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Compensation for Energy Intake From Fast Food Among Overweight and Lean Adolescents
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To the Editor: Dr Ebbeling and colleagues1 reported in study 2 that overweight adolescents did not compensate for the "massive portion sizes characteristic of fast food today" because they ate 400 more calories on days that they ate fast food compared with days when they did not. However, the overweight adolescents' average caloric intake for both sets of days was 2499, which was similar to the average caloric intake of the lean adolescents (2598), suggesting that although they ate more on fast food days, they also compensated by eating less on nondesignated fast food days.
In addition, study 1 was done in the presumably naturalistic setting of a food court. I am concerned that having the study participants stay for an hour, proceed by eating an extra large meal, and follow by refilling at will encouraged them to overeat. While this method may have been implemented to exaggerate a difference . . . [Full Text of this Article]
Paul Pisarik, MD, MPH
ppisarik@bcm.tmc.edu
Department of Family and Community Medicine
Baylor College of Medicine
Houston, Tex
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