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Potential effect of physical activity based menu labels on the calorie content of selected fast food meals

<h5>Introduction</h5> More than one-third of adults in the United States are obese, and obesity is a significant risk factor for heart disease, stroke, hypertension, and type 2 diabetes ( Flegal, Carroll, Kit, & Ogden, 2012 ; U.S. Department of Health and Human Services, 2001 ). The obesity epidemic has been linked to changes in the American diet and inadequate levels of physical activity, both products of many environmental factors ( Variyam, 2005 ). Americans consume almost one-third of their daily calories from food purchased away from the home ( Variyam, 2005 ). With higher calorie and fat content, lower calcium and fiber content, and a larger portion size, food purchased away from the home has been implicated in the high prevalence of obesity ( Guthrie, Lin, & Frazao, 2002; Powell, Nguyen, & Han, 2012 ; Bowman & Vinyard, 2004 ). Fast food consumption is associated with weight gain and insulin resistance, which increase the risk of obesity and type 2 diabetes ( Bowman & Vinyard, 2004; French, Harnack, & Jeffery, 2000; Pereira, Ebbeling, Slattery, & Ludwig, 2005 ).</P>Policymakers are exploring new strategies to curb the obesity epidemic. One policy measure is the mandate included in the 2010 Patient http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Appetite Elsevier
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