Friday, January 9, 2009

Effects of fast food on children, PEDIATRICS Vol. 113 No. 1 January 2004, pp. 112-118


Children who ate fast food, compared with those who did not, consumed
more total energy (187 kcal; 95% confidence interval [CI]: 109–265),
more energy per gram of food (0.29 kcal/g; 95% CI: 0.25–0.33),
more total fat (9 g; 95% CI: 5.0–13.0),
more total carbohydrate (24 g; 95% CI: 12.6–35.4),
more added sugars (26 g; 95% CI: 18.2–34.6),
more sugar-sweetened beverages (228 g; 95% CI: 184–272),
less fiber (–1.1 g; 95% CI: –1.8 to –0.4),
less milk (–65 g; 95% CI: –95 to –30), and
fewer fruits and nonstarchy vegetables (–45 g; 95% CI: -58.6 to –31.4).

Very similar results were observed by using within-subject analyses in which subjects served as their own controls: that is, children ate more total energy and had poorer diet quality on days with, compared with without, fast food.

It was a very disturbing day for me while eating in the hospital's food court.

Firstly there isn't any shops selling decent and healthy food. The restaurants in a world renowned hospitals are as follows:-

Burger king- usually attracts the highest number of people
Upper crust- serves baguettes and other snacks
Trattoria- serves pizza
Jacket junction- serves jacket potatoes with sinful toppings (only few choices are available- Cheese and macaroni, beans and sausage, tuna and mayonnaise, cheese and bacon)
Cafe ritazza- fish and chips, briyani rice, pasta +/- nooddles

As you see there is hardly any healthy food available.
And the healthier of the lot are the more expensive ones.

I bring my own food for lunch (usu bread +/- eggs +/- lettuce) as I couldn't afford to eat in the hospital anyway (burger king meal cost roughly 6 pounds). My own lunch would cost no more than 1 pound.

Water?- there's free drinking water available (and the tap water is pretty safe I suppose)

What pissed me off today?

1. Babies eating fast food (I saw one just above 6 months eating fried chicken nuggets and chips).

2. Pregnant mums eating fast food.

3. Patients eating fast food.
Saw one chinaman with probably liver cirrhosis or CCF (oedematous lower limb) eating burger and chips and coke with a branulla sticking out (most likely for his IV Lasix).
Saw my pt day 10 post transplant (ESRD d/t Type 1 DM) having burger and chips. Ok, you could argue that Type 1 DM is not his fault and he had a combined kidney and pancreas transplant.

I know we see this in Malaysia as well but not all at once!


It just going to get worse with the worsening economy.

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