At a recent meeting of the Obesity Society Jason Block, MD, of Harvard Medical School and fellow researchers reported that parents often underestimate the calories their school-age kids are consuming when they eat large meals at fast food restaurants.

According to the study, the average meal purchased  in four New England cities contained 733 calories, and 21% contained more than 1,000 calories, But the parents estimated an average of only 562 calories per meal, with 72% underestimating the actual content. “There was an association between larger meals and larger underestimations, which may hold some promise for menu labeling,” Dr. Block said. He noted that the Affordable Care Act (ACA) mandates that restaurants with 20 or more locations nationwide post calorie information on their menus.

The researchers found that only 15% of parents saw nutritional information in the restaurants and fewer still (4%) used that information when ordering. “So they may not use it even if it’s more accessible,” Block stated.

Last year at the society’s annual meeting, Dr Block reported that 80% of adolescents in Boston, Springfield, Mass., Providence, R.I., and Hartford, Conn., underestimated the amount of calories their fast food meals contained and 86% did not notice any nutritional information in the restaurants.

In the current study, Block and his colleagues visited 10 restaurants in each of the four cities… three McDonald’s, three Burger King, two Subway, one KFC, and one Wendy’s. Each restaurant was visited six times at dinnertime.

Those participating in the study included parents or legal guardians of children and teens, ages 3 to 15 (mean age 7.9). The analysis included 330 families, representing 45% of those who were approached.

Most of the children (57%) were overweight or obese. The sample was ethnically diverse — 33% black, 30% Hispanic, 19% white, 3% Asian, and 15% other or multiracial.

The researchers collected receipts when the parents left the restaurants and administered a short survey about the calorie content of the meal and awareness and use of the nutritional information. The actual calorie content of the meals was calculated using the receipts and information on the restaurants’ websites.

Many of the parents purchased large meals for their children and most underestimated the calorie content. Nearly one-quarter (24%) underestimated the calorie count by at least 500.

Those who underestimated the daily requirement tended to also underestimate the calories in a meal, a finding that “supports an anchoring statement on menus,” Block said. The federal regulations require that, in addition to calorie information, menus must include an anchoring statement describing the typical daily calorie requirement.

The study was funded by the National Heart, Lung, and Blood Institute and by a Robert Wood Johnson Foundation Health and Society Scholars Seed Grant.

Source: The Obesity Society

The United States Department of Agriculture,USDA has an extensive site for parents of preschool and elementary school age children featuring comprehensive nutrition plans, daily meal and snack plans for parents to reference and games that children can play that stress good eating habits. Go to:

http://fnic.nal.usda.gov/consumers/ages-stages/preschool-elementary-kids

Got a picky eater? The USDA has extensive information that can help parents get the picky eater to eat food necessary for good nutrition at

http://wicworks.nal.usda.gov/children/picky-eaters

Another great USDA site to visit for a personalized nutrition and physical activity plan, the  ability to track your foods and physical activities to see how they stack up and to get tips and support to help you make healthier choices and plan ahead is:

https://www.supertracker.usda.gov/default.aspx

The U.S. Department of Health and Human Services, HHS, wants all Americans to know about programs and resources to help children and parents curb obesity  including the President’s Council on Fitness, Sports and Nutrition, the Centers for Disease Control and Prevention, and the National Institutes of Health’s We Can!! (Ways to Enhance Children’s Activity & Nutrition)® program.

Through public-private partnerships, safe places to play and nutritious food options are being made available in neighborhoods and schools across America. Exciting new programs include the Partnership for a Healthier America and Olympic Team USA’s commitment to provide 1.7 million kids the opportunity to participate in free and low cost physical activity programs offered by the United States Olympic Committee (USOC), USOC National Governing Bodies for sport, and others over the next year.

The U.S. Department of Agriculture recently released a new farm to school grant program designed to educate children about food sources, and increase the availability of locally sourced foods in schools.

Over the past 30 years, the childhood obesity rate in America has almost tripled. According to the Centers for Disease Control,CDC, in 2010, approximately 17 percent of children and adolescents aged 2-19 years were already obese. Children and teenagers who are obese are more likely to become obese adults. Overweight and obese youth are at greater risk of developing serious adult health problems such as heart disease, type 2 diabetes, stroke, certain types of cancer, and osteoarthritis.

That is why HHS, with the President’s Council, supports First Lady Michelle Obama’s goal to end childhood obesity within a generation through her Let’s Move! program. Everyone has a role to play – parents and caregivers, school teachers and administrators, community leaders, local elected officials, after school programmers, and health care providers.

According to the 2008 Physical Activity Guidelines for Americans, children and adolescents aged 6–17 years should spend 60 minutes or more being physical active each day.

The Dietary Guidelines for Americans, 2010, released by HHS and USDA, provide nutritional guidance for Americans to promote good health, reduce the risk of chronic diseases, and reduce the prevalence of overweight and obesity. The guidelines recommend balancing calories with physical activity, and encourage Americans to consume more healthy foods like vegetables, fruits, whole grains, fat-free and low-fat dairy products, and seafood, and to consume less sodium, saturated and trans fats, added sugars, and refined grains.

To learn more about National Childhood Obesity Awareness Month or for tips on how to help your kids lead healthy lifestyle visit http://www.fitness.gov

While many schools have removed sugary sodas from the school vending machines and other points of purchase,  sugary fruit beverages and Gatorade-like drinks are still available in most schools.

According to the findings in a new study by the Robert Wood Johnson Foundation high-calorie drinks are the main source of dietary sugar among children. Making these drinks available at school can significantly increase students’ daily calorie intake.

The lead author of the study, Yvonne Terry-McElrath, a researcher from the University of Michigan and co-investigator with Bridging the Gap, a research program of the Robert Wood Johnson Foundation, said in a foundation news release, “Our study shows that, although schools are making progress in removing sugary drinks, far too many students still are surrounded by a variety of unhealthy beverages at school. We also know that the problem gets worse as students get older.”

The researchers surveyed more than 1,400 middle schools and more than 1,500 high schools to track beverages sold by these schools outside of meal programs over four academic years beginning in 2006. Specifically, they looked at places where students could buy high-calorie sodas, such as vending machines, a la carte lines in the cafeteria, school stores and snack bars.

The study, published Aug. 6 in the Archives of Pediatrics and Adolescent Medicine, found one in four public high school students could buy high-calorie soda during the 2010 school year. Four years earlier, sugary sodas were available to more than 50 percent of these students, the researchers said.

While this decrease in schools is encouraging, the investigators found many middle and high school students still have access to other sugary beverages, such as fruit drinks and sports drinks. In the 2010 school year, 63 percent of middle school students and 88 percent of high school students could buy some type of high-calorie drink at school.

The study also showed that while students’ access to higher-fat milk declined, in 2010 it remained available to 36 percent of middle school students and 48 percent of high school students.

C. Tracy Orleans, senior scientist at the Robert Wood Johnson Foundation, said the progress being made to remove sugary sodas from schools is encouraging. “But while this study does have good news, it also shows that we’re not yet where we want to be,” Orleans said in the news release. “It’s critically important for the USDA [U.S. Department of Agriculture] to set strong standards for competitive foods and beverages to help ensure that all students across all grades have healthy choices at school.”

A study, recently released by the U.S. Department of Agriculture’s (USDA) Economic Research Service, found that healthy foods like beans, carrots, milk, and yogurt are actually less expensive than ice cream sandwiches, cinnamon buns, and soda.

The USDA researchers looked at calorie content but also compared the prices of more than 4,000 healthy foods and moderation foods based on price by weight and portion size.

Using dietary recommendations from the federal government’s choosemyplate.gov website, researchers identified healthy foods as those that contain at least one of the major food groups (vegetables, fruits, grains, dairy, and protein) and contain only moderate amounts of saturated fats, added sugars, and sodium.

Researchers found that by portion size, the cheapest healthy food to eat is grains, followed by dairy, vegetables, fruit, protein, and moderation foods.

When broken down by how much it costs per day to fulfill dietary guidelines, grains and dairy are the cheapest recommendations to meet while vegetable and protein are the most expensive to meet, the researchers wrote. Fruit falls somewhere in the middle.

It costs more money to meet the fruit and vegetable guidelines for a healthy diet because nutrition guidelines call for consuming such a large amount of fruit and vegetables, not because they are more expensive than other foods.

Earlier studies have found that people with limited incomes don’t spend more on fruits and vegetables as their incomes rise, suggesting that tastes and cultural food preferences play a significant role in food choices.