Almost 70 percent of Americans have been overweight or obese in
recent years, and more than 78 million people in the country have
been counted as obese.
The problem has many sources, but one of them is obvious:
increased portion sizes. We have a lot of evidence that people will
eat whatever is put in front of them, even if they aren't hungry. As
portion sizes expand, waistlines expand as well.
According to the Centers for Disease Control and Prevention, the
average U.S. restaurant meal is more than five times larger than it
was in the 1950s. The average hamburger, once less than 4 ounces, is
now more than 12 ounces. The average order of French fries, once
less than three ounces, is now more than six ounces. There is a
clear correlation between increases in portion sizes and increases
in obesity.
That correlation helps explain why obesity has been more
prevalent in the U.S. than in France. The French eat high-calorie
food, but their portion sizes are smaller. In supermarkets and
restaurants, and in portion sizes recommended in cookbooks,
Americans are given significantly bigger servings. Even at
McDonald's, where we might expect identical sizes, servings of soda
and French fries have been found to be larger in Philadelphia than
in Paris.
Mindless eating
Brian Wansink, a Cornell University professor of consumer
behavior, helps to explain why portion sizes have such a large
effect. He finds that much of our eating is mindless or automatic in
that we tend to eat whatever is in front of us. If you are given a
half-pound bag of M&M's, chances are that you will eat about half as
much as you will if you are given a one-pound bag. People who
receive large bowls of ice cream eat a lot more than those who get
small bowls.
In one of Wansink's fiendish experiments, people were provided
with a large bowl of Campbell's tomato soup and told to eat as much
as they liked. Unbeknownst to them, the soup bowls were engineered
to refill themselves (with empty bottoms connected to machinery
beneath the table). No matter how much soup the subjects ate, the
bowl never emptied. The result? Soup consumption skyrocketed. Many
people just kept eating until the experiment was ended.
The good news is that once we isolate the sources of excessive
eating, we will be able to identify potential solutions. Google Inc.
found that its New York cafeteria, which offered a lot of high-
calorie items, was producing a lot of unwanted pounds. In response
to employee complaints, it initiated changes to nudge people toward
healthier choices. Large plates and takeout containers were
exchanged for smaller sizes, and employees were encouraged to eat
less with a sign stating, "People who take big plates tend to eat
more."
The redesigned cafeteria took a number of smart steps to make
healthy choices simpler and more convenient (and to make less
healthy choices less so). As a result, it helped to produce big
reductions in both calories and fat consumed from candy.
A striking feature of the Google initiative was that employees
were grateful for the nudges. There is reason to think that many
consumers would respond the same way. In a series of studies,
researchers told fast-food servers to ask customers whether they
wanted to "downsize" their high-calorie side dishes. A substantial
number (from 14 percent to 33 percent of those served) consistently
agreed to do so. Strikingly, they accepted the offer whether or not
they were offered a nominal 25 cent discount. Their total calorie
consumption was reduced, on average, by more than 200.
Demanding less
Evidence is increasing that lower-calorie servings can be good
for business. One reason is consumer demand. Many customers like,
and reward, restaurants that provide light options; an easy way to
provide such options is to cut portion sizes. Another reason is the
increasing practice, often undertaken voluntarily and eventually to
be required by the Affordable Care Act, of posting calorie counts on
menus. Customers can be surprised to see just how many calories come
from the standard portions of their favorite meals. They may not
want to switch to a meal they enjoy less, but a smaller portion may
suit them just fine. (Parents and dieters, please take note.)
The broader lesson is that obesity levels, in the U.S. and
elsewhere, are hardly inevitable. They are a product of the social
context in which people's choices are made. With careful attention
to the subtle social cues that lead to excessive eating, we should
be able to make a real dent in a serious public health problem.
Cass R. Sunstein, the Felix Frankfurter professor of law at
Harvard University, is a Bloomberg View columnist.
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News Column
Downsizing; Offering Consumers Choices May Reduce Obesity
Feb 18, 2013
CASS R SUNSTEIN
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