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Small Changes to Familiar Children’s Combo Meals can Help Cut Calorie Consumption

Small Changes to Familiar Children’s Combo Meals can Help Cut Calorie Consumption

Parents can encourage child to eat healthy by offering healthy foods along with small portions of indulgent foods

Restaurant managers can encourage healthy eating by making small changes in the automatic foods offered in children’s meals, while still including small portions of indulgent foods

Allowing small portions of unhealthy foods in meals helps to avoid overeating

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Wansink, Brian, and Andrew S. Hanks (2014). Calorie reductions and within‐meal calorie compensation in children's meal combos. Obesity, 22(3), 630-632.  doi: 10.1002/oby.20668

What would happen if a fast-food restaurant reduces the calories in a children’s meal by 104 calories, mainly by decreasing the portion size of French fries? Would children compensate by choosing a more calorie dense entrée or beverage? Researchers at Cornell University, Dr. Brian Wansink and Dr. Andrew Hanks, analyzed transaction data from 30 representative McDonald’s restaurants to answer that question.

Prior to 2012, the Happy Meal® was served with one of three entrée options (chicken nuggets, cheeseburger, hamburger), a side item (apples or small size French fry), and a beverage (fountain beverage, white milk, chocolate milk, apple juice). By April 2012, all restaurants in this chain served a smaller size “kid fry” and a packet of apples with each CMB. They found that this change in default side offerings (fewer fries and added apple slices) resulted in 98 of the total 104-calorie decrease in the CMB.

With such a large decrease in calories, would children compensate by choosing a more calorie dense entrée or beverage? Wansink and Hanks found that 99% of children ordered the same entrée, and orders of chicken nuggets (the lowest calorie entrée) remained flat at nearly 62% of all orders. Yet, nearly 11% fewer children took caloric soda as a beverage and 22% more chose white or chocolate milk–a more satiating beverage. This increase was partially due to small changes in advertising for milk. The chocolate milk served in 2012 was of the fat-free variety compared to the 1% variety served previously and it also contained 40 fewer calories. Overall, the substitutions in beverage purchases resulted in 6 fewer calories served with the average CMB.

Small changes in the automatic—or default—foods offered or promoted in children’s meals can reduce calorie intake and improve the overall nutrition from selected foods as long as there is still an indulgence. Importantly, balancing a meal with smaller portions of favored foods might avoid reactance and overeating. Just as managers have done this in restaurants, parents can do this at home.

For instance, giving a child a piece of fruit and a smaller amount of potato chips with his or her sandwich may be healthier than providing no indulgence at all.

Article summary by: Drew Hanks and Katie Baildon