase was fastest among black females; for the three other groups under consideration, the rates of increase were similar. The generally persistent upward trend was punctuated by upsurges, particularly after each of the two World Wars. That the estimated rate of change of BMI values increased by 71% among black females between the birth cohorts 1955 and those of 1965 is indicative of the rapid increases in their weight. We infer that transition to post-industrial weights was a gradual process and began considerably earlier than hitherto supposed.

Obesity in Infants Can Be Diagnosed at 6 Months

Should we take this leap? Should we make this diagnosis? Well this is the same question people have been asking for quite some time about a relevant and concerning issue. Some groundbreaking new research indicates that obesity can be diagnosed earlier than we have ever imagined.  This study was published by researchers at the University of Texas Medical Branch at Galveston in Pediatrics.  Dr. David McCormick, UTMB clinical professor of pediatrics and senior author of the study, stated that clinicians have not really been focusing on obesity in infants and the longstanding effects of it. This finding brings attention to the possibility of preventing obesity via earlier identification of the problem.

ScienceDaily (Apr. 7, 2010) — Obesity can be detected in infants as young as 6 months, according to a new study by researchers at the University of Texas Medical Branch at Galveston.

By analyzing the electronic medical records of babies seen for routine “well-child” visits to the UTMB pediatric clinic, the investigators found that about 16 percent of 6-month-olds fit the study’s criterion for obesity — a weight-for-length ratio that put them in the top 5 percent of all babies in their age group. (Weight for length was used instead of the conventional body mass index because BMI is based on weight and height as measured while standing, which neither 6-month-olds nor 24-month-olds can do well enough to measure.) Further analysis of the records indicated that obese 2-year-olds were much more likely to have been obese at 6 months than 2-year-olds who were not obese.

The obese babies’ medical records rarely showed that clinicians had addressed the issue at either 6-month or 24-month visits, despite a well-established connection between obesity at a young age and obesity later in life, which is linked to such serious health problems as diabetes, heart disease and high blood pressure.

“Until very recently, pediatricians really haven’t been focusing on obesity in babies,” said Dr. David McCormick, UTMB clinical professor of pediatrics and senior author of the study, “Infant Obesity: Are We Ready to Make this Diagnosis?” which is now online in the Journal of Pediatrics. “We’re just getting a handle on it descriptively right now. What we’re hoping to do is alert our colleagues and our parents. If we address weight management through nutrition and exercise as early in life as possible, it’s going to work a lot better.”

According to McCormick, pediatricians confronting infant obesity can recommend a number of measures that other research has shown are linked to healthy weight, measures that should be particularly effective because babies’ mothers have much more control over their diets than mothers of older children do.

“Studies have shown that exclusive breastfeeding — breastfeeding alone, not breastfeeding combined with bottle-feeding — prevents obesity,” McCormick said. “Getting enough fiber — eating apples instead of drinking apple juice, for example — also helps keep babies on track to a healthy weight. By contrast, improper early introduction of cereal by adding it to an infant’s bottle promotes obesity.”

McCormick observed that maternal data collected in his group’s investigation matched well with other studies of children and adolescents that showed higher odds of obesity among boys and girls whose mothers were already obese before becoming pregnant or who gained an excessive amount of weight during pregnancy. Such results, he said, added even more urgency to the need to deal with childhood weight issues effectively and address what could be a multigenerational cycle of obesity.

“We need to do a lot better as clinicians and educators at getting our community educated and working through the entire age spectrum, because babies who are overweight are more likely to be overweight children and adolescents, and then later, when obese women are ready to have a family, their babies are more likely to become obese,” McCormick said. “We need to deal with this through all ages and through pregnancy, because if a woman is already overweight when she becomes pregnant, it’s extremely difficult for her to do anything about her weight at that point.”

Attitude Toward Everyday Activity Important for Healthy Lifestyle

We all know that physical activity is important to good health and well-being. The U.S. Department of Health and Human Services’ recommends 150 minutes of aerobic activity throughout the week. David Conroy, associate professor of kinesiology and human development and family studies, along with Shawna Doerksen, assistant professor of recreation, park and tourism management, Amanda Hyde, graduate student in kinesiology, and Nuno Ribeiro, graduate in recreation, park and tourism management, studied 200 college students to determine the relationship between physical activity and level of unintentional activity. Their results were published in the April issue of Annals of Behavioral Medicine.

ScienceDaily (Apr. 3, 2010) — Unintentional physical activity may be influenced by non-conscious attitudes, noted David Conroy, associate professor of kinesiology and human development and family studies. The challenge of encouraging more activity can be met by understanding the motivation behind both deliberate exercise and inherent behaviors.

“If you aren’t in the habit of being physically active, you can run out of energy trying to force yourself to do it everyday,” said Conroy. “But if you can make physical activity habitual, being active becomes a lot easier.”

Efforts to increase physical activity are at the forefront of public health research because the benefits of a healthy lifestyle go far beyond physical and mental well-being. However, the majority of these efforts focus on explicit motivation — external factors that lead to a change in behavior. Explicit motivation can include following the U.S. Department of Health and Human Services’ recommendation for 150 minutes of aerobic activity throughout the week, or making plans with a friend to start a weight-loss program.

But explicit motivational processes are often unsuccessful in causing changes that people can easily maintain long-term.

Conroy, along with Shawna Doerksen, assistant professor of recreation, park and tourism management; Amanda Hyde, graduate student in kinesiology; and Nuno Ribeiro, graduate in recreation, park and tourism management, examined 200 college students for a connection between physical activity and level of unintentional activity.

“It wasn’t the overall level of activity we focused on, it was specifically the unintentional activity — those little things that you don’t even think about that help you burn those extra few calories,” said Conroy.

Their results, published in the April issue of Annals of Behavioral Medicine, show a positive correlation between individuals who have a positive attitude about physical activity and those who performed more unintentional physical activity, such as climbing stairs instead of waiting for the elevator, or walking further to the store because of parking in the first available spot rather than searching for a closer space.

The researchers measured the students’ unexpressed attitudes towards exercise with a common psychological test that uses words or pictures to trigger a person’s automatic response. The computer-based test requires categorization of a stimulus, in this case a type of physical activity, with words that are either “good” or “bad.” The faster a person associates a pairing as either good or bad, the more strongly they connect those two things in their memory.

Conroy and Doerksen also used questionnaires to determine the amount of physical activity the students predicted they would get during the week. The amount varied, depending on how active students were in their social group or the outcomes they expected from physical activity.

The researchers fit each student with a pedometer to calculate the total activity he or she experienced during one week. The amount of unintentional activity is estimated by adjusting total activity scores to account for people’s intentions to be active.

“We’re trying to follow this up now by looking at a broader range of populations,” said Conroy. There are major differences in what motivates young adults, mid-life adults or parents, and older adults who may have physical limitations, he noted.

The researchers are now exploring whether there are ways to promote or encourage physical activity without a person knowing it.

Coming to the Menu: Calorie Counts

Making better decisions about eating may increase because of the new health bill President Barack Obama signed into law recently. It requires that restaurant chains post calorie counts for all the food items they sell. “Dining out no longer has to be a nutritional guessing game,” said Margo G. Wootan, director of nutrition policy with the Center for Science in the Public Interest, a nonprofit health-advocacy group based in Washington. Will this change actually affect consumers’ choices of foods? Well, the hope is that it will. Cathy Nonas, director of physical activity and nutrition for the health department in New York City, a pioneer in adopting menu labeling and Ron Shaich, co-founder and chief executive of Panera Bread Co. , believe that this type of action against obesity that can make a difference. Researchers from Tufts University looked at the validity and truth behind the number of calories that restaurants were reporting. Deborah Dowdell, president of the New Jersey Restaurant Association is against this posting of nutritional information and believes there are better ways to reduce the obesity epidemic. On the other hand, others have embraced and welcomed the new information, such as Andy Hayler, a U.K.-based food critic who writes about restaurants world-wide.

By JEAN SPENCER and SHIRLEY S. WANG

Wall Street Journal

3/24/10

Chowing down on calorie-laden food at chain restaurants is going to become more of a guilt trip.

The health bill President Barack Obama signed into law Tuesday requires that restaurant chains post calorie counts for all the food items they sell. The law covers any chain with at least 20 outlets, amounting to more than 200,000 restaurants nationwide.

“Dining out no longer has to be a nutritional guessing game,” said Margo G. Wootan, director of nutrition policy with the Center for Science in the Public Interest, a nonprofit health-advocacy group based in Washington. “People could cut hundreds, thousands, of calories from their diet.”

Calorie counts must be listed on menus, menu boards, drive-through displays and vending machines under the law. Additional information—such as sodium levels, carbohydrates and saturated fats—must be available on request. Temporary specials and custom orders are exempted.

A growing number of state, county and local regulations already require similar disclosures, and those rules will be superceded by the federal law.

There has been debate about whether such menu labeling actually affects consumers’ behavior. Some recent studies have found that such labeling leads to healthier eating: The New York City health department examined the behavior of 12,000 customers of 13 chain restaurants in 275 locations in the city before and after menu labeling was implemented in the city in 2008.

Preliminary results show that one in six fast-food customers report using the calorie-count information. Consumers who said they used the information bought items with 106 fewer calories compared with those who didn’t see or use the information.

Separate studies have shown weak or inconsistent effects of menu labeling on consumer behavior, according to a 2008 review of the literature published in the International Journal of Behavioral Nutrition and Physical Activity.

“Calorie posting in and of itself is not going to change obesity per se, but it’s all of these kinds of layering opportunities that we’re doing for public health all across the country that are going to make the difference,” said Cathy Nonas, director of physical activity and nutrition for the health department in New York City, a pioneer in adopting menu labeling.

The National Center for Health Statistics reported in January that 34% of Americans age 20 and older were obese in 2007-08.

The restaurant industry is required to come up with a labeling proposal in one year, but the bill leaves it to Food and Drug Administration officials to determine specific regulations, including the printing fonts and their sizes to be used in calorie displays. Ms. Wootan said it could take three to four years before diners see the new information in restaurants.

One concern about the rules is accuracy. Researchers from Tufts University who looked into caloric disclosure from 29 quick-serve and sit-down restaurants found that restaurants under-reported calories by an average of 18%.

Some restaurant owners and groups have supported labeling regulations, in part because they don’t think such disclosures deter patrons from ordering what they want.

“This isn’t telling them what to eat or playing nutritional police—it’s about making nutritional information available,” said Ron Shaich, co-founder and chief executive of Panera Bread Co., said in an interview. The company said two weeks ago it would voluntarily add calorie information on menu boards at each of its 1,380 bakery-cafes nationwide by the end of 2010.

The National Restaurant Association said it supported the move to help health-conscious consumers track nutritional facts, and the law also solved the problem of restaurants having to deal with differing menu regulations around the country.

“This legislation will replace a growing patchwork of varying state and local regulations with one consistent national standard that helps consumers make choices that are best for themselves and their families,” the restaurant industry group said in a statement.

Darden Restaurants, which operates 1,800 Olive Garden, Red Lobster and Longhorn Steakhouse and other outlets, said the nationwide requirements will simplify its menu labeling. Only 130 of its restaurants currently are required to label menus, a spokesman said. Some fast food chains, including Burger King, also support the federal law.

But some restaurant owners aren’t so sanguine. Deborah Dowdell, president of the New Jersey Restaurant Association, which represents 23,000 food and beverage shops, said labeling increases menu costs for restaurants is inaccurate and doesn’t solve the nation’s obesity trend.

“If our goal is to curtail the trend of obesity, there are much more effective ways that can be implemented to accomplish that goal,” Ms. Dowdell said, suggesting exercise education as one example.

Some restaurant patrons welcomed the news.Andy Hayler, a U.K.-based food critic who writes about restaurants world-wide, said keeping track of calories was more difficult away from home. “It may not be obvious that something like blue cheese has twice as many calories as other cheeses,” said Mr. Hayler, who often eats out five times per week.